The Va-Journal

Science-Based | Female-Focused

Written and researched by Laura Haley PT, DPT

Pelvic Floor PT, Pregnancy, Post-Partum Laura Haley Pelvic Floor PT, Pregnancy, Post-Partum Laura Haley

Pregnancy + Postpartum

Pregnancy is beautiful. How vagical is it that us women can create a human inside of our bodies!? It is however really common to have pain during pregnancy. During pregnancy our body is emitting tons of hormones for ligament, tendinous, and muscle laxity. When this happens our joints are really unstable. When our joints are unstable, things are shifting out of place and can be really uncomfortable.

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Pelvic Pain

After any sort of trauma to this area, the pelvic floor muscles (PFM) typically want to protect you, so they will tighten up and go into a spastic state. This can lead to consistent pain that doesn’t have much of a rhyme or reason as to when or why it is occuring.  Pelvic floor therapists can help retrain the muscles to lengthen, relax, and decrease the spasms.

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Your Pelvic Floor and Sports

Most of us triathletes have a lot of slow twitch muscle fibers, but not as many fast twitch fibers. So when we have that pounding force on our pelvic floor, or that stress on our pelvic floor, our fast twitch fibers are not coordinating quickly enough to close off the urinary outlet (the urethral sphincter), leading to peeing our pants.

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UUI and Urinary Frequency

Urge Urinary Incontinence (UUI) is described as a sudden and often frequent, urgent sensation to have to use the bathroom. This may result in leakage suddenly and/or on the way to the restroom. One major reason this is happening is because the pelvic floor muscles may not be quite strong enough and not coordinating quickly enough, thus leading to urgency, frequency, and leakage.

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Endometriosis

Endometriosis is defined as the occurrence of tissue that normally lines the uterus starts to grow outside of the uterus. This can lead to some abdominal and pelvic discomfort and pain. Similar to IC/bladder pain and chronic pelvic pain, there can be a central nervous system disruption leading to a centralization of pain.

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