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 About JMH

Mountain States Rehab Outpatient Services at Johnston Memorial Hospital 

Our Rehabilitation Services department offers the following rehabilitation services:
  • Amputations
  • Brain Injury
  • FCE - Functional Capacity Evaluations
  • Hands
  • Lymphedema
  • Neurological / Neuromuscular Problems
  • Occupational Therapy
  • Orthopedic Injury
  • Pediatrics
  • Pelvic Floor Dysfunction
  • Rheumatologic Impairments
  • Speech Therapy
  • Spinal Cord Injury
  • Stroke
  • TMJ Dysfunction
  • Urinary Incontinence
  • Vestibular
  • WorkSteps


Lymphedema Rehabilitationlymphedema

What is Lymphedema?

Lymphedema is swelling in an arm, leg or abdomen caused by a dysfunction in the body’s lymphatic system.

Primary Lymphedema is caused by a defect in lymph vessels or lymph nodes at birth, which can
result in swelling at any time throughout life.

Secondary Lymphedema is caused by injury or surgical trauma to lymph vessels or nodes. The
most common cause of secondary lymphedema is surgery and radiation for cancer, or venous
dysfunction in the legs.

Signs and Symptoms

Swelling, pain and heaviness in the arm or leg are the most common symptoms. Early diagnosis and treatment are essential. When left untreated the lymph vessels and surrounding tissues may become harder and less elastic. This may result in greater swelling.

Who is at risk?

Anyone who has sustained trauma to the lymph system is at risk. People who have had nodes
removed followed by chemotherapy or radiation are at higher risk. Lymphedema may occur within
a few days of surgery or even several years later. Infection is the primary cause of lymphedema.
People who are overweight or have problems with venous return are also at risk.

Treatment
While there is no cure, lymphedema can be controlled with proper treatment. Mountain States
Rehabilitation at Johnston Memorial Hospital provides lymphedema treatment to meet each
person’s individual needs.

Therapy is provided by a certified lymphedema physical therapist and a licensed physical therapist
assistant. Treatment includes:

• Evaluation
• Education
• Compression
• Manual lymph drainage
• Exercises
• Prevention

Prevention

The risk of developing lymphedema is always present when trauma occurs to the lymph system.
To decrease the risk be sure to maintain a healthy diet, proper weight control, an active lifestyle,
practice good skin care, avoid infections, wear loose clothing and jewelry, and check the arm or
leg often for swelling and skin changes.

Pelvic Floor Dysfunction Rehabilitation

Facts and symptoms of pelvic floor dysfunction

  • Can cause difficulty with bladder or bowel control
  • Affects men and women of all ages (more than 13 million Americans)
  • Often caused or worsened by weak pelvic floor muscles
  • Can result in prolapse, where pelvic organs (bladder, rectum, uterus) fall below their normal positions
  • Symptoms can include pain in the pelvis, lower abdomen, pelvic floor or buttocks
  • There are various causes and treatments
Treatment

Mountain States Rehabilitation at Johnston Memorial Hospital offers confidential evaluation and treatment for people with pelvic floor dysfunction.

Evaluation includes:

  • Complete review of your related medical history and current symptoms by a licensed physical therapist
  • Physical exam of your pelvic floor muscle strength and coordination; lumbar and abdominal assessment
  • Bladder diary assessment, if indicated 
Treatment plans are individualized to meet your needs and may include:

  • Education on related anatomy and physiology
  • Pelvic floor strengthening and coordination using biofeedback
  • Electrical stimulation and vaginal weights
  • Bladder retraining using behavioral techniques
  • Home exercise plan

    Urinary Incontinence Program

    Bladder Control Problems?


    Do you experience some urine loss when you cough, sneeze or laugh?

     

    Do you use the bathroom more than 6 to 8 times a day?

    Do you find yourself planning your daily schedule around trips to the bathroom?

    Do you limit your activities or restrict your fluid intake because of fear of urine leaks?

    Do you ever experience pain or discomfort with urination?

    Do you wear pads or panty liners to protect your clothing from urine loss?

    Have you recently had a baby or a vaginal surgery and now find some problems with bladder control?

    If you answered yes to any of these questions, you are not alone. Millions of Americans suffer

    from bladder control problems, sometimes called urinary incontinence.

    The good news is that the Urinary Incontinence Program at Johnston Memorial Hospital can help.

    Urinary Incontinence Program

    Johnston Memorial Hospital’s Urinary Incontinence Program at Mountain States Rehabilitation

    offers evaluation and treatment for people with urinary incontinence.

    Evaluation includes:

    • Complete review of your related medical history and current symptoms by a licensed physical therapist
    • Physical exam of your pelvic floor muscle strength and coordination
    • Bladder diary assessment
    Treatment plans are individualized to meet your needs and may include:
    • Education on related anatomy and physiology
    • Pelvic floor strengthening and coordination
    • through biofeedback and home exercise
    • Bladder training techniques

     

    Take control

    If you feel our program is right for you, consult your physician. Please bring a signed referral from your physician to your first appointment. 

    For more information or to make an appointment, call Mountain States Rehabilitation, Johnston Memorial Hospital at 276-623-0153 weekdays between 8 a.m. and 5 p.m.

    We are located in the Camille Center, Suite G, 445 Porterfield Highway, Abingdon, VA.

     


    Payment information

    Most insurance companies cover outpatient physical therapy services. Insurance preauthorization may be necessary. Please have your insurance information handy when you come in for an appointment.