
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:
Understanding Relaxin: Why It Doesn’t Cause Pain in Pregnancy

Pregnancy is a time of significant physical and hormonal changes, and among the many hormones involved, Relaxin plays a crucial role. However, there’s a common misconception that Relaxin is responsible for pain during pregnancy. Let’s take a closer look at what Relaxin does and why it doesn’t directly cause pain.
What is Relaxin?
Relaxin is a regulatory hormone involved in growth, metabolism, and tissue remodeling after an injury to our bones, ligaments, muscles or tendons (Dehghan 2014). During pregnancy, Relaxin levels begin to increase in the first trimester to help the body prepare for childbirth by relaxing the ligaments in the pelvis and softening the cervix (Aldabe 2012, Daneau 2014). The ligaments of the pelvis will begin to relax around the 10th-12th week of pregnancy (Aldabe 2012). This process allows for greater flexibility in the pelvic area, facilitating delivery and accommodating the growing baby.
Read more: Understanding Relaxin: Why It Doesn’t Cause Pain in...
Vulvovaginal Moisturizers: Who Needs One & Choosing the Right One

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.
Read more: Vulvovaginal Moisturizers: Who Needs One & Choosing the...
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...
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- Written by: Debbie Dy, PT, DPT
- 6919 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.
Read more: Safe Exercise During Pregnancy: ACOG Backed Guidelines
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- Written by: Debbie Dy, PT, DPT
- 9727 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.
Read more: How to Have Your Best Poop Ever: Solutions for Chronic...
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- Written by: Debbie Dy, PT, DPT
- 10376 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.
Read more: Vulvovaginal Moisturizers: Who Needs One & Choosing the...
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- Written by: Stephany Tritt, PT, DPT
- 3547 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.
Read more: Updated Endometriosis Guidelines: Effective Treatments &...
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- Written by: Debbie Dy, PT, DPT
- 5195 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.
Read more: Babywearing 101: Benefits, Challenges, and Solutions for...
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- Written by: Kasia Gondek, PT, DPT, CLT, CSCS
- 3860 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
Read more: Underreported Pregnancy Related Lumbopelvic Pain (aka PLPP)
Sexual Health Awareness Month
Unpublished- Details
- Written by: Iris Xu
- 157 Views
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- Written by: Webmaster
- 4791 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 significantly reduced rate on all visits related to the study + will receive our world-class physical therapy program for treating painful sex!
Read more: Participate in a High Quality Study Using Shockwave...