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The Femina Physical Therapy Blog
Featuring original articles by our staff about current events and trends
With emphasis on vaginismus, pregnancy and postpartum best practices, treatments for incontinence, and other topics related to the health of your pelvic floor.
Featured From the Blog:
Introducing The Origin Fund - Helping Women in Need
Helping Women in Need With Our Community in Mind
The Origin Fund is dedicated to facilitating access to services that address a person’s physical, emotional and medical needs. Our focus is on individuals with pelvic health dysfunctions, and we are dedicated to improving the biopsychosocial aspects of each person as a whole. Through education, outreach and providing access to these services, we can support individuals on their journey to address their pain and dysfunction—linking patients to our network of referrals that provide these services.
Therapeutic Breast Massage in Lactation (TBML)
Therapeutic Breast Massage in Lactation Can Help Make Breastfeeding Less Painful
Breastfeeding is widely accepted as the normal standard for providing nutrition to newborns, however, many women who do not reach their breastfeeding goals. US national data stated that breast pain was a commonly reported reason for women weaning less than 1 month postpartum. Within that segment, 29% of women who participated in the study stated that “breastfeeding was too painful” to continue.
In the same study, 24% of women reported “breasts feel(ing) too full or engorged” as another reason to discontinue breastfeeding prior to 1 month postpartum.1 Currently, The American Academy of Pediatrics recommends exclusive breastfeeding of infants for the first six months of life. As physical therapists who treat patients with postpartum conditions, we are well positioned to make a big impact on patients with breastfeeding related pain and reduce barriers to continued breastfeeding!
Treating Bloating and Abdominal Distension: a Multi-Disciplinary Team
Why a Multi-Disciplinary Team is Best for Treating Bloating and Abdominal Distension
Bloating, abdominal distension, loose stools, constipation, abdominal or pelvic pain, fatigue, brain fog, weakness, nutritional deficiencies… these symptoms may be caused by a variety of gastrointestinal or pelvic conditions. If you are experiencing any of these symptoms, this article is a good place to start when deciding who to have on your care team, and what treatments can help!
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- Written by: Staff
- 5684 Views
What studies say about returning to running as postpartum exercise
Most of the therapists in our office are moms, and we intimately understand wanting to get back to exercise after delivery. Caution should be taken when returning to running postpartum - we see this clinically and research also shows postpartum movement strategy changes that can increase your risk of injury.
A recent pilot study by Provenzano et al., 2019 compared the biomechanical changes of runners pre-pregnancy (or <14 weeks gestation and postpartum). They found at six weeks postpartum subjects had decreased trunk and pelvic rotation, decreased running speed, with increased step width and stance time compared to pre pregnancy measurements. They also found decreased motion in the hips with increased motion at the knee as a compensation.
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- Written by: Staff
- 14901 Views
Laxity in Pregnancy is what may be causing you those aches and pains
The Role of the Relaxin Hormone
As discussed previously on the blog, pregnant people undergo some major changes in their bodies, including producing different hormones that play various roles during pregnancy. One hormone that affects the musculoskeletal system in a pregnant person’s body is called relaxin.
Relaxin is a hormone produced by the corpus luteum (an endocrine gland made in the ovary when a follicle has matured and released an egg during ovulation) and the placenta (an organ developed in the uterus during pregnancy that provides oxygen and nutrients to your baby). Relaxin inhibits uterine activity and helps relax the pelvic joints so your hips can widen in preparation for birth. Relaxin peaks during the first trimester. However, relaxin can also contribute to laxity in other areas of the body during pregnancy, not just the pelvis.
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- Written by: Heather Jeffcoat, DPT
- 18057 Views
There really is an app for everything… even pelvic floor exercises!
And research proves supervised pelvic floor home exercise programs can reduce treatment time and result in significant improvement over in-office therapy alone.
So why don’t all my patients have pelvic floor apps? Especially at the beginning of treatment, those exercises can be difficult enough to squeeze into a daily schedule without the added anxiety of scrolling through hundreds of options to find an affordable and reliable one; and no one wants to base sensitive healthcare decisions on anonymous user reviews.
Wouldn’t it be great if a medical expert could cut through all the clutter?
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- Written by: Staff
- 5782 Views
Endometriosis Affects 1 in 10 Women of Reproductive Age
And yet the delay in diagnosis hovers around 8.5 years (Barbieri, 2017; Ballard, 2006), meaning that, on average a woman will experience 8.6 years of symptoms and disease progression before they are diagnosed with the disease.
What is Endometriosis?
Endometriosis is a condition where endometrial-like tissue grows outside of the uterus (endometrial tissue is tissue that usually grows inside of the uterus and sheds each month). The most common area for it to grow is in the abdominal cavity, where it can implant on the surface of other structures including the ovaries, bladder, rectum, and along the walls of the abdomen and pelvis.
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- Written by: Heather Jeffcoat, DPT
- 3963 Views
“The cure is worse than the disease."
We’ve all heard the cautionary proverb; but to someone desperate for a cure, it’s all too easy to ignore.
Sadly, that’s been the outcome of too many vaginal mesh surgery cases. It’s a popular treatment for stress urinary incontinence, among other conditions; but many of these patients have paid a heavy price. Increasingly, women are opting to have the mesh surgically removed; and some of them are further devastated to learn that one of the most common complications – pelvic pain – can persist long after the mesh is gone.
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- Written by: Staff
- 15603 Views
Pudendal Neuralgia (PN) is a condition that can cause chronic pain or numbness along the course of the pudendal nerve, which is the nerve that innervates the pelvic floor.
What is the pudendal nerve and what does it do?
The pudendal nerve, like other peripheral nerves in your body, is how your brain “connects” with the muscles and tissues of the body- sending and receiving messages between the brain and body like movement and sensation. When nerves get compressed, irritated, or constricted, problems can occur in this “message chain” and you might feel things like pain, numbness, tingling.
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- Written by: Staff
- 16633 Views
Persistent Genital Arousal Disorder (PGAD) is a condition that is poorly understood.
Persistent Genital Arousal Disorder is a rare disorder most commonly seen in those with female anatomy and is characterized persistent sensations of genital arousal in the absence of sexual desire or stimulation. These sensations typically stay after orgasm and are intrusive, unwanted, and can negatively affect quality of life.
The diagnosis itself is not well known among healthcare practitioners yet alone the general public. Those who experience its symptoms can be hesitant to talk about it with their healthcare practitioners even though it may be affecting their quality of life.
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- Written by: Staff
- 6486 Views
September is Healthy Aging Month! In recognition, this blog will talk about Menopause and how it can affect your genitals and sexual function.
What Happens During Menopause?
Menopause marks the end of the regular menstrual cycle and the transition to life beyond the reproductive period.
Babies born with female anatomy have a set number of eggs which are stored in their ovaries. The ovaries make the hormones estrogen and progesterone, which control monthly periods and ovulation. Menopause happens when ovaries no longer regularly release an egg every month and menstruation stops.
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- Written by: Heather Jeffcoat, DPT
- 3954 Views
The History of Estrogen Therapy - A Cure for Hot Flashes, Insomnia, Vaginal Discomfort and More?
Hello, menopause! If you’re experiencing any of those symptoms, your doctor may have recommended some form of menopausal hormone therapy.
But is it safe?
When should you start?
And which therapy is right for you?
Researchers have been trying to answer those questions for decades, often with confusing and even conflicting results. Let’s take a look at the history of estrogen therapy, and how past studies are informing the latest recommendations.
A French physician coined the word ‘menopause’ in the 1800s and advanced the revolutionary idea that the health concerns of aging women deserved medical attention. Throughout that century, doctors experimented – sometimes on themselves – with various animal hormones. The science was far from perfected; but by the 1890s, women were being treated successfully for symptoms of menopause with a powder or pill made from cow ovaries.
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- Written by: Heather Jeffcoat, DPT
- 8943 Views
September is Healthy Aging Month!
Curious about pelvic floor physical therapy for menopause? Read on.
You’ve probably already considered a visit to your primary care doctor and your gynecologist. But what about pelvic floor physical therapy for menopause?
About 6,000 women enter menopause every day in the US, usually between the ages of 45 and 55; and as life expectancy increases, so does the number of years most women will spend on the other side of it. Approximately half of all women can expect to live 40% of their lives in the post-menopausal stage. It makes sense to develop a solid strategy for optimal health, the earlier the better – and regular physical therapy can be an important component of that plan.
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- Written by: Heather Jeffcoat, DPT
- 5641 Views
If you’ve trained for a marathon or half marathon, you’re well acquainted with the dangers of shin splints, pulled muscles, and joint injuries.
And you probably take deliberate care to avoid them.
But it may surprise you to learn female distance runners face a little-known health risk that can have serious, even permanent, consequences.
I’m talking about Female Athlete Triad (FAT).
A recent article in the Journal Of Women’s Health Physical Therapy defines the condition by its three components: “low energy availability, menstrual dysfunction, and low bone density”. Those components form a chain reaction of problems that build on each other. Unchecked, each one can lead to long-term health issues from hormonal imbalance to lowered metabolism and immunities, to osteoporosis. But it’s easily ignored by those who suffer from it, and misdiagnosed by their doctors.
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- Written by: Heather Jeffcoat, DPT
- 25074 Views
I’ve said it before and I’ll say it again – pelvic pain isn’t in your head, it’s in your muscles.
But could it also be in your birth control?
That’s one of many questions a team of scientists from the European Society of Sexual Medicine set out to answer recently by taking a comprehensive look at the current body of research on how hormonal contraception can affect female sexuality.
Sadly, the first takeaway is no surprise. We need more research – a lot more. And of all the different facets of female sexuality they examined, pelvic floor and urological symptoms got the least attention from the scientific community.
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- Written by: Heather Jeffcoat, DPT
- 4959 Views
What did you discuss with your healthcare provider at your last OB-Gyn appointment?
Hard truth – there’s a good chance your answer depends on your skin color.
The disturbing statistics about increased COVID risks for people of color shed much needed light on systemic injustice in our healthcare system; but you may not realize the problem extends to almost every facet of women’s health, from yearly check-ups to frightening mortality rates in pregnancy and childbirth. A recent survey of nearly 1,700 white and black, non-Hispanic women aged 18-49 pulls back the exam room curtain, indicating a double standard that often leaves women of color underserved and medically vulnerable to several risks.
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- Written by: Staff
- 14276 Views
Your Stress Levels Affect your Bowel Movements and Vice Versa
Psychological stress affects your bowels. Perhaps you know this through personal experience, but research in the past decade has strengthened the link between stress and bowel problems including IBS, nausea, vomiting, abdominal pain, and constipation (Chang et al., 2014).
Chang et al. (2014) found that heightened stress levels increased inflammation and permeability in the GI system, which were tied to increased IBS symptoms.
In 2018, Chan et al. found a dynamic relationship between bowel symptoms, stress, and emotional well-being. Study participants reported stress levels affected bowel function, and that also when they had were experiencing bad bowel function (loose stools, abdominal pain) that this affected their emotional well-being.
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- Written by: Heather Jeffcoat, DPT
- 4902 Views
On July 30th, the House approved to DOUBLE funding for Endometriosis.
This is a HUGE win for the 1 in 10 women across the US that suffer from this hidden disease.
Endometriosis can lead to missed days from work and school, chronic pelvic pain, infertility and many other chronic overlapping pain conditions.
The efforts were led by Rep. Abby Finkenauer of Iowa, who in March pubicly noted her own struggles with endometriosis. From her website:
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- Written by: Heather Jeffcoat, DPT
- 16525 Views
You counted down the weeks until your baby’s arrival…
now you and your partner are counting down the days until your doctor gives you the green light to have sex again.
That’s a good thing; intimacy is an important factor in your relationship and your own well-being. But whether this is your first baby, or you’re sure it’s your last, your anticipation might be tinged with some anxiety. After all, your body has been through a lot since that positive pregnancy test result.
Sleepless nights, fluctuating hormones, and breastfeeding challenges can take a toll. Perhaps you’re still healing from a C-section or a physically challenging delivery. Even if giving birth was a breeze, and this is your easiest baby yet, you may worry that your expectations aren’t in sync with your partner’s.
When it comes to your postpartum sex life, what’s the new normal? And how soon can you get there?
