Dr. Olesya Yevdayev is a Senior Physical Therapist in the Outpatient Physical Therapy Department at Rusk Rehabilitation, NYU Langone Health. She has a Bachelor of Science degree from Touro College and a Bachelor of Arts degree from Hunter College. She earned her Doctor of Physical Therapy degree from Touro College where she received an Outstanding Clinical Achievement award. She has 7.5 years of professional experience in orthopedics/ sports rehabilitation utilizing the Mulligan Method, McKenzie Method, and manual therapy with a concentration on pelvic floor, pregnancy, osteoporosis, oncology, and lymphedema rehabilitation. She also is involved in community services, patient education, and has presented lectures at NYU in Brooklyn and the 26thCancer Conference.
Dr. Kimberly Sackheim is an Assistant Professor in the Department of Physical Medicine & Rehabilitation at New York University Langone Health and private owner and founder of an office for pain management that will open in August 2019. She has a focus on interventions for spinal issues, joints/tendons, headache and also pelvic pain. She is board certified by the American Board of Physical Medicine & Rehabilitation with sub-specialties in both pain management and brain injury medicine. She completed her residency in physical medicine and rehabilitation at Mount Sinai Medical Center, New York, NY. Her fellowship training took place at the Beth Israel Medical Center. She treats all types of pelvic pain disorders, including pelvic floor dysfunction, rectal pain, headache, jaw pain, along with spine and joint pain.
This is the first of a two-part series. In Part 1, the guests discuss: the kinds of pelvic floor disorders that women can experience; symptoms that patients can present with; whether only women experience pelvic floor problems; causes of painful symptoms at the pelvic, rectal, or vaginal area and injections available to treat these kinds of pain; extent to which delivering children and growing older influence the occurrence of pelvic floor disorders; if the type of child delivery method, such as vaginal delivery, increases the probability a woman will develop a pelvic floor disorder later in life; how modalities other than surgery, such as physical therapy can contribute to positive outcomes; and the kinds of procedures involved in the administration of pelvic floor physical therapy and the basis on which various approaches either singly or in combination are best suited for a particular patient?
In Part 2, they discuss: Periods of time, such as weeks or months when most rehabilitation interventions take place and whether it ever occurs that further treatment is not associated with additional improvements; if there are instances, such as the presence of a patient’s advanced old age or co-morbidities where watchful waiting may represent the best choice instead of any other kind of intervention; steps that can be taken to lower the percentages of women who experienced urinary incontinence, yet had not talked to a doctor about this problem; pelvic floor muscle training to treat overactive bladder and who provides it; the role of botulinum toxin as a form of treatment for pelvic floor dysfunctions among elderly patients; extent to which patient education is involved in efforts to improve knowledge of, attitude towards, and practice of pelvic floor muscle exercise; frequency of urinary incontinence symptoms and other pelvic floor disorders among adolescent females; and pelvic floor muscle training as a means of primary prevention of urinary incontinence in asymptomatic women and secondary prevention for women with small muscle strength who are considered dysfunctional, but asymptomatic.
Joan Gold is a clinical professor in the Department of Rehabilitation at Rusk Rehabilitation, NYU Langone Health. Her areas of specialization include the pediatric disorders cerebral palsy, and spina bifida. In her own words, she stated that she has had the pleasure of watching her patients and learning from their strengths for 45+ years. Her medical degree is from the State University of New York Downstate Medical Center. She completed her residency in physical medicine and rehabilitation at the NYU Medical Center and her residency in pediatrics at Beth Israel Medical Center. She is board-certified in the following three areas: Pediatric Rehabilitation Medicine, Physical Medicine & Rehabilitation, and also Pediatrics.
This is the second of a two-part series. In this Part 2, she discusses: pregnancy among patients with cerebral palsy, effect of pregnancy on balance and coordination if a motor functional impairment exists; challenges and resources available for patients who become parents; identification of the felt needs of patients; improvements needed in diagnosis and treatment; time period for adoption of rehabilitation treatment innovations; and key topics in rehabilitation research.
In Part 1, Dr. Gold discussed: number of adults in the U.S. with cerebral palsy; their life expectancy; challenges involved in the transition from pediatric to adult care for these patients; kinds of health problems adult patients experience; treatment for dystonia; the impact of additional physical deterioration on quality of life and mental health; and the ability to participate in physical activities, work, family, and recreational activities.