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peeing just in case
Scary Mommy and Kittisak Jirasittichai/EyeEm/Getty
Journalist at Scary Mommy reached out to me for my expert opinion about "Peeing Just In Case"", and I was glad to offer my input. Here is a brief synopsis of the article, along with a link to the full article below.

Heather Jeffcoat, DPT

Learn Why Peeing Just In Case Isn't Such a Great Idea After All

We make lots of ridiculous choices regarding sleep. As a kid, we might have snuck under our covers with a flashlight and read Powerpuff Girls chapter books, and later we went to slumber parties and competed to see which seventh grader could keep their eyes open til morning. As youngish adults we had many (maybe too many) late-night/early-morning study sessions or drunk-fests. And as a parent, you (like me) may have stayed up well past bedtime to be blissfully alone, curled up with a pint of Cherry Garcia and a book of sudoku puzzles. We definitely needed more hours to snooze—but there was no way we were trading our *bedazzled* nightlife in favor of practicing smart sleep hygiene.

Sometime or other, we came to understand the value of Mister Sandman. We knew a good night’s sleep meant mental acuity and a spring in our step; a bad night’s sleep meant cranky mornings, puffy eyes, and rushing to work late with an extra-large Mountain Dew and phone perched on the roof of our car. (You may not have known this, but a consistent 7-9 hour stretch of sleep per night can help strengthen your heart, boost your immune system, and improve memory and mood— and those are just a few plusses.)

Though anxiety is often difficult to manage, Watson suggests that keeping a “worry journal” might be a start. “Put down all your concerns and stressful thoughts in writing,” he advises, “and tell yourself you’ll deal with them the following day.”

Many of us might have suspected that any of the above could funkify our sleep, if not lead directly to nocturia. I, however, never considered that my daytime peeing habits could wreak havoc on my nighttime dozing. Turns out that emptying a less-than-full bladder is not the smartest route to go, no matter if we were always told that “peeing just in case” was a good idea. According to TikToker (and doctor of physical therapy) Sabrina Baxter, if we do this, we are “training our bladder” to void before it’s full. And if we’re practicing this during daylight hours, that ritual is obviously going to trickle (get it?!) into the wee hours of the night.

So, what’s the remedy? If you ask Heather Jeffcoat, DPT, a Los Angeles–based physical therapist with an emphasis in pelvic floor health, the answer is to backtrack and re-train that bladder by doing kegels before you pee to help reduce the discomfort of urgency.

For vagina owners,” Jeffcoat says, hovering over a toilet to pee should always be avoided, as this inhibits complete pelvic floor muscle relaxation, which is required in order to empty your bladder.” Once again, that pelvic floor therapy might be a good route to go if you want to curb that nighttime urine purge.

So, now the question is—since nocturia is an issue for me, what do I do now? Well, you have a few basic tools in your arsenal, ranging from chronicling your anxieties to invigorating that compromised pelvic floor. But, if none of those strategies make a difference, it’s always best to consult your doctor. Though it might be a little bit entertaining, nobody really wants you to miss that 7-9 hour sleep window and whiz past with a Big Gulp on top of your car.

If you still think "peeing just in case" is OK, continue to the full article here. And go here if you're ready to start some pelvic floor physical therapy with one of our licensed physical therapists.

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What Our Patients Have to Say

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Testimonial by M.M.

A personal journey and testimonial from one of my patients:

My husband and I were married for 5 years before we were able to have intercourse due to my vaginismus. There was nothing traumatic in my past but for some reason, even though I wanted sex, I mentally avoided "that area" of my body and didn't even admit to myself that there was a problem for a long time, even though I was never able to put tampons in. Once I finally opened my eyes up to the fact that I had a problem, I had a surgery that was supposed to fix the issue.

Read more: Testimonial by M.M.

Testimonial by Y.L. (mom of 2)

After having my second baby via C-section I searched for months to try to find help for my lower back pain and separated abdominal muscles. I finally came across Heather Jeffcoat via a mommy blog. I reached out to her via email and set my first appointment. My first appointment went amazing … she listened to what my symptoms, check my separation and explained to me in detail what the next steps would be. Not only did my abdominal separation go from 3 to about 1 -1/2 but my back has pain has significantly reduced. I’m personally recommending all my mommy friends to Heather!

Y.L. (mom of 2)

Testimonial by P.M.

I was hopeful but frankly skeptical when the doctor treating me for Interstitial Cystitis recommended that I go to Heather for physical therapy. Medication and diet helped control my IC symptoms, but I had never heard of physical therapy being used to treat IC. The education and treatment I received from Heather was a revelation. She explained that the pain I experienced with IC had helped create a cycle of muscle guarding which affected the entire pelvic area. I had no idea of the amount of tension being held there. No wonder my husband and I had not been able to have sexual intercourse for years!

Read more: Testimonial by P.M.

Testimonial by A.W., age 32

I wanted to let you know that my pelvic floor held strong and gave me no trouble whatsoever in my trail race this morning (12 miles)! In a way, I felt like I ran better than ever because my core feels so rock solid from all the exercises you have me doing. That was especially valuable on the technical downhill - I just flew down the trail because I had confidence in my balance and form. Thank you for helping me get back to doing what I love.

-- A.W., age 32
(completed Post-partum Renewal Program using the InTone biofeedback/stim unit)

Testimonial by R.M., Age 40

I can’t speak highly enough of the theapists at Femina Physical Therapy and how much they have helped me grow, discover, and love my body. I had had painful sex for my entire life, and didn’t know that there was anything that could be done about it. It was at the point where my husband and I were not having sex for MONTHs, because it was just too frustrating, and I hated feeling like I was the ONLY woman out there who had this problem, especially at my age. I finally brought it up to my doctor because I was turning 40 and my husband and I were barely having enough sex to conceive. And she brought up pelvic floor, PT. I didn’t even know this was a “thing”.

Read more: Testimonial by R.M., Age 40

Testimonial by Julie T.

Femina PT (née Fusion Wellness & Physical Therapy) has honestly changed my life. Before receiving treatment at Femina, I was going doctor to doctor to try and find the answer to my pelvic pain. It has taken me YEARS to find someone that can help fix this. It wasn't until my gynecologist recommended your clinic that I finally felt relief. My pelvic pain is almost gone, and granted I still have a lot more to work on with Laureen (my PT), my original problem is nearly cured. I am so grateful to her.

What is even better is she gave me practical exercises to do at home that were not tedious and provided instant (and lasting) relief. Although I mainly work with Laureen, my interaction with the owner (Heather) has been great. She is very generous, kind, and committed to her business.

It hurts to know there are women out there suffering who will never know or have the opportunity to work with women like Laureen and Heather because this issue is hardly talked about and this field is so rare. I hope more doctors and physical therapists see the value in this work and can relieve more woman of their pain.

-- Julie T., 12/4/16 via Yelp!

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