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What is Intra-abdominal pressure and how does it contribute to Pelvic Organ Prolapse?

Increased intra-abdominal pressure is a large contributor to pelvic organ prolapse and to worsening symptoms.  When you see a pelvic floor physical therapist for pelvic organ prolapse, one of the first things we will look at is how well you…

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Pelvic Floor Muscle Over-activity what it means, and what to do about it.

Let's break down what Pelvic Floor Muscle over activity might look like. This can be a confusing issue and depending on what type of doctor you see, the answer might be different. If you have pelvic floor muscle over activity,…

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Know before you go: getting back to the gym safely after baby or surgery.

I ran into a friend who had had a baby 8 weeks ago.  She told me she wanted to get back in shape but once she started working out, she didn’t feel as comfortable as she had hoped.  As we…

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Pelvic PT after baby; the individualized program.

Having practiced orthopedics, sports medicine, manual therapy, and pelvic floor therapy in Kansas City for 23 years there is one patient question that resonates with me as a tripping up point for new patients. I will give you an example:…

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The symphony of muscle coordination for core stability: voice, breath, pelvic floor.

Have you ever wondered what happens to keep your spine, pelvis and hips stable while you exercise, or perform daily tasks?  Probably not, unless you are an anatomy nerd like me. I am amazed by the symphony of muscle coordination…

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Mamas: Don’t wait to rehab your pelvic floor until you are done having babies!

The other day I heard the common statement that makes me pause: “I knew I was peeing my pants, having pain with intercourse, and some weakness after my first child was delivered, but I wanted to wait until I completed…

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The Psoas Muscle: the forth horseman in pelvic and spinal stability.

The psoas muscle gets a lot of press for being overactive or tight.  Everyone wants to release their psoas.  It seems to stalk my Instagram feed. So, what does the psoas really do and is it truly tight on everyone? …

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