The answer is: probably not. True confession here: I don’t do kegels! I know, shocking, coming from a pelvic floor physical therapist. I think kegels are this vague idea out there that is over prescribed and not always with appropriate knowledge and education. It’s another thing to make women feel guilty for doing, or not getting done! So many of my clients come in telling me their doctor told them to do kegels, but without really explaining how, why, how much or how often.
I see a lot of women who have recently had babies and their bodies need some guidance on healing postpartum. Totally normal. In our Western American culture we no longer allow time to rest and heal postpartum. Moms are expected to return to work, housekeeping and flat abs immediately postpartum. Totally unrealistic. The mom's body just grew and carried a new life for 10 months, it is unrealistic for it to heal within weeks or days. If one is in the hospital and has surg
Postpartum is a whirlwind time in life. You are sleep deprived. You have another human you are responsible for now. You are constantly holding this new baby who needs you. Your body is sore from birth. Your hormones are going crazy. And our Western culture still asks the mother or birthing parent to be a good host, have a clean home, entertain guests and to immediately get back to her pre-baby body. What? Exactly. Unreal expectations. Here is my top 5 recommendations f
I see a lot of women for pelvic floor therapy after they have a baby, but did you know you can see a pelvic floor therapist during pregnancy to make sure you know how to push properly? Learn different birthing positions and learn some stretches to decrease the likelihood of tearing or needing an episiotomy? This is my number one suggestion for what to do during pregnancy. Here is the rest of the list: See a pelvic floor therapist Take a childbirth class Hire a doula Read “
Postpartum is a time period that society, at least Western culture, never prepares us for. We go to birth classes and there are books about pregnancy, but not a lot of info about the immediate postpartum period. This is often a time when we don’t know what happened to our bodies, we are exhausted and sometimes feel as if we will never be ourselves again. Time will pass and each week we will begin to emerge from this fog. But first, we must rest. And bond with our new baby.
What is pelvic organ prolapse? Pelvic organ prolapse is when one or more of your internal pelvic organs drops into the vagina. The bladder, uterus or rectum can prolapse. The can sit just a little lower than normal or can prolapse enough to be seen or felt outside the vagina. The most common symptom of pelvic organ prolapse is a feeling of heaviness or pressure in the pelvis or vagina. Most people do not have pain. There also may be an associated decrease in bladder or bo
Many clients tell me they never heard of pelvic floor therapy until they met me or googled their symptoms. Unfortunately most doctors aren't spending enough time with their patients to ask the right questions and refer patients to pelvic floor therapy. A colleague of mine developed this quiz to see if pelvic floor PT might be beneficial. You can take the quiz below and find out if you would benefit from pelvic floor PT. This is from the Cozean Pelvic Dysfunction Screening P
Here are 5 things you can do to make your back and hips more comfortable throughout your pregnancy. It is common to have some back/hip/pelvic pain during pregnancy. Some of it is inevitable due to hormonal changes, however there are some exercises you can do to help ease or prevent the pain. This should not be taken as prescriptive medical advice, but some things that have helped my clients. As always, nothing substitutes for in person medical advice. During pregnancy horm
I’ve been receiving a lot of inquiries online of people asking for a pelvic health provider near them. I am always happy to receive these messages and help connect people to local providers. I am glad my message is getting through and men and women are knowing there is help and looking for resources. Here are my top recommended ways to find a local pelvic health therapist near you. 1. Apta.org/findapt/ This is a website from the American Physical Therapy Association. You
Many people have been asking my opinion on a recent story that came out on NPR on “Flattening the mummy-tummy.” I’ve even had a few clients schedule appointments after seeing or hearing this story. Not all physical therapists were happy with this story, and in fact many were upset and wrote to NPR. NPR then did a follow up story that included the opinions of some physical therapists. (Thank you NPR for being responsive to your audience’s replies to your story.) Click on
During pregnancy, the abdomen expands greatly to allow room for the growing baby. Once the baby is born many women are left with a separation in between their abdominal muscles and a little pooch in the middle of the stomach. This is called diastasis recti and it is literally a separation of the rectus abdominis muscle. After being stretched to their limit they don’t always heal back together properly. Studies show that 37 percent of women who have one pregnancy experienc
In America if we give birth in the hospital we generally get one option of how to position ourselves to have a baby: lying on our back on the table with our legs up. This is fine for a lot of women, and I’m sure it is easiest on the doctors, which is probably why they have us giving birth in this position. But what if this isn’t the best position for your body to give birth? Is there something better? Do we have other options? The answer is yes, we have nearly a dozen bi