
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:
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...
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...
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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Have You Been Wondering Could Your Lube be Hurting You?
From alleviating vaginal dryness to improving anal play, choosing the right lube is important
Personal lubricant (lube) is something most people will use at least once during their sexual lifetimes, if not every time they are sexually active.
What are lubricants?
Lubricants are fluid or gel substances designed to offset genital dryness or inadequate natural lubrication which can be associated with discomfort or pain with sex or general activity. Lubes can be used for sexual activity, or just to alleviate dryness throughout the day.
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Some patients are surprised to learn what your bowel movements say about your health.
They are in the office to with pelvic floor dysfunction and problems like urinary incontinence or pain with sex - what does that have to do with poop?
Bowel function is a key piece in the journey towards healing from pelvic floor dysfunction. A lot of our clients with pelvic floor dysfunction, pelvic pain, endometriosis, and prolapse have some trouble with their bowels - either constipation, straining, or diarrhea. These bowel-related issues can cause abdominal pain, painful bloating, rectal pain, and pelvic floor problems. It’s a connection that is very important to consider!
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Proper Postpartum Care is Crucial to Prevent "Ghostpartum"
Today we are addressing “Ghostpartum,” which may sound like a Halloween ghoul or goblin, but is actually a term used to describe the postpartum period where many do not receive appropriate care as they transition from pregnancy to parenthood. In fact, according to the American College of OB/GYN (ACOG), up to 40 percent of postpartum folks do not even seek proper postpartum care.
Read more: Ghostpartum | Advocating for Proper Postpartum Care
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- Written by: Staff
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Spin The Right Way for Optimal Results!
Want to start a spin class? Afraid of returning to cycling because of knee pain or pelvic pain? Come see Heather Jeffcoat, DPT, or another therapist for an assessment of your form.
We love biking at Fusion Wellness & Physical Therapy / Femina PT! We have a Peloton bicycle used to evaluate, modify and progress spinning and cycling routines. Our clinic director/owner Heather Jeffcoat, DPT, is our in-house spinning guru. She is here to help you with your form to spin the right way, as well as how to fit the bike properly to your body.
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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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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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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...