How do you figure out the cause of an issue when the client doesn’t recall anything that could be causing it?

As a pelvic health physical therapist, we have to play detective, we listen intently, we use our training to palpate the body for clues, and we let our hands guide us to figure out the true cause of the problem we are addressing. 

In today’s episode, Lynn shares a case study of a 13 year old female who had been struggling with urinary incontinence for years. Listen in to hear the cause of her incontinence. 

This young lady was leaking urine when she laughed, but she could not recall any falls or impacts to her pelvis or bladder that could be causing the issue.

Upon assessment, Lynn discovered that her sacrum was hard and her tailbone was pulled to the right. Upon palpation there was a strong connection between the tailbone and the bladder. Another connection was found with the mid-back as well. 

As Lynn and her client continued to talk, the potential cause came to mind - this young client had launched out of a slide when she was little and landed on her buttocks. As a quick note, if you have a young client be sure to check the tailbone because kids fall and many times don’t remember it. It’s important to use all of your skills in your assessments, so you can get to the true cause of an issue to help it resolve.

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