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Secret Weapon Against Constipation
Photo: Stocksy/ Raymond Forbes LLC
Gabrielle Kassel of the website Well + Good reached out to me for some tips on avoiding constipation and alleviating its symptoms when it does occur. In short, we discussed how your pelvic floor can be a secret weapon against constipation. Here is a brief synopsis of the article along with a link to the full article below.

Heather Jeffcoat, DPT

Looking for a Secret Weapon Against Constipation?

Look to Your Pelvic Floor.

Constipation can be physically uncomfortable, but it can also be downright frustrating. Whether factors like dietary habits, dehydration, or stress trigger your constipation, it can be tempting to fight it by forcing a bowel movement. Straining, however, isn't a great idea. It's not super effective, and it can increase your risk of anal fissures and prolapse.

Instead, a key to relieving constipation might actually involve relaxing your pelvic floor.

For the uninitiated, your pelvic floor is a hammock-like group of muscles resting in your pelvis that support your organs and control how and when you go to the restroom, according to the Mayo Clinic. Your pelvic floor muscles need to relax and release to expel poop, says Heather Jeffcoat, DPT, a pelvic floor therapist and Femina PT. Relaxation allows the anal sphincter muscle to open, so you're able to have a bowel movement.

Yes, straining and squeezing the muscles you use for the bathroom (like the sphincter, lower diaphragm, and core) can sometimes help get things moving, but it can also make you tighten your muscles, which in turn makes it harder to pass stool, Dr. Jeffcoat says. So, to help you relax your pelvic floor, Dr. Jeffcoat offers the following suggestions:

1. Practice deep breathing before, during, and after

Deep breathing is one of the primary exercises Dr. Jeffcoat recommends if you're sitting on the toilet with no luck. To start: Inhale slowly and feel your rib cage expand, then gently exhale, Dr. Jeffcoat says.

Repeat this a few times; with each breath, think about inhaling all the way down into your pelvic floor. Both your diaphragm and your pelvic floor should drop and lengthen as you inhale."

Dr. Jeffcoat recommends you start doing this before you're in the bathroom; stage fright is a real thing. Continue breathing when you're in the bathroom, but she adds that if you don't go within 5 minutes, it's a good idea to try again later.

2. Try not to sit on the toilet for too long

It can be upsetting when time passes, and you're just not going. Instead of sitting there, grab some water, eat fiber-rich food, and try gentle movement like walking before attempting to go again. If you're dealing with frequent consipation, Dr. Jeffocat recommends meeting with a nutritionist or dietician to find a diet that alleviates your symptoms.

For more tips on how your pelvic floor is your secret weapon against constipation, click here to continue to the full article.

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Testimonial by Jamie M.

I have been going to see Heather for a while now, and I can't tell you enough how much she has improved my quality of life. Heather specializes in issues like pelvic floor, but I see her for other orthopedic issues.

I have a lot of chronic joint pain and dysfunction issues (back, hips, neck) that require that have ongoing physical therapy maintenance. The effects of my problem joints/areas overlap and interconnect with each other in complex ways, so helping me requires really having a complete understanding of the entire skeletal and muscular system. Pain does not always appear where the problem actually is, the human body is a twisty, many-layered puzzle. I have an exercise program I do at home and I am very functional, but there are just something things I need a PT to help me out with.

Read more: Testimonial by Jamie M.

Testimonial by Jamie M.

I have been going to see Heather for a while now, and I can't tell you enough how much she has improved my quality of life. Heather specializes in issues like pelvic floor, but I see her for other orthopedic issues.

I have a lot of chronic joint pain and dysfunction issues (back, hips, neck) that require that have ongoing physical therapy maintenance. The effects of my problem joints/areas overlap and interconnect with each other in complex ways, so helping me requires really having a complete understanding of the entire skeletal and muscular system. Pain does not always appear where the problem actually is, the human body is a twisty, many-layered puzzle. I have an exercise program I do at home and I am very functional, but there are just something things I need a PT to help me out with.

Read more: Testimonial by Jamie 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 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 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 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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