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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

Pelvic Floor Level 1 - Seattle, WA (SOLD OUT!)
Apr 03, 2015 - Apr 05, 2015
Location: Swedish Medical Center Seattle - Ballard Campus

Myofascial Release for Pelvic Dysfunction - Tampa, FL
Apr 10, 2015 - Apr 12, 2015
Location: Florida Hospital - Wesley Chapel

Lymphatic Drainage for Pelvic Pain - Scottsdale, AZ
Apr 11, 2015 - Apr 12, 2015
Location: Evolution Physical Therapy

Assessing and Treating Vulvodynia - Minneapolis, MN
Apr 11, 2015 - Apr 12, 2015
Location: Park Nicollet Clinic--St. Louis Park

Pelvic Floor Level 2B - Columbus, OH (SOLD OUT)
Apr 17, 2015 - Apr 19, 2015
Location: Ohio Health

Athlete and the Pelvic Floor - New York City, NY
Apr 18, 2015 - Apr 19, 2015
Location: Kima - Center for Physiotherapy & Wellness

Pudendal Neuralgia Assessment and Treatment - Salt Lake City, UT
Apr 18, 2015 - Apr 19, 2015
Location: University of Utah Orthopedic Center

Finding the Driver in Pelvic Pain - Milwaukee, WI
Apr 23, 2015 - Apr 25, 2015
Location: Marquette University

Pelvic Floor Level 1 - Durham, NC (SOLD OUT!)
Apr 24, 2015 - Apr 26, 2015
Location: Duke University Medical Center

Sexual Medicine for Men and Women - Fairlawn, NJ
Apr 24, 2015 - Apr 26, 2015
Location: Bella Physical Therapy

Bowel Pathology and Function - Kansas City, MO
Apr 25, 2015 - Apr 26, 2015
Location: Saint Luke\'s Health System

Pelvic Floor Level 1 - Los Angeles, CA (SOLD OUT)
May 01, 2015 - May 03, 2015
Location: Mount Saint Mary’s University

Pelvic Floor Level 2A - Seattle, WA (Sold Out!)
May 01, 2015 - May 03, 2015
Location: Swedish Medical Center Seattle - Ballard Campus

Oncology and the Female Pelvic Floor - Torrance, CA
May 02, 2015 - May 03, 2015
Location: HealthCare Partners - Torrance

Care of the Postpartum Patient - Boston, MA
May 02, 2015 - May 03, 2015
Location: Marathon Physical Therapy