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Word choice and verbal instruction impacts how one performs a pelvic floor muscle contraction. Previous research on women suggests that around 40% of women do not perform a kegel or pelvic floor muscle contraction correctly with verbal instruction and 25% of them were doing something that would increase the likelihood of leaking such as holding...

Non Surgical Treatments For Pelvic Organ Prolapse

Pelvic organ prolapse (or “POP”) occurs when the muscles and connective tissues that support pelvic organs weaken causing descent of the organ (or organs) from their original positions into the pelvic cavity. The type of prolapse depends on where the weakness occurs and what organs are affected. Organs can prolapse independently of one another or...

The scope of pelvic health physical therapy is wider than you may think. Pelvic physical therapy can help address a variety of gastrointestinal dysfunctions including: –constipation -IBS -bloating -abdominal pain -fecal incontinence -abdominophrenic dyssynergia  -and more! One of the most researched and successfully treated GI dysfunctions in pelvic PT is constipation. Constipation is broken down...

It is estimated that between 1-10% of vaginal births result in 3rd or 4th degree perineal tears. To learn more about the different grades of perineal tears click here. Understanding the risk factors and possible techniques for prevention of 3rd and 4th degree perineal tears, also known as obstetric anal sphincter injuries (OASIS), is incredibly...

Prevention And Treatment Of Hamstring Strains

Background Hamstring injuries are one of the most common injuries in athletics accounting for up to 20% of all sports injuries (Wing et al. 2020).  Injuries can be both acute due to a traumatic injury or overuse in nature due to exposure to higher training volumes over time.  Both types of injuries can lead to...

What is the Pelvic Floor? And What is Pelvic Health Physical Therapy?

The pelvic floor consists of muscles, ligaments, fascia and nerves located within the bony pelvis of women and men. In physical therapy we often discuss the muscles of the pelvic floor and may simply refer to these as the “pelvic floor”. These muscles serve essential functions including:  Support for pelvic organs (bladder, uterus, bowel)  Control...

The 6-week postpartum doctor’s visit is when women are often “cleared” for activity and are often advised to start slowly and gradually build exercise volume. Running is a popular activity in the postpartum population given the flexibility of scheduling exercise, weight loss and fitness benefits and ability to participate in exercise with your baby (once...

What Should the Best Rehabilitation Program for Postpartum Athletes Include?

A recent article in the Journal of Orthopaedic and Sports Physical Therapy (Deering et al, June 2020) discusses the research currently available to guide a return to exercise (including competitive sport) after pregnancy and childbirth. The short answer is, there’s not much. The article proposes a 3 phase approach to postpartum recovery in athletes.   Phases...