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women discussing pelvic floor pre and post baby
Image courtesy of Getty Creative
As our reach expands beyond the realm of health care, we are seeing more and more articles around the internet about pelvic floor issues. Many sites that not long ago would have never posted such content are now looking into pelvic health.

A good example is this latest article on the Forbes website about strengthening your pelvic floor pre and post baby. In reasearching this article, Forbes writer Racheal Ede reached out to me for my input. Here is a brief synopsis of the article interspersed with a few notes from yours truly. A link to the full article is included below.

Heather Jeffcoat, DPT

Learn How To Strengthen The Pelvic Floor Pre And Post Baby

Tips for pregnancy and beyond

The article opens with a brief overview of the impacts of pregnancy on the pelvic floor pre and post baby:

As pregnancy progresses, and even after delivery, you may notice changes in your pelvic floor — including leaking when you cough or sneeze or pain during sex — which could be signs of weaker pelvic floor muscles. Pelvic floor muscles are often impacted by pregnancy, and childbirth puts considerable pressure on the pelvic floor and can cause issues long after delivery, which can in turn impact its functions and anatomy.

"Fortunately, you can strengthen pelvic floor muscles. Pelvic floor training can help your muscles cope with the demands of pregnancy and childbirth, and may also help the muscles restore themselves after injury.

This may not be news to regular readers of our site, but we have written many articles describing all aspects of pregnancy and pelvic floor health. Navigate here for links to pregnacy related diagnoses we treat, and here for the various treatments we offer

The article continues with lots of great background information for readers who are not familiar with the topic.

What is the pelvic floor and what does it do?

Racheal writes:

The pelvic floor is made of muscles and connective tissues that support the organs in your pelvic region, including the bladder, urethra, vagina, uterus, anus and rectum. The pelvic floor muscles form a hammock that stretches from your pubis (in front) to the spine (back), and are located between the sitting bones.

She goes on to describe the various duties of your pelvic floor muscles, including excretion, delivery, arousal, posture, and respiratory functions. This page lists all of the common pelvic floor related diagnoses we treat.

Pelvic Floor and Pregnancy

Racheal and I also discuss a number of factors that affect the pelvic floor during delivery, including:

  • Weight of the baby
  • The body's release of the hormone relaxin during delivery
  • Stretching of the Pudendal nerve
  • Complications that can weaken the muscles

Any of the above factors can contribute to a weakened or damaged pelvic floor, and may cause symptoms such as:

  • Urinary incontinence (unintentional loss of urine)
  • Fecal incontinence (unintentional loss of stool)
  • Pelvic organ prolapse (when organs in the pelvis shift from their position and bulge into the vagina)
  • Chronic pelvic pain
  • Pain during sex

Other Conditions That Can Affect the Pelvic Floor

  • Age
  • Obesity
  • Genetic predisposition
  • Surgeries

Other factors like smoking, heavy lifting, chronic constipation (which can cause straining to pass stool), and persistent coughing may also contribute to weakness of the pelvic floor.

These are just some snippets from the full article. Go here for the full article at the Forbes website which includes tips on strengthening the pelvic floor pre and post baby, and go here if you're ready to take the plunge with one of our trained physical therapists.

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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 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 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 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 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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