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26 Apr

It’s time to OWN your postpartum recovery

Having a baby often brings an awareness to your own body that most women do not anticipate. And how could it? Between getting a positive pregnancy test and infrequent visits to the ob or midwife,...

When you have pelvic pain, you feel stuck

These are words that over the years, patients have said to me.  Things that they took for granted before are changed and they feel that they are stuck in a place that doesn't feel good. Sex is painful, sitting is excruciating, they can't swim in a pool, they can't ride a bike,  some can't even sit comfortably with their baby. Jeans are out, skirts are in, going commando is sometimes the only option. Men have told me that they can't sit because the pain from...

Pelvic floor physical therapy in NJ and why it matters

As a physical therapist who specializes in pelvic health and wellness, I am often asked by patients, why hasn't anyone told them about pelvic floor physical therapy?  And isn't it more than just Kegels?This is especially true for post-partum women who are experiencing pelvic pain, painful sex, bladder leakage, hip and back pain, generalized weakness and other, non-discussed issues that women suffer from after a difficult pregnancy or traumatic childbirth. Sometimes, the birthing experience is not traumatic but now there is a different sensation and...

Kegels, trampolines and moms who leak

Many women that I meet socially who ask me about my work will quickly reveal that since they had kids, they will "pee themselves" if they jump on trampolines or go to bootcamp classes. I live in a suburban town where many people have large trampolines in their yards, so it seems quite likely that many women have tried jumping and discovered that their pelvic floors were weaker than they imagined. Bootcamp in the park may have gone by the wayside as more women realized...

Ask a pelvic floor physical therapist anything

Last month I had the honor of being interviewed by Hillary Frank, host of the parenting podcast, The Longest Shortest Time. We did the interview as a Google Hangout and it was part of her Sex and Parenthood series. Hillary invited her listeners to submit questions about their postpartum experience that had impacted their pelvic floor function. Plus, it was all related to how their sex lives were affected and what they could to make it better. Everything was fair game. We started with Hillary...

Urogynecology and Pelvic Floor Physical Therapy in NJ

In my physical therapy practice, many women call seeking non-surgical solutions to pelvic organ prolapse, stress and urge incontinence which is leakage from the bladder and/or bowel dysfunctions and vaginal pain/sexual dysfunction.  In the past 10 years, a new subspecialty of physicians have embraced these specific pelvic floor problems and offer both non-surgical and surgical management.  These physicians are trained as ob-gyns and then study the urologic system specific to women.  Hence, the name, urogynecologist. In my professional development as a pelvic floor physical therapy...

Male pelvic pain and pelvic floor physical therapy for men

Four Corners Physical Therapy is proud to be recognized as a center of excellence for the evaluation and treatment of male pelvic pain and dysfunction. Physicians in NYC and New Jersey confidently refer their patients who have complex issues that might involve the urologic, colorectal, gastrointestinal and orthopedic systems.  Unfortunately it might take several visits to find the right physician who recognizes that pelvic pain and bladder and bowel issues can be be related to the musculoskeletal system and their pelvic floor muscles. Many of...

postpartum “give it time” doesn’t work

Women who experience postpartum pain are often told by their providers to "give it time" and they will heal.  As a physical therapy provider who specializes in the evaluation and treatment of postpartum women, I say this is unacceptable. Postpartum issues are often multifactorial and involve soft tissue, joint dysfunction and muscle imbalances. What is "it" that time will heal?  Women who have pelvic floor weakness, pain, bladder or bowel leakage lose precious time bonding with their newborns because they are unable to do the...

Recommendations for helping you recover from postpartum pain and leakage

This week I have a guest blogpost on The Longest Shortest Time, Hillary Frank's website and podcast. Hillary produced a three part series on Sex & Parenthood and my part is connected to the second episode, Recovering from Childbirth. http://longestshortesttime.com/2015/02/04/starter-kit-home-remedies-for-a-pain-free-sex-life/

Proud to be certified by Herman&Wallace Pelvic Rehab Institute

Revisiting the bio I wrote for the Herman & Wallace blog that featured me as a newly certified Pelvic Rehab Practitioner. This was after 10 years of coursework and practice of pelvic floor therapy, in addition to my experience as an orthopedic and osteopathic based manual physical therapist. I was part of the inaugural group of pelvic floor therapists to take the exam and receive certification. Debra Goldman - Featured Certified Pelvic Rehabilitation Practitioner Oct 20, 2014 In our weekly feature section, Pelvic Rehab Report is...

CREATING THE COMMUNITY I DREAM OF

A few days ago, I finally created the invitation to the party I wanted to be invited to. I invited other like minded providers of prenatal and postpartum care to come to my office in early October and meet as a group. Midwives, doulas, lactation consultants, prenatal exercise instructors, yoga and Pilates teachers,  massage therapists, psychotherapists and anyone else who would like to gather and exchange ideas and create community. As a physical therapist who is passionate and dedicated to helping women who experience musculoskeletal...