Heal your body, from the inside out!

May allwho enter,leave inspired.

Do you notice changes in your body? Are you experiencing aches, pains or weakness that wasn’t there before?
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You may feel like this is just your new normal or that there’s so much you can’t control.
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Whether you’ve just given birth, are dealing with a sports injury or just want to be stronger … there’s a lot you can do to strengthen your body from the inside out!
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We are huge advocates for empowering our patients with knowledge about their bodies and how they work. We are passionate about creating an environment that is both comfortable and a place to strengthen and help you reach your individual goals.
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The more you know about your body, the better you can take care of it and see changes that occur. You’ll feel great — and your body will thank you too!

The limited role opioids play in treating chronic pain

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Potentially addictive opioid💊 painkillers are often prescribed for chronic pain, but they actually work only slightly better than placebo pills, a new review shows.
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The analysis, of 96 clinical trials, found that on average, opioids made only a small difference for people with conditions like osteoarthritis, fibromyalgia and sciatica.

“Opioids should not be a first-line therapy for chronic, non-cancer pain,” said lead researcher Jason Busse, of the Institute for Pain Research and Care at McMaster University, in Canada.

Dr. Michael Ashburn, a pain medicine specialist at the University of Pennsylvania, in Philadelphia, agreed.

“This is confirmation of the limited role opioids play in treating chronic, non-cancer pain,” Ashburn said.

So what are the alternatives?

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Overall, his team found, opioids were no better than non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen.

But, he stressed, there are also non-drug options — including physical therapy🧘, exercise, acupuncture and cognitive behavioral therapy.

Happy 17th Birthday To Us!

 

17 years

It has been a pleasure serving the RVA community for 17 years! Thank you for your support!

 

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First private physical therapy practice focusing solely on pelvic health & women’s health conditions

 

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Established the second APTA credentialed Women’s Health Residency

 

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Ongoing mentoring programs for students from many top Universities

 

 

FEMME

Developed and patented the FEMME, an orthotic to support those with prolapse, incontinence, or challenging exercise

 

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Co-author of Mommy and Me Pilates exercise guide

 

 

 

 

 

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Developed the Postpartum Strong® Program for women during the maternal year.

 

 

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Presenter of research and lectures at American College of Obstetrics and College, International Pelvic Pain Society, Nurse Practitioners Women’s Health Annual Meeting, American Pain Society, International Society for the study of Female Sexual Health

 

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Interviewed by Richmond Times Dispatch, Virginia Morning Show & CBS to name a few!

 

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Tupler Technique® program offered for women who have diastasis recti

Having a Baby is Like an Athletic Event.

Having a baby is like an athletic event. Women across the world routinely see a musculoskeletal specialist, a physical therapist, to decrease pain and increase function. Most insurance companies will pay for (1).png

Women across the world 🌎 routinely see a musculoskeletal specialist, a physical therapist, not just for sports injury and ortho rehab… but to decrease pain and increase function, after having a baby! 👶
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This is why we created Postpartum Strong . . . a specialized and individualized program for women during their last trimester of pregnancy🤰, and during the postpartum period🤱 (which could be 2 days or 20 years!), to strengthen their bodies from the inside out!
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No matter what your goal is after having a baby …. a triathlon🚴 or picking your baby up without pain💪 …. we are here to support you!
. (Psst …Most insurance companies will pay for postpartum physical therapy!)

“How Can I Have Faster Recovery Post-Baby?”

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Sit-ups, planks, burpees, tons of cardio, barre, Pilates, CrossFit and/or HIIT routines…? 💦
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Actually, (and according to research-based studies) your body recovers faster when you -first- strengthen from the inside out.
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This may mean doing exercises that feel so gentle, you may not feel like you are exercising at all. 🧘
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After having a baby👶, focusing on regaining strength, endurance and coordination of your pelvic floor muscles, in combination with your deep trunk muscles, is a MUST.
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Being able to properly engage your pelvic floor muscles means you will reduce your risk for so many issues down the road (or current ones), like abdominal muscle separation (#diastasis), bladder leakage when exercising, coughing, laughing and sneezing, prolapse and painful or unsatisfying intercourse.
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Wow! Who knew that not sweating profusely 💦 could have such a huge impact on post-baby recovery!!💃
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If you are planning on starting an exercise program or gym routine – PLEASE – get a pelvic floor exam first and coordinate care with a pelvic floor physical therapist. 🌺

The Role of Physical Therapy After Surgery and During Cancer Treatment

U.S. Breast Cancer Statistics. About 1 in 8 U.S. women (about 12.4%) will develop invasive breast cancer over the course of her lifetime. ... About 2,550 new cases of invasive breast cancer are expected to be di.png

The goal of physical therapy after surgery and during cancer treatment (radiation, chemotherapy) is to minimize side effects and to optimize function.
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Physical Therapy interventions include:
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Manual Therapy: Manual Therapy is defined as skilled hands on treatment to the joints, muscles, fascia and scar. This can help with restricted range of motion, pain and swelling.
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Lymphedema Treatment: This treatment includes manual lymphatic drainage, compression bandaging, evaluation for garments, and instruction in exercise and self-care.
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Postural Training: Physical therapy will address the postural changes after surgery with postural specific exercises and ergonomic assessments.
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Exercise: Exercise through all the phases (prior, during and after) is of vital importance and has been proven to minimize, or eliminate the side effects of treatment.
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Physical therapy will provide an individualized programs with specific goals.
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Sources: http://www.breastcancer.org/symptoms/understand_bc/statistics
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Bearskens CH et al: The effeicacy of physiotherapy upon shoulder function following axillary dissection in breast cancer, a randomized controlled study. August 2007 volume 7: 166
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Courneya KS, Mackey JR, Jones LW. Coping with Cancer: Can Exercise Help? The Physician and Sportsmedicine (28)5, 2000

Post-Birth Plan?

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There is a lot of pressure on women, post-delivery, to just “snap back”. There is also a lot of conflicting info out there on how to go about healing and strengthening after having a baby.
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Getting a postpartum musculoskeletal assessment is a crucial step in helping to identify weaknesses, dysfunctions, and help with your post-delivery recovery. Best of all, this assures that you are being proactive against common issues like diastasis, bladder leakage, pelvic pain, painful intercourse, and prolapse.
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Does insurance cover this? The short answer is, YES! This assessment and therapy are covered under most insurance’s physical therapy benefits. If you want to know if your plan covers this, please feel free to contact us!

You really want to join in but … leakage.

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➡️”Mom, come jump with me on the trampoline!”⬅️strikes fear in your heart😱, you may benefit from a little pelvic floor TLC!
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If this is you, you’re not alone …. bladder leakage is common but NOT normal! There are many other options available, that do not require surgery, medication or wearing pads everyday. (Important note: ⭐Most insurances cover this therapy!)
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If you are experiencing bladder leakage, pressure in your pelvis, uncomfortable/un-pleasurable sex, “mummy tummy”, and/or low back pain . . . Get a Musculoskeletal Exam with a pelvic floor physical therapist!
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Pelvic floor physical therapists are specially trained to evaluate your specific needs and come up with a plan that will help you reach your goals (and get you back on your trampoline game!) 🤸‍♀️

Ensuring Support for Breastfeeding Families

Breastfeeding is an amazing commitment that comes with many challenges and rewards. The benefits of breastfeeding are endless for both mother and baby, from protection from infectious diseases, to cardiovascular health benefits, to improving mental health and confidence for parents (Horta, 2007).  In 2003, the World Health Organization recommended infants be exclusively breastfed until six months of age, with breastfeeding continuing as an important part of the infant’s diet until at least two years of age.  To ensure families have every opportunity to meet this recommendation and their individual breastfeeding goals, families need support.

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When serious questions arise, such as pain, infection, low milk supply, or variety of other concerns, the 2011 Surgeon General’s Call to Action to Support Breastfeeding recommends that all families have access to services provided by Internationally Board Certified Lactation Consultants (IBCLCs).  With the teamwork of IBCLC’s, pediatricians, and close family and friends, breastfeeding mothers can find confidence in reaching their breastfeeding goals.

It is an honor to be serving families around the Richmond Virginia community.  Through the Happy Latch breastfeeding program, parents can gain confidence in breastfeeding with baby led techniques, individualized to each mother-baby couple.  Respecting the needs and feelings of both mother and baby is essential to making the breastfeeding relationship successful.

Tips for mothers who are interested in breastfeeding

Mother breastfeeding her baby

1) To have the best outcome, a breastfeeding mother is encouraged to breastfeed her new baby a minimum of eight to twelve times daily.  Mothers who continue to nurse their babies at frequent, unrestricted intervals are more likely to establish a good milk supply then mothers who nurse on a restricted feeding schedule.

2) Be sure your baby is nursing effectively.  Do you feel your breasts are softer and lighter after you baby nurses? Can you hear your baby swallow?  Do you feel a gentle tugging at your breast?  It is important for mothers to look for signs of productive milk removal at every feeding.  If you have sore or cracked nipples, this may be an indicator of an incorrect latch.

3) Look for dirty diapers as a sign your baby is getting enough.  By day 3, your baby should be having a minimum of 3 stools per day, and 5-6 wet diapers per day.  If you think your baby is not waking up for feedings, try skin to skin care, and breast compressions to keep your baby interested in breastfeeding.

4) If you are separated from your baby due to prematurity, illness, or other condition, milk must be removed from your breasts by means other than your baby’s feeding, otherwise your milk supplying hormones will shut down.  In these situations, remember to pump your milk with an electric/ or hospital grade pump a minimum of 8 times daily.

 

In regards to Insurance coverage for breastfeeding care:

Private healthcare insurance companies are all doing different things with the new ACA Breastfeeding regulations, as specified under “Women’s Preventative Services”; since the law is not specific, as well many insurance companies don’t know about IBCLCs. They know little about lactation or how to best comply with the new law. Differences in how insurance companies are trying to comply with the new law are being reported with no consistency; many differences by insurance company or different policies by the same company, even differences from state to state are being reported.

You may want to call your insurance company and ask them what they can offer you under your plan in accordance with the ACA Women’s Preventative Services for “comprehensive lactation support and counseling.”

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Knowing your rights to obtain coverage for breastfeeding care goes a long way to ensure you have access to care throughout your breastfeeding journey.

For a list of breastfeeding professionals in your local area, you can use the IBCLC directory:

http://www.ilca.org/why-ibclc/falc

or

https://uslca.org/resources/find-a-lactation-consultant-map#!directory/map

happy latch.pngAll women should be offered support to breastfeed their babies with an individualized support system to include family, friends, employers, and medical professionals.   By affording this standard of care to all breastfeeding women, we can increase the duration and exclusivity of breastfeeding.

 


 

A little bit about the author of this blog post . . . !

pricilla moorePriscilla Moore, owner of Happy Latch, is an International Board Certified Lactation Consultant (IBCLC), the gold standard in advanced practice lactation care!

She’s served families all over the world through nursing and lactation support, both in the hospital, and at home with long term care plans.

As a nurse, she utilizes evidence based practice to care for each family.  As a private practice provider, she is available 24 hours a day to your family. Priscilla is passionate about helping to implement an effective, and healthy feeding routine for you and your infant!

 

A New Paradigm for Postpartum Care!

ACOG Redesigns Postpartum Care

Given the urgent need to reduce severe maternal morbidity and mortality, the American College of Obstetricians and Gynecologists (ACOG) released today a revised Committee Opinion to reinforce the importance of the “fourth trimester,” and to propose a new paradigm for postpartum care. Redefining postpartum care is an initiative set forth by ACOG President Haywood L. Brown, M.D.

Previously, ACOG recommended a comprehensive postpartum visit take place within the first six weeks after birth. ACOG now recommends that postpartum care should be an ongoing process, rather than a single encounter and that all women have contact with their ob-gyns or other obstetric care providers within the first three weeks postpartum.

Timely follow-up is particularly important for women with chronic medical conditions. The initial assessment should be followed up with ongoing care as needed, concluding with a comprehensive postpartum visit no later than 12 weeks after birth. This visit should serve as a transition to ongoing well-woman care and the timing of the visit should be individualized, woman-centered and the follow-up should include a full assessment of the following:

• mood and emotional well-being
• infant care and feeding
• sexuality contraception and birth spacing
• sleep and fatigue
• physical recovery from birth
• chronic disease management
• health maintenance

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The weeks following birth are a critical period for a woman and her infant, setting the stage for long-term health and well-being. During this time, a woman is adapting to multiple physical, social and psychological changes. She is recovering from childbirth, adjusting to changing hormones and learning to feed and care for her newborn. Postpartum care visits with ob-gyns or other obstetric care providers can help women navigate the new challenges of motherhood. To optimize the health of women and infants, postpartum care should become an ongoing process, rather than a single encounter, with services and support tailored to each woman’s individual needs.

“New mothers need ongoing care during the ‘fourth trimester.’ We want to replace the one-off checkup at six weeks with a period of sustained, holistic support for growing families,” said Alison Stuebe, M.D., lead author of the Committee Opinion. “Our goal is for every new family to have a comprehensive care plan and a care team that supports the mother’s strengths and addresses her multiple, intersecting needs following birth.”

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Currently, as many as 40 percent of women who have given birth do not attend a postpartum visit. Underutilization of postpartum care impedes management of chronic health conditions and access to effective contraception, which increases the risk of short interval pregnancy and preterm birth. Attendance rates are lower among populations with limited resources, which contributes to health disparities.

“This revised guidance is important because the new recommended structure is intended to consider and cater to the postpartum needs of all women, including those most at risk of falling out of care,” stated Dr. Brown. “As the nation’s leading group of physicians providing health care for women, we must use the postpartum period as gateway opportunity to counsel women on long-term health implications.”

RVA's #1Choice for Moms

While postpartum care visits occur after delivery, obstetric providers should begin counseling their patients during pregnancy. Prenatal discussions should include the woman’s reproductive life plans, including the desire for and timing of any future pregnancies.

Committee Opinion #736, “Optimizing Postpartum Care” is published in the May issue of Obstetrics & Gynecology.

The Committee Opinion includes the following link to resources: https://www.acog.org/More-Info/OptimizingPostpartumCare.

Source: https://www.acog.org/About-ACOG/News-Room/News-Releases/2018/ACOG-Redesigns-Postpartum-Care