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waking up to pee at night
Stocksy/ Prostock-Studio
Once again Well + Good writer Hannah Schneider has reached out to me for my expertise, this time for an article on waking up to pee at night. Here is a brief synopsis of the article, along with a link to the full article below.

Heather Jeffcoat, DPT

If You Are Tired of Waking Up to Pee at Night, We've Got Some Answers

Getting up to pee during the night can be super disorienting. It turns out that it can give you some insight into your health. To be clear: Getting up to go to pee every once in a while is perfectly fine, according to Heather Jeffcoat, DPT , Fusion Wellness & Femina Physical Therapy in Los Angeles, California. But if you're waking up to pee (and you're not on medication like a diuretic) it might help to examine what's going on.

People can develop nocturia for a whole host of reasons. Some of the reasons, according to Dr. Jeffcoat, are mechanical or based on the literal musculature function of the bladder and pelvic floor.

In my practice, I see nocturia mostly in postpartum individuals, especially when they are frequently getting up to breast or bottle-feed,"

Dr. Jeffcoat says. She explains that sometimes nocturia persists because someone has been primed to wake up at regular intervals throughout the night— and it continues even after they're no longer breastfeeding. This is a necessity and pretty normal. She adds that pelvic floor trauma incurred during birth can be a possible culprit.

Another factor, Dr. Jeffcoat says, is constipation. Constipation can cause nighttime urination because built-up fecal matter in the colon can press on the bladder and instill urgency strong enough to wake you up, she explains. And if you have bladder control and incontinence trouble throughout the day, it isn’t uncommon to have those carry into the night, Dr. Jeffcoat adds. "It's essential to manage daytime frequency to help with nighttime frequency through behavioral retraining techniques that a pelvic floor therapist could show you."

To get the full lowdown on how to avoid waking up to pee at night, continue to the full article here.

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What Our Patients Have to Say

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Testimonial by Carolina J.

I had tried Pelvic Floor Physical Therapy before (with another PT) and I had a really bad (painful) experience. A friend of mine and fellow patient, told me about Heather, Laureen and Femina PT (née Fusion Wellness & Physical Therapy) and I decided to try again. I am so happy I did! Femina PT have, literally, changed my life. I was able to do again things I couldn't do for over 10 years!! Their bedside manners are impeccable, their knowledge and understanding make me feel comfortable to recommend this place to anyone in pain. Specially if you have Endometriosis. 100% recommended!!

-- Carolina J., 12/28/16 via Yelp!

Testimonial by Jackie W.

I was in multiple car accidents a decade ago, and I have been to many physical therapists through the years without success. They found the root of my lower back pain problems and after nearly a decade of barely being able to walk I finally can again without pain. They are also the best pelvic floor pts and the only ones who found the connection between my pelvic floor and lower back problems. If you need help with physical pain, they are your answer.

-- Jackie W., 1/19/17 via Yelp!

Testimonial by R.H.

No one could tell me why I was having pain during sex--sharp pain, not just uncomfortable, pain. I was referred to Heather Jeffcoat after researching several different options. I had seen a specialist who told me physical therapy would not help and my only option was surgery. I really didn't want to go that route, so when we got a referral, I decided to try it--it can't hurt, I thought. I am so glad I did. She diagnosed the problem right away, which was a relief in itself.

To know why I was having pain eased my mind immensely. And to hear that she could fix it without surgery was another relief. She said she could fix the problem in 6 weeks. I think it was actually 4 for me. She was very methodical, and treated me as an intelligent human being capable of participating in my own recovery. I would absolutely recommend her to anyone. She did not try to prolong my session numbers, she worked hard to accommodate my schedule (and the fact that I had to bring a baby to sessions), and she was completely honest the entire time. It is so hard to find someone with these characteristics, much less a professional who is so good at what she does. She has my highest respect.

-- R.H.

Testimonial by J.B.

My husband and I were having problems with painful intercourse. My therapist recommended that I go and get a pelvic floor evaluation from a physical therapist. Having never been treated by a physical therapist, I wondered how this really was going to help me. My husband who is a physician was very supportive and agreed that a PT evaluation would be a great idea. So i made the appointment and was blown away by what I learned. I had no idea that pelvic floor muscles could get tight and have trigger points just like any other muscle in the body. I'm a massage therapist and very familiar with tight muscles, and this new thought really amazed me. Heather's program to help relax and strengthen these muscles made such a difference. I can say that I am 100% pain free during intercourse now. Yippee! Going to the PT appointments and doing the at-home exercises was definitely a discipline, but it's 100% worth it! The rewards are amazing.

-- J.B.

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 Ann V.

I wish i could give this place 10 stars!! 
I have been suffering from vaginismus for 5 years and never found the cure to it. I had seen an ob/gyn and he diagnosed me with vaginismus and told me i needed a surgery to cure my condition, which i refused to do. He also referred me to a PT that he works with, i had given them multiple calls and they never responded back to me, so i started searching yelp for another PT. I am SO HAPPY I found Heather's office! I was working with Laureen, and with her guidance and techniques i was able to be cured from vaginismus in only 2 1/2 short months!!! I couldn't believe how quickly their program worked for me! I am forever grateful and thankful from Heather, and Laureen! They are the absolute best at what they do!

Read more: Testimonial by Ann V.

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