Our mission is to empower anyone at any age or stage in their fitness journey with the information and tools that will help them to make better choices – even just one small better choice can motivate them and improve their potential to truly thrive.
Livestrong writer Lacey Muinos was tasked with creating an article about the signs that you should see a pelvic floor therapist, and she came up with six of them. She came to me asking for my expert opinion, and here is a brief synopsis of the article, along with a link to the full article below.
Heather Jeffcoat, DPT
Should You See a Pelvic Floor Therapist? Six Signs Suggest So
One of the first things Lacey discovered is that within the wider field of physical therapy, pelvic floor therapy is still a somewhat unknown quantity:
When you think of pelvic floor therapy, you may think of Kegel exercises — which are basically a workout for your pelvic floor muscles — but there's a lot more to it than that. When these muscles aren't functioning properly (aka, pelvic floor dysfunction), a variety of symptoms can get in the way of your day-to-day activities. We spoke to pelvic floor physical therapists about the signs and symptoms of pelvic floor dysfunction to look out for. If you experience any of these, it might be time to see a pelvic floor specialist.
Having realized the importance of pelvic health and the specialized training that is required to optimize it, Lacey came to me for some insights.
When Emilia Benton reached out to me for an article she was working on for Livestrong, her intent was to give a brief overview of why sex can be painful after menopause and the various treatment options being offered. Of course I was glad to put in my two cents for pelvic floor physical therapy as a big piece of the puzzle.
Heather Jeffcoat, DPT
Learn Why Sex Can Be Painful After Menopause - And What You Can Do About It
First we had the Baby Boom, and then the Menopause Boom. Since then we've learned a lot about what menopause is all about, but as happens with any time of change in our lives, there are still a number of questions to be answered. One of the more common ones concerns why sex can be painful after menopause.
Some of the answers to this question will be familiar to any woman who has experienced insufficient lubrication for any number of reasons, often to the point where they either cannot enjoy sex to the fullest - or cannot even do it at all due to the pain and discomfort. But during the fertile period of a woman's life, these issues can often be corrected depending on the cause.
While researching this article about diastasis recti exercises, Livestrong author Amy Marturana Winderl, CPTreached out to me for some advice. Here is a brief synopsis of the article, with a link to the full article below.
Kasia Gondek, PT, DPT, CSCS
Do You Have Ab Muscle Separation? These 10 Diastasis Recti Exercises Can Help Fix It.
For how common it is, diastasis recti (DR) is a condition that's surprisingly misunderstood.
In short, DR is what it's called when your abdominal muscles separate — specifically, the two sides of your rectus abdominis (your "six-pack muscles"). Separated stomach muscles occur as a result of too much pressure inside the abdomen (intra-abdominal pressure). That's why it's extremely common during pregnancy.
Using a squatty potty while peeing can help you fully empty your bladder. Image Credit: Mintra Kwthijak/iStock/GettyImages
Livestrong author Marygrace Taylor wanted to know "should you use a squatty potty when you pee?", and she reached out to me for some advice. Here is a brief synopsis of the article, with a link to the full article below.
Heather Jeffcoat, DPT
Everyone Has to Pee... Should You Use a Squatty Potty?
A squatty potty or toilet stool can make it easier to have a bowel movement, particularly if you're dealing with constipation. But is it worth sitting on one just for peeing too?
The answer is yes.
A deep squat position or feet on a toilet stool is preferred for both urinating and bowel movements,"
says Heather Jeffcoat, DPT, owner of Femina Physical Therapy in Los Angeles and President of the Academy of Pelvic Health Physical Therapy.
Here's why it helps, and how to know if you need one.
In an ideal world, we would all have perfectly balanced strength and crush workouts left and right. But here in the real world, however, many people struggle with muscular imbalances that make certain movements extra challenging.
Shoulder imbalances are particularly prevalent, says Kasia Gondek, physical therapist and certified strength and conditioning specialist at Fusion Wellness and Physical Therapy. It's common — but not normal — for one shoulder to have less strength, activation or coordination than the other, Dr. Gondek says:
Livestrong.com is a quite popular website that (in their own words) "provides the blueprint to simple healthy living". It was founded by world champion cyclist Lance Armstrong, and it covers a wide variety of topics that help people make better choices about their health and wellness.
While compiling information for the article linked below they reached out Heather Jeffcoat for her opinion on several topics, including the best options for Pilates reformers. To quote Heather:
The popular health website Livestrong reached out to Heather Jeffcoat for her expertise in overcoming sexual pain and discomfort due to vaginsmus and other diagnoses. Penned by none other than August McLaughlin of the popular Girl Boner Radio show, you can be sure that this read will be time well spent.
There is Poetry in Variety
McLaughlin begins with an analogous reference to the late William Cowper:
When poet William Cowper said, “Variety’s the very spice of life, that gives it all its flavor,” he may very well have been talking about the bedroom. A little (or a lot) of variety can make sex more fun and pleasurable, but when a physical condition makes certain positions challenging or painful, finding safe, creative alternatives is important.
August turns to Heather for some insight into what positions to avoid and (better yet) which ones to enjoy to not only minimize your pain but maximize your pleasure.
Before I was referred to Heather Jeffcoat I was living in a nightmare. I had been married to my husband for three years and I was suffering from Vaginismus. That all changed when I visited my OBGYN and she said she knew of someone with a great success rate. To be honest I was hesitant at first because my first doctor had already told me that all I needed to do was order dilators from the internet and I should overcome my problem. She was wrong because I had followed the book on how to use the dilators with absolutely no advancements in my condition. However, that all changed when I went in for my first visit and Heather took the time to explain my condition and how we were going to work together to overcome it.
I remember leaving her office with a glimmer of hope that I could live a normal life. As my sessions continued I began to see immediate results. With only four sessions and a strict dedication to my home programs I was cured of Vaginismus. In the beginning of this process I was made aware that my health insurance company might not cover the costs, which was disappointing but today I can say one hundred percent that it was the best money I ever spent. Now thanks to Heather I am finally enjoying my life to the fullest with my husband. Thank you Heather, I can’t begin to tell you how much I appreciate all that you have done for me. I will never forget it. Those who are suffering from these types of conditions don’t be afraid because she makes you feel so comfortable and the end result is worth it. Good luck to you all and I hope you experience the success I have.
-- A.B.
Testimonial by R.S.
I wanted to thank you so much for helping me get through something I thought I may never be able to. We have achieved pain-free intercourse and this has really solidified our marriage. We are so grateful to you for all the work you do! Thank you!!
-- R.S.
Testimonial by M.M.
A personal journey and testimonial from one of my patients:
My husband and I were married for 5 years before we were able to have intercourse due to my vaginismus. There was nothing traumatic in my past but for some reason, even though I wanted sex, I mentally avoided "that area" of my body and didn't even admit to myself that there was a problem for a long time, even though I was never able to put tampons in. Once I finally opened my eyes up to the fact that I had a problem, I had a surgery that was supposed to fix the issue.
Heather's unique physical therapy program literally changed my life! After years of struggling with vaginismus, a condition that made it impossible for me to have intercourse and very difficult to use tampons without pain, a gynecologist referred me to Heather. I was nervous for my first appointment, but Heather's professional and friendly demeanor put me at ease. She did a great job explaining each technique she was using to help my muscles relax. Heather uses a combination of internal and external stretches and exercises to relax the pelvic floor and build muscle strength. Her specially developed home program helped me quickly recover from an issue that seemed insurmountable before meeting Heather. She was optimistic about my progress and incredibly encouraging. Less than 6 months after my first session, I was able to have pain-free sex for the first time in my life! If you are suffering from vaginismus or any other pelvic floor issues, I highly recommend making an appointment with Heather and reading her book!
-- Amanda W., 2/15/16 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 Amanda W.
Heather's unique physical therapy program literally changed my life! After years of struggling with vaginismus, a condition that made it impossible for me to have intercourse and very difficult to use tampons without pain, a gynecologist referred me to Heather. I was nervous for my first appointment, but Heather's professional and friendly demeanor put me at ease. She did a great job explaining each technique she was using to help my muscles relax. Heather uses a combination of internal and external stretches and exercises to relax the pelvic floor and build muscle strength. Her specially developed home program helped me quickly recover from an issue that seemed insurmountable before meeting Heather. She was optimistic about my progress and incredibly encouraging. Less than 6 months after my first session, I was able to have pain-free sex for the first time in my life! If you are suffering from vaginismus or any other pelvic floor issues, I highly recommend making an appointment with Heather and reading her book!
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