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peeing just in case
Scary Mommy and Kittisak Jirasittichai/EyeEm/Getty
Journalist at Scary Mommy reached out to me for my expert opinion about "Peeing Just In Case"", and I was glad to offer my input. Here is a brief synopsis of the article, along with a link to the full article below.

Heather Jeffcoat, DPT

Learn Why Peeing Just In Case Isn't Such a Great Idea After All

We make lots of ridiculous choices regarding sleep. As a kid, we might have snuck under our covers with a flashlight and read Powerpuff Girls chapter books, and later we went to slumber parties and competed to see which seventh grader could keep their eyes open til morning. As youngish adults we had many (maybe too many) late-night/early-morning study sessions or drunk-fests. And as a parent, you (like me) may have stayed up well past bedtime to be blissfully alone, curled up with a pint of Cherry Garcia and a book of sudoku puzzles. We definitely needed more hours to snooze—but there was no way we were trading our *bedazzled* nightlife in favor of practicing smart sleep hygiene.

Sometime or other, we came to understand the value of Mister Sandman. We knew a good night’s sleep meant mental acuity and a spring in our step; a bad night’s sleep meant cranky mornings, puffy eyes, and rushing to work late with an extra-large Mountain Dew and phone perched on the roof of our car. (You may not have known this, but a consistent 7-9 hour stretch of sleep per night can help strengthen your heart, boost your immune system, and improve memory and mood— and those are just a few plusses.)

Though anxiety is often difficult to manage, Watson suggests that keeping a “worry journal” might be a start. “Put down all your concerns and stressful thoughts in writing,” he advises, “and tell yourself you’ll deal with them the following day.”

Many of us might have suspected that any of the above could funkify our sleep, if not lead directly to nocturia. I, however, never considered that my daytime peeing habits could wreak havoc on my nighttime dozing. Turns out that emptying a less-than-full bladder is not the smartest route to go, no matter if we were always told that “peeing just in case” was a good idea. According to TikToker (and doctor of physical therapy) Sabrina Baxter, if we do this, we are “training our bladder” to void before it’s full. And if we’re practicing this during daylight hours, that ritual is obviously going to trickle (get it?!) into the wee hours of the night.

So, what’s the remedy? If you ask Heather Jeffcoat, DPT, a Los Angeles–based physical therapist with an emphasis in pelvic floor health, the answer is to backtrack and re-train that bladder by doing kegels before you pee to help reduce the discomfort of urgency.

For vagina owners,” Jeffcoat says, hovering over a toilet to pee should always be avoided, as this inhibits complete pelvic floor muscle relaxation, which is required in order to empty your bladder.” Once again, that pelvic floor therapy might be a good route to go if you want to curb that nighttime urine purge.

So, now the question is—since nocturia is an issue for me, what do I do now? Well, you have a few basic tools in your arsenal, ranging from chronicling your anxieties to invigorating that compromised pelvic floor. But, if none of those strategies make a difference, it’s always best to consult your doctor. Though it might be a little bit entertaining, nobody really wants you to miss that 7-9 hour sleep window and whiz past with a Big Gulp on top of your car.

If you still think "peeing just in case" is OK, continue to the full article here. And go here if you're ready to start some pelvic floor physical therapy with one of our licensed physical therapists.

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Testimonial by S.H., age 24

I just wanted to thank you for everything you've done for me for the past 19 months. I literally could not have reached my goals without you and your practice. You gave me the courage to keep moving forth with my treatment no matter how afraid and anxious I was. You were always there to answer questions and made this whole process so much easier than I expected it to be.

It's because of you that my marriage is on the right track, that I can get pregnant and that this part of my life is finally over. I really feel that Fusion Wellness is a team of people you can call family and are there to root for you and cheer you on until you reach your goals. There is nothing better than knowing I accomplished this with you guys by my side and as calmly and patiently as I needed. Thank you from the bottom of my heart for always being there and helping me reach my goals.

S.H., age 24

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 Alexandra B.

Heather is without exaggerating AMAZING! After years of trouble with a certain part of my body, in no time, she made everything change back to equilibrium and to what would be considered normal. She explains everything in detail and therefore gives you a better understanding of why things are the way they are, and how you can work towards turning things around. I would highly recommend Heather for any type of Physical Therapy. She has created her own "Method/Therapy" through years of studying (with some of the greatest practitioners), practice and breaking down the issues of her past patients, enabling her to fine tune her own system. I'm so thankful to have found her, and I'm especially grateful for the quick recovery I've achieved, after years of distress. If you cannot afford her, I recommend you purchase her book. Although it may not be Heather in person, it can still help you to get on the right path to recovery!

-- Alexandra B., 5/20/2015 via Yelp!

Testimonial by Mary L.

I started seeing Heather to treat my Interstitial Cystitis in November 2016. At this time, I was extremely miserable, in constant pain, and felt as though no one was listening or understood what was going on with my body. I have just finished my last appointment and I can honestly say that my life has completely changed for the better because of Heather and her team of PTs! I live almost completely pain free, and when I do have flare ups, I am able to treat them at home on my own. I am so grateful that this office was recommended to me a honestly cannot recommend them enough!

Read more: Testimonial by Mary L.

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 S.B.

As someone who suffered the debilitating physical and emotional effects of vaginismus (as well as a complicated history of back injuries) for more than 15 years, I thought a "normal" life was just a fantasy. Then I found Heather.

Read more: Testimonial by S.B.

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