REAL TIME ULTRASOUND

Do you suffer from:

  • LOW BACK PAIN

  • PELVIC PAIN

  • HIP PAIN 

  • MID BACK PAIN

  • NECK PAIN

  • SHOULDER PAIN

  • KNEE OR FOOT PAIN

  • PREGNANCY PAIN

  • POSTPARTUM PAIN

  • URINARY/BOWEL INCONTINENCE

  • PELVIC ORGAN PROLAPSE

  • DIASTASIS RECTUS ABDOMINIS

  • PELVIC FLOOR DYSFUNCTION

  • PAINFUL INTERCOURSE

  • CONSTIPATION

  • ABDOMINAL HERNIA

  • CORE WEAKNESS

  • TENSION HEADACHES

REAL TIME ULTRASOUND 

MAY BE THE ANSWER FOR YOU!! ​

Learn more below

What is Real Time Ultrasound (RTUS)?


Real-Time Ultrasound (RTUS) is a safe and effective imaging tool. It provides real time videos of your muscles as they move, which allows your physiotherapist to determine if your muscles are working properly. You and your physiotherapist can see if you can fully contract and relax your muscles and determine if they are turning on and off at the right times.
If your muscles are not working as they should, RTUS is a fantastic biofeedback tool that helps you learn how to reconnect to and retrain your muscles. It is also helps you learn how to ‘down train’ overactive muscles that turn on when they do not need to. With RTUS, you can see your muscles at rest, during movements and with other body functions such as coughing and sneezing. It assesses your muscles when you are laying on your back, sitting, standing, and more.

With RTUS, your physiotherapist can record videos and measure images for future comparison.




Why RTUS?


RTUS is useful and effective in imaging and retraining your inner core muscles including your pelvic floor, transverse abdominis (deepest abdominal muscle), multifidi (deepest spinal muscles), and breathing diaphragm.

The inner core muscles work together as a system to stabilize your pelvis, spine, and thorax. They create the foundation for effective, efficient, and pain-free movements throughout your entire body. They also contribute to the health and proper functioning of your abdominal organs. To create a stable anchor for all your muscles, these muscles should turn on BEFORE your body movements.

When the inner core muscles are not working properly, the outer core muscles (internal and external obliques, rectus abdominis, and superficial back muscles) will compensate. Over-active outer core muscles and under-active inner core muscles are not optimal for stability, and can lead to:
1) Compression of the joints in spine, pelvis, ribcage, and intervertebral discs leading to pain, inflammation, and degeneration 2) Increased intra-abdominal pressure, leading to incontinence, pelvic organ prolapse, abdominal and inguinal hernias, hypertonic pelvic floor muscles, and painful intercourse

Dysfunction of the inner core system is very common during and after pregnancy and episodes of pelvic and low back pain (unless treated). Many people compensate and are active even when they have core dysfunction, sometimes even for years, but eventually it catches up to them. The earlier you treat core dysfunction, the easier and faster it is to rehabilitate. It is never too late to start.




What does an assessment and treatment session with RTUS Involve?


RTUS is non-invasive (does not pierce the skin) and pain-free. To image your muscles, your physiotherapist puts a small amount of water soluble ultrasound gel on your skin and places the ultrasound head over your abdomen and/or along your spine. You will need to lift your shirt and/or lower your pants slightly but you will NOT need to remove any clothing




How are the pelvic floor muscled imaged with RTUS?


With RTUS, your pelvic floor muscles can be imaged from your lower abdomen. This is a wonderful bonus for patients looking to rehabilitate the pelvic floor without internal assessments and treatments.




Is Real Time Ultrasound Safe?


RTUS uses high frequency sound waves to produce real-time images. It is the same machine used to look at babies in the womb. It is very safe and does not use radiation.




Can RTUS be used to measure bladder volumes?


Yes! RTUS is a fantastic tool to measure bladder volumes both before (pre-void) and after (post-void) urinating. These measurements can be very important in understanding the causes of urinary incontinence and ensuring that appropriate treatment stratgies are used to treat it.





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