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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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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.

Related to the COVID-19 per CDC’s website, “specifically the CDC does NOT currently recommend the general public use facemasks. Instead, 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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Did you know specific food and drinks can irritate your bladder?

Do you ever feel strong urinary urgency or frequency? Do you have urinary incontinence? Have you been diagnosed with a bladder control problem, overactive bladder, or interstitial cystitis? If so, you may notice some days symptoms can be worse than others. This can be attributed to the TYPES of foods and drinks you consume, also referred to as bladder irritants. Bladder irritants can aggravate symptoms such as bladder pain, urinary incontinence, urgency, and frequency.

Read more: Is Your Bladder Cranky?! It Might Be Irritated

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Did you know that riding a bike that doesn’t fit your body can cause and exacerbate nerve and orthopedic problems? Avoid nerve, muscle and joint pain with the following tips!

Before We Begin: Ask for Help

If you are spinning at a gym or in a class, ask for assistance from cycling instructors if you need help setting up your bike. Everyone needs help doing this when they begin, so don't be shy!

If you are cycling at home, come see us at the clinic or have us come out to your house! Clinic owner Heather Jeffcoat, DPT does custom fit assessments in our Sherman Oaks office using the Peloton, and travels in the greater Los Angeles area.

Where is your tush?

Before you sit on the bike, know where you should be sitting!

Your sitting bones should be seated on the back (widest part) of your bike saddle. Sitting correctly on the bike will be one of the most important factors to keeping you from developing orthopedic or nerve issues.

Read more: Ready, Set, Cycle: How to fit your Bike Correctly

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How to prevent back pain for your child

With the school year upon us, kids everywhere are settling into their routines including schlepping items from home to school and extracurricular activities.

Heavy backpacks can lead to back and shoulder pain, injuries, and soreness. Here are a few tips to stay healthy when using a backpack.

Symptoms to watch for:

Carrying a backpack that is too heavy for you can lead to back pain, spinal injuries down the road, as well as an injury to the brachial plexus, the nerve network that goes down the front of the neck and shoulder to your arms, hands, and fingers.

Here are some symptoms to watch out for:

  • Back Pain
  • Numbness, tingling, prickling, or burning sensations in the shoulders, arms, or hands.
  • Weakness in the shoulders, arms, or hands.
  • Pain in the arms, hands, forearms, or shoulders
  • Pain that radiates down the arm
  • Neck and shoulder pain

Read more: Back to School Series: Bookbags and Back aches

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