Ph101 Men’s Only Seminar

Fiona McMahon PT, DPT

On October 23rd at 7pm we will be hosting our  “Men’s Only Seminar”. Join us as we discuss how pelvic floor dysfunction affects the male pelvic floor. Learn how your sex life can be improved by pelvic floor treatment, how to regain function after prostatectomy, and how to rid yourself of the pain of prostatitis, and avoid antibiotics for the most common type of prostatitis. This seminar is not to be missed!

For more reading on male pelvic health topics, check out:

All About Testicles

Navigating Life with Chronic Pain: Part 1

Navigating Life with Chronic Pain: Part II

Prostatitis What it is and What to do About it

Location:

110 East 42nd Street

Suite 1504

NY NY

10017

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PH101: Pain and Sexuality: is it all in my head?

 

By Fiona McMahon, DPT

Sex should feel good… really, really good. But when it doesn’t, you may start to wonder, what’s wrong with me? Am I broken? Am I a prude? Am I frigid? Painful sex isn’t something we talk about. No one would look at you twice if were complaining of pain in your elbow, but in your genitals is a different story.

On October 16th at 7pm, we at Beyond Basics are breaking down those taboos and having an educational seminar, followed by an optional question and answer session at the end. We will discuss the many causes of sexual pain and how physical therapy can help.  The event will be hosted by one of our expert therapists, Stephanie Stamas. Stephanie will give a detailed seminar about pelvic health and take time to clear up some common misconceptions many people have concerning their bodies and sexual function.

Please join us at our office at:

110 East 42nd Street, Suite 1504

New York, NY 10017
Register at: pelvichealth101.eventbrite.com

Here is our line up of this and future classes

 

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Pilates with Kierstin! Scissor Kicks

Kierstin Elliott

Exercise: Scissor Kicks

Set Up: Lying supine on the mat, press your back into the mat, legs in table top with hands behind the head.

Execution: Inhale to prep, exhale to curl head to your chest, neck and shoulders off the mat driving your naval closer to spine. Inhale to extend your right leg out 45 degrees and left leg straight up to the ceiling. Switch legs, with continuous emphasis on length and control from the psoas. Inhale for two kicks and exhale for two kicks.

Focus: Focus on stabilizing your pelvis and lumbar spine with your core while lengthening through energized legs. Your neck and shoulders should not be holding any tension.

Importance: Stability and strength! While this is primarily a core exercise, the psoas gets the opportunity to strengthen and lengthen with each kick as well.

Modifications: For extra assistance, bend the knees slightly to lessen the load for the core. You could also keep head on mat and place hands under pelvis for greater lower back support.

PH101: Does My Diet Really Matter?

Fiona McMahon, DPT

Gluten free, soy free, low FODMAP. It’s amazing how many diets there are out there that really can  provide people with symptom relief. If you are suffering with chronic pain you may be confused on where to start, or what is right for you. You also may have tried out a bunch of different ways of eating, not seen results and have gotten really frustrated. If this is the case for you, I highly encourage you to come to our next pelvic health seminar on October 9th at 7pm, “Does my diet really matter”.

jessica-drummond-headshot-197x300This seminar will be hosted by a special guest speaker, nutritionist Jessica Drummond. Jessica Drummond is a former pelvic floor physical therapist who now specializes in nutrition for those suffering with pelvic floor dysfunction. This seminar was a hit last year and is a great starting point for those considering adding nutrition as part of their healing journey.

Register at pelvichealth-101.eventbrite.com  today.

 

 

Location

110 East 42nd Street, Suite 1504

New York, NY

10017

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When it Feels Impossible to Have Sex

flowerFiona McMahon, PT, DPT

“Vaginismus”, it sounds like a dirty word if you have never heard it before, but for the many, many women who experience this painful and frustrating disorder, it is an important diagnosis to understand, recognize and treat in order to improve quality of life.

Definition

Vagnismus occurs when the muscles of the vagina clench or spasm, making penetration by a partner, toy, tampon, or speculum impossible and painful. These spasms occur independently of the person’s desire to have sex. As you could imagine, this condition can be be extremely frustrating and can interfere with an individual’s sex life and health. Vaginismus can also occur in anticipation of pain, which is reinforced by unsuccessful attempts at penetration. Other gynecological, muscular, and gastrointestinal disorders can perpetuate the pain and spasm feedback loop.

Treatment

Treatment for vaginismus must be holistic and may incorporate treatment for any medical or systemic causes of pain, counselling to reduce stress and fear associated with penetration, and physical therapy to help “teach” the muscles of the pelvic floor to relax and lengthen in order to accommodate penetration. It takes a skilled clinician to recognize all the components contributing to vaginismus and to make referrals to other members of the healthcare team as necessary.

Medical Intervention

The medical approach for vaginismus may be two pronged in order to relieve this condition. First, your doctor or nurse practitioner may prescribe a medicine to help treat the specific symptom of pain with penetration. Your healthcare provider (HCP) may also identify a medical cause to pain with penetration. By treating the cause, your HCP can help to break the pain and spasm cycle of vaginismus. Some medical conditions that can contribute to vaginismus include, endometriosis, intersitial cystitits, skin conditions such as lichen planus, simplex, or sclerosis, or hormone imbalances affecting the vulvar skin.

Psychological Intervention

Sometimes, getting referred to therapy, when you have a problem like vaginismus can seem insulting, like someone is telling you “it’s all in your head”. It’s not.  In a study conducted by Van der Velde in 2001, pelvic floor muscle response was found in both women with pelvic pain and without in response to a threatening movie. You can imagine how this could affect a woman who has had a history of painful penetration. Therapy can go a long way towards lessening the fear around penetration and allowing your body to relax in sexual situations.

Vaginismus isn’t all in anyone’s head. It is a very real physical response to anticipated pain. Vaginismus often affects one’s partner as well. She or he may develop fear of hurting you and may be afraid to have sex. Sex therapists can work with individuals and couples to help facilitate a non threatening return to sex.

Physical Therapy

Physical therapy is a mainstay of treatment for vaginismus, and in simple cases may be all that is required. Vaginismus is all about overactive muscles and there is so much we can do for muscles as physical therapists.

Treatment for vaginismus is all about taking one’s time and making the patient as comfortable as possible with every aspect of treatment. Rushing to perform an internal pelvic exam is not in anyone’s interest as it may facilitate increased guarding and spasm. That being said we can work to lessen the strain on the pelvic floor muscles by releasing the surrounding tissues and fascia of the abdomen and legs. We can also use external biofeedback, which is a way for you to see in real time, whether or not you are tightening your pelvic floor so you can gain more control over it.

When you are ready, the therapist will do an internal exam, where she will place a gloved finger into the vagina to assess whether or not there is trigger points ( highly irritable tight bands of tissue) or spasm within the muscle. When trigger points or spasm are present in the muscle she will work to release the muscles so that they can better stretch to accommodate an object penetrated into the vaginal canal, as well as reduce pain with penetration in hope of breaking the pain and spasm cycle.

Another great part of physical therapy in treating vaginismus is the home exercise plan your therapist will prescribe. Dilators are commonly used tool for treating vaginismus both at home and in the clinic. Dilators are cylinder shaped wands that are inserted into the vaginal canal. They come in many different sizes. The smallest size is usually smaller than a tampon. Usually a therapist and patient will work their way up from the smallest to “goal” size. Goal size is decided by the patient and corresponds to the patient’s desired functional goal, whether that is accommodating a speculum, tampon, toy, or partner’s penis. Dilators can do a number of things for someone with vaginismus. First they allow for a gentle stretching of the vaginal canal both at home and at therapy. Dilator use at home can really help to speed up a course of therapy. Secondarily, dilators can allow the patient confidence in a private place devoid of a partner’s expectations which can then be transferred to sexual relations with the patient’s partner.

Your therapist may also suggest stretching and strengthening exercises to help take pressure off of the pelvic floor, because the pelvic floor may be tight if it is working too hard to stabilize the bones and organs of the abdomen .

Sex doesn’t have to be painful and even with the worst cases of vaginismus, there is help. The physical therapists at Beyond Basics are specially trained to recognize vaginismus and identify the its specific causes in each individual case. If you are affected by this condition, please consider visiting us for an evaluation. Also check out the film “Tightly Wound” which is a personal account of living with and treating vaginismus.

Sources:

Harish T, Muliyala K, Murthy P. Successful management of vaginismus: An eclectic approach. Indian J Psychiatry. 2011;53(2): 154-155

Van der Velde J, Laan E, Everaerd W. Vaginismus, a component of a general defensive reaction. An investigation of pelvic floor muscle activity during exposure to emotion- inducing film excerpts in women with and without vaginismus. Int Urogynecol J Pelvic Floor Dysfunct. 2001; 12 (5) 328-31

MAMA’S 101: Exercise for Post-Partum Mama’s

Hello! Check out our final class in this season’s series of Mama’s 101, “Exercise for Post-Partum Mamas”. This class will be great!  Learn specific exercise tools to help with diastasis recti, urinary incontinence, prolapse, and other common post-partum conditions with PT, Dr. Stephanie Stamas. Come ready to move and feel free to bring your baby!

Time and Date: October 3rd at 1pm

Location: 156 Williams Street, Suite 800 NY, NY 10038

Register Here!

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Ph101 Why is Pooping so Difficult?

 

toilet

Fiona McMahon, PT, DPT

The number of Americans who deal with constipation issues is massive (4 million)! It seems like every time I mention that I’m a pelvic floor physical therapist, another friend of a friend pulls me aside with bowel movement concerns. Why is it that so many people have issues? And more importantly – what can we do about it? This is the topic of our next Pelvic Health 101 seminar on October 2nd at 7pm.

Not only will constipation be discussed but other bowel conditions, such as irritable bowel syndrome, fecal incontinence, bloating, and hemorrhoids will be addressed. The lecture will also go in depth on the role of fiber, water intake, toilet posture and pelvic floor muscles in having a successful bowel movement. You will even go home with easy techniques that you can implement immediately to help you get that smooth move! Don’t miss out on this FREE event – it’s a MUST for anyone who struggles on the porcelain throne. Seats are going fast!  Light snacks and refreshments will be served.

 

Register at pelvichealth101.eventbrite.com today.

Location

110 East 42nd Street, Suite 1504

New York, NY

10017

Check out or upcoming courses!

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