Emsella Chair and Frequently Asked Questions by Core Pelvic Floor Therapy — Transcript

Full transcript

1. 0:01[Music]
2. 0:07hey this is dr chicky from core pelvic
3. 0:09floor therapy right here in irvine
4. 0:11orange county
5. 0:12i'm here using my own solid chair and my
6. 0:16assistant desiree is going to throw at
7. 0:18me all these questions people have
8. 0:21when they do
9. 0:23amstela or use themselves here at the
10. 0:25office for their pelvic floor
11. 0:27dysfunction
12. 0:29so first this is amselah
13. 0:32this is the actual monitor that we sent
14. 0:34the patient and we have it all set up so
15. 0:36this year should i go ahead and start it
16. 0:38yeah so i'm just going to press place
17. 0:40start so this is a
18. 0:42inaction thing
19. 0:44and so it's already on
20. 0:47position the patient press enter all
21. 0:50that stuff so
22. 0:53here we go and i'm gonna crank this up
23. 0:56so i'm sitting here
24. 0:59with the
25. 1:01whole bottom of me
26. 1:04not just the anus or the vaginal opening
27. 1:07but that whole surface
28. 1:09so
29. 1:10vaginal opening in this and that tissue
30. 1:12in between is being possible is on the
31. 1:16chair i'm going to crank this up and
32. 1:18what i'm looking for is a sensation
33. 1:24in all of that area at the same time
34. 1:30so here i am feeling it now about
35. 1:43okay so now i'm going to position myself
36. 1:46what we want to do is to make sure that
37. 1:48the whole area is being
38. 1:53address
39. 1:54every time there is a contraction or
40. 1:57there's that stimulation the whole
41. 1:59inside
42. 2:01feels like
43. 2:03is contracted and lifted that's what it
44. 2:05feels like to me is that how people
45. 2:08describe it to you to those right do you
46. 2:10think so that's the most common question
47. 2:12is
48. 2:13what does it feel like what is it
49. 2:14supposed to feel like uh-huh so there is
50. 2:17no supposed to
51. 2:19because we both know like one of the
52. 2:21things that happens
53. 2:24so this is i'm cranking this thing up
54. 2:30okay so i'm gonna i think i'm gonna keep
55. 2:33it there not because it causes any pain
56. 2:35but i feel like i'm i'm getting
57. 2:38sufficient contraction does it feel like
58. 2:41muscle skin no it doesn't actually
59. 2:44because
60. 2:46i can't describe what it feels like
61. 2:48because muscle stim is more of a
62. 2:50stimulation like this and this is more
63. 2:52of a
64. 2:53doing this and just lift it
65. 2:59doing that and just lifting inside of me
66. 3:02that's what it feels like i'm going to
67. 3:03crank this up even more to see where we
68. 3:05go
69. 3:08so right now i feel like as i cranked it
70. 3:11up i feel like i'm tilted
71. 3:14my pelvis is tilted so i'm feeling more
72. 3:17in the front
73. 3:18than the back and actually on the inner
74. 3:21thigh a little bit so that's when we
75. 3:23have to adjust patients and that's what
76. 3:25we do so i'm just going to sit back a
77. 3:27little bit more
78. 3:31i feel like i need to move a little bit
79. 3:33to the right
80. 3:36maybe that was a little too much
81. 3:39how did you know
82. 3:41how did i know because it wasn't this is
83. 3:43definitely evenly distributed because as
84. 3:45i move to the right i felt like it was i
85. 3:48was feeling it on one side more than the
86. 3:50other so i positioned myself a little
87. 3:52bit more and now i'm there
88. 3:55i with every contraction i feel like
89. 3:58that whole surface is being contracted
90. 4:02and lifted so i'm right now and
91. 4:06i'm just gonna crank that up
92. 4:09still
93. 4:12and this is very good
94. 4:14so one of the things we look at is are
95. 4:17the patient's feet on the ground
96. 4:20because we want to make sure that the
97. 4:21feet are on the ground and sometimes
98. 4:24people actually so this
99. 4:26you can hear the sound it's making
100. 4:29because that's stimulating it
101. 4:30differently it's relaxing it's
102. 4:33stimulating and it's prepping for the
103. 4:35few i think we counted it a few seconds
104. 4:39and then it starts going through that
105. 4:41phase again
106. 4:43there are different parameters that we
107. 4:45can set
108. 4:46but that's how it feels but back to the
109. 4:48feet the feet are on the ground
110. 4:51and sometimes people feel it on in one
111. 4:54leg more than the other right
112. 4:56we've had that issue going on or they
113. 4:58feel like going down their leg going
114. 5:00down their leg all the way
115. 5:02posteriorly so that all depends on what
116. 5:05muscle is being activated
117. 5:08or it shouldn't be any of those muscles
118. 5:10so we need to position that just shows
119. 5:12the imbalance where we've done a video
120. 5:15on how your abductors your hip rotators
121. 5:19and your hips stabilizers play a role so
122. 5:22if they're not even so now it's going up
123. 5:25again so when they're not even you're
124. 5:27going to not feel
125. 5:29the contraction evenly so people realize
126. 5:32that now does this happen every time the
127. 5:34patient comes in or is it typically at
128. 5:36the beginning
129. 5:37it's
130. 5:39it can happen every time but it's
131. 5:42usually towards the end of the session
132. 5:44because you're sitting there for 30
133. 5:45minutes that people either collapse or
134. 5:49they do the opposite they're trying to
135. 5:51hold themselves up and it throws
136. 5:52everything off okay so
137. 5:55so do you see how when because you need
138. 5:57to sit here for 30 minutes now we have
139. 5:59questions that we put and we have a
140. 6:02timer that we have we come in and we
141. 6:04check the
142. 6:05patient's positioning because we want to
143. 6:07optimize the session
144. 6:09to the best and best advantage for our
145. 6:13patient but as they fail and they kind
146. 6:16of they get tired and they sit right
147. 6:18here like right now as i'm sitting here
148. 6:20i'm hardly
149. 6:21i'm lifted up
150. 6:23i'm not sitting on my pelvic floor
151. 6:26evenly as i go up
152. 6:30i definitely feel it on that and now i'm
153. 6:32gonna arch my back
154. 6:36and once again it's not even
155. 6:38distribution which makes sense so you
156. 6:40need to be seated on your seatbelt and
157. 6:43basically
158. 6:44checked periodically to do that any
159. 6:47other questions that people have
160. 6:50um we've done other videos but i don't
161. 6:52think you said it specifically in this
162. 6:54one what does it do
163. 6:56so what this machine does it actually
164. 6:58produces 400 kegels a minute
165. 7:03so imagine 400 times 28 minutes 30
166. 7:06minutes 28 minutes is how many people
167. 7:10you get with every session why is that
168. 7:12important is that only for incontinence
169. 7:15well the machine is fda approved for
170. 7:16incontinence why producing kegel
171. 7:19so i
172. 7:22use the machine for every time i
173. 7:25see
174. 7:26pelvic floor dysfunction
175. 7:28that exhibits
176. 7:31signs of weakness in the pelvic floor
177. 7:34so that becomes in conjunction with
178. 7:37whatever else we're doing not everyone
179. 7:40who receives this has
180. 7:42this so-called
181. 7:44incontinence
182. 7:45necessarily pelvic floor dysfunction
183. 7:48comes in so many shapes and forms we've
184. 7:50done a whole video on that
185. 7:52written blossom so many cases of pelvic
186. 7:55floor dysfunction incontinence is one of
187. 7:57them and not everyone's story so we can
188. 8:00have we sell the floor without having
189. 8:03incontinence that's the whole story
190. 8:06it does contraction for you
191. 8:09what other questions are typically asked
192. 8:12um
193. 8:13do you keep your clothes on which you
194. 8:15obviously have on yes you don't need to
195. 8:17take it and no nothing comes out of this
196. 8:20table
197. 8:21this chair
198. 8:22i'm sitting on it it actually uses the
199. 8:26electromagnetic kind of like mri that
200. 8:28technology
201. 8:30and that is being used actually right
202. 8:32now we have a company that uses uh does
203. 8:36neurotransmitters neurostimulators i'm
204. 8:39sorry
205. 8:40that are testing the machine to see if
206. 8:43it impacts
207. 8:44their device or not so
208. 8:47you know we're glad to be a part of that
209. 8:49research
210. 8:50and
211. 8:53hopefully benefiting other people
212. 8:55any other questions that are typically
213. 8:57asked
214. 8:58how many times does it take
215. 9:01um
216. 9:03technically and typically in our office
217. 9:05i can tell you about our offers we do
218. 9:08about
219. 9:10no more than 10 sessions but our
220. 9:12sessions are always followed with the
221. 9:14breathing
222. 9:16reading
223. 9:18instructions and practices which we have
224. 9:20other devices that we connect to the
225. 9:22patient to see the quality of their
226. 9:25contraction of their uh
227. 9:28diaphragm
228. 9:30and we follow them with other movement
229. 9:32exercises because we feel that that is
230. 9:34necessary for people to understand what
231. 9:36they need to do
232. 9:40another thing that
233. 9:41we actually do that is
234. 9:44i think it's important for people to
235. 9:46realize is that
236. 9:49a lot of times i would say at high um
237. 9:54almost everyone here
238. 9:56with actual
239. 9:58part of their
240. 9:59dysfunction
241. 10:01part of it was incontinence or having
242. 10:03difficulty different types of
243. 10:05incontinence they have cleared
244. 10:08some of them first visit some of them
245. 10:10after three or four
246. 10:13visits they start noticing like 50 60
247. 10:17improvement but the issue i have
248. 10:20is this machine by itself can only do
249. 10:23cable you have to accompany what you're
250. 10:26creating with how to move and that's
251. 10:29where
252. 10:30i think people need to realize the
253. 10:33machines that performance unlike what
254. 10:35the
255. 10:36factory and the
256. 10:38manufacturer says they say well you know
257. 10:41you need to maintain it every you know a
258. 10:43couple times a year or maybe you know
259. 10:46once every six to ten months in reality
260. 10:49i think if you do the exercises to hold
261. 10:53what you're created you shouldn't get
262. 10:55that properly and that's what we do in
263. 10:57our office we
264. 10:59we
265. 10:59implement other exercises relevant to
266. 11:02the dysfunction to empower the patient
267. 11:05with the tools necessary to proceed
268. 11:08what other questions that was a long
269. 11:10answer was
270. 11:11but it had to be
271. 11:13i think that covers it that covers it so
272. 11:15it's a handful of questions that people
273. 11:17have there
274. 11:19very good so the session's about 28
275. 11:21minutes i'm a minute 17.3
276. 11:25so i've got 17 more minutes to do this
277. 11:28so
278. 11:29if there's no more questions we can stop