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Get a Better Sleep
Photo by Tracey Hocking on Unsplash
As you probably know by now if you're a regular reader of our site, we consider good pelvic health to be a major factor in overall health, and that includes the ability to get good sleep. Porch.com writer David De la Mora found me when researching one piece of the overall sleep puzzle, namely how to get a better sleep when dealing with the symptoms of endometriosis. Here are some excerpts from the article with my comments. A link to the original article which covers a number of non-endo related topics is included below.

Heather Jeffcoat, DPT

How to Minimize Endometriosis Symptoms and Get a Better Sleep

The article begins:

There’s no doubt that sleeping is good for you. Who doesn’t enjoy waking up after a good night of sleep? Your body goes through a number of changes as you sleep, allowing you to get the rest you need for general health. Sleeping helps the body and brain to calm down and participate in healing processes, improving physical and mental performance both over the long term and immediately thereafter.

As we mention in this article entitled "Endometriosis and Sleep Blog: Improving Melatonin Levels", with chronic pain conditions, such as endometriosis, sleep quality can be impaired. Sleep is essential for cognitive function, immune function, and overall health. The relationship between pain and sleep is a vicious cycle as pain can lead to poor sleep, but at the same time, poor sleep can increase sensitivity to pain and worsen depressive thoughts and thus experience a poorer quality of life. In fact, sleep disorders and changes in your melatonin level can have an effect on the reproductive system, not making it any easier to conceive. 

With this in mind, the article continues:

So what can yo do to get a great quality of sleep? Do you count sheep or meditate? May be you drink a chamomile or lavender tisane; or perhaps you’ve heard that taking a hot tub bath or stretching before going to bed might be helpful for sleeping deeply…

David breaks the subject down into a number of sleep related quesitons, including:

  • Can you share some tips to set a bedroom mood that promotes falling asleep faster?
  • Please briefly explain what Circadian Rhythms are, and provide some tips to improve them for better sleep.
  • Could you provide some tips to manage the symptoms and minimize the impact of narcolepsy at home?
  • Regardless of the location or weather, what would you advice for sleeping better while tent or RV camping?
  • What are the most common causes of nightmares or terrors and how can they be prevented?
  • Please provide some tips to help new parents and newborns get more and better sleep.
  • What should I look for in a mattress for children?
  • How can people who work too many hours in front of a screen get more and a better/deeper sleep?
  • Is CBD oil recommended to help achieve better sleep? Who can use this?
  • Can you mention a few ways to detox a bedroom for a better quality of sleep?

The answers to the above can be found in the full article (link below), but for now we will concentrate on one question asked of yours truly regarding endo and sleep:

What advice can you provide to manage the endometriosis symptoms and minimize their impact on sleep?

Here's what I had to say:

Endometriosis is a chronic pain condition that results in peripheral pain signals from the endometriosis lesions becoming amplified by the central nervous system (ultimately, by our brain). With poor sleep habits, there will be an effect on melatonin production, which will disrupt the circadian rhythm. Melatonin is essential for those that suffer from chronic pain, as it acts as an analgesic, sleep inducer, antioxidant, immunoregulatory and anti-inflammatory agent. Some research propose that improving melatonin can help reduce the symptoms of endometriosis, such as painful periods, bladder pain, painful bowel movements and other daily pains these patients often have such as low back pain.

Diet is another important discussion around improving sleep, too, but can be complex, as many patients with endometriosis have dietary restrictions. One study found that when women incorporate a diet rich in dairy products and fruits they had improved sleep quality compared to those that did not follow that diet. However, dairy is not a part of an anti-inflammatory diet, which has also been shown to help endometriosis patients. As everyone’s body is different, it’s best to work with a Gastroenterologist and a registered dietician to determine your best nutrition plan to minimize symptoms and improve sleep.

Exercise has also been shown to improve sleep through it’s effects on melatonin. Endometriosis is associated with insulin resistance, and regular exercise has been shown to increase cellular insulin sensitivity. This means that insulin resistance is decreased with exercise, however keep your exercise reasonable and moderate. I recommend activities such as hill walking, pilates, swimming or yoga to incorporate into your daily routine.

Pelvic health physical therapists are uniquely positioned to prescribe exercises specific to your tolerance levels. They also evaluate the need for additional interventions, such as hands-on therapies, corrective exercises, nervous system down regulation exercises and more.

Go here for the full article at Porch on how to get a better sleep.

Navigate here for a wealth of information we have published on issues related to pelvic health and sleep.

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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 Jackie W.

I was in multiple car accidents a decade ago, and I have been to many physical therapists through the years without success. They found the root of my lower back pain problems and after nearly a decade of barely being able to walk I finally can again without pain. They are also the best pelvic floor pts and the only ones who found the connection between my pelvic floor and lower back problems. If you need help with physical pain, they are your answer.

-- Jackie W., 1/19/17 via Yelp!

Testimonial by R.D., age 38

"I had a severe tear during childbirth that was not stitched together correctly and therefore healed poorly. Even after having a surgery a year later to remove the scar tissue, I was still having pain, and no one could explain why -- there was no overt 'reason' to explain the pain. I had tried other 'specialists' and even saw another physical therapist who had me do hip / leg stretches -- what a joke! I was about to give up and just 'live with it' until thankfully I kept searching online and found Heather.

Read more: Testimonial by R.D., age 38

Testimonial by R.D., age 38

"I had a severe tear during childbirth that was not stitched together correctly and therefore healed poorly. Even after having a surgery a year later to remove the scar tissue, I was still having pain, and no one could explain why -- there was no overt 'reason' to explain the pain. I had tried other 'specialists' and even saw another physical therapist who had me do hip / leg stretches -- what a joke! I was about to give up and just 'live with it' until thankfully I kept searching online and found Heather.

Read more: Testimonial by R.D., age 38

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!

-- 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!

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