Pelvic Health Archives | Functionize Health & Physical Therapy

Pelvic Health

Should Pregnant Clients Do High-Impact Exercise?

What happens to your exercise routine when you find yourself working out for two? The blog this week comes from guest author Dr. Carrie Pagliano, who shares both her own emotional experience and professional assessment concerning exercise during pregnancy over on (Continue reading here.) About The Author: Dr. Carrie Pagliano Dr. Carrie Pagliano has been a women’s health physical therapist for nearly 20 years. She lectures nationally in the areas of prenatal and postpartum health, pelvic pain, and women’s health education. She is double board certified in Orthopedics and Women’s Health. Dr. Pagliano is President of the Section on…

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When your Birth Story takes an Unexpected Turn: The Story of My Twins’ Birth

Everyone has a birth story. Some are full of smiles and laughter, while others are filled with grief and sadness. Rarely do we hear the stories of pain, loss, and suffering. Today, I want to share the story of my twins’ birth. It is something I rarely discuss. The thought chokes me up and tears my heart as I recall that time in my life. I am sharing this because I’m not alone in my journey. This story is for every parent who has had a child in the Neonatal Intensive Care Unit (NICU). It’s hard to believe it’s been…

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Are You Living Your Dream or Still Dreaming of Living?

“Why did you open your practice?” I’m often asked this question, and I get it- who would leave behind a 16-year career at various established physical therapy practices with great PTs, good pay, and a stable work-life balance for the stress of opening a business on their own? I’ve been a Physical Therapist for 19 years. I grew up in rural Pennsylvania. It was a small, blue-collar town called Bloomsburg. Life in northeastern PA was simple. My parents never went to college, but my dad’s Midwestern upbringing made him a disciplined and rigid worker at the nearby nuclear power plant….

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Grieving My Miscarriage

As a pelvic floor therapist, I have the honor of sharing in the very personal details of my patients’ lives. We cover anything from going to the bathroom, leaking urine, childbirth, sex, and everything between. From time to time, patients will even trust me with the knowledge of a past sexual trauma or struggle with fertility. And, when it comes to these types of painful experiences, it can be incredibly difficult for us to talk about. Whether it’s because it hurts too much, or we just feel like we are the only ones who have gone through it. Today I…

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Telehealth | Blog

You’re sitting in your living room and glance at the clock: just five minutes until your physical therapy appointment is scheduled to start. You still need to lace up your shoes, grab your wallet, jump in the car and drive 10 miles across town. The walk from the parking alone will take five minutes! How will you ever make it on time? With rapid advances in telehealth technologies, this scenario could soon become a thing of the past—at least for some of your physical therapy visits. Instead of racing out the door, it’s possible that soon you’ll be able to…

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Have you heard of the 4th trimester?

4th Trimester | Postpartum | Blog

As most of you know, 6 months ago I had my little boy Oliver. These past 6 months have been incredible. I have enjoyed every part of motherhood (well, maybe after that first month..haha). As I reminisce on my own pregnancy and postpartum experience, I am thrilled that the “4th trimester “is now a recognized term. Your 1st trimester you are sick and tired, your 2nd trimester you are happy, full of energy, and not that big, and your 3rd trimester you are huge and can’t wait for your little human to enter the world. Well, prior to the term…

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9 Things You Should Know About Pain

Pain | Pain Management | Blog

Pain is output from the brain. While we used to believe that pain originated within the tissues of our body, we now understand that pain does not exist until the brain determines it does. The brain uses a virtual “road map” to direct an output of pain to tissues that it suspects may be in danger. This process acts as a means of communication between the brain and the tissues of the body, to serve as a defense against possible injury or disease. The degree of injury does not always equal the degree of pain. Research has demonstrated that we…

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5 Tips for Creating Good Habits While Toilet Training Your Child

Potty Training | Toilet Training | Motherhood | Blog

Toilet training is an important developmental milestone for children, and is one of the first steps to becoming more self-sufficient. However, toilet training can be challenging for both children and their families. The following tips will help your child create good, lasting habits and avoid future bowel and bladder problems. Wait for it! Typical bowel and bladder development occurs around 18 months of age. Starting toilet training too early can create frustration and lead to poor habits or avoidance of toilet training all together. It can also lead to bowel and bladder problems such as urinary incontinence, bedwetting, urinary tract…

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Post-Partum…Now What?

Your main focus throughout the post-partum period should be protecting your body. In general, this includes but is not limited to your pelvic organs, pelvic floor musculature, fascia surround pelvic inlet, and abdominal wall/cavity. Pelvic floor dysfunction is common postpartum. Signs and symptoms that need to be addressed include: urinary or fecal incontinence, pelvic pain, diastasis recti, pelvic organ prolapse. Whether you had a vaginal or cesarean birth pelvic floor dysfunction can occur. If you experience any of the above symptoms do not hesitate to contact a pelvic floor physical therapist. It is fair to guess that you’ll probably have…

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Prenatal Tips For Feeling Good

Low back pain, hip pain, pubic symphysis dysfunction, and diastasis recti are very common during pregnancy. Changes in your body such as normal weight gain, the hormone relaxin causing hypermobility in your ligaments, and postural changes can all be related to pain and dysfunction during pregnancy. Pubic symphysis dysfunction is characterized by pelvic pain and increased mobility of your pelvis and has been reported to affect 31% of pregnant women. Diastasis recti is a characterized by the rectus abdominis muscle separating during and after pregnancy. It is important that you alter your daily activities and exercise habits to protect both…

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