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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 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 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 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 J.H.

My last appointment with Heather was over 6 years ago but I still think of her every day. I don’t take for granted that I can easily get out of bed, care for my two active and busy young boys, run, play tennis, clean my house, or sit at a desk for several hours at a time. None of these tasks were easy for me before meeting Heather. Eight years ago my car was struck from behind by a tractor trailer that was estimated to have been speeding. I spent 3 years working with different PTs and Drs trying to heal and move on with my life. When I became pregnant and the hormone relaxin that “relaxes” all the joints of the body and the additional weight gain erased all my progress and I was suddenly in a lot of pain again. My OB sent me to Heather for one last try.

Read more: Testimonial by J.H.

Testimonial by M.N., age 28

A personal journey and testimonial from one of my patients:

I was diagnosed with vaginismus 4 years ago. I never heard of such medical condition until after I got married. At first my husband and I didn't know what to do, we didn't know what the issues were or how to overcome it. Being born and raised in Armenia and being Christian I wasn't that open about talking to sex with others and so it wasn't easy to seek help. But eventually I went to an Ob-Gyn and luckily she knew about the medical condition (not many doctors know). She referred me to a physical therapist and I couldn't believe it and thought it's something I can handle myself. I ordered a kit from vaginismus.com and started practicing with dilators. There was some small progress but wasn't much helpful.

Read more: Testimonial by M.N., age 28

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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