Girl Power

Celebrity Zosia Mamet, of the hit HBO show "Girls" openly discusses her struggle with pelvic pain
Celebrity Zosia Mamet, of the hit HBO show “Girls,” openly discusses her struggle with pelvic pain
 

In the near five years that I have been exclusively practicing pelvic floor physical therapy, I have noticed an interesting phenomenon.  Namely, conversation about the pelvic floor has steadily been on the rise. We as a profession have received shout outs in popular magazines including Elle, Cosmopolitan, and Runners World. “Kegel exercises” have been referenced in popular television shows including Sex in the City and 30 Rock.

 

A specialty which heretofore was completely unknown to most and which was rarely discussed even with one’s own doctor has become a topic that is increasingly being raised in healthy and meaningful venues.

Doctors are generally more aware of the existence and the benefits of pelvic floor physical therapy than ever before.  While I spend a significant amount of time explaining my profession to physicians that I meet (and am happy to do so), more and more individuals within the medical community are already well informed.

 

Not only are doctors more educated than in years past before about the specialty, but knowledge about the topic is abounding within the general population as well.  In the past, my answer to “What do you do for a living” was often greeted with confusion and curiosity.  In fact, I have a whole shpiel prepared to help explain and educate. Recently, I have been pleasantly surprised by the reactions I receive when I proudly respond, “I am a pelvic floor physical therapist.” The general response is one of admiration and respect for the powerful and holy work I have the privilege of engaging in on a daily basis. It is refreshing and exciting to witness this major transition within both the medical and lay communities.

 

In fact, just last week, Zosia Mamet of the popular television show “Girls” boldly shared her own personal struggle with pelvic pain in Women’s Health Magazine (February 8, 2017, article link).  In this article, Mamet described that for six full years, she felt like she had a nasty UTI that could not be fixed.  She shared that she experienced intense urinary frequency (the sensation of increased need to void) and the sensation of “a hot poker” being inserted vaginally during intercourse.

 

One of the worst aspects of her experience was that she was bounced around from doctor to doctor and misdiagnosed for far too long.  In fact, she was informed that she had a sexually transmitted infection (not true!) and that she “was crazy” (also not true!) by clinicians who could not figure out what was wrong.  Fortunately, she was finally referred to pelvic floor physical therapy to address her issues.

 

In reality, many women can unfortunately relate to Mamet.  How courageous of her to share her story and to further raise public awareness.  However, pelvic floor physical therapy should not be deemed a luxury treatment available only to the rich and famous. Pelvic health should be an unalienable right, along with life, liberty, and the pursuit of happiness.  Revitalize Physical Therapy offer excellent care in a highly affordable manner. We will help you verify your out of network insurance benefits and can offer a sliding scale to clients in need.  Our main priority is helping you achieve your goals and health.  Please let us know how we can help you, because it would truly be an honor and privilege to do so.

Forty are the Weeks Before a Baby’s Born

Pregnant woman caressing her belly over gray background
How long is pregnancy expected to last?  According a popular Jewish song I grew up with at the Passover Seder, “Nine are the months before a baby’s born.”  And nine months times four weeks per month = 36 weeks of pregnancy, right?

Wrong.  As I focused my studies on high level scientific subjects, all of a sudden women seemed to be pregnant for an entire four additional weeks.  Apparently, pregnancy is actually forty weeks.

In a fascinating and entertaining recent article, (August 1, 2016, link to article) Dr. Chavi Eve Karkowsky, a high-risk pregnancy specialist, encourages society to count pregnancy in “weeks” instead of “months” for several reasons.  She explains that the estimated due date (EDD) which doctors often share with expectant mothers is 280 days (or nine months and seven days) after the first day of the last menses.  Conception is estimated at approximately two weeks after this date (i.e. 38 weeks before the EDD).  In case a woman forgets when the first day of her last menses occurred, ultrasound can also be used to determine the EDD.

According to Karkowsky, months are an inappropriate measure of pregnancy. The increment of time is simply too large.  It would be like trying to measure spices with a cup while cooking!  Weeks more accurately reflect the subtle developments and changes that occur within the growing fetus.  Pregnancy related tests and fetal monitoring examinations must be performed throughout the gestation, and measuring pregnancy in terms of weeks enables clinicians to perform these tests at the most appropriate time, with greater precision.

Furthermore, Karkowsky promotes speaking about weeks instead on months because pregnancy is actually longer than nine months.  True, if all months were non-leap year Februaries (i.e. 28 days long), then perhaps we would have what to discuss.  However, as you may remember from a popular childhood adage, every other calendar month is 30 or 31 days.  This means that technically speaking, each month is approximately 4.3 weeks, which would translate into 40 weeks totaling slightly longer than nine months.  Mentally calculating weeks into months will result in mistakenly assuming that one’s pregnancy is shorter than it actually is.  By the time most women arrive at the nine month mark and are ready to roll, the last thing they want to hear is “Oops, just kidding.  On second thought, this pregnancy is actually going to last an additional third of a month longer.”  From the perspective of setting realistic expectations “weeks” is better than “months.”

If you are currently counting the weeks (or months) of your pregnancy, congratulations!  Hopefully you are feeling great and managing well despite the summer heat.  If, however, you are experiencing musculoskeletal pregnancy related changes or pain, Revitalize Physical Therapy would love to help. Pre and post-partum related changes are among our specialties, and it would be an honor to ease you into motherhood as smoothly as possible.

                   ©2024 Revitalize Physical Therapy | 630 Fort Washington Ave, New York, NY 10040 | 214 W 85th St, New York, NY 10024 | 3736 Henry Hudson Pkwy, Bronx, NY 10463
732-595-1DPT (1378) | riva@revitalizephysicaltherapy.com

Stay Connected:
Site Design by GMCT Solutions LLC