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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.

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Testimonial by Y.L. (mom of 2)

After having my second baby via C-section I searched for months to try to find help for my lower back pain and separated abdominal muscles. I finally came across Heather Jeffcoat via a mommy blog. I reached out to her via email and set my first appointment. My first appointment went amazing … she listened to what my symptoms, check my separation and explained to me in detail what the next steps would be. Not only did my abdominal separation go from 3 to about 1 -1/2 but my back has pain has significantly reduced. I’m personally recommending all my mommy friends to Heather!

Y.L. (mom of 2)

Testimonial by P.M.

I was hopeful but frankly skeptical when the doctor treating me for Interstitial Cystitis recommended that I go to Heather for physical therapy. Medication and diet helped control my IC symptoms, but I had never heard of physical therapy being used to treat IC. The education and treatment I received from Heather was a revelation. She explained that the pain I experienced with IC had helped create a cycle of muscle guarding which affected the entire pelvic area. I had no idea of the amount of tension being held there. No wonder my husband and I had not been able to have sexual intercourse for years!

Read more: Testimonial by P.M.

Testimonial by T.C.

While pregnant with my twins, Heather took care with keeping me on my feet and pain free. She saved my back, my sanity and the holidays! I would recommend her to every “mom” looking to stay on her feet during pregnancy and post-partum.

-- T.C.

Testimonial by Julie T.

Femina PT (née Fusion Wellness & Physical Therapy) has honestly changed my life. Before receiving treatment at Femina, I was going doctor to doctor to try and find the answer to my pelvic pain. It has taken me YEARS to find someone that can help fix this. It wasn't until my gynecologist recommended your clinic that I finally felt relief. My pelvic pain is almost gone, and granted I still have a lot more to work on with Laureen (my PT), my original problem is nearly cured. I am so grateful to her.

What is even better is she gave me practical exercises to do at home that were not tedious and provided instant (and lasting) relief. Although I mainly work with Laureen, my interaction with the owner (Heather) has been great. She is very generous, kind, and committed to her business.

It hurts to know there are women out there suffering who will never know or have the opportunity to work with women like Laureen and Heather because this issue is hardly talked about and this field is so rare. I hope more doctors and physical therapists see the value in this work and can relieve more woman of their pain.

-- Julie T., 12/4/16 via Yelp!

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.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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