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Physical therapy is listed as a "second line" treatment for interstitial cystitis/bladder pain syndrome (IC/BPS) in the updated guidelines from the American Urological Association (AUA). These guidelines aim to "provide a clinical framework for the diagnosis and treatment of..." IC/BPS. Under diagnosis, tests such as urodynamics and cystoscopy (once considered the gold standard for diagnosis) are listed as tests that are not necessary yet they can be used as an aid for diagnosis.

 

First-line treatments include education about normal bladder function as well as about the condition, behavioral modifications, and  stress management. Recommended physical therapy components of treatment include manual therapy techniques and the avoidance of pelvic muscle strengthening exercises. Also listed under second-line treatments are medications, both intravesical (inside the bladder) and oral. 

 

The treatment of IC/BPS continues to change as researchers and clinicians continue to collaborate to understand the condition. This paper is 41 pages in length and the authors utilize 192 references on which they based these guidelines. It is worth reading if you currently have patients that you are treating for bladder pain. It is also a useful tool for understanding the basis of changes in recommended medications for IC/BPS.


Upcoming Continuing Education Courses

Special Topics in Women's Health - Maywood, IL
May 30, 2015 - May 31, 2015
Location: Loyola University Stritch School of Medicine

Sacroiliac Joint Evaluation and Treatment - Middletown, CT
May 30, 2015 - May 31, 2015
Location: Middlesex Hospital

Pelvic Floor Level 2B - Seattle, WA (Sold Out!)
Jun 05, 2015 - Jun 07, 2015
Location: Swedish Medical Center Seattle - Ballard Campus

Pelvic Floor Level 3 - Atlanta, GA
Jun 05, 2015 - Jun 07, 2015
Location: One on One Physical Therapy

Visceral Mobilization of the Urologic System - Madison, WI
Jun 05, 2015 - Jun 07, 2015
Location: Meriter Hospital

Nutritional Perspectives for the Pelvic Rehab Therapist - Seattle, WA
Jun 06, 2015 - Jun 07, 2015
Location: Pacific Medical Center

Rehabilitative Ultra Sound Imaging: Orthopedic Topics - Baltimore, MD
Jun 12, 2015 - Jun 13, 2015
Location: Johns Hopkins Bayview Medical Center

Rehabilitative Ultra Sound Imaging: Women's Health and Orthopedic Topics - Baltimore, MD
Jun 12, 2015 - Jun 14, 2015
Location: Johns Hopkins Bayview Medical Center

Pelvic Floor Level 1 - Boston, MA (SOLD OUT!)
Jun 12, 2015 - Jun 14, 2015
Location: Marathon Physical Therapy

Pelvic Floor Level 2B - Derby, CT (SOLD OUT)
Jun 26, 2015 - Jun 28, 2015
Location: Griffin Hospital

Breast Oncology - Maywood, IL
Jun 27, 2015 - Jun 28, 2015
Location: Loyola University Stritch School of Medicine

Chronic Pelvic Pain - Arlington, VA
Jul 10, 2015 - Jul 12, 2015
Location: Virginia Hospital Center

Myofascial Release for Pelvic Dysfunction - Winfield, IL
Jul 17, 2015 - Jul 19, 2015
Location: Central DuPage Hospital Conference Room

Pediatric Incontinence - Houston, TX
Jul 18, 2015 - Jul 19, 2015
Location: Texas Children’s Hospital

Yoga for Pelvic Pain - Cleveland, OH
Jul 18, 2015 - Jul 19, 2015
Location: UH Case Medical Center - University Hospitals