
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:
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!
Lightning Crotch in Pregnancy: How You Can Start Recovering from SPD

What is symphysis pubis dysfunction (Lightning Crotch)?
Symphysis pubis dysfunction (SPD), also known as pubic symphysis dysfunction, anterior pelvic girdle pain, or lightning crotch, is a common musculoskeletal condition that is experienced by pregnant women and can vary from minor discomfort to severely debilitating pain. It is typically characterized by discomfort in the front pelvic area that can radiate to the inner thighs and perineum (think where your pubic bone is).
Read more: Lightning Crotch in Pregnancy: How You Can Start...
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
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Learn How to Fit Your Bike Correctly With These Simple Tips
Did you know that riding a bike that doesn’t fit your body can cause and exacerbate nerve and orthopedic problems?
Avoid nerve and joint pain with the following tips!
Before We Begin: Ask for Help
If you are spinning at a gym or in a class, ask for assistance from cycling instructors if you need help you setting up your bike. Everyone needs help doing this when they begin!
If you are cycling at home, come see us at the clinic or have us come out to your house! Clinic owner Heather Jeffcoat, DPT does custom fit assessments in her Sherman Oaks office and our other locations across the greater Los Angeles area.
Read more: Ready, Set, Cycle | How to Fit Your Bike Correctly
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- Written by: Staff
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It’s truly amazing what bodies endure during and following pregnancy. We praise all the new parents that come into the clinic for their resilience not only physically but mentally, taking care of themselves as well as being a caretaker 24/7 whether it’s one child or three children, it really is a super power.
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- Written by: Heather Jeffcoat, DPT
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I just returned to Los Angeles after completing an amazing eight day trip to Beijing, China. There I had the opportunity to work with the Chinese Olympic Committee, their rehabilitation staff and athletes. I gave two lectures with hands-on labs to their physiotherapists on Hip Impingement and Cyclist's Syndrome (Pudendal neuralgia in cyclists). Did I talk about the pelvic floor muscles in both lectures? You bet I did! Monica is my awesome Mandarin translator pictured standing next to me below.
Read more: Heather Returns from Work with the Chinese Olympic Committee
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- Written by: Staff
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Constipation and pelvic floor disorders often go hand-in-hand for clients with hypertonic (tight) pelvic floor muscles and with associated symptoms like pelvic pain, pain with sex, and urge incontinence. So, let’s get your constipation in control!
The connection between your bowels and your pelvic floor
If you think about what is housed inside of the pelvic bowl, three important systems have to co-exist and share a limited amount of space:
- Urinary System: the bladder and urethra
- Reproductive Organs: Uterus, ovaries, fallopian tubes, and vaginal canal
- GI System: sigmoid colon, rectum
Read more: Manage Constipation Naturally for Better Pelvic Floor...
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- Written by: Staff
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Worried About Exercise and Urinary Incontinence?
Don’t let your New Year's workout make you leaky!
With new year’s resolutions, a lot of us will be starting new workout routines to shape up. While exercise is a cornerstone of physical health, a little talked about side effect of increased athletic training, particularly for those with female anatomy, is urinary incontinence. A comprehensive literature review published March 2018 in International Urogynecology Journal found that female athletes have an increased the risk for urinary incontinence.
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- Written by: Staff
- 10545 Views

Learn How Obesity Increases Urinary Incontinence and How Pelvic Floor Therapy Can Help
Urinary Incontinence is common, why suffer?
Urinary incontinence is the loss of bladder control. Urinary incontinence affects up to 1 in 3 women. The two most common types of urinary incontinence that affect women are stress incontinence and urge incontinence (also called overactive bladder, or OAB). Incontinence affects twice as many women as men. This may be because pregnancy, childbirth, and menopause are contributing factors to urinary incontinence. Urinary incontinence should not be considered a normal part of aging, and it can be treated.
A new article published in September, 2018 by Lamerton, Torquati, & Brown found that being overweight (BMI 25-30) increased risk of urinary incontinence for young and middle aged by 35% and obesity (BMI ≥30) almost doubles the risk at 95%.
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- Written by: Staff
- 8997 Views

A 101 on the credentials, training, and skills of a pelvic floor physical therapist
Two recently published articles, in the International Urogynecology Journal and in Neurourology and Urodynamics talk about the positive outcomes of treatment with trained pelvic floor therapists. Today is a basic rundown of what kinds of credentials, training, and skills a pelvic floor physical therapist has to offer you.
Credentials
Pelvic floor therapists are often physical therapists (PT), a discipline that requires academically rigorous coursework and covers topics from anatomy and kinesiology, to neuroscience, and the evaluation, treatment, and management of common diagnoses. They are also trained in a medical system, and are aware of "red flags" in signs and symptoms that patients may present with. These "red flags" will typically require additional medical referral to rule in or out (i.e. suspected masses, infection, etc).
You will often find a jumble of letters after your pelvic floor therapist’s name. Here is a breakdown of what those letters mean:
PT, MPT, MSPT, or DPT: These letters represent the degree that your pelvic floor physical therapist earned. For many years, physical therapists earned a bachelor's degree prior to becoming licensed. Later, schools transitioned to master's degree programs. The letters MPT or MSPT indicates a master's degree in physical therapy. Most programs today now train therapists for a DPT degree, which stands for doctorate of physical therapy.
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- Written by: Staff
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What are the Links Between Menopause and Pelvic Health?
Menopause is a period of life transition for many of us. Today we will review what menopause is and how symptoms can negatively affect pelvic health, including bowel, bladder and sexual function.
What Happens During Menopause?
Menopause is an important life transition for those with female anatomy, marking 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.