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Getting Down With the Pelvic Floor
Image courtesy of Well + Good
Well + Good author Erica Sloan reached out to me for my input on this overview of the growing industry of pelvic floor physical therapy. Here is a brief synopsis of the article, along with a link to the full article below.

Heather Jeffcoat, DPT

Getting Down With the Pelvic Floor

—And Getting Serious About Caring for It.

Thanks to a series of norm-shattering cultural movements—beginning with #MeToo and body positivity and continuing with the pleasure revolution—elements of sexual and reproductive health are being discussed openly like never before. Add to this major societal shift a pandemic that turned our attention to physical well-being in new and sex-plorative ways, and the stage is set for the next show of taboo-busting: The pelvic floor, that sling of muscles running from the pubic bone to the tailbone, is finally getting the attention it deserves. And in 2022, we’ll see pelvic floor health incorporated more readily into at-home wellness and in-clinic health care at all stages of life.

Contrary to popular belief, this muscle group exists in all people and serves a host of purposes outside of childbirth, including supporting the pelvic organs, controlling the bladder and bowels, and allowing for healthy sexual function. But although pelvic floor dysfunction is common—about 25 percent of people with a vagina and 10 percent of people with a penis experience at least one pelvic floor disorder—pelvic pain and conditions linked to dysfunction (like incontinence) have historically been regarded by medical practitioners as a necessary evil of having a uterus. “The messaging has been that little leaks are just part of being a lady,” says pelvic-floor physical therapist Sara Reardon, DPT. “But now, we’re seeing a shift toward normalizing the conversation instead of normalizing the problem.” In the future, she also predicts that discussion of the pelvic floor will be integrated into sex education, empowering more people to know that dysfunction isn’t inevitable.

In fact, caring for the pelvic floor muscles like you would any muscle group can help keep them in good shape—but doing so goes far beyond Kegels.

If you compare these muscles to your hamstrings, for example, you would never want to go on a hamstring curl machine, do three sets of 10, and never stretch them. And it’s a similar scenario with the pelvic floor,”

says pelvic floor physical therapist Heather Jeffcoat, DPT, owner of Femina Physical Therapy and president-elect of the Academy of Pelvic Health Physical Therapy.

The awareness that’s being built around making sure you can contract, relax, and lengthen your pelvic floor is a critical piece of information that all folks should have.”

Poised to solve for this piecemeal treatment approach is the growing industry of pelvic floor physical therapy, which is essentially like any kind of physical therapy, but geared specifically toward identifying muscular dysfunction in the pelvic floor region and developing a plan of targeted exercises and stretches to resolve it.

Pelvic floor physical therapy has a growing body of literature behind it that supports its use as a non-surgical way to help manage pelvic pain, prolapse, and leakage,”

says Dr. Jeffcoat. 

To learn more about the growing industry of pelvic floor physical therapy, continue to the full article here.

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What Our Patients Have to Say

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Testimonial by A.B.

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 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.

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 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 R.H.

No one could tell me why I was having pain during sex--sharp pain, not just uncomfortable, pain. I was referred to Heather Jeffcoat after researching several different options. I had seen a specialist who told me physical therapy would not help and my only option was surgery. I really didn't want to go that route, so when we got a referral, I decided to try it--it can't hurt, I thought. I am so glad I did. She diagnosed the problem right away, which was a relief in itself.

To know why I was having pain eased my mind immensely. And to hear that she could fix it without surgery was another relief. She said she could fix the problem in 6 weeks. I think it was actually 4 for me. She was very methodical, and treated me as an intelligent human being capable of participating in my own recovery. I would absolutely recommend her to anyone. She did not try to prolong my session numbers, she worked hard to accommodate my schedule (and the fact that I had to bring a baby to sessions), and she was completely honest the entire time. It is so hard to find someone with these characteristics, much less a professional who is so good at what she does. She has my highest respect.

-- R.H.

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)

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