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add pelvic floor physical therapy to your healthcare routine
MoMo Productions / Getty Images
VeryWell Health author Claire Wolters reached out to with the question "should you add pelvic floor physical therapy to your healthcare routine?", and of course I was more than glad to lend my expertise. Here is a synposis of the article with my further comments interspersed in italics. A link to the full article is included below.

Heather Jeffcoat, DPT

Should You Add Pelvic Floor Physical Therapy to Your Healthcare Routine?

What Causes Pelvic Floor Problems?

Pelvic floor dysfunction tends to occur with age, during pregnancy, or in tandem with life events linked to plummeting hormone levels, such as the postpartum period and menopause. (Pelvic floor issues can also arise from injuries due to accidents or chronic stress, but regardless of the cause we have a number of treatments and modalities that can help.)

People who are pregnant are especially prone to pelvic floor problems during their pregnancy and later in life, Heather Jeffcoat, DPT, a pelvic floor physical therapist and founder of Femina Physical Therapy, told Verywell. That's because of the weight of a pregnant person's uterus, which can put pressure on and strain their pelvic floor muscles. Vaginal childbirth can also stretch the muscles.

People who experience these types of problems during pregnancy are more likely to experience more pelvic floor problems postpartum or even years down the line, Jeffcoat said.

Pelvic floor dysfunction is increased in anybody that is pregnant, but people might not necessarily know that they have a problem," Jeffcoat added. "They might normalize things [or think] they will get better after delivering—which is not necessarily true."

Symptoms of pelvic floor dysfunction may include:

  • Urinary or stool leakage or incontinence
  • Constipation
  • Pain in the pelvis region
  • Back pain
  • Painful urination
  • Painful sex

If left untreated, problems can worsen over time. (Fortunately awareness of pelvic floor dysfunction is on the rise amongst the larger health community.)

It's just a matter of time until people begin to present with sexual pain, urinary incontinence, prolapse, or back pain due to pelvic floor dysfunction," Jeffcoat said. "Pelvic PT should be a part of general wellness visits to catch dysfunction early, and help set patients up better for the rest of their lives."

She recommends that women and people with vaginas schedule at least three pelvic floor physical therapy appointments during pregnancy, at least one during the postpartum period, and at least one at the onset of menopause.

Go here access the full article at the Verywell Health website, and go here if you are ready to take the plunge with one of our licensed physical therapists.

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What Our Patients Have to Say

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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 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 M.M.

My husband and I were married for 5 years and unable to have intercourse, but I never knew why. After numerous awful experiences at doctor’s offices (where many doctors told me I “just needed to relax”), a surgery that didn’t fix the problem, and a year of owning dilators that didn’t get me anywhere, someone finally referred me to Heather for Physical Therapy. I finally had answers and information from someone who knew exactly what I was dealing with!

Read more: Testimonial by M.M.

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 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 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.

Read more: Testimonial by M.M.

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