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Health, explained

Articles on pelvic floor physiotherapy, orthopedic rehabilitation, and whole-person health from the Clínica Traña clinical team.

August 5, 2025
Male pelvic floor assessment

At Clínica Traña we are pioneers in specialised male pelvic floor care in Costa Rica. Our physiotherapists combine extensive clinical experience, up-to-date technology and an assessment method backed by scientific evidence.
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August 5, 2025
Female pelvic floor assessment

At Clínica Traña we have a specialised team with extensive experience in pelvic health. We are pioneers in Costa Rica in functional, comprehensive assessments with ultrasound, using advanced technology and an evidence-based approach.
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May 19, 2023
Chronic pelvic pain

Chronic pelvic pain is pain below the navel, between the hips and the pelvis, lasting six months or more.
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May 19, 2023
Episiotomy and perineal tear

Episiotomy refers to a minor surgical incision during birth to widen the vaginal opening so the baby can pass; it may involve skin, mucosa, perineal muscles and even nerve endings.
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May 19, 2023
Faecal incontinence

Faecal incontinence does not only mean passing stool. It includes the involuntary loss of gas. The most common type is urgency, when the urge is so strong there is often no time to reach the toilet.
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May 19, 2023
Overactive bladder

Have you had to rush to the toilet, or has the urge been so strong that you sometimes did not make it in time? If you wake at night needing to urinate…
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May 19, 2023
Caesarean scar

After a caesarean it is important to review the scar. As physiotherapists we assess whether it shows fibrosis (excess fibrous tissue) or adhesions (limited scar mobility).
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May 14, 2023
Vaginismus

It is an involuntary, unconscious contraction of the pelvic floor muscles around the vagina, causing total or partial closure. This causes pain, burning or discomfort with penetrative sex, when inserting a tampon or during a gynaecological exam.
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May 14, 2023
Menopause

Menopause marks the end of menstrual cycles. It is diagnosed after 12 months without a period. It may occur between ages 40 and 50 on average.
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May 14, 2023
Abdominal diastasis

Abdominal diastasis occurs when connective tissue is damaged as the rectus abdominis muscles in the front of the abdomen separate. They are joined by the linea alba, made of collagen and fibrous connective tissue.
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May 11, 2023
Enuresis

If we notice urine loss while a child sleeps, we should pay attention: it may be enuresis. The child should be older than 5 years, and this should happen at least twice a week for a minimum of 3 consecutive months.
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May 11, 2023
Encopresis

If you notice involuntary loss of stool after prolonged constipation, it is important to act. This can occur in children after age 4.
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CT

May 11, 2023
Urinary incontinence after prostatectomy

Prostatectomy is the removal of part or all of the prostate tissue. It is indicated when, because of age and health, other methods have been ruled out or are no longer effective.
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May 11, 2023
Premature ejaculation

Let’s talk about premature ejaculation and how pelvic floor physiotherapy can help. It is defined as ejaculation that occurs sooner than desired, either before or shortly after penetration.
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May 11, 2023
Erectile dysfunction

Erectile dysfunction is the inability to achieve or maintain an erection. Medication is often seen as the fastest option, but it is important to know it can also be treated from a more functional angle, which may be the true root of the problem.
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May 11, 2023
Urinary incontinence

Urinary incontinence is not only soaking through; it includes even a few drops. Incontinence is any involuntary loss of urine, however small.
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March 7, 2023
Musculoskeletal tecar therapy

Innovation in radiofrequency. Capenergy hyperthermia penetrates through contact accessories at the skin surface and transfers its energy to the focus of the injury.
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March 7, 2023
Dermato-functional tecar therapy

How does it work? Capenergy hyperthermia penetrates through contact accessories at the skin surface and transfers its energy into the target tissue.
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March 7, 2023
Urogynaecological tecar therapy

Gynaecology | Indications: stress urinary incontinence, urgency urinary incontinence, vaginal atrophy and dryness, vulvodynia, vaginismus and dysmenorrhoea, chronic pelvic pain, prolapse.
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Health, explained

Male pelvic floor assessment

Female pelvic floor assessment

Chronic pelvic pain

Episiotomy and perineal tear

Faecal incontinence

Overactive bladder

Caesarean scar

Vaginismus

Menopause

Abdominal diastasis

Enuresis

Encopresis

Urinary incontinence after prostatectomy

Premature ejaculation

Erectile dysfunction

Urinary incontinence

Musculoskeletal tecar therapy

Dermato-functional tecar therapy

Urogynaecological tecar therapy