
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:
Why a Multidisciplinary Team is Best for Treatment of Bloating and Abdominal Distension

Bloating and Abdominal Distension Often Benefit Greatly from Multidisciplinary Treatment
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!
Bloating is the sensation of excess abdominal gas or a feeling of being distended without obvious visible abdominal distension. Some people have a feeling of fullness or discomfort in the upper abdominal area. Abdominal distension is the visible increase in abdominal girth. A multidisciplinary treatment team of primary care physicians (PCPs), gastroenterologists, dieticians/ nutritionists, and physical therapists is ideal to help manage these symptoms and find the root cause. For example, symptoms of bloating and abdominal distension affect 66 - 90% diagnosed with IBS. Getting the proper diagnosis can help direct the best treatment options for you.
Read more: Why a Multidisciplinary Team is Best for Treatment of...
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...
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...
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- Written by: Iris Xu
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- Written by: Webmaster
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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...
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- Written by: Staff
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What's the Link Between Urinary Incontinence and Postpartum Depression?
Postpartum Depression is a medical illness that negatively affects how you feel, the way you think, and how you act.
It typically arises due to a combination of hormonal changes, psychological adjustment to motherhood, and fatigue. Postpartum depression is said to affect between 5-20% of mothers depending on variable socioeconomic factors. Many people associate urinary incontinence as a common postpartum symptom. Prevalence of postpartum urinary incontinence figures vary due to diverse study formats, however it is predicted that bladder leakage is experienced in a quarter to half of all postpartum women.
In recent years, studies have concluded there is a strong link between both postpartum depression and urinary incontinence postpartum.
Read more: Commonly Linked: Urinary Incontinence and Postpartum...
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- Written by: Debbie Dy, PT, DPT
- 6435 Views

During pregnancy, the body goes through tremendous changes that can significantly impact strength, endurance, and ability to absorb ground reaction forces that are required to safely return to running. Your growing belly changes your posture, your hormones are making your joints more flexible, and some amount of deconditioning is expected and normal as pregnancy progresses.
For most postpartum runners, their return to running following birth can be intimidating and overwhelming.
Read more: Blog: A Safe Return to Running and Impact Activities in...
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- Written by: Kasia Gondek, PT, DPT, CLT, CSCS
- 5515 Views

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!
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- Written by: Staff
- 4364 Views

4 Exercises to Increase Low Back Strength
Julia Connolly, PT, DPT
Rest does not always = recovery. Strengthening the muscles of your lower back to increase low back strength, gain coordination, and increase aerobic endurance will improve your capacity to move throughout your day. Globally, low back pain is the leading cause for years lived with disability.1 Getting your body moving with better biomechanical strategies, and staying active are important ways to maintain your level of function.
Read more: 4 Exercises to Increase Low Back Strength and Help with...
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- Written by: Staff
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Learn About the Link Between Scoliosis and Pelvic Floor Health
Scoliosis is a 3D curvature of the spine.
If you recall from part 1, scoliosis is a 3D curvature of the spine. Some people get it in early childhood or adolescence, and others get it as an adult. This can lead to low back pain, breathing difficulties, and ... affect the function of the pelvic floor muscles!
Read more: Scoliosis and Pelvic Floor Health: Part 2 Scoliosis...
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June is Scoliosis Awareness Month!
Scoliosis is a 3D curvature of the spine. According to the American Association of Neurological Surgeons, 2-3% of the US population currently have some form of scoliosis.
Types of Scoliosis
There are many different types. There is juvenile scoliosis starting at a young age, or adult-onset scoliosis. It can be categorized as congenital, neuromuscular, or most common form idiopathic scoliosis.
Read more: Scoliosis and Conservative Physical Therapy: Part 1...