Physical Therapy Practice

It’s National Bladder Health Month!

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From our friends at American Urogynecologic Society:


5 Ways to Talk to Your Doctor About “Down There” During National Bladder Health Month

Stress urinary incontinence (SUI) affects more than 15 million adult women and is the most prevalent form of incontinence among women. SUI can be characterized as a woman having an involuntary loss of urine, or bladder leakage, that occurs during physical activity, such as coughing, sneezing, laughing, or exercise. Many women brush off the symptoms because they are scared or embarrassed and in turn, live in pain or mask the uncomfortable side effects. It’s important for every woman to know the symptoms of SUI and to know they don’t have to suffer in silence.

Fortunately for the millions of women who suffer from SUI, there are numerous treatments depending on the severity. Options range from nonsurgical treatments like pelvic floor training or surgical procedures such as sling or suspension. The treatment approach is individualized to tailor to each woman’s symptoms and lifestyle.

National Bladder Health Month takes place in November, so it’s the perfect time to learn more about SUI, the treatment options available, and how to start the conversation with your doctor today. If you’re having any reservations about starting this conversation, know that you are not alone—approximately 1 out of 3 women experience pelvic floor disorders and nearly 200,000 women choose surgery to treat their SUI each year, including the sling procedure.

Now is the time to take charge of your bladder health. Follow these five steps to start the conversation about SUI with your doctor and to get the best care for your individual needs:

  1. Recognize the symptoms. If you experience loss of urine that occurs simultaneously with activities that increase abdominal pressure, such as sneezing, coughing, laughing, or exercising, you might be suffering from SUI.
  2. Start the conversation. Talk to your primary care physician if you experience these symptoms and ask him or her to refer you to a specialist called a urogynecologist or a pelvic health physical therapist, if necessary. Voices for PFD created this useful tool to assist you with initiating the conversation with your physician.
  3. Come prepared. Bring your medical records, especially any prior evaluation and treatment for pelvic floor disorders (PFDs), and most importantly any surgical reports.
  4. Determine your treatment plan. There are many treatment options available for SUI and each one is unique to your particular symptoms and lifestyle. Talk to your doctor about the treatment option that is right for you.
  5. Keep a bladder diary. At the beginning of treatment, these diaries are helpful in establishing the severity of your problem. Download the Voices for PFD mobile app or visit for more information and an easy way to monitor your bladder control problems.



We’re famous (kinda)!

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This month our Executive Director, Tasha, was featured on a podcast with a local nutritionist, Frances Arnold of Namaste Nutrition. You can listen to the podcast here or on iTunes. They talked about pelvic floor physical therapy and how a PT can help those with pelvic floor dysfunction (and much more!). Please give it a listen, give it a review, and share!


Learn more about PT for pelvic floor dysfunction at our website or at the various links on Frances’ podcast page. Thank you!

Dr. Laura earns new certification!

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We are proud to announce that Dr. Laura Murahashi, PT, DPT, was recently certified by the McKenzie Institute USA in Mechanical Diagnosis and Therapy® (MDT). This was the accumulation of multiple courses attended, hours of studying, and even more hours of practice. She is the only physical therapist in Mountlake Terrace with this certification!


Here is a little info about MDT from the McKenzie Institute USA:

“Q: What is the McKenzie Method of MDT?

A: The McKenzie Method of MDT is a reliable assessment process intended for all musculoskeletal problems, including pain in the back, neck and extremities (i.e., shoulder, knee, ankle etc.), as well as issues associated with sciatica, sacroiliac joint pain, arthritis, degenerative disc disease, muscle spasms and intermittent numbness in hands or feet. If you are suffering from any such issues, then a MDT assessment may be right for you!

Q: How does it work?

A: MDT is comprised of four primary steps: assessment, classification, treatment and prevention.

Most musculoskeletal pain is “mechanical” in origin, which means it is not due to a serious pathology like cancer or infection but a result of abnormal or unusual forces or mechanics occurring in the tissue. Further, it means that a position, movement or activity caused the pain to start. If a mechanical force caused the problem then it is logical that a mechanical force may be part of the solution. The MDT system is designed to identify the mechanical problem and develop a plan to correct or improve the mechanics and thus decrease or eliminate the pain and functional problems.”

To find out more, go to info for patients. Then call us at 425-673-5220 to schedule an evaluation with Laura!

CSM Wrap-Up

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Last week, I attended the American Physical Therapy Association’s (APTA) Combined Sections Meeting (CSM). CSM is the largest national conference which the APTA hosts. This year, the conference was in Anaheim, CA, and over 11,000 people were in attendance! This post will be a brief summary of my conference take-aways.

Two of the sessions I attended were clinical in nature. One involved how to incorporate pain science education into clinical care, and the other was about exercise prescription for neuromuscular re-education. The pain science session was incredible! Physical therapists are experts in helping manage musculoskeletal pain, and that includes chronic pain. There can be changes in the nervous system itself, causing the system which is responsible for helping us feel pain to become extra-sensitive. When this happens, you have to treat the alarm system (i.e., the nervous system) too. This won’t work though if the patient doesn’t understand what is contributing to their pain. Their pain is real, but it may not be just from the tissues. This session gave me some strategies to help teach my patients about pain in a way that is effective.


The other clinical session which I attended was about exercise prescription. My biggest take away from this is that many PTs are not prescribing exercise in a way that will result in the desired tissue changes (whether you’re shooting for endurance, power, coordination, etc). So often, the classic “3 sets of 10 reps” is prescribed. There is a time and place for that, but we must be clinically reasoning for each and every exercise dose we prescribe.  The speaker also gave us a few clinical pearls from select research papers that can bust some myths about common PT exercises. It’s always great to learn how research is either supporting or negating what we are doing so our practice can continue to improve.

I went to a few business sessions, and lastly, I went to some soft-skills sessions. I attended one patient panel and one lecture on relationship-centered care. The big take-away here is that we need to remember that we are treating people, not just “the total knee” or the “neck pain” guy. Every person has a different story, and we have to understand that story to best connect with them. We have to ask the right questions AND listen. By first developing the relationship, we will have the best chance at the helping the person achieve their goals and enjoy the therapy process.

I will begin to implement the things that I learned immediately and I will share what I learned with my colleagues. If you have any questions about what I learned or what else was happening at the conference, feel free to ask in the comment section!

Common Physical Therapy Myths

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by Tasha Parman, PT, Board-Certified Orthopedic Clinical Specialist

Have you or a loved one ever been to physical therapy? Have you heard of physical therapy? There are many myths about physical therapy in the public domain, and Natasha Parman, Executive Director of MOSAIC Physical Therapy, is here to address some of the most common myths she hears from her clients.

Tasha and Laura treating

  • “I need a referral to go to physical therapy.” In Washington state, you do not need a referral to be evaluated by a physical therapist. Some insurance companies do require a referral for payment, however, so it is recommended that you check with your insurance company beforehand.
  • “Physical therapy is painful.” As physical therapists, our goal is to help discover why you’re in pain and then provide treatment to reduce it. We sometimes have to provoke your symptoms to determine our plan of care, but we always do our best to work within your pain tolerance.
  • “Physical therapy is only for people who have had surgery.” Physical therapy is for anyone who isn’t moving as well as desired due to surgery, injury, illness, disease, or any other cause. Physical therapy is for people of all ages and all functional abilities.
  • “Physical therapy isn’t covered by my insurance.” Most insurance companies cover some amount of physical therapy. Your physical therapist’s office can help verify your benefits to determine your coverage and work within your allowed benefits.
  • “Any medical provider or trainer can provide physical therapy treatments to a client.” While some providers may advertise that they provide physical therapy (or physical rehabilitation, rehab therapy, etc), only licensed physical therapists or physical therapist assistants can provide and bill for physical therapy services.
  • “Surgery is my only option.” For many conditions, physical therapy has been shown to be as effective as or more effective than surgery. If your physical therapist thinks you are a candidate for surgery, then he or she will discuss that with you and the other members of your healthcare team.

If you have any questions about physical therapy, feel free to contact MOSAIC Physical Therapy at 425-673-5220. We would be happy to answer any of your questions.

Happy National Physical Therapy Month!

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October is National Physical Therapy Month. I’d like to share some information from the American Physical Therapy Association about how physical therapy can help our population #AgeWell.


Check out nine tips on how physical therapists can help you!

If you have any questions about physical therapy, please comment or contact us! We’d love to tell you more about what we do and how we can help you (no matter what your age or injury/illness). Find our contact info at our website.

Let’s talk about falls in older adults.

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September is National Healthy Aging Month! I’m all about folks aging well. I firmly believe that aging should not be a dreaded thing—it should be celebrated! Physical health and wellness is my passion within my tiny of scope of healthcare. Therefore, I want to take the opportunity to talk about falls. Falls are way too common, way too costly, and can lead to some pretty serious disability (or worse in some cases)1. The research is there and it isn’t hard to find.


I love being able to help someone recover from a fall and regain their strength and confidence. I would love to prevent falls even more, however. This can save someone a lot of money, and it can save them from a lot of unnecessary pain and disability. I think physical therapists are in a unique position to help reduce falls in older adults.

Physical therapists have the time to really sit down with patients and review medical, social, and fall history. We can talk to them about their vision, their confidence, their home layout, their current diets and exercise routines. We have the medical training to recognize when someone’s falls are due to a more serious pathology and we can refer out as needed. We have a battery of tests and measurements to predict risk and track progress. Our interventions are safe and cost-effective. It is my hope that both healthcare professionals and the public think #getPT1st when it comes to preventing falls.

In honor of the month, please take a few minutes to talk to the older adults in your life about falls. Tell them about physical therapy. And if you have any questions, please leave a comment! In you are interested in an evaluation by one of our doctors of physical therapy, give us a call at 425-673-5220. We would love to be a part of the solution. Learn more about MOSAIC Physical Therapy at

  1. Centers for Disease Control and Prevention