Hemorrhoids are swollen veins in the anus and lower rectum and will affect about a third of Americans. While hemorrhoids typically resolve within a few weeks, they can be distressing and discomforting. Risk factors include chronic constipation and straining with bowel movements. Other research proposes it is not simply constipation, but rather high resting...
Endometriosis is a chronic inflammatory condition that affects 1 in 10 women of reproductive age worldwide. Classically, symptoms of endometriosis are painful menstrual cycles and chronic pelvic and abdominal pain, though a myriad of symptoms exist including rectal pain, abdominal bloating, back pain, bladder and bowel dysfunction, and pain with sex. Current treatment regimens for...
Bladder and bowel dysfunction in children is a common and multifactorial functional problem. It is one of the most common reasons for referral to pediatric urology, accounting for up to 40% of visits. This increasingly common issue is a potential cause for physical and psychosocial burden for both children and families. Early diagnosis and treatment...
6 Ways to Reduce Urge Related Urinary Incontinence By Berrin Boyce, PT, DPT, PRPC Urinary urge incontinence or leaking with a strong sense of urge is estimated to impact 20-30% of women. In clinical practice I frequently work with patients of all genders and ages who experience urge related incontinence that interferes with work, school,...
How The Use of Forceps During Delivery Impacts Urinary Incontinence in the Postpartum Period By Berrin Boyce As a pelvic floor PT working in Boulder with many people during their pregnancies I often hear the question: “What can I do to decrease the risk of developing urinary incontinence or pelvic floor issues after delivery?” I...
Do you experience urinary leaking with jumping jacks, double-unders, box jumps or while jumping on the trampoline? Maybe you’re avoiding jumping altogether for fear of leaking or pelvic heaviness. Jumping is a great exercise as it helps build muscle strength and power, while challenging the cardiovascular system. It requires coordination, agility, and can be beneficial...
Diagnosis: Pelvic girdle pain (PGP) is musculoskeletal pain that occurs at either SI joint, the pubic bone, the groin, or some combination. PGP is very common during pregnancy, affecting between 52-70% of the pregnant population, particularly during late pregnancy. As with many musculoskeletal dysfunction during pregnancy it is common, but it does not have to...
Tailbone pain (or coccydynia) is a common issue that can be a result of direct impact/traumatic injury to the tailbone during a fall, prolonged sitting, vaginal childbirth, or develop gradually without any specific cause (insidious/non-traumatic). Mechanical tailbone pain is most common while sitting, or while moving from sitting to standing. Some people will also describe...
Pelvic organ prolapse occurs when there is a lack of support from the muscles or connective tissues around the bladder, rectum or uterus (if applicable). Symptoms can include: sensation of pelvic heaviness or pressure in the vagina or rectum, incomplete emptying of the bladder or rectum, and more outlined here. Risk factors for prolapse include:...
Dyspareunia or pain with intercourse is common after having a baby. An estimated 50% of women report pain with intercourse 3 months after delivery and 17% still report discomfort at 6 months postpartum (Buhling et al, 2006). More severe perineal injuries correlate with more persistent pain, however women who undergo a C-section delivery may also...