Batsheva Feinsilver Meron
Physical Therapy
About
Hi! I'm Batsheva.
I'm a physical therapist specializing in pelvic floor rehabilitation.
I live in Modi'in with my husband and our two little girls.
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BPT from Ben Gurion University in the Negev.
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Ministry of Health certified Physical Therapist.
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Pilates instructor from Si'im campus in Tel Aviv University.
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Specializes in Faschial Manipulation level 1+2 (Stecco)
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"Sheba" hospital Hydro-therapist graduate.
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"Herman and Wallace" Pelvic Floor Rehabilitation course graduate, level 1+2A.
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Applied Kinesiology course graduate.
Clinical experience in Maccabi Health care, Le'umit Health care, Mediper Physical Therapy and APOStherapy.
Pelvic Floor Treatment
Urinary
System
Treatment for:
Urgency Incontinence,
Stress incontinence (urinating while laughing, jumping, coughing etc.)
Dysuria, Urinary retention and more.
Gynecological System
Anorectal System
Treatment for:
Fecal incontinence,
Constipation, Rectal prolapse, Straining or pain during bowel movements, Muscle spasms and more.
Orthopaedic Treatment
Treatment for:
Tendinitis, pain, tendon or muscle tear, fractures, post op, neurological conditions, ergonomics, and more.
Pilates for all ages to strengthen
and improve posture.
Contact
Q&A
Where is the pelvic floor located?
It is located in the bottom part of the pelvic. It is the lowest part of the abdomen.
What is pelvic floor exactly?
It’s like a hammock made of soft tissues- muscles, nerves, blood vessels and connective tissues. The pelvic organs- bladder, uterus and rectum- sit on this hammock. It also has three openings: the urethra, the vagina and the anus.
What are the pelvic floor’s functions?
The pelvic floor’s main functions are supporting and closing. It controls the closing of the openings - controlling the bladder and bowel movement, and supporting the pelvic organs especially in activities that elevates inter abdominal pressure. The pelvic floor also has an important roll in sexual activity and labor. Controlling the pelvic floor requires correct muscles, nerves and cognitive function.
I constantly need to pee. What to do?
Urgency in peeing can be caused by dysfunction of the pelvic floor muscles, by wrong peeing habits, malnutrition and more. The treatment will fit the cause or causes that will come up in the interview and the examination. For example- if there is pelvic floor muscle weakness, the treatment will include a strengthening program for these muscles. Or if the patient feels she needs to urinate every time she hears the sound of her keys, the treatment will be stop this habit.
What involves in pelvic floor examination?
As in any physical therapy examination- interview first- so to better understand the nature of the problem and what can be the causes of it. Afterwards there will be an outer examination- posture, breathing patterns, belly muscles activity, observation of the vagina etc. And after that, an inner examination. It can be done through the vagina or the rectum, sometimes both. It’ll include palpation and evaluation of pelvic floor muscles in different situations. Mostly the examination is not painful and it's not injuring. At the end of the examination there will a decision with the patient of a treatment program.
I pee when I laugh. What to do?
Stress incontinence is the most common symptom in pelvic floor dysfunction. When the inter abdominal pressure rises, the pelvic floor organs and muscles will be pushed down. If the pelvic floor muscles will not work correctly there might be urine leakage. The treatment will include strengthening exercise and teaching the patient to “lock” while laughing (or coughing, sneezing, jumping etc.)
