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Female Pelvic Floor Therapy: What To Expect on Your First Visit

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Male Pelvic Floor Therapy: What To Expect on Your First Visit

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Pediatric Pelvic Floor Therapy: What To Expect on the First Visit

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Heather and her staff blog about male and female chronic pelvic pain, prostatitis, incontinence, upcoming events and more

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Since the advent of Covid-19 we have of course had to adopt new ways of working with our clients remotely.

Now that things are starting to return to pre-Covid ways in many respects, we want everyone to have the opportunity to pursue whatever treatment options they are most comfortable with, including in-office and remote options for various treatments and classes, including one-on-one and group sessions.

Photo by Toa Heftiba on Unsplash

In Office Sessions Available

We are still offering in-office one-on-one therapy sessions.

We have always adhered to only the safest health measures in our practice, and we will continue to do so long after the Covid crisis has passed.

Contact us here if you would like to schedule an appointment at one of our offices.

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Self Care at Home

If you are not ready for an in-office visit, you can still feel connected.

We have always emphasized a home program for our patients, and with great success. Femina PT founder Heather Jeffcoat even wrote a book that emphasizes self care.

While it is true that hands-on therapy has been proven to benefit those with chronic pain, pelvic pain, incontinence, and more, it is also true that every successful treatment begins with an accurate diagnosis. Our trained therapists will listen to your story, observe your movements, and make the appropriate recommendations for your particular situation.

In short, a one-on-one telehealth session is a simple, effective, and private option. Click here for more info.

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LIVE Zoom Classes

Allowing our patients and the greater community a chance to stay connect in real time with others

We are now doing weekly LIVE Zoom yoga, pilates, Franklin Ball and foam rolling classes! We will also offer other live educational events hosted by our therapists and guest speakers.

Click here for a full calendar of events.



Men biking Photo by Random Sky on Unsplash
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As an approved way to get exercise during the COVID-19 pandemic in California and other places, people are dusting off their bicycles and riding the streets for exercise. 

Over the years, some literature has shown a connection between bicycling, pelvic pain, and sexual dysfunction including erectile dysfunction.  Fortunately, studies also show there are some specific preventative strategies in terms of how you’re riding and the equipment you’re using that can help mitigate the risks. In the end, there are many health benefits to cycling, including improved cardiovascular health, better weight control, and decreased risk of breast cancer in women (Greenberg, 2019).

Despite all these amazing health benefits (I, myself am an avid bicyclist), you can ask almost anyone who has ridden a bike

Read more: Cycling and Erectile Dysfunction: The Connection

Photo by Eanlami :) on Unsplash
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Doctors have known for decades that smoking affects lung and heart health, greatly increasing risk of both lung cancer and heart disease. In recent research, they have been finding that smoking increases risk to various urologic diseases as well.

Bladder Cancer

Cigarette smoking triples the risk for bladder cancer when compared with the risk in nonsmokers, about 50% of bladder cancer in men and 20% in women can be attributable to smoking (Freedman, 2011). Cigarette smoke contains about 60 different carcinogens, and many of these are identifiable in the urine of smokers (Manatonski, 1981). Cigarette smoking is one of the largest risk factors we can control to prevent the development of bladder cancer in men and women. 

Prostate Cancer

Although the cause of prostate cancer is not clear, some researchers believe it may be due to various factors including genetics, diet, inflammation, infectious agents, hormonal imbalance, or exposure to toxins like cigarette smoke (Dwivedi, 2012). A 2012 study by Dwivedi found that smoking increased

Read more: How Bladder Health Can Affect Prostate, Erectile Function, and Pelvic Health

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During this time of isolation, you can still feel connected.

A home program for our patients is something we have always emphasized, and with great success. The founder of Fusion Wellness, Heather Jeffcoat, DPT, even wrote a book that emphasizes self care.

While we are not denigrating the beneficial effects of hands-on therapy as one part of the solution for pelvic pain, incontinence, chronic pain, etc., there is still much to be gained from simply observing one’s movement and using that information to lead us towards the rest of our clinical exam.

Read more: Now Scheduling Telehealth Sessions

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Addressing COVID-19 (Coronavirus) Concerns:

Here at Fusion Wellness & Physical Therapy, we are following COVID-19 along with the rest of the world. Our offices have always followed Universal Precautions and follow CDC infection control guidelines. LA Mayor Garcetti's Executive Order specifically lists Physical Therapy as EXEMPT from the order, allowing our offices to remain open at this time. In order to reduce patient and therapist risks, we have a number of policies in place to reduce exposure. Related to the COVID-19 per CDC’s website, “Everyone should wear a cloth face cover when they have to go out public" and to "Cover your mouth and nose with a cloth face cover when around others". Additionally Los Angeles County and the City of Glendale (where our Montrose office is located) mandates people have face masks going in to essential businesses.

In addition, CDC recommends following everyday preventive actions, such as washing your hands, covering your cough, and staying home when you are sick.”

Read more: Addressing COVID-19 Concerns

Photo by Lisa Wall on Unsplash
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Pain at the pubic bone is also known as pubic symphysis pain

This pain is often caused by instability in the pelvic girdle and can be exacerbated by sport injuries and pregnancy. Common sport positions that include deep squatting (hockey, catcher's position, soccer goalie) can exacerbate the discomfort. Pregnancy is also a common exacerbation, in a study by Mogren (2006), 50% of pregnant women have some type of pelvic girdle pain prior to 20 weeks gestation.

Pubic symphysis pain can make daily activities like working, walking, and doing chores, painful if not impossible, and can can also negatively affect quality of life and sexual life.

Read more: Pubic Symphysis Pain and Pelvic Floor Therapy

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When talking to some of my patients, I’ve noticed that lubricants have a negative stigma.

For instance, women believe that something must be wrong with them if they have to use a lubricant.

Yes, there are natural causes with aging that can cause vaginal dryness, but our society has also skewed the way we view our natural lubrication. Every woman has glands in their vagina that secrete various amounts of lubrication. My thought is why not add to the fun, because lubricants can definitely be that!

Using a lubricant can enhance the pleasure, decrease friction, prevent pain/discomfort, and prolong sexual excitement, so why wouldn’t you want to use it. Now finding the right lubricant for you can be a challenge, but no worries this will help you get started. We will start with some basics when looking for your soulmate lubricant.

Read more: Finding the right lubricant for you

Photo by Charles Deluvio on Unsplash
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Radical prostatectomy is a procedure that is often performed on men to remove cancerous prostate tissue after a prostate cancer diagnosis. Approximately 85% of men who undergo the surgery complain of erectile dysfunction (ED) after the procedure. Erectile dysfunction is defined as the inability to achieve and maintain an erection for satisfactory sexual performance.  Around 6-8% of men report urinary incontinence after radical prostatectomy.

What Causes Erectile Dysfunction after a Radical Prostatectomy?

During a nerve-sparing radical prostatectomy, the nerves and blood vessels surrounding the prostate can be damaged during the procedure. This trauma can contribute to the loss of oxygenated blood flow to the penile soft tissue which may further result in damage in the smooth muscles of the penis, thickening fibrosis of the penile tissue, and a decreased ability to hold blood in an erect penis. 

Read more: How Pelvic Floor Therapy Can Help Erectile Dysfunction and Urinary Intontinence After Radical...

Heather Jeffcoat, DPT visits the Great Wall of China
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I just returned to Los Angeles after completing an amazing eight day trip to Beijing, China. There I had the opportunity to work with the Chinese Olympic Committee,their rehabilitation staff and athletes. I gave two lectures with hands-on labs to their physiotherapists on Hip Impingement and Cyclist's Syndrome (Pudendal neuralgia in cyclists). Did I talk about the pelvic floor muscles in both lectures? You bet I did! Monica is my awesome Mandarin translator pictured standing next to me below.

Read more: Heather returns from work with the Chinese Olympic Committee

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We are now more convenient to Silver Lake, Atwater Village, Eagle Rock, Glendale, Montrose, La Crescenta, Pasadena, Burbank and surrounding areas!

We are excited to announce the opening of our newest physical therapy location in Montrose, CA. Right outside of Glendale and Montrose sits our 1,800 square foot office at the connection of the 2 and 210 freeways.

Complete with four treatment rooms and a large gym space including a pilates reformer and tower (with more equipment to come soon!), we are even better able to support our patients’ needs specializing in orthopaedic and pelvic floor physical therapy. We look forward to hosting classes, seminars, and course trainings for our community.

Read more: We Have Moved Our East Side Office to Montrose!

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When I talk to friends and family about pelvic floor physical therapy, many think I only treat women. Pelvic floor muscles are found in everyone! The male population can also suffer from pain or dysfunction in the pelvic region. Have you ever asked yourself "Why does my penis hurt?" or "Why do my testicles hurt?" or "Why is it hard to start my flow of urine?" or "Why do I have to pee all the time?". We'll start answering those questions. Some diagnoses include chronic testicular pain, groin pain, chronic prostatitis/chronic pelvic pain syndrome, and pelvic floor dysfunction. In today’s blog, we will be focusing on chronic testicle pain or pain in the testes, also known as, chronic orchialgia.

Read more: Why do my testicles hurt?

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May is Pelvic Pain Awareness month and healthy bowel habits are important component to consider in overall pelvic health.

What is your poop telling you?

A lot of our clients with pelvic floor dysfunction, pelvic pain, endometriosis, and prolapse have some trouble with their bowels. IBS and other bowel-related issues can cause abdominal pain, rectal pain, and pelvic floor problems. It’s a connection that is very important to consider!

Today we will discuss poop color, texture, and size. While many of us may turn our heads when we flush, there are some important details about your health that can be gathered from the color of your poop, so consider taking a gander at your poop before you flush it away.

Read more: The Scoop on Poop - What is your poop telling you?

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