“Before coming to Lake Country Physical Therapy & Sportscare, PC, I wondered if would ever be able to resume an active lifestyle. With modifications, I am once again enjoying most of what I enjoyed before my pain started. By means of Zoe’s manual hands therapy, relaxation and visualization techniques, as well as her encouragement, compassion and keen listening skills, gradually my chronic pelvic pain (anal and vaginal pain) has been reduced from an eight (out of ten) to a two. Zoe has equipped me with the exercises and techniques to manage my chronic Pudendal neuralgia condition. I am so grateful and highly recommend Zoe Fackelman at Lake Country Physical Therapy and Sportscare!”
“I haven’t forgotten you. I want to bring you up to date on my progress since surgery. I truly value the effort you put in to prepare me for what I would experience after Prostate removal surgery.
I had the surgery on July 16, 2013. Dr. Eichel and his team at RGH are the best!
Yes, it took a few months to get my strength back and I had to relearn some of the control techniques you taught me, but all in all things went very well.
I know you wanted me to return after the surgery for more therapy but in my case that wasn’t necessary. I can only speak for myself as everyone and everyone’s surgery is different. I am sure most people benefit from post-op therapy. I was able to continue what you taught me at home with amazing success.
In only a few weeks I had good control and now I am totally back to normal, which amazes me! I only get up once towards morning and can go for several hours during the day without the need to void.
I really attribute this to learning your control methods BEFORE the surgery. It is so much easier to learn all this while one is feeling well, rather than trying to learn/practice this while experiencing pain and other discomfort.
So please get the word around that it is very important for therapy to begin well BEFORE surgery!
I spoke to Dr. Eichel about this and he didn’t seem so aware of the importance of it. I suppose the common thought would be to do it afterward. While that may likely be good and necessary for most people there is a great benefit to pre-op therapy.
I just got the results of my last PSA test and it is 0.04. Anything under 0.1 is considered acceptable. I will continue to be tested every 6 months for the next couple of years and then once a year after that.
Thank you again for your dedication and care. Feel free to share this email or any part of it, if it could help others.
“Menopause. Part of life. It brings with it many changes. Sexual relations between my husband & I had become difficult d/t vaginal dryness. I had discussed this with my OBGYN on several occasions. I tried Estrace, which did not improve my symptoms. Over the counter moisture creams were helpful right up until penetration, and then the fun and games were over: great pain! As time went by, the desire to “pleasure” each other dwindled to about nothing. I could find no further help from my OBGYN. All hope was gone. We decided this was what getting old was like.
I went to Lake Country Physical Therapy & Sportscare, PC for a different concern, and marked ‘sexual discomfort’ on my health history. While going over the health history, it was discretely mentioned that if I wished to pursue help in this area, Zoe would be able to help me. I thought, ‘Physical Therapy for sexual discomfort? Well, my OBGYN hadn’t helped me.’ Having always been quite private about sexual matters, this was difficult for me to discuss with someone other than my OBGYN, but at 62 years old, I figured it was now or never.
To make a long story short, Zoe did help us. My husband is looking at this note as I write, and says, ‘Why the long note? Zoe rocks!’ We recommend her very highly.
Pain was part of my daily life for over two years. Sitting hurt, standing hurt, exercise hurt, intercourse hurt, walking hurt, rolling over in bed hurt. I never got a good night’s rest, in constant pain and it was affecting my life in many areas. I suspected my endometriosis had returned and saw a specialist for the pain. She suspected the endometriosis had returned as well, but noticed other issues I had that did not seem related to endometriosis. She suggested I see Zoe Fackelman at Lake Country Physical Therapy & Sportscare, PC before scheduling a surgery. I was willing to try, but I did not understand how physical therapy could help. I am so glad I went!!! Zoe was very knowledgeable, patient, understanding and helped me feel comfortable every step of the way. She was able to explain that I had issues with my pelvic floor, which caused bladder incontinence and explained why I had to run to the bathroom every time I felt the need to urinate and caused pain during sex. My hip and lower back were out of alignment which caused pain and kept me from doing something as easy as getting dressed without added pain. I went twice a week for about four months and it was worth every minute! I was also able to cancel my surgery and can now do all the normal, daily activities I want with little to no pain. I’ve even started back at the gym! If I feel pain or out of alignment I do my stretching exercises and it takes care of it. I would recommend anyone needing physical therapy or having female issues to try Lake Country Physical Therapy & Sportscare, PC.
—Laura – Pelvic Pain/ Pain with Intercourse
“Going to Lake Country Physical Therapy & Sportscare, PC was such a wonderful experience for me. The whole staff was so friendly and I saw vast improvement after each session. I was well informed throughout my treatment on techniques and ways to work through my pain. I was healed within 6 sessions! Would recommend Lake Country Physical Therapy & Sportscare, PC to anyone who is serious about getting back to living pain free!
Thanks so much for everything you did for us!!”
—Molly – Pelvic Pain/ Pain with Intercourse
“Incontinence after a radical prostatectomy is the rule not the exception. Some men get along fine in a short time, but most of us, the overwhelming majority of us in fact do not. We struggle for months, we do our “Kegels” as instructed by our surgeons and we see only slight improvements over weeks and weeks.
My journey along this road started on April 25th of 2013. That is the day I had my surgery. I had extension of my cancer so the surgery lasted nearly 6 hours and a lot more ‘damage’ was done removing cancerous tissue and repairing bladder damage. I started hormone blockers in early May and saw my radiation oncologist for the first time on May 16th. He was eager to start treatment at the 3 month mark but my incontinence was an issue. He explained that if I did not have bladder control when I started radiation it was extremely unlikely I would ever regain control and likely I would leave at the same point I entered and live that way for the rest of my life. After 3 more visits he sent me to Lake Country Physical Therapy & Sportscare, PC and Zoe Fackelman for incontinence PT.
My first visit with Zoe was July 18th. Zoe spent quite a bit of time with me on that first visit fully explaining why we end up with these symptoms after surgery and how she would help me work my way back to having control of my bladder. She gave me plenty to read and plenty of advice on what foods and drinks to try to avoid lessening bladder irritation and leakage. Believe me, coffee (any caffeine in fact) is not your friend! I dropped from 7 pads a day to 5 just by dropping the coffee! At each weekly visit Zoe would spend time instructing me on exercises she wanted me to do to improve the strength of my pelvic floor muscles. It’ not just about pelvic floor contractions (commonly called ‘Kegels’).
A few weeks into therapy we started using the bio-feedback system not only for her reference but for me to be able to actually see how I was progressing. Over the 4 months I saw Zoe weekly I was able to notice improvement each week. When I started in July I was using 5-7 pads a day, I leaked when I sat, when I stood, when I bent down, when I turned, when I got in and out of the car, when I got on and off my motorcycle, (which was completely unacceptable!) pretty much any move I made caused a leak.
With each week of therapy I noticed things improving. The first thing I noticed after only a couple weeks was that I was completely dry in the morning, no more expensive Depend Briefs for bed time, just a pad for my own piece of mind but not necessary. Then I could get in and out of a chair and soon the list of things I couldn’t do without leaking got shorter every week. Then in mid-November I was moving some heavy boxes in my basement and working on getting a storage area cleaned out. I went to shower after that workout and noticed that my pad was dry. I had started the work at 8 AM, it was 3 PM and I was dry. I showered and dressed without a pad in my briefs for the first time since I had the surgical catheter removed on May 5th. I went to bed that night with a pad, I was still scared of leaking but I awoke again dry as expected. That was a big day, that morning I dressed without a pad and I stood dry all day.
My best day though was November 21st, that’s the day I saw Zoe for a bio-feedback visit. I couldn’t wait for her to ask how my symptoms were. When she did I told her, ‘Well, I’m not wearing a pad if that tells you anything.’ We did my bio-feedback and I could see why I was dry. My numbers were higher than I had ever seen. I had succeeded! This works if you do the work! Absolutely without a doubt. Zoe helped me to understand what was going on, showed me what I had to do and I did the work necessary to achieve the desired results. On November 21st Zoe released me with congratulations and maintenance instructions. Don’t be frustrated; don’t prejudge the therapy or the therapist. Zoe has been at this a long time and my sister, who is a physician, was delighted to hear I was finally going for PT to relieve my incontinence. Again, PT works if you do the work. I wish I had known about PT for incontinence, I would have started on May 6th! I am confident that if I had just continued doing 3 to 5 second ‘Kegels’ as instructed by my surgeon I would be going into radiation therapy incontinent since I was running out of time to start and still have a good chance of a good outcome. I elected in late October to start December 9th regardless of my bladder control situation at that time. I can now go into radiation continent, which means I should in all likelihood stay continent. Thanks to Zoe and Lake Country Physical Therapy & Sportscare, PC.
Update: As of January 18 I have only 4 radiation treatments left. I remain continent and have no reason to believe I will not stay continent.”
— E. Borghi – Therapy Post Radical Prostatectomy
p>September 24, 2008
Letter to the Editor:
Since moving to Canandaigua 37 years ago, my family has been a subscriber of the Daily Messenger. I am writing this letter to let you know how much the Neighbor-to-Neighbor column and the Down to Business articles have meant to me. The information that has been presented is most helpful to me, and I have learned a great deal about area businesses and their owners.
Last winter, The Messenger published a segment about Zoe Fackelman, owner of Lake Country Physical Therapy & Sportscare, which was very enlightening. I would like to let readers know additional information about what an excellent services Zoe provides for her patients and our community. Zoe is a physical therapist who is trained at the advanced level for a relatively new form of physical therapy called primal reflex release techniques, a treatment that reduces muscles overworked by a hyper-excited reflex. In addition, she also treats urinary and bowel incontinence, pelvic pain, anal fissures, hemorrhoids, fibromyalgia, lymphedema, osteopenia, osteoporosis, pelvic floor tension/pain/trauma, dysmenorrheal, peri and menopausal difficulties.
I have been fortunate to benefit greatly from several of these specific treatments and to receive excellent therapy for a number of physical problems that have needed additional therapy in addition to regular medical medicine. When I have extended difficulties with such problems, Zoe has helped determine and reduce the specific immediate pain, and taught me how to restore healthy functions through specific exercises designed for my various individual situations.
Today, with the emphasis of health sciences on fitness and wellness, men and women are paying closer attention to their bodies during recreation, work, and daily living. Since 1987, Lake Country Physical Therapy & Sportscare has provided treatment emphasizing manual therapies (therapeutic touch treatments), and self and preventative care. I have benefited greatly from these services, and wanted to share this information with readers of The Messenger Post. Thank you, Zoe, for helping and teaching me many ways to live my life to the fullest.
— Joan Jarzomski, Canandaigua
“I have been going to a chiropractor for years. Lake Country Physical Therapy & Sportscare, PC fixed me up in 3 weeks! Great job!”
— G. Marble
“…I never thought after so many years of knee pain that I would feel so good in so little time. I look forward to making even more progress with what I have learned. The staff is amazing!”
— R. Thornhill
“I now understand my condition much better. My muscle weakness is much less and I feel more confident. My therapist always made sure I was understanding the instructions and reviewed the exercises with me. I felt comfortable at all times. Thank you! Now, it is my job to keep up the program!”
— D. De Pau
“Fun, helpful, uplifting instructions, so well worth it!”
— L. Lewis
“Thanks for helping me get pain-free as well as giving me the tools in order to treat my injury.”
— S. Trowbridge
“Best, most professional service anyone could ask for. Friendly and most courteous. Highly recommended to my PCP!”
— L. Cuthbertson
“I guess I could say it was good that I got into a car accident and was referred to Lake Country Physical Therapy & Sportscare, PC. I have been disabled and in pain since 1994. No one has ever helped me or taught me techniques to help myself.”
— L. Crowther (2011)
“Very helpful! Couldn’t ask for more friendly people. Thank you so much for everything and for being so thoughtful and kind.”
— K. Bush
“Excellent instructions, clear explanations, goal oriented sessions.”
— T. Zollo
“…What I learned is that there are people like you out there that can help. For all the help that you have give me, I remain always grateful.”
— Wayne Haefele
“…My time with Lake Country Physical Therapy & Sportscare, PC has been very beneficial. I have improved my flexibility, stamina and strength. Lake Country Physical Therapy & Sportscare, PC provides excellent professional care in a very humanistic, compassionate manner.”
— S. Uebbing
“…I came to Lake Country Physical Therapy & Sportscare, PC after four years of intense pain after an auto accident. Now in just two short months, my neck and shoulder are virtually pain-free.”
— Julia Wheeler