BBPT Health Tip: Happy Baby Yoga Pose

Fiona McMahon PT, DPT

Guys! This is one of my favorite stretches ever. Both for myself personally and also for my patients. It’s called the happy baby pose, which comes from yoga. I mean, how cute is that. If you’ve ever seen a baby try and stick his feet in his mouth you know where the name comes from. This stretch is awesome because it stretches a ton of muscles at once, even the pelvic floor. It is an integral part of my stretching routine and I hope it becomes part of yours.

Muscles involved: Hamstrings, glute (butt) muscles, pelvic floor,

Stretch Type: Static: Best if performed after workouts on warm muscles. Exercise caution if stretching cold muscle, because unwarmed muscle doesn’t stretch as well as warmed up muscles.

Caution: If you feel pinching in your hips or pressure or discomfort under your kneecap, move your hand position to back of the thighs. If you still feel pain while attempting this modification, it is definitely time for a physical therapy appointment.

As always: No stretch should ever be painful. If a stretch is painful, stop and consult your physical therapist for modifications.

Directions: Lying on your back, grip your feet on the outside of your feet and bend your knees up towards your armpits. If this is too difficult, grasp your legs at the calves. Make sure that your neck is relaxed and hold for 60-90 seconds and repeat. Add deep breathing to enhance the relaxation. Enjoy!

 

Check out our student showing off her great happy baby pose!

Ph101 : Pelvic pain, meditation workshop with Ryanne Glasper, DPT & restorative yoga, calming down your pelvic floor

Fiona McMahon, DPT,

Enlightenment in nature

Earlier this summer, we discussed the nature of pain. In Putting Pain Into Context, We discussed how pain is comprised of two distinct components: the physical stimulus and how our brain interprets that stimulus. Both meditation and yoga are helpful techniques to help retrain how your brain responds to pain.

Join us on October 13th at 7pm for an introduction to both restorative yoga and meditation. Learn more about the science and try it out yourself with Anne Taylor, yoga instructor specializing in chronic pain and Ryanne Glasper, Physical Therapist and yoga instructor.  Come find out how these techniques may be helpful for you!

 

Register at pelvichealth-101.eventbrite.com  today.

Location

110 East 42nd Street, Suite 1504

New York, NY

10017

Check out our upcoming courses:

Pelvic Health 101 Fall- (003)

Exercise, The Female Athlete, and the Pelvic Floor

active-image

Fiona McMahon PT, DPT

In honor of National Women’s Health and Fitness Day ,September  28, we are exploring the benefits of regular exercise for women as well as addressing some pitfalls (pelvic floor included), that female athletes can fall into too. It is far too often that women find themselves sidelined from their favorite sports and fitness routines secondary to issues like orthopedic or sports-related pain or incontinence. Although all the issues outlined in this blog can occur to both genders, many of these conditions are more likely to happen to females, secondary to their pelvic structure and physiology.

 

Exercise and Its Benefits

heart-health

 

The benefits of exercise are too numerous to discuss every single one here and span the physical to the emotional. There are a number of conditions that have profound effects on the health of women nationwide. Let’s explore some of exercise’s specific benefits for these conditions together.

Heart Disease

According to the American Heart Association, Heart disease is the number one killer of women in the US and is responsible for 1 in 3 female deaths.  Exercise and a healthy lifestyle have been shown to reduce the risk of heart disease by 80%. The American Heart Association recommends 150 minutes of moderate activity or 75 minutes of vigorous activity to stave off heart disease.

Osteoporosis

Osteoporosis is unfortunately a common affliction among white and asian urban dwelling females.  It is characterized by reduced bone density, which causes bones to be fragile and increases the risk of fracture in individuals that have osteoporosis. Exercise has been shown to be helpful in both reducing the risk of osteoporosis as well as improving the bone mineral density of those who already have osteoporosis.

Other benefits of regular exercise include:

  • Reduced risk of diabetes
  • Reduced risk of colon cancer
  • Improved psychological well being
  • Maintenance of healthy body weight

Remember, it is important to consult with a trained healthcare professional before commencing a new fitness routine.

 

The Female Athlete Triad- Aka the Downside

All things in moderation. Although exercise is beneficial it is easy to over do it. It becomes easier to slip into an unhealthy relationship with exercise, especially in women who are training at elite levels, have eating disorders, or body dysmorphia issues.

The  female athlete triad consists of three disorders that can have severe health consequences in both the near and long term. The three disorders that compose the female athlete triad are:femaletriad

  1. Disordered Eating
  2. Ammenorrhea (absent periods or periods that are irregular)
  3. Osteoporosis

The female athlete triad is often attributed to the expectation that women keep a slender appearance. Girls and women who have body image issues may be at greater risk. The female athlete triad is dangerous and has the potential to be deadly. Osteoporosis can result  in fractures and eating disorders can seriously impact fertility, or even throw off the delicate balance of electrolytes in their system, putting them at serious risk for a cardiac event.

Warning signs of the female athlete triad include:

  • Yellowing of skin
  • Stress fractures
  • Rapid fluctuations in weight
  • Development of baby hair over skin
  • Daily vigorous exercise to an excessive level

 

The female athlete triad requires a multidisciplinary approach from medical, to psychological to nutrition.  It is important for someone who is suffering from the female athlete triad to seek help in order to safeguard their health and emotional well being.

 

Athletics and The Pelvic Floor

d14e2-tipsforahappyandhealthyvaginaLike any muscle, the pelvic floor can get fatigued, strained, or even go into a painful muscle spasm. The thing about the pelvic floor muscles, is that they have to work in almost every athletic pursuit. They work in partnership with the multifidus of the back, the transverse abdominus of the belly, and the diaphragm to stabilize and protect your spine. They also contract with every step during running activities to prevent your pelvic organs from dropping down in your pelvic cavity and to prevent urinary and or fecal leakage. Things can go wrong when the pelvic floor or other core muscles don’t function properly. Athletes’ pelvic floors can become tight and restricted, preventing closure of sphincters and support of pelvic organs. They may go into spasm from working too hard to stabilize the spine, if one of the other core muscles is failing to pull its weight.

Recently there has been more work to investigate the link between athletes and pelvic floor dysfunction. A recent study found that self identified female triathletes suffer from urinary and fecal incontinence at rates as high as 37.4% and 28.0%, respectively. Similar results were also found on a group of runners. Of the triathletes studied, nearly a quarter of them fit the criteria for female athlete triad, discussed earlier in this post.

Does this mean you have to give up your penchant for running? NO! (hellooooooo the author of this post is a runner), but if you find yourself experiencing incontinence, pain, constipation, and or painful sex, something is wrong and you must intervene in order to protect your long term health and your ability to participate in your favorite sport. At Beyond Basics Physical Therapy we combine orthopedic and pelvic expertise to help return athletes to their sports in a more functional and less painful condition. We relax tight muscles of the pelvic floor, train the core, including the pelvic floor if needed, to do its fair share, and return normal postural and structural alignment to our patients. We work one on one with you to develop a home exercise plan to help you reach your goals and prevent a reoccurrence of your pelvic floor or core disorder.

 

Please come see us so you can return to your sport in a better and more optimal condition than when you started: http://www.beyondbasicsphysicaltherapy.com/

 

 

Sources

American College of Sports Medicine. Information on … the female athlete triad. https://www.acsm.org/docs/brochures/the-female-athlete-triad.pdf. Accessed September 19, 2016

 

American Heart Association. Facts About Heart Disease in Women.  2016. https://www.goredforwomen.org/home/about-heart-disease-in-women/facts-about-heart-disease/. Accessed: September 6, 2016

 

Bø, K. Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Medicine, 34(7), 451-464. 2004.

 

Illinois Department of Public Health: Women’s Health. Facts about  women’s wellness exercise . http://www.idph.state.il.us/about/womenshealth/factsheets/exer.htm Accessed: September 13 2016

 

Loyola University Health System. “Female triathletes at higher risk for pelvic floor disorders.” ScienceDaily. ScienceDaily, 23 August 2016. <www.sciencedaily.com/releases/2016/08/160823165743.htm>.

 

Stampfer M, Hu F, Manson J, et al. Primary prevention of coronary heart disease in women through diet and lifestyle. The New England Journal of Medicine. 2000; 343(1). 16- 22
Todd J, Robinson R. Osteoporosis and exercise. Postgrad Med J. 2003; 79:320-23

Interview with Ryanne Glasper, Physical Therapist at Beyond Basics PT

Fiona McMahon, DPT
At Beyond Basics, we are lucky to have a great crew of Physical Therapists, who come from ryanne2015diverse training backgrounds and experiences. It is some of these different experiences that betters our practice and allows us to grow as clinicians. We took some time out from our wonderful patients, to sit down with physical therapist, Ryanne Glasper, to find out what sets her apart as a physical therapist.

What sets your orthopedic approach apart from approaches seen in other orthopedic clinics?

I can tell you that I love biomechanics. I’m obsessed with how the body moves. I’d consider myself a movement scientist. Moving is such a joy to me that I not only want to facilitate my patients recovery, but also help them better understand their bodies and efficient movements. I want them to leave my office and feel empowered. Like most therapists, I create individualized programs for my patients, but I make it a point to individualize every aspect, including the manual techniques I choose, even the language I use. I try to figure out what works for them, meet them there, and then challenge them to expand, whether that be in knowledge, strength, flexibility, clarity of mind, et cetera. I

Tell us about your background and what type of conditions you saw before coming to BBPT

Before BBPT I worked at PhysioArts Physical Therapy for nearly 10 years. I worked first as a physical therapy aide while in school, and then as a therapist. I worked with a remarkable group of therapists. When I started, I was the youngest and least experienced. I worked with therapists that had ten-plus years of experience and I was incredibly lucky to be mentored by them, especially my boss Jen Green.
At PhysioArts we worked with the performing arts community, professional dancers, actors, singers …. all of Broadway basically. I think I’ve worked on every joint in the body, from the foot to the cranium! From the usual ACL reconstructions, hip replacements, rotator cuff tears to the lesser known cuboid sprains and rib torsions.

How do you integrate that experience into your role as a PT at BBPT?

While at PhysioArts I actually coordinated care with a [former] therapist at BBPT Dustienne Miller (now in Boston Area, Mass). We shared a few patients. I loved the team effort. You don’t learn much about the internal aspect of the pelvis in PT school, so her work was always kind of a mystery to me. But she helped people in a way that I couldn’t! Working with Dustienne gave me even more of an appreciation for the body. Joining BBPT just expanded my tool box! I’m not sure that I integrated my past experiences into BBPT, I’m the same therapist. I just know what’s going on inside [the pelvic floor] now!

Spring Pelvic Health 101 Classes are About to Start!

Come Learn With Us! Free Pelvic Health 101 Classes at Beyond Basics Physical Therapy!

By Fiona McMahon, DPT

It’s that time of year again, temperatures are rising, the days are getting longer, and we at Beyond Basics Physical Therapy are gearing up and getting ready to start up our hugely successful Pelvic Health 101(PH101) classes for the spring and we couldn’t be more excited!

Our upcoming Pelvic Health 101 Course is the third in our series of PH101 courses. Our courses cover a variety of topics from male and female sexuality, bowel and bladder health, nutrition, as well as complimentary medicine for pelvic floor dysfunction. In this blog we will sit down with one of Beyond Basics’ Senior Physical Therapists and the creative force behind our Pelvic Health 101 Classes, Stephanie Stamas, to get more information on this wonderful resource.

FM: Why did you begin PH101?
SS: I began the Pelvic Health 101 seminar series last fall out of a desire to help more people. There are a lot of people out there who have consistently been told there is nothing wrong with them, it is all in their head or they should just get over it. I wanted to put together an educational series that would validate people’s suffering as well as give them tools to heal and return to a normal life. I believe that information is power, and that power gives people freedom and hope – two things that are often lacking in patients suffering with pelvic floor dysfunction.

FM: Who is the intended audience for PH101?
SS: Current patients, prospective patients, healthcare providers who have questions about how to better treat pelvic pain – really anyone. I tailor these classes so they are understandable to the general population, but I also try to give more in-depth information than one might find elsewhere. I really want class participants to leave with a clear picture of what is going on with their bodies.

FM: Do you have to be a current patient at BBPT to go?
SS: Not at all! Most of the participants have been prospective patients looking for more information and seeing if physical therapy can be helpful for their condition. We’ve also had plenty of other healthcare providers come to learn more about the musculoskeletal component to bowel, bladder and sexual dysfunction.  Everyone is welcome!

FM: What is your favorite topic to cover?
SS: I really love the bowel lecture, “Why is Pooping so Difficult.”It’s fun to be an adult and get to talk about pooping! Potty talk is often not socially acceptable but I like to open the floor to talk about issues that are often swept under the rug. I also really love our Ladies Only Night. It’s a safe place where women can come and ask any of their questions concerning pelvic health in a friendly, fun, women only environment. It almost has the feel of a girls’ night in with your friends, minus the pajamas and pillow fights.

FM: What are some of your favorite reactions from last years’ class?
SS: I love seeing “light bulbs” click on when people discover anatomical and physiological reasons why they are experiencing symptoms. People get so much bad information along the  way and often times are told everything is in their head. I love the smiles and hope on people’s faces when they hear the good news that it is not, and that there is a solution to their symptoms!

FM: What should people do who are interested in taking the class?
SS: They should sign up online as soon as they can at PelvicHealth101.eventbrite.com. The classes are free but space is limited so they do fill up quickly. Light refreshments will be provided. Check out our class schedule below!

ph101m16

 

Pelvic Health 101: Restorative Yoga and Calming Down Your Pelvic Floor

By Fiona McMahon, DPT

Hello all!

We have really enjoyed hosting our Pelvic Health Seminars and were thrilled to discuss a multitude of different pelvic health topics with both familiar and new faces. We will be winding down this series of PH101 classes with an exciting lecture on the merits of yoga practice for relieving pain conditions, including pelvic floor, back and hip dysfunction, as well as hosting a yoga class for all lecture guests.

This Tuesday, December 8th, 2015, at 7pm  Anne Taylor, who has worked with Beyond Basics Physical Therapy for over 9 years instructing group and individual classes for patients with different types of pain conditions, as well as those seeking compassionate and personalized guidance through their practice of yoga, will guide class participants through the science and philosophy of yoga. Anne will also lead a complimentary yoga class at the end of the lecture.

Join us for this extraordinary finale to our PH101 classes. Register at pelvichealth101.eventbrite.com.

See you soon!

Enlightenment in nature

Mental Health, Yoga, Acupuncture, and Pelvic Pain

By Stephanie Stamas

Pelvic floor dysfunction is complicated. If you have pelvic pain or dysfunction, you know this. You know that it takes a long time to figure out what is going on and rarely is it straight forward. It’s often a more of a journey to recovery than a quick fix. As a physical therapist specializing in pelvic floor dysfunction I’ve found that what makes that journey faster is having a multi-disciplinary team of specialized practitioners addressing every aspect of the dysfunction. At the next Pelvic Health 101 lecture, you will get the unique opportunity to hear from three healthcare providers who work closely with patients at Beyond Basic PT discuss how mental health, yoga and acupuncture can be excellent adjunct therapies to help you on your healing journey.

The mind-body relationship is starting to become a hot topic in research and never in the history of pain management has there been more exciting news. Until a little over a decade ago it was thought that the brain was solid and fixed by age 5, and from there the brain deteriorated. Now it is understood that the brain changes constantly based on environment, behavior, thoughts and feelings. This can be good or bad news. The experience of anxiety and pain is the bad news. The good news is that through “retraining” the brain you can reduce/eliminate pain! This is why mental health counseling can be so important on your healing journey.

Yoga as it is practiced in the U.S. can take on many forms and selecting a class/teacher can be overwhelming for those seeking to practice yoga as a therapeutic modality. For individuals with pelvic pain, it is recommended that they practice yoga that allows for a balance between slow, conscious movement to engage and gentle stretching along with an emphasis on the breath. Engaging in a simple customized yoga practice can be beneficial for those seeking to redefine their relationship with their body, specifically allowing them to move beyond their identity as a patient. Come and take some time to pause for breath and simple movement practices that can promote greater ease and comfort for the body and mind.

Acupuncture has always been at the center of pain management. Several problems that manifest as pelvic dysfunction are regularly treated by acupuncture, including incontinence, pelvic pain, IBS and constipation. In some patients, problems in the musculoskeletal system can be the underlying origin of their complaint. When the trigger point is “dry needled” by acupuncture, this mechanically disrupts the nervous system and results in mechanical and physiological changes. In Traditional Chinese Meridian Theory, the genitalia are traversed by a number of channels, thus pain can be accessed from reflex points along these channels. A treatment regime consisting of regular acupuncture in combination with physical therapy is the ideal approach for chronic pelvic floor problems.

Come join us at Beyond Basic Physical Therapy next Tuesday, April 28th at 6:30 for the final seminar in the Pelvic Health 101 Seminar Series. Don’t miss this last opportunity to find the missing link in your step towards recovery. Sign up here.