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The Femina Physical Therapy Blog
Featuring original articles by our staff about current events and trends
Explore our insightful blog articles on pelvic health, where we delve into essential topics that empower and educate. From understanding pelvic floor disorders to strategies for conquering infertility, our content is designed for those seeking knowledge and support. We discuss the latest research, expert advice, and practical tips to enhance your well-being and foster a deeper connection to your body.
Featured From the Blog:
Restorative 20 Minute Home Yoga Practice For Chronic Pelvic Pain
Yoga Practice For Chronic Pelvic Pain Can Be a Very Helpful Routine
As stated in my last blog post, yoga can be so beneficial as a pain management tool due to its ability to modulate the sympathetic nervous system3,4 which plays a large role in chronic pain. The exact mechanism of how yoga helps with chronic pain is still being studied, however, it is reasonable to believe the full body relaxation promoted by a yoga practice helps to decrease tension in key muscle groups- including the hips and pelvic floor which are often tight in people with chronic pelvic pain.
Currently, evidence has mostly focused on one hour long practices as an intervention, although there are some studies that report improvements in pain with shorter practices, such as the routine below. As with any mobility/stretching routine, benefits will be seen with more frequent practice, however even twice weekly can help decrease pain.
Read more: Restorative 20 Minute Home Yoga Practice For Chronic...
Postpartum Sexuality & Mood Changes in Women with Pelvic Girdle Pain
Does my pelvic girdle pain have anything to do with my mood and sexuality?
Many of our patients experience sexual dysfunction and anxiety, depression and chronic pain. These conditions are known to coexist, and we unpack each component of pain, mood and one’s behaviors, desires and attitudes related to sex and physical intimacy.
Pelvic girdle pain is defined as “pain between the posterior iliac crests and gluteal folds particularly in the vicinity of the sacroiliac joint” (Simonds). More simply stated: in the very low area of your back and buttock. Pelvic girdle pain is common postpartum and may impact disability in the fourth trimester. Many are aware of peripartum symptoms such as low back pain, incontinence, pelvic organ prolapse, pain with intercourse, and postpartum depression. Knowing that many women experience pain during and after pregnancy - what can we learn about the effects of pelvic girdle pain? Specifically, what impact does pelvic girdle pain have on symptoms of mood and sexuality?
Read more: Postpartum Sexuality & Mood Changes in Women with Pelvic...
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!
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- Written by: Staff
- 8115 Views
September is Healthy Aging Month! In recognition, this blog will talk about Menopause and how it can affect your genitals and sexual function.
What Happens During Menopause?
Menopause marks the end of the regular menstrual cycle and the transition to life beyond the reproductive period.
Babies born with female anatomy have a set number of eggs which are stored in their ovaries. The ovaries make the hormones estrogen and progesterone, which control monthly periods and ovulation. Menopause happens when ovaries no longer regularly release an egg every month and menstruation stops.
Read more: September is Healthy Aging Month | Menopause and How it...
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- Written by: Heather Jeffcoat, DPT
- 5030 Views
The History of Estrogen Therapy - A Cure for Hot Flashes, Insomnia, Vaginal Discomfort and More?
Hello, menopause! If you’re experiencing any of those symptoms, your doctor may have recommended some form of menopausal hormone therapy.
But is it safe?
When should you start?
And which therapy is right for you?
Researchers have been trying to answer those questions for decades, often with confusing and even conflicting results. Let’s take a look at the history of estrogen therapy, and how past studies are informing the latest recommendations.
A French physician coined the word ‘menopause’ in the 1800s and advanced the revolutionary idea that the health concerns of aging women deserved medical attention. Throughout that century, doctors experimented – sometimes on themselves – with various animal hormones. The science was far from perfected; but by the 1890s, women were being treated successfully for symptoms of menopause with a powder or pill made from cow ovaries.
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- Written by: Heather Jeffcoat, DPT
- 10789 Views
September is Healthy Aging Month!
Curious about pelvic floor physical therapy for menopause? Read on.
You’ve probably already considered a visit to your primary care doctor and your gynecologist. But what about pelvic floor physical therapy for menopause?
About 6,000 women enter menopause every day in the US, usually between the ages of 45 and 55; and as life expectancy increases, so does the number of years most women will spend on the other side of it. Approximately half of all women can expect to live 40% of their lives in the post-menopausal stage. It makes sense to develop a solid strategy for optimal health, the earlier the better – and regular physical therapy can be an important component of that plan.
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- Written by: Heather Jeffcoat, DPT
- 8113 Views
If you’ve trained for a marathon or half marathon, you’re well acquainted with the dangers of shin splints, pulled muscles, and joint injuries.
And you probably take deliberate care to avoid them.
But it may surprise you to learn female distance runners face a little-known health risk that can have serious, even permanent, consequences.
I’m talking about Female Athlete Triad (FAT).
A recent article in the Journal Of Women’s Health Physical Therapy defines the condition by its three components: “low energy availability, menstrual dysfunction, and low bone density”. Those components form a chain reaction of problems that build on each other. Unchecked, each one can lead to long-term health issues from hormonal imbalance to lowered metabolism and immunities, to osteoporosis. But it’s easily ignored by those who suffer from it, and misdiagnosed by their doctors.
Read more: Female Athlete Triad – The Distance Runner’s Hidden Obstacle
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- Written by: Heather Jeffcoat, DPT
- 27970 Views
I’ve said it before and I’ll say it again – pelvic pain isn’t in your head, it’s in your muscles.
But could it also be in your birth control?
That’s one of many questions a team of scientists from the European Society of Sexual Medicine set out to answer recently by taking a comprehensive look at the current body of research on how hormonal contraception can affect female sexuality.
Sadly, the first takeaway is no surprise. We need more research – a lot more. And of all the different facets of female sexuality they examined, pelvic floor and urological symptoms got the least attention from the scientific community.
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- Written by: Heather Jeffcoat, DPT
- 5958 Views
What did you discuss with your healthcare provider at your last OB-Gyn appointment?
Hard truth – there’s a good chance your answer depends on your skin color.
The disturbing statistics about increased COVID risks for people of color shed much needed light on systemic injustice in our healthcare system; but you may not realize the problem extends to almost every facet of women’s health, from yearly check-ups to frightening mortality rates in pregnancy and childbirth. A recent survey of nearly 1,700 white and black, non-Hispanic women aged 18-49 pulls back the exam room curtain, indicating a double standard that often leaves women of color underserved and medically vulnerable to several risks.
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- Written by: Staff
- 16616 Views
Your Stress Levels Affect your Bowel Movements and Vice Versa
Psychological stress affects your bowels. Perhaps you know this through personal experience, but research in the past decade has strengthened the link between stress and bowel problems including IBS, nausea, vomiting, abdominal pain, and constipation (Chang et al., 2014).
Chang et al. (2014) found that heightened stress levels increased inflammation and permeability in the GI system, which were tied to increased IBS symptoms.
In 2018, Chan et al. found a dynamic relationship between bowel symptoms, stress, and emotional well-being. Study participants reported stress levels affected bowel function, and that also when they had were experiencing bad bowel function (loose stools, abdominal pain) that this affected their emotional well-being.
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- Written by: Heather Jeffcoat, DPT
- 6074 Views
On July 30th, the House approved to DOUBLE funding for Endometriosis.
This is a HUGE win for the 1 in 10 women across the US that suffer from this hidden disease.
Endometriosis can lead to missed days from work and school, chronic pelvic pain, infertility and many other chronic overlapping pain conditions.
The efforts were led by Rep. Abby Finkenauer of Iowa, who in March pubicly noted her own struggles with endometriosis. From her website:
