By Melissa Patrick, PT, DPT, RYT Denise is an active 61 year old woman who enjoys spending time outside walking her dog, going to Zumba class and practicing yoga. When I met Denise, I could tell that she was energetic and lively but that her primary complaints of vaginal pressure were putting a damper on her lifestyle. I am happy …
Postpartum Urinary Incontinence is Common: Here’s How We Can Help
By Lauren Opatrny, PT, DPT, PHRC Berkeley & San Francisco *all names have been changed to maintain patient privacy Background Rachel* is a 32 year old experiencing urinary incontinence after giving birth to her baby in December 2020. When she was eight months postpartum and still experiencing incontinence, her doctor referred her to pelvic physical therapy. Six weeks …
How Pelvic Floor Physical Therapy Helped Megan Eliminate Rectal Pain and Bowel Dysfunction
By Kim Buonomo, DPT, PHRC Lexington Introduction Megan (mid-50 year old cisgender female) started seeing me in September 2021. She had a history of bowel dysfunction since giving birth to her daughter in the late 1990’s. She described her symptoms as a pattern of alternating constipation and diarrhea, associated with bloating, hemorrhoids and abdominal discomfort. She thought for a …
How Pelvic Floor PT Can Help Gynecological Cancer Survivors?
By Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack Receiving a gynecological cancer diagnosis is wrought with emotions: fear, grief, confusion, anger, among others. Additionally, the number of medical providers that one will encounter throughout the treatment process is many. One of the important members of your interdisciplinary cancer care team is a pelvic floor physical therapist. The five gynecological cancers …
How Pelvic Floor PT Helps Children with Constipation & Incontinence
By Shannon Pacella, DPT, PHRC Lexington Did You Know… Bedwetting affects 15%-22% of children, and of those children, 10%-25% have urinary leakage during the day.1 One of the primary causes of bedwetting and daytime wetting is constipation.1 10%-25% of children who bed wet also have difficulty controlling their bowels.1 Awareness of bladder sensation and control of bladder begins between one …
Pelvic Floor Physical Therapy Helps Pelvic Organ Prolapse
By Jillian Giannini, DPT, PHRC Los Angeles Did you know that Pelvic Organ Prolapse (POP)is more common than you think and that the severity or stage of the prolapse does not always correlate with symptoms? One review found that 41 – 50% of women had POP on examination, though only 3 – 5% of women report symptoms. Many people understand …
Success Story Jamie: Pushing Back Against Postpartum Prolapse
By Kim Buonomo, DPT, PHRC Lexington Many women do not realize how common pelvic floor dysfunction is after giving birth. We often hear patients who think it is normal to leak urine or to be unable to exercise after having children. Postpartum pain is common, but not normal, and pelvic floor physical therapy including pelvic floor muscle contraction exercises is …
Patient Success Story: Dealing with Prolapse and Menopause
By Karah Charette, PT, DPT, RYT When I first met Sara* (name changed for the story), I knew she was going to do well with pelvic floor physical therapy. She was motivated, curious, and engaged in her healing process. She came in with questions and reflections each session, and was open to learning something new every time we met. …
Gender-Affirming Surgery + Pelvic Floor PT: IG Live w/ Dr. Jun
By Stephanie A. Prendergast, DPT, MPT, Cofounder, PHRC Los Angeles Did you catch us last week for our IG Live with Dr. Min Jun? Our cofounder, Elizabeth Akincilar, MSPT, went live with Dr. Min Jun, a genital gender-affirming surgeon. In case you missed it, here is a little about Dr. Jun: Dr. Min Jun trained at four different academic …
Q&A Pelvic Floor Weakness Causes
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles and Admin In case you missed our latest Q&A about Pelvic Floor Pain/Tightness Causes, you can read it here. If your pelvic floor muscles are weak, your pelvic organs will not have the full support they need! But what is the cause of weakness? Back in October we presented you with numerous …
Gotta Go Right Now: Urinary Urgency Explained
By: Melinda Fontaine, DPT, PHRC Walnut Creek You know that feeling when you just drank the equivalent to a big gulp and you haven’t had a bathroom break in over four hours. That sensation of your body telling you to get to the bathroom ASAP is called “urgency.” In case you wonder if urgency and the frequent need to urinate …
Recovery After Rectocele Repair and How Pelvic Floor Physical Therapy Helps
By Sigourney Cross, DPT, PHRC Walnut Creek A rectocele, also known as a posterior wall prolapse, is one of the main types of pelvic organ prolapse (POP). As explained in some of our prior posts, a POP occurs when tissue and muscles can no longer support the pelvic organs and they drop down. For a review of the main types …
Will a menstrual pad help when urine need?
By Morgan Conner, DPT, PHRC Los Gatos Let’s set the stage here, you just peed your pants. I’ll let you fill in the details of the backstory, but here are a few possibilities. Maybe you just gave birth last week or perhaps six months ago (or six years ago!) and whenever you pick up your little one or laugh when …
Stress Urinary Incontinence in Athletes: Why You Leak When You Exercise
You may have heard murmurings at practice, the gym, in yoga, or maybe you’ve got your own experiences to share, of people describing incidences of urine loss while exercising. This is called Stress Urinary Incontinence (SUI) and is described as a loss of urine associated with a stress to the body causing increased intra-abdominal pressure, such as running, jumping, lifting, …
Gotta Go: Anatomy and Physiology of the Poop Chute
By: Kim Buonomo, PT, DPT, PHRC Lexington Everyone’s had that moment…You don’t have to go to the bathroom AT ALL and then suddenly you’re running to the toilet like there’s no tomorrow. How do things change so quickly? I’m going to teach you about the Rectoanal Inhibitory Reflex (RAIR) and what that means for fecal urgency and incontinence. In order …
How Pelvic Floor Physical Therapy Helps Fecal Incontinence
Loss of bowels can be quite alarming considering a recent systematic review revealed that nearly 7.7% of community adults, with no difference in gender, have fecal incontinence.2 Fecal incontinence is defined as an uncontrolled loss of stool and can have significant implications on one’s physical and psychological well being. It is associated with social isolation, anxiety, loss of employment and …
Reducing perineal trauma during labor and delivery
By Stephanie Prendergast, Cofounder, PHRC Los Angeles Who doesn’t love a crowning baby cake? If our image didn’t catch your eye the title of this post probably did if you are pregnant or thinking about becoming pregnant. Last week we presented a pelvic health quiz about the role of the pelvic floor muscles play in childbirth. This week we …
Pelvic floor physical therapy helps men after prostatectomy
By Melinda Fontaine, DPT, PHRC Walnut Creek What would men’s health month be without a blog about prostate cancer? One in seven men will be diagnosed with prostate cancer in his lifetime. Will this number be affected by the recent change in the U.S. Preventive Services Task Force’s change in recommendations on screening for prostate cancer? What happens when …
Brace yourselves: protecting your pelvic floor during CrossFit and loaded exercise
If you are a male and either currently participate in CrossFit workouts or another form of Olympic weightlifting, and have developed one or more of these symptoms: perineum pain with sitting, lower abdominal pain with intense activity or ejaculation, testicular pain that radiates to the abdomen or the vice versa, and urinary hesitancy with urgency and frequency, this blog is …
Understanding Pelvic Floor Movement
By Katie Hunter, DPT Drop, push, bulge, squeeze. These words are used regularly when talking about pelvic floor function but what do they actually mean? We often talk about how the pelvic floor muscles become dysfunctional and can cause daily symptoms of pelvic pain, bladder and bowel urgency and frequency, incontinence, prolapse, and sexual dysfunction. Today, I …
Posture and the Pelvis: Part One
By Admin “In all nature structure determines function” – William Herbert Sheldon, father of somatotyping “Form and function are a unity, two sides of a coin” – Ida P. Rolf, biochemist and fascial genius “Conjunction junction, what’s your function?” – Schoolhouse Rock, how us 30+s learnt grammar Structure and function are intricately connected. Our posture is the structure in …