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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: Stephany Tritt, PT, DPT
- 1377 Views
Discover the Ways Urinary Incontinence and Weight Are Linked
Today, let's delve into the intricacies of bladder leakage, commonly known as urinary incontinence (UI)
Balancing health and weight involves various factors, both intrinsic and extrinsic, making it a complex aspect of well-being. As a pivotal metric for assessing health, weight is not only a symptom but can also act as a causative factor for various health conditions.
According to the Centers for Disease Control and Prevention (CDC), in 2023, a staggering 41.9% of adults in the U.S. are affected by obesity, accounting for $173 billion in annual healthcare costs. While the implications of being overweight on cardiovascular and mental health are widely known, we explore whether it can also impact pelvic floor health, especially in the context of urinary incontinence.
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- Written by: Stephany Tritt, PT, DPT
- 1803 Views
Did You Know That Proper Footwear Can Improve Your Running Mechanics and Pelvic Floor Health?
How Do My Feet Impact My Pelvic Floor When I Run?
If you are a runner, you tend to look for ways to improve your running. If you’re thinking about starting up or returning to running, it can feel intimidating particularly if you have any symptoms related to pelvic floor dysfunction. This only complicates an exercise that, on the surface, seems fairly straight forward. There are some studies that have looked at how your feet can play a part in your pelvic floor muscle function while you run. And if you are looking to return to running postpartum, read on and also check out this article by one of our pelvic floor physical therapists.
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- Written by: Debbie Dy, PT, DPT
- 1848 Views
Dr. Debbie Dy, PT, DPT
Orthopedic Clinical Specialist/Pelvic Health Physical Therapist
Once the exciting news of a new pregnancy is shared, it is common to get flooded with misinformation and “advice” from concerned family members regarding the safety of exercise during their pregnancy. Historically, it is common for people to be told to “take it easy” during their pregnancy or spend more time in bed. What we know is that exercise during pregnancy is safe and beneficial for both birthing parent and baby.
ACOG Updated Guidelines on Exercise During Pregnancy
The American College of Obstetrics and Gynecology (ACOG) in 2020 released updated guidelines regarding exercise in pregnancy which states that “exercise is both safe and desirable for birthing people in the absence of obstetric or medical complications or contraindications.” Not only is regular exercise safe for most pregnancies, exercising has immense physical and mental health benefits for not only the birthing person, but for the growing fetus as well. Birthing people who engage in regular exercise during their pregnancies have been shown to have decreased rates of gestational diabetes, hypertension, cesarean births, operative vaginal births and postpartum recovery time. It can also be preventative for the development of depressive disorders in the postpartum period.
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- Written by: Debbie Dy, PT, DPT
- 2205 Views
Let's Discuss Some Solutions for Chronic Constipation
"Chronic constipation can have detrimental effects to daily life..."
Constipation is an extremely common symptom that has been reported to affect 63 million people in North America.1 Chronic constipation can have detrimental effects to daily life and is known to increase psychological distress and impair health related quality of life. Most commonly, individuals who are struggling with constipation often intervene with laxative use and dietary changes to increase fiber intake. These interventions fail to improve symptoms in about 50% of patients whom they are prescribed.2 If you find that you continue to struggle with constipation, there are many lifestyle changes one can adopt that can have a profound effect on symptoms including decreased frequency, straining, and pain with bowel movements.
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- Written by: Debbie Dy, PT, DPT
- 2475 Views
Choosing the Right Vulvovaginal Moisturizer
Assuming you need one, make sure it's got the right ingredient list
There are many reasons why those born with female anatomy may require the use of a vulvovaginal moisturizer throughout their lifetime. As you age, the vaginal and vulvar tissues tend to become drier and less elastic. This change is typically seen around the time one goes through menopause due to the drop in estrogen that occurs. The vulvovaginal tissues are very sensitive to hormonal changes and estrogen is the hormone that controls vaginal lubrication, as well as tissue elasticity and thickness.
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- Written by: Stephany Tritt, PT, DPT
- 1432 Views
What Do Updated Endometriosis Guidelines Mean to You?
A variety of treatments are available for endometriosis and its symptoms. They include pharmacological treatments, surgical treatments, acupuncture, electrotherapy, nutritional changes, psychological therapies and of course, pelvic floor physical therapy.
The World Health Organization (WHO) states that Endometriosis affects 190 million (10%) of women of reproductive age worldwide. It occurs when uterine-like tissue (similar to, but not the same as) grows outside of the uterus. Currently there is no known cause or cure, however various treatments exist to manage symptoms. Currently, diagnosis of endometriosis can be delayed up to 8-10 years after initial symptoms onset. This happens for a variety of reasons, including limited access to health care or knowledgeable practitioners, poor awareness of or minimization of symptoms. In addition to the potentially debilitating symptoms of endometriosis, the socioeconomic cost of this disease is comparable to those of other chronic diseases such as diabetes mellitus.
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- Written by: Debbie Dy, PT, DPT
- 1664 Views
What is babywearing?
Babywearing is the practice of transporting a baby or child in a sling or carrier that is worn on the body - a practice that has existed for generations, and has been observed across many different cultures.
What are the benefits of babywearing?
In the first few months of an infant's life, it is required of caregivers to perform many hours of carrying, a task that may be daunting if there are other children in their household that need caring for, or other responsibilities within the home that need tending to. Of course babywearing allows caregivers to be physically close to the baby while remaining hands free, but not only this, babywearing has also been shown to have emotional, physical and psychological benefits for both infant and mother. For the infant, maternal carrying of the offspring has been shown to trigger a calming response demonstrated by central, motor and cardiac signals in distressed infants.1 There is also research to support that can improve length and success of breastfeeding, improve infant temperature regulation, and sleep apnea.
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- Written by: Kasia Gondek, PT, DPT, CSCS
- 1619 Views
Underreported Pregnancy Related Lumbopelvic Pain:
A common condition that most healthcare providers are missing and how physical therapy can help
Being pregnant comes with lots of changes to an expecting mother’s body. Hormonal and physical changes to the body, as well as vascular and neural factors can cause pregnancy-related lumbopelvic pain (PLPP). About 63% of pregnant women in the U.S. experience it at some point during gestation. A recent survey study involving 538 pregnant women with pregnancy-related lumbar and pelvic pain (henceforth termed lumbopelvic pain) found that only 43% reported it, and of those, only 22% received any treatment!1 Physical therapy through the use of manual treatments, therapeutic exercises, muscle re-education, and functional activity training (lifting mechanics, proper sitting and standing posture) have been proven effective at reducing pregnancy-related lumbopelvic pain and improving quality of life.2,3,4 Pregnancy-related lumbopelvic pain can interfere with quality of life, physical function, inability to perform daily activities, sleep disturbances, and can contribute to mood disorders such as anxiety and depression.1,2
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- Written by: Webmaster
- 1948 Views
Learn about low intensity shockwave therapy for painful intercourse (dyspareunia)
Our team at Femina Physical Therapy is committed to providing the highest level of evidence-based care. That is why we are conducting a research study to determine the effectiveness of low intensity shockwave therapy for painful intercourse, or dyspareunia as it is known clinically. We are searching for volunteers to participate in this high quality study. Those who qualify to participate will receive a reduced rate on all visits related to the study!
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- Written by: Staff
- 1932 Views
What's the Link Between Urinary Incontinence and Postpartum Depression?
Postpartum Depression is a medical illness that negatively affects how you feel, the way you think, and how you act.
It typically arises due to a combination of hormonal changes, psychological adjustment to motherhood, and fatigue. Postpartum depression is said to affect between 5-20% of mothers depending on variable socioeconomic factors. Many people associate urinary incontinence as a common postpartum symptom. Prevalence of postpartum urinary incontinence figures vary due to diverse study formats, however it is predicted that bladder leakage is experienced in a quarter to half of all postpartum women.
In recent years, studies have concluded there is a strong link between both postpartum depression and urinary incontinence postpartum.
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- Written by: Debbie Dy, PT, DPT
- 3170 Views
During pregnancy, the body goes through tremendous changes that can significantly impact strength, endurance, and ability to absorb ground reaction forces that are required to safely return to running. Your growing belly changes your posture, your hormones are making your joints more flexible, and some amount of deconditioning is expected and normal as pregnancy progresses.
For most postpartum runners, their return to running following birth can be intimidating and overwhelming.
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- Written by: Kasia Gondek, PT, DPT, CSCS
- 2262 Views
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!
- Details
- Written by: Staff
- 1969 Views
4 Exercises to Increase Low Back Strength
Julia Connolly, PT, DPT
Rest does not always = recovery. Strengthening the muscles of your lower back to increase low back strength, gain coordination, and increase aerobic endurance will improve your capacity to move throughout your day. Globally, low back pain is the leading cause for years lived with disability.1 Getting your body moving with better biomechanical strategies, and staying active are important ways to maintain your level of function.
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- Written by: Staff
- 1885 Views
Learn About the Link Between Scoliosis and Pelvic Floor Health
Scoliosis is a 3D curvature of the spine.
If you recall from part 1, scoliosis is a 3D curvature of the spine. Some people get it in early childhood or adolescence, and others get it as an adult. This can lead to low back pain, breathing difficulties, and ... affect the function of the pelvic floor muscles!
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- Written by: Staff
- 1662 Views
June is Scoliosis Awareness Month!
Scoliosis is a 3D curvature of the spine. According to the American Association of Neurological Surgeons, 2-3% of the US population currently have some form of scoliosis.
Types of Scoliosis
There are many different types. There is juvenile scoliosis starting at a young age, or adult-onset scoliosis. It can be categorized as congenital, neuromuscular, or most common form idiopathic scoliosis.
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- Written by: Debbie Dy, PT, DPT
- 2854 Views
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!
