
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:
Running Mechanics and Pelvic Floor Health: The Impact of Footwear

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.
Read more: Running Mechanics and Pelvic Floor Health: The Impact of...
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...
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...
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- Written by: Iris Xu
- 4327 Views

Don't Let Paradoxical Diarrhea Ruin Your Day
Have you ever experienced a peculiar mix of constipation and diarrhea at the same time? This unusual phenomenon, known as paradoxical diarrhea or overflow diarrhea, can be both confusing and uncomfortable. Here’s what you need to know about this condition:
What is Paradoxical Diarrhea?
Paradoxical diarrhea occurs when liquid stool leaks around impacted, hardened stool in the colon. This leakage leads to symptoms of both constipation and diarrhea simultaneously. It’s often associated with conditions like mixed irritable bowel syndrome (IBS-M).1
Read more: Understanding Paradoxical Diarrhea: Symptoms, Causes, and...
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- Written by: Debbie Dy, PT, DPT
- 1299 Views

In this article we’ll discuss how to assess if you may have a weak pelvic floor, what symptoms are and basic orientation to the pelvic floor.
What is the pelvic floor?
The pelvic floor is a very important group of muscles that live in the bottom of the pelvis. Both men and women have a pelvic floor. These muscles sit in the bottom of the pelvic floor like a hammock, and can move up and down like a trampoline to support your internal organs inside your body. They also help to control the openings and closures in the bottom of the pelvis, which is why they are so essential to urinary, bowel and sexual function. Just like any muscle, when they are weak, they can start to cause issues with any of these functions. Common signs of a weak pelvic floor include urinary incontinence, fecal (or bowel) incontinence, feeling of pelvic heaviness or pelvic organ prolapse, as well as low back or hip pain.
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- Written by: Stephany Tritt, PT, DPT
- 1110 Views

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...
- Details
- Written by: Anna Larson, PT, DPT
- 949 Views

Learn All About the Benefits of Yoga for Chronic Pelvic Pain
Chronic pelvic pain is a common debilitating condition that greatly impacts a person’s health and quality of life. Often, the origin of the pain can have one or several causes including: endometriosis, vulvodynia, interstitial cystitis, irritable bowel syndrome, chronic pelvic inflammatory disease, adenomyosis, fibroids, celiac disease, fibromyalgia, degenerative disc disease, and chronic urinary tract infections, to name a few5.
Sometimes, the exact origin of the pain is unknown, even stated as high as 61% of chronic pelvic pain cases5. To learn more about the interactions between these conditions and how they can cause chronic pain, see this previous blog post here.
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- Written by: Debbie Dy, PT, DPT
- 1606 Views

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...
- Details
- Written by: Sarah Bellon, PT, DPT, CLT
- 1794 Views

More On How to Help Lipedema and Lymphedema
In our previous article, we went over the definitions of Lipedema and Lymphedema and just barely scratched the surface on treatment options. This article will go into more details on the different treatment options we offer at Femina Physical Therapy to help support our patients with these diagnoses.
Here are some treatments that are beneficial for both conditions.
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- Written by: Sarah Bellon, PT, DPT, CLT
- 1910 Views

Learn How To Help Lipedema
This article covers the differences between Lipedema and Lymphedema and what treatment looks like for them.
Few conditions are as prevalent and underdiagnosed as lipedema. Lipedema is the symmetrical buildup of painful subcutaneous adipose tissue (fat) and fluid in the limbs. Adipose tissue accumulates primarily in the thighs, buttocks, legs, and arms, typically without involvement in the face, hands, and feet. Lipedema is a chronic progressive condition that is frequently confused with obesity, even by healthcare providers. With obesity, adipose tissue accumulates in the entire body. Lipedema can also be present in the absence of obesity. Since lipedema is often confused with obesity, the exact prevalence is unknown. The most commonly cited prevalence in cisgender women is estimated at 11%.
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- Written by: Kasia Gondek, PT, DPT, CLT, CSCS
- 1155 Views

What is Edema, and what causes swelling during pregnancy?
During pregnancy, extra water and salt retention is one of the most common complaints and symptoms that occur during pregnancy– this is called edema. Edema happens as a result of a few different changes that occur in pregnancy: the growth of the baby as they put greater pressure on one of the major blood vessels of the body called the vena cava which is located in the abdomen; hormonal changes that happen during pregnancy such as changes in progesterone, estrogen HCG (human chorionic gonadotropin), and prolactin which can cause increased swelling in the body; increased blood volume (by up to 50% more in pregnancy). Additionally, varicose veins may occur in up to 60% of females, with an increased risk depending on increased age and increased number of pregnancies.1 Edema can cause stiffness in joints, heaviness, and a sensation of warmth in the area that is swollen.