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Heather Jeffcoat at Buzzfeed
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need to stop peeing
I was asked by Shelby Heinrich of BuzzFeed for my advice on how peeing too often can affect your bladder health, and how we need to stop peeing when our bladders are only half full instead of at full capacity. Here is a brief summary with a link to the full article.

Heather Jeffcoat

I don't know about you, but I was always taught growing up that it's good to pee before leaving the house.

Not really sure if you actually need to go? Wait - you may need to stop peeing "just in case"!

Makes sense, right? Why not pee now in order to avoid having to pee later, at a more inconvenient time? Well, according to TikToker @nosuchthingastmi, it's actually not a good idea!

In the TikTok, she explains that if you frequently urinate when you don't actually need to, you're emptying your bladder when it's only half full instead of at full capacity.

This can lead to increased feelings of urgency because your bladder gets used to functioning at a lower capacity than it's supposed to. Once that happens, you need to need to stop peeing "just in case" so it stops signaling that it needs to be emptied when it's really only half full.

I wanted to get a little more info on if "just in case" was really messing with all of our bladders, so I consulted Heather Jeffcoat, DPT, a Los Angeles–based physical therapist with an emphasis in pelvic floor health. According to Heather, the info in the TikTok is 100% true!

One of the first things we learn in pelvic health physical therapy education is to educate our patients to not urinate 'just in case,'" Heather told BuzzFeed. "When the neurologic connection between the bladder and the pelvic floor becomes dysfunctional, instead of the pelvic floor contracting to maintain continence, they relax and the bladder contracts in a setting where it is not appropriate to do so, and urinary leakage may result — in your car, in the hall on the way to the bathroom, etc."

The sweet spot [for urination] is a regular frequency of once every two to three hours. At night, you should be getting a minimum of six hours of straight sleep before your bladder wakes you up."

If you're still curious as to why you may need to stop peeing "just in case", continue reading the full article here.

What Our Patients Have to Say

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Testimonial by Ann V.

I wish i could give this place 10 stars!! 
I have been suffering from vaginismus for 5 years and never found the cure to it. I had seen an ob/gyn and he diagnosed me with vaginismus and told me i needed a surgery to cure my condition, which i refused to do. He also referred me to a PT that he works with, i had given them multiple calls and they never responded back to me, so i started searching yelp for another PT. I am SO HAPPY I found Heather's office! I was working with Laureen, and with her guidance and techniques i was able to be cured from vaginismus in only 2 1/2 short months!!! I couldn't believe how quickly their program worked for me! I am forever grateful and thankful from Heather, and Laureen! They are the absolute best at what they do!

Read more: Testimonial by Ann V.

Testimonial by Fritzette H.

I went to Heather after the birth of my third child. It was lucky, really, that I was referred to her, because my doctor had referred me to a surgeon for a possible hysterectomy or pelvic wall rebuild. Thankfully, I went to Heather before undergoing either surgery, she was able to fix the problem. She has studied extensively in women's health--even written a book about it--and was able to diagnose my problem, suggest a course of treatment (6 weeks), and then follow through with said treatment. By the end, as she said, I was as good as gold. Boy, was it worth it! Though uncomfortable to talk about, much less write about, it is worth getting the word out there. If you have painful intercourse, especially after birth or other trauma, the treatment may be as simple as Physical Therapy (with Heather, of course). I highly recommend her.

-- Fritzette H., 3/24/16 via Yelp!

Testimonial by J.B.

My husband and I were having problems with painful intercourse. My therapist recommended that I go and get a pelvic floor evaluation from a physical therapist. Having never been treated by a physical therapist, I wondered how this really was going to help me. My husband who is a physician was very supportive and agreed that a PT evaluation would be a great idea. So i made the appointment and was blown away by what I learned. I had no idea that pelvic floor muscles could get tight and have trigger points just like any other muscle in the body. I'm a massage therapist and very familiar with tight muscles, and this new thought really amazed me. Heather's program to help relax and strengthen these muscles made such a difference. I can say that I am 100% pain free during intercourse now. Yippee! Going to the PT appointments and doing the at-home exercises was definitely a discipline, but it's 100% worth it! The rewards are amazing.

-- J.B.

Testimonial by A.W., age 32

I wanted to let you know that my pelvic floor held strong and gave me no trouble whatsoever in my trail race this morning (12 miles)! In a way, I felt like I ran better than ever because my core feels so rock solid from all the exercises you have me doing. That was especially valuable on the technical downhill - I just flew down the trail because I had confidence in my balance and form. Thank you for helping me get back to doing what I love.

-- A.W., age 32
(completed Post-partum Renewal Program using the InTone biofeedback/stim unit)

Testimonial by R.M., Age 40

I can’t speak highly enough of the theapists at Femina Physical Therapy and how much they have helped me grow, discover, and love my body. I had had painful sex for my entire life, and didn’t know that there was anything that could be done about it. It was at the point where my husband and I were not having sex for MONTHs, because it was just too frustrating, and I hated feeling like I was the ONLY woman out there who had this problem, especially at my age. I finally brought it up to my doctor because I was turning 40 and my husband and I were barely having enough sex to conceive. And she brought up pelvic floor, PT. I didn’t even know this was a “thing”.

Read more: Testimonial by R.M., Age 40

Testimonial by J.H.

My last appointment with Heather was over 6 years ago but I still think of her every day. I don’t take for granted that I can easily get out of bed, care for my two active and busy young boys, run, play tennis, clean my house, or sit at a desk for several hours at a time. None of these tasks were easy for me before meeting Heather. Eight years ago my car was struck from behind by a tractor trailer that was estimated to have been speeding. I spent 3 years working with different PTs and Drs trying to heal and move on with my life. When I became pregnant and the hormone relaxin that “relaxes” all the joints of the body and the additional weight gain erased all my progress and I was suddenly in a lot of pain again. My OB sent me to Heather for one last try.

Read more: Testimonial by J.H.

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