
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:
Participate in a High Quality Study Using Shockwave Therapy for Painful Intercourse

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...
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...
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!
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- Written by: Heather Jeffcoat, DPT
- 4698 Views

What are Pelvic Organ Prolapse and Urinary Incontinence?
What is the biggest risk factor for both conditions? And how can you tell if you have them?
Not sure? You’re not alone. In fact, one research study found women actually know more about erectile dysfunction than they do about pelvic organ prolapse! While pharmaceutical company advertising bias may be to blame for part of that equation, one of the largest surveys of pregnant women and new moms ever conducted on the subject (by a team of medical experts in New England) reveals women’s healthcare providers consistently miss their biggest window of opportunity to educate patients about these conditions and offer treatment strategies that work.
Read more: POP Quiz About Two Common Postpartum Conditions - Pelvic...
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- Written by: Staff
- 7127 Views

Did You Know That There Are Non-Surgical Treatments for Provoked Vulvodynia (PVD)?
Provoked Vulvodynia affects approximately 10% of women
PVD is known as a chronic overlapping pain condition with endometriosis... While there are pharmacologic and surgical options, there are also other more conservative non-surgical treatments for provoked vulvodynia.
Provoked vulvodynia (PVD) is a chronic pain condition characterized by pain in the vulva when provoked by touch such as a tampon, speculum, clothing and/or sexual penetration. This condition affects approximately 10% in young women and can be truly debilitating. The etiology of PVD is complex and includes a combination of biologic and psychological factors. Other factors that may contribute to PVD are neural proliferation (an increase in nerve endings in the area), pelvic floor dysfunction, hormonal imbalances, recurrent infections, inflammation, high urinary oxalate levels and other psychological factors.
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- Written by: Staff
- 4973 Views

May is Osteoporosis Awareness Month.
Did you know that Physical Therapists are an essential member of your interdisciplinary care team?
With life expectancy increasing it is becoming more evident that bone health and fall prevention are key to a good quality of life. Osteoporosis is defined as a decrease in bone mass or a change in the structure of the bone causing the bone to be more fragile.1 If the bone is weak there is a higher chance of a fracture (bone break). The most common areas of fractures are the hip, spine, forearm, and humerus (upper arm bone). Osteoporosis causes more than 8.9 million fractures annually worldwide, affecting predominantly postmenopausal women. The probability of women, at menopause, of having an osteoporotic fracture exceeds that of breast cancer and the likelihood of a fracture is approximately 40%.2
Read more: Osteoporosis Awareness Month: Bone Health and Prevention
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- Written by: Staff
- 7312 Views

All About the Importance of Pelvic Floor Stretches for Childbirth
**Talk to your physical therapist and healthcare team about specific guidelines for you**
Are you ready for the big day? Have you thought about how you will prep for your upcoming delivery? In this article, we’ll review four pelvic floor stretches for childbirth that may be appropriate, but recommend you consult with your childbirth healthcare professional to confirm if these are right for you.
Read more: 4 Pelvic Floor Stretches for Childbirth That You Need NOW
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- Written by: Staff
- 6375 Views

Let's Talk Pilates for Urinary Incontinence and Low Back Pain
"Physical Therapy is the first line of treatment for any type of urinary incontinence."
Incontinence, or unwanted urinary leakage, is commonly experienced by women, especially during pregnancy and postpartum. Experts often state, and research supports, it occurs in 1 in 3 women. While this may be common, it is not normal, and it is treatable! Physical therapy is the first line of treatment for any type of urinary incontinence. In fact, pelvic floor muscle training for women with stress urinary incontinence is six times more likely to result in a cure or a significant improvement. For all other types, women are twice as likely to report significant improvement or completely resolve their urinary incontinence. As you can imagine, getting help can dramatically improve their quality of life.
Read more: Physical Therapy and Pilates for Urinary Incontinence and...
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- Written by: Kasia Gondek, PT, DPT, CLT, CSCS
- 6268 Views

A very important component of any running program, ranging from a 5 km (3.1 miles) race to an ultra-marathon (anything more than a marathon which is 26.2 miles), is adequate recovery.
Many people neglect this portion of their training because it doesn’t involve getting sweaty or doing high intensity intervals or weights. However, building in a solid recovery routine is crucial to helping your body bounce back after training as quickly as possible. A good recovery routine also helps prevent injury, decreased immune system function, and muscle mass loss. A recovery routine encompasses a cool-down activity, nutrition, and exercises like hatha-based yoga, foam rolling, and/or stretching the major muscle groups used during your workout. Although not discussed here, getting good quality sleep is critical to recovery as well!
My Post-run Recovery Routine:
Read more: Road to Boston Marathon Part 3: Building a Post-Run...
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- Written by: Staff
- 5783 Views

How do you know if you have lower urinary tract symptoms and an overactive bladder?
Over ¾ of women report that they have experienced one or more Lower Urinary Tract Symptoms (LUTS)1. More than ½ of American women report urinary incontinence (UI), and approximately 17% of women over the age of 18 years report symptoms of overactive bladder (OAB)2, 3. It is also believed that most women underreport their bladder symptoms due to embarrassment and false notions that it is a normal part of aging4, 5, 6.
Lower urinary tract symptoms include incomplete bladder emptying, urine dribbling after you finish urination, persistent drip of urine after completion of urination and/or urinary incontinence. Overactive bladder symptoms consist of urinary urgency (the need to get to a restroom quickly), with or without incontinence, urinary frequency, and frequent nighttime urination (waking more than 1x/night). These symptoms can negatively impact a woman's life. One study found that women with Lower Urinary Tract Symptoms reported several impacts on quality of life including decreased sleep, work productivity, and physical/sexual activity7.
Read more: Toileting Behaviors Linked to Lower Urinary Tract Symptoms...
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- Written by: Kasia Gondek, PT, DPT, CLT, CSCS
- 5851 Views

Road to Boston Marathon Part 2: Exercising at Home or in the Gym
10 Exercises to Improve Strength, Conditioning, and Balance
Leading up to the Boston Marathon, I have been incorporating these 10 key exercises into my weekly routine (3x/week) to keep my body strong and balanced. Videos of these exercises are posted below. These exercises target the key muscle groups used by runners. These are for educational purposes, not meant to treat medical conditions nor supplement medical advice.
Read more: Road to Boston Marathon Part 2: 10 Strength, Conditioning,...