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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 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 Rosanna R., age 35

Heather has affected my life in the MOST POSITIVE way and I am forever grateful. My husband refers to her as the "sex doctor" so you can only imagine how happy he is with my therapy outcome.

After the birth of my son I suffered from "Vaginismus", however, at the time I just thought I was broken. My "broken vagina" affected me physically but it was an emotional struggle as well. Many women in my life also suffered with pain from sex after their babies were born so I knew I wasn't alone. They told me they "just got used to it" but I couldn't see myself living that way.

Sex wasn't just painful, it was literally impossible - IT DIDNT FIT!

Read more: Testimonial by Rosanna R.,...

Testimonial by Lauren B.

Femina PT (née Fusion Wellness & Physical Therapy) has been such an answer to prayer, i'm so glad I found them! I've been struggling with vaginismus my whole life, but didn't have a name for it until about 6 or 7 months ago. Even once I did have a name for it though, I didn't know where to begin in getting help. My OB/GYN had me get a set of dilators, but I couldn't even insert the smallest one by myself. Most times I tried I just ended up frustrated and in tears. I felt really alone, like I was broken and didn't have the energy to keep trying. When I got engaged a few months ago though, I realized I needed to get answers so i wasn't dreading my honeymoon.

Read more: Testimonial by Lauren B.

Testimonial by S.S., age 54

Heather is the best! I saw her today for terrible hip/groin pain. I was so impressed with the safety measures in place and felt completely safe . Thanks for the healing hands.

S.S., age 54

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.

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.

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