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add pelvic floor physical therapy to your healthcare routine
MoMo Productions / Getty Images
VeryWell Health author Claire Wolters reached out to with the question "should you add pelvic floor physical therapy to your healthcare routine?", and of course I was more than glad to lend my expertise. Here is a synposis of the article with my further comments interspersed in italics. A link to the full article is included below.

Heather Jeffcoat, DPT

Should You Add Pelvic Floor Physical Therapy to Your Healthcare Routine?

What Causes Pelvic Floor Problems?

Pelvic floor dysfunction tends to occur with age, during pregnancy, or in tandem with life events linked to plummeting hormone levels, such as the postpartum period and menopause. (Pelvic floor issues can also arise from injuries due to accidents or chronic stress, but regardless of the cause we have a number of treatments and modalities that can help.)

People who are pregnant are especially prone to pelvic floor problems during their pregnancy and later in life, Heather Jeffcoat, DPT, a pelvic floor physical therapist and founder of Femina Physical Therapy, told Verywell. That's because of the weight of a pregnant person's uterus, which can put pressure on and strain their pelvic floor muscles. Vaginal childbirth can also stretch the muscles.

People who experience these types of problems during pregnancy are more likely to experience more pelvic floor problems postpartum or even years down the line, Jeffcoat said.

Pelvic floor dysfunction is increased in anybody that is pregnant, but people might not necessarily know that they have a problem," Jeffcoat added. "They might normalize things [or think] they will get better after delivering—which is not necessarily true."

Symptoms of pelvic floor dysfunction may include:

  • Urinary or stool leakage or incontinence
  • Constipation
  • Pain in the pelvis region
  • Back pain
  • Painful urination
  • Painful sex

If left untreated, problems can worsen over time. (Fortunately awareness of pelvic floor dysfunction is on the rise amongst the larger health community.)

It's just a matter of time until people begin to present with sexual pain, urinary incontinence, prolapse, or back pain due to pelvic floor dysfunction," Jeffcoat said. "Pelvic PT should be a part of general wellness visits to catch dysfunction early, and help set patients up better for the rest of their lives."

She recommends that women and people with vaginas schedule at least three pelvic floor physical therapy appointments during pregnancy, at least one during the postpartum period, and at least one at the onset of menopause.

Go here access the full article at the Verywell Health website, and go here if you are ready to take the plunge with one of our licensed physical therapists.

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What Our Patients Have to Say

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Testimonial by S.P., Age 26

I would like to start off by thanking Heather Jeffcoat for educating me and curing me of Vaginismus. I had been married for almost three years before I was referred to Heather. I never knew about Vaginismus until almost three years into my marriage. I knew something was wrong when I went on my honeymoon and came back a Virgin. I had always imagined how magical my first night would be but boy was I wrong.

Read more: Testimonial by S.P., Age 26

Testimonial by Amanda W.

Heather's unique physical therapy program literally changed my life! After years of struggling with vaginismus, a condition that made it impossible for me to have intercourse and very difficult to use tampons without pain, a gynecologist referred me to Heather. I was nervous for my first appointment, but Heather's professional and friendly demeanor put me at ease. She did a great job explaining each technique she was using to help my muscles relax. Heather uses a combination of internal and external stretches and exercises to relax the pelvic floor and build muscle strength. Her specially developed home program helped me quickly recover from an issue that seemed insurmountable before meeting Heather. She was optimistic about my progress and incredibly encouraging. Less than 6 months after my first session, I was able to have pain-free sex for the first time in my life! If you are suffering from vaginismus or any other pelvic floor issues, I highly recommend making an appointment with Heather and reading her book!

-- Amanda W., 2/15/16 via Yelp!

Testimonial by Mary L.

I started seeing Heather to treat my Interstitial Cystitis in November 2016. At this time, I was extremely miserable, in constant pain, and felt as though no one was listening or understood what was going on with my body. I have just finished my last appointment and I can honestly say that my life has completely changed for the better because of Heather and her team of PTs! I live almost completely pain free, and when I do have flare ups, I am able to treat them at home on my own. I am so grateful that this office was recommended to me a honestly cannot recommend them enough!

Read more: Testimonial by Mary L.

Testimonial by T.C.

While pregnant with my twins, Heather took care with keeping me on my feet and pain free. She saved my back, my sanity and the holidays! I would recommend her to every “mom” looking to stay on her feet during pregnancy and post-partum.

-- T.C.

Testimonial by S.S., age 54

Heather is the best! I saw her today for terrible hip/groin pain. I was so impressed with the safety measures in place and felt completely safe . Thanks for the healing hands.

S.S., age 54

Testimonial by M.N., age 28

A personal journey and testimonial from one of my patients:

I was diagnosed with vaginismus 4 years ago. I never heard of such medical condition until after I got married. At first my husband and I didn't know what to do, we didn't know what the issues were or how to overcome it. Being born and raised in Armenia and being Christian I wasn't that open about talking to sex with others and so it wasn't easy to seek help. But eventually I went to an Ob-Gyn and luckily she knew about the medical condition (not many doctors know). She referred me to a physical therapist and I couldn't believe it and thought it's something I can handle myself. I ordered a kit from vaginismus.com and started practicing with dilators. There was some small progress but wasn't much helpful.

Read more: Testimonial by M.N., age 28

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