Patient Success Story · Balance & Pelvic Floor · Three Concerns Addressed Together
I am able to walk farther. I am maintaining my balance so much better. No problems with minor incontinence now.
— Frances J. Escue
What was happening
Frances came in with three concerns that often travel together but are rarely treated together: limited walking endurance, balance challenges, and minor incontinence. Each one on its own is the kind of thing many adults learn to manage quietly. Stacked together, they shape how a person navigates a day.
She did not need three separate plans of care. She needed a clinic that recognized the three concerns share more biology than the separate billing codes suggest.
What other providers missed
Walking endurance, balance, and pelvic floor function are connected through the deep stabilizing system of the trunk and hips. The pelvic floor is part of the core. The core is part of postural control. Postural control is part of walking and balance.
Treated in three separate clinics — PT for the walking, balance class for the balance, gynecology or urology for the incontinence — the three concerns can take a long time to improve and often do not improve together. Treated as one connected system, they can.
What we did differently
Our team assessed the whole system — trunk control, hip mobility, pelvic floor function, and balance — and built a plan that addressed all three concerns through the shared underlying mechanics.
Specific work for the pelvic floor was part of the plan, alongside balance training that progressed as her capacity returned, and walking progressions to rebuild endurance.
The outcome
Frances can walk farther. Her balance is much better. The minor incontinence has resolved.
Three quiet limits that had been shaping her days are gone. Not because each was addressed separately but because the connection between them was recognized and treated as one.
Related care at Synergy
For balance concerns that come with other quiet limits, our vertigo and dizziness treatment page walks through how we approach this kind of presentation.
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