Biofeedback is a relatively new modality with regards to other medical treatments and it is a truly exciting field. Biofeedback is a form of monitoring the energy of the skin with both galvanic skin reception and EMG combined with control of temperature of the body. The thought is that as you have increased stress levels, the small capillaries and arterioles in your fingers constrict and become cold. When the arterioles are relaxed and dilated then there is increase sweat from the small glands on the skin and skin temperature and sweating are also decreased. Over time this type of controlled medicine or medical practice is easy to do, but requires work from the patient when they go home.
The BCIA or Biofeedback Institute of America is the legal body that credentials individuals to perform biofeedback. As a physician in gynecologic practice, bringing in biofeedback as an adjunct to the care of our patients seems like an easy decision. Patients with pelvic floor prolapse or urinary incontinence could benefit from this type of a program by giving them increased control of musculature prior and after surgical intervention. If a woman is to have a mesh of the vagina for prolapse it makes sense for them to maximize their results or stay out of the operating room in the first place.
BCIA has a specific credentialing process for pelvic floor and I will be pursuing this to aid in my knowledge base in order to bring this to my patients.
A simple Biofeedback treatment consists of 45 - 50 minutes and is a means for patients to try an additional therapy prior to surgical intervention.
Look for this therapy in our office over the next six months and be sure to give us some feedback.
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