Pelvic rehabilitation providers typically evaluate basic nutritional influences on a patient's bowel and bladder function. Instructing in dietary irritants, adequate and appropriate fluid intake (more water, less soda, for example and in the importance of whole foods and fiber's effects on the bowels is commonly included in a rehabilitation program. Although most therapists are not nutritionists, this level of patient education frequently improves a patient's function significantly, and has little potential for harm in the absence of medical conditions that may require fluid restriction, or avoidance of particular foods.
What is known about the impact of diet on commonly treated conditions? Consider interstitial cystitis, also known as painful bladder syndrome, and the varied experiences our patients report: for some, diet limitations dramatically control a patient's flare-ups, for others, there appears to be no rhyme or reason to diet and dysfunction. For patients who have irritable bowel syndrome (IBS research has suggested that a diet low in FODMAPS (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) may reduce the pain, bloating, and gastrointestinal symptoms in general. Other research describes the positive effect of the oligo-antigenic, sometimes described as a "severe" elimination diet, on the healing of chronic anal fissures.
The impact of nutrition on health and healing extends far beyond bowel and bladder dysfunctions as described above, but what is fact and what is fiction? Does the basic sciences research support the claims about nutrition's affects on pain and pelvic health? When is a pelvic rehabilitation provider obligated to refer a patient to a nutritionist or other provider? What resources are available to the clinician and to the patient when additional supportive services are not available? The Pelvic Rehabilitation Institute is thrilled to offer answers to all of the above questions through a new continuing education course on Nutrition Perspectives for the Pelvic Rehab Therapist that was written by Megan Pribyl, a physical therapist who also holds a dual-degree in nutrition and exercise sciences. From basic sciences, gastrointestinal anatomy, high-level functional nutritional concepts, to practical applications for the pelvic rehabilitation therapist, this course can provide the clinician with updated knowledge about the relationships and influences of nutrition on healing.
This course will be offered in Seattle, WA at the end of August- the perfect time to plan one last trip before back-to-school!
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