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I Impingement Syndrome of the Shoulder please see Rotator Cuff section (Urinary) Incontinence Urinary incontinence is a problem that affects over 13 million Americans, and the majority of these are women. About half of all postmenopausal women and one-quarter of younger women suffer from some type of urinary incontinence. A number of factors may contribute to the problem including childbirth, obesity, hysterectomy, recurrent bladder infections and other medical illness. Incontinence is NOT a normal part of the aging process, and there are a variety of treatment options available. A physician can help to determine the cause of urinary incontinence and treat associated problems like bladder infections or pelvic organ prolapse. A specially trained physical therapist can provide exercises and behavioral strategies to help resolve the problem. ITB (IlioTibial Band) Syndrome ITB syndrome is a common athletic injury. The ITB is a taut band of connective tissue that starts at the hip and runs along the outer thigh and inserts at the outer knee. The pain may be at the hip but more commonly at the knee. It is characterized by a very sharp pain at the outer knee, often associated with downhill running/stairs. There is often no pain at rest. Friction results as the ITB rubs back and forth over a projection of the femur at the outer knee. Many biomechanical factors predispose to this condition. These need to be analyzed by a Physical Therapist who will initiate selective stretches and strengythening exercises to minimize their abnormal influence. Soft tissue mobilization and modalities(such as Ultrasound) may be helpful. Once the pain is resolved, one must keep doing the exercises on a regular basis to prevent recurrence.
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