What to expect on your first day at Pelvic PT

 

What to Expect on Your First Day of Pelvic Physical Therapy

I hear from a lot of friends and patients that they have no clue what Pelvic PT entails. It's a big barrier to people getting the help they need when they are scared to even try it. Here's an idea of what to expect when you walk into my clinic. 

First, We Talk

We sit down and have a chat about your symptoms, your medical history, and how your concerns are affecting your everyday life. We talk about your goals, your worries, your life, your schedule, your body... all the things. 

Depending on what's going on I'll ask you about:

• Pelvic or abdominal pain
• Urinary frequency, urgency, or leakage
• Constipation or bowel symptoms
• Pain with intimacy
• Pregnancy or postpartum recovery
• Menstrual or pelvic symptoms
• Hip, back, or tailbone pain
• Pelvic pressure or heaviness
• Previous surgeries, injuries, or treatments

Some of these questions can feel personal. That’s completely normal. 

You don’t have to feel embarrassed. Pelvic health is a physical-health issue, and these questions help your therapist understand the bigger picture. It's always up to you about how much you want to tell me, especially on day one!

The Assessment

After talking through your concerns, I will do a PT exam. 

This can include looking at your posture, breathing, movement, hips, abdomen, back, or other areas that may be contributing to your symptoms. This all starts with external things! An internal exam is not automatically required. If your therapist makes you feel like you HAVE to have this done, find a new therapist. Your therapist should explain why they recommend it, what it involves, and what you can expect before doing anything.

You have the right to ask questions, pause, or say no.

Your comfort and consent matter throughout the appointment. I ask permission MULTIPLE times. 

What About the Pelvic Floor Exam?

If an internal examination is appropriate for you and you agree to it, we talk through it beforehand. The goals of an internal exam are to assess things like muscle coordination, tension, strength, relaxation, tenderness, or how the pelvic floor muscles respond to movement and pressure.

And here's something important:

Pelvic PT isn't just about doing more Kegels.

For some people, the pelvic floor muscles may actually be too tense or have difficulty relaxing. In those cases, learning how to release and coordinate the muscles may be more important than strengthening them.

Treatment

My goal is always to have to you leave feeling better than when you walked in. My initial sessions are 1.5 hours so we have all the time to get to know each other, figure out what's going on, and give me time to start your treatment! 

Treatment could include:

• Manual therapy like soft tissue mobilization
• Cupping
• Graston
• Dry Needling
• Visceral mobilization
• Education on anatomy and function
• Movement and exercise

You’ll Leave With a Plan

By the end of your first appointment, I will know what direction to move toward. 

You might be given a few simple things to work on at home, such as:

• Breathing exercises
• Relaxation techniques
• Mobility exercises
• Posture or movement changes
• Bladder or bowel habits to track
• Pelvic floor coordination exercises
• Gentle strengthening

I see a lot of busy moms in my practice so I'm not one to send my patients home with a million exercises. Instead I try and carefully choose a few that would be the MOST beneficial for the time you have in your life. I work your routine into our plan, discuss how to make your gym time more efficient, and talk about what to be working on in your day to day. 

Your first visit is often about establishing a baseline and creating a treatment plan that makes sense for your body and your goals.

What Should You Wear?

Wear something comfortable that allows you to move easily.

You generally don't need to dress differently just because you're going to pelvic PT. If a pelvic exam is something we do I'll provide you with a sheet (NOT a piece of paper) to cover up with!

A Few Things You Can Do Before Your Appointment

It can help to think about what you want to get out of pelvic PT.

Before you go, consider:

What symptoms are bothering me the most?

When did they start?

What makes them better or worse?

What activities am I avoiding because of them?

What would I love to be able to do without worrying about my symptoms?

Writing down a few notes can make the conversation easier—especially if you're nervous or tend to forget things when you're in an appointment.

Most Importantly: You’re in Control

You can ask questions.

You can request an explanation.

You can tell me if something hurts.

You can ask to stop.

And you can say no to an examination or technique.

A good pelvic physical therapist will work with you, not just on you.

So if you're walking into your first appointment feeling nervous, take a breath. You don't need to know anything about pelvic PT beforehand.

Your job is simply to show up, share what you're experiencing, and start the conversation. You won't be sorry!! 

Check out what all the buzz is about! 

https://www.fayettevillepelvichealth.com/appointments/

The dreaded Postpartum Poop

                                                 

The First Poop. 

We all know what I'm talking about right? That first poop after you give birth. It's terrifying. It's horrifying. It makes you sweaty with fear and dread that you are going to poop out your insides or rip open every stitch they just put in you. Or was this just me??

Maybe that was a little too much information for you but I'm just being honest. I'm pretty sure I was more traumatized by the idea of pooping after I delivered my first baby than I was from the actual delivery. I was so scared, in fact, that I had the nurse come in multiple times and talk me off the ledge over it. She didn't actually come into the bathroom with me while I did it or anything, but she had to give me some pep talks. And all the stool softener.

Reality was not as scary as my imagination. I took the stool softeners they gave me and tried to go as soon as I had the urge. I think I was still taking Tylenol so it didn't hurt that much, but the anticipation was rough.

Had I been a practicing Pelvic Health PT back in the day, I would have been on my game and been psyched about my first poop. However, I knew nothing. If you aren't sure what exactly that is, click here for more info.

My friend and I are both really into pelvic health and
have taught some fun yoga workshops about digestive health.
We are also very good at pooping now. Just saying. 

Here's what pooping should be like:

• No pain with pooping
• Soft but fully formed easy to pass stool
• No straining or "bracing" needed
• Pooping between 3 times a day to 3 times a week (basically enough so that you don't feel icky in your belly but not so much that it's consuming your day)

Here are some tips on how to make that first poop less scary for you than it was for me: 

1. Stay hydrated: Stay on top of your water intake (you'll be doing that anyway if you choose to breastfeed). Hydration is key to helping your poops move properly and be solid. Soft but solid is ideal!!
2. Take the stool softeners: If you are able, take the pills y'all. It helps soften your stool to make it easier to pass and therefore less painful. 
3. Practice your breathing: If you follow me at all on Facebook or Instagram you'll know I'm big on breathing. Breathing deeply using your diaphragm is key to pelvic floor health. Breathing in the bed after you deliver will help relax your nervous system. This will then relax your muscles. Your pelvic floor is made of muscles. See how it works? So breathe. In the bed, while sitting up on the edge of the bed, and especially while on the toilet. Just slow down, close your eyes, and take some good belly breaths to relax the pelvic floor.
4. Exhale, huff, blow out the candles: If you're confused, let me put it this way - don't strain! Straining on the toilet can make things like prolapse, diastasis recti (abdominal separation), pain, or swelling worse. You can avoid this by making sure you are breathing instead of holding your breath on the toilet. Imagine blowing out candles across the hospital room or make "huff" sounds with your mouth. That will help increase the pressure in your belly while also avoiding the strain.
5. Use a trashcan: Again, that sounds confusing. Have you heard of the squatty potty? Well, most hospitals don't have one in the room which means you have to get creative. Take the trashcan in the bathroom and turn it on its side, then put your feet on top of it. You've just made a squatty potty for free!
   
   There is science behind this. In a nutshell, it helps relax your pelvic floor muscles so your rectum is nice and straight. Stool can just head straight on out this way instead of having to move around a curve. It's much easier. Trust me. Here's a video if you want a visual. Don't worry I'm not actually pooping in the video I swear. 
6. Go when you feel it: When you feel the urge, go. Don't hold your poop. I know how it is with a newborn, I do, but holding your poop only confuses your sphincters and your brain and it makes it harder to go the next time. Plus, the longer it sits in there the more water gets absorbed and the harder your stool gets. Not ideal. Often you'll be most likely to poop after your first meal of the day so have breakfast, a glass of lemon water, and then try and poop!

Every body is different. As in, your body is different from my body and my body is different from my BFF's body. Every birth is different. Every postpartum experience is different. I know these tips won't work for everyone. Then again, not everyone is terrified of the first poop. But if you are, be mindful of these things to minimize discomfort. Better yet, see a Pelvic PT before you give birth. And then after you give birth. Go here to find one near you or come check out my website here for more information about Pelvic Health in Fayetteville, NC! 

Lacy Kells PT, DPT  

Owner of Fayetteville Pelvic Health & Wellness

http://www.fayettevillepelvichealth.com

lacykells@fayettevillepelvichealth.comFollow me on Facebook: Lacy Kells PT, DPT orInstagram @lacykellspt and on YouTube at Fayetteville Pelvic Health

Maternity Leave in Real Life

This blog is a guest post that I got permission to adapt from Instagram. My best friend Ashley is currently on maternity leave with her second son and shared some thoughts as she is home working hard to keep baby boy happy and healthy. I love her real talk and her thoughts as processes going back to work. Enjoy! 

Maternity Leave. What does it look like? Is it a vacation? 

It’s such a weird thing, you go to school working toward a career for so many years, you bust your butt to grow within that career and then before you know it it's time to expand your family. As a mom, a lot of that initial change falls to you. When you find out you’re pregnant, everything changes.

You may not be telling people about the pregnancy yet, but it’s consuming all of your thoughts and plans. You wonder how this will change your family, yourself, your career progression. It’s a bittersweet source of anxiety at first.  Then you share your news, and somehow anything that happens in your career has a filter over it. Is this because I’m pregnant? Will my coworkers be mad at me for not pulling my weight? Will I lose out on opportunities because I chose to have a family??

Then you have the baby and it’s time for maternity leave. It’s a weird place to be, having worked so many years to be able to work every day in your field. Now you are at home, focused 24/7 on this tiny little person that has turned your life upside down. In so many ways it is SO. MUCH. HARDER. than daily work and in other ways it feels like you haven’t (can’t—sleep deprivation is real) use your brain anymore. 

We all know that maternity leave here in the US is pretty dreadful, I’m lucky that I can chose to take 3 months off, albeit unpaid. For me, I got only a super small percentage of my pay by filing short term disability (though can we all agree that having a baby is not a disability?!!?)

Lately,I’ve been thinking about this transition into motherhood. It’s so different the second time around. I love the newborn phase. Yes, it’s hard as hell. I’m tired, like super tired. And yet, my main responsibility and to-do list everyday is to take care of me and to take care of the baby. I can shift all my resources and energy to those goals.

I think the hardest part about motherhood for me was with my transition back to work. If I’m doing something, I’m going at it 100%, so with my return to work I didn’t want to halfway do it. I wanted to be just as on top of it as I was pre babies. And now I have this new focus of being a great mom whenever I’m home, which is hard when you are awake every 45 minutes the night before (yup, that's what my firstborn did for a while when I first went back to work). Nighttimes get more stressful because I’m always thinking about how it’s going to affect my performance at work the next day.  I’m short with my kid and my husband because of this stress and because I’m just. so. tired. By the end of the week I remember laying on my kitchen floor, staring at the ceiling too tired to make dinner, yet arguing with my husband because I didn’t want to order food in (it would mess up the budget (#realtalk here)).

What about you guys? What was easier for you? The early newborn days or later in the game when life got busier (like the return to work or other obligations??)

#momlife #realtalk #fourthtrimester #newborn #womeninhealthcare #momsinhealthcare #workingmom #sleeptraining #sleepdeprivation

Dr. Ashley Chandler is a Physical Therapist currently on maternity leave after the birth of her second son. She is a Certified Oncology Specialist and Certified Manual Therapist who is passionate about Oncology rehab and Lymphedema management. She is a wife and a mom to two awesome boys and a very fluffy Golden Doodle. Find her on Instagram @ashleychandleryoga or on Facebook at Ashley Chandler PT, DPT, CLT

I am a Lacy Kells, a Pelvic Health Physical Therapist with a passion for informing women (and men) on the completely amazing subject of Pelvic Health.

Owner, Fayetteville Pelvic Health and Wellness

http://www.fayettevillepelvichealth.com
lacykells@fayettevillepelvichealth.com

Follow me on Facebook: Lacy Kells PT, DPT or Instagram @lacykellspt and on YouTube  at Fayetteville Pelvic Health and Wellness. 

Exhale on the Effort! Why?? Watch to find out.

I often see women who are very active but are dealing with some pelvic floor issues despite feeling pretty strong. Very often, they are exercising regularly, lifting weights, doing things that they feel like should keep them from having pelvic floor issues yet they find themselves in the clinic for help.

Well, here's the thing. We can be strong and powerful yet still be compensating with our movements in a way that causes some dysfunction. Often, it's about pressure management through our core. Breathing properly can be such a big help in managing pressures through our abdomen so that we can prevent things like prolapse or leaking! While it's always more complicated that simply exhaling, sometimes it can be a good first step in getting yourself on track to stop leaking or prevent prolapse or worsening of your diastasis! I hope this video helps you get started and as always, find a pelvic PT asap to take a look and get you on track!




Lacy Kells PT, DPT
http://www.fayettevillepelvichealth.com


Owner of Fayetteville Pelvic Health & Wellness
lacykells@fayettevillepelvichealth.com

Follow me on Facebook: Lacy Kells PT, DPT or
Instagram @lacykellspt and on YouTube 

Real life motherhood from a real life awesome mom.

Night sweats, tearing, fecal leaking, milk letdown... All the things you may not have known about prior to having babies. Things that aren't talked about but that are real issues we deal with postpartum.

Postpartum anxiety and depression

My good friend and colleague Ashley Chandler recently delivered her second son. For some, that means a little less anxiety after having gone through this whole thing once before. However, that doesn't mean things are all peaches and cream. I asked her to make some videos about motherhood and how she is doing the second time around. I gave her no direction at all to see what issues felt most important to her and the first thing she wanted to talk about was postpartum depression and anxiety.



Postpartum depression and anxiety are not things that we choose to suffer from. They are chemical and/or hormonal imbalances that can make us feel awful, sad, insane, angry, scared, worried, even suicidal. They aren't things we can just sleep away (though sleep deprivation does play into these issues). They are legitimate problems that moms can suffer from in the postpartum period, and it's not always recognized. Very often moms don't realize they may be dealing with these issues until they are past them. And let's be honest, that is no way to live out the early postpartum days. Below is the video she made describing her experience with depression and anxiety. For more videos check out our website or find us on YouTube.

Hopefully your provider has given you a little handout to go through that screens for depression. I must have taken it in the early days after I had my first child, but I can tell you right now it didn't pick up on how bad I was suffering. I think, in retrospect, it was probably more anxiety clouding my brain, but I know I had a bit of both even so.



If you don't know if you've filled out the scale to screen for depression, here is one example.  It's quick but if you have 10 or more points you may want to ask your doc about it. Anxiety is another issue. Here is a scale that you can take if you thing you may have postpartum anxiety. Mild to moderate is 21-41 points and severe is 42 and up.



If you have even a tiny bit of doubt that you aren't okay, ask your obstetrician. Tell your PT. Call your mother or your girlfriends or your priest. Just don't suffer in silence. These issues are SO common, yet we all feel shame over discussing it. Admitting your aren't okay feels so vulnerable so many women hide it. It's too bad, because there is help out there. Whether it's meds or therapy, hormone balancing or exercise, diet or essential oils, there is lots out there to help make you feel better, healthier, stronger. And by all means, get evaluated by a PT so that your new body works as well as it can. Feeling depressed over time because you are limited by incontinence, pelvic pain, prolapse, diastasis recti is no way to live either. Check out  https://www.fayettevillepelvichealth.com/blog for more information about what we offer as Pelvic Health physical therapists.










Lacy Kells PT, DPT
http://www.fayettevillepelvichealth.com


Owner of Fayetteville Pelvic Health & Wellness
lacykells@fayettevillepelvichealth.com

Follow me on Facebook: Lacy Kells PT, DPT or
Instagram @lacykellspt and on YouTube 

Standing quad stretch

What exactly is a C-section?

6 years ago I had a scheduled Cesarean birth. Baby B was breech and I just didn't want to risk complications, so we had our twin daughters on our OB's lunch hour. All went well as far as I knew, but back then, I didn't ask many questions. I didn't know what to ask really. I certainly didn't care about how the cesarean was done, I just cared about two healthy babies and a good recovery. Knowing what I now know as a Pelvic PT, I still would have opted for the C-section, but I would have done some rehab as well afterward.


I have included a video I made on C-section birth and how it's done using felt and it's SUPER cool so check it out. The physician cuts through skin, fat, fascia, separates the muscles, cuts through the peritoneum (connective tissue in your abdomen), uterus and amniotic sac all before getting to baby. That's a lot of layers to heal! And every layer has the potential to develop more scar tissue than is ideal. I mean, some scar tissue is essential of course, but if things aren't moving well or if there's excessive amounts, we can run into issues.


For me, it's back pain. When my scar gets sticky and bound down, my abdominal wall does not work as well as it could, and my low back muscles start to freak out and overwork themselves. That, then, leads to low back pain at the very best. At worst, it's pain in my back, butt, and leg.


If you are wondering why this would happen if they don't cut through muscles, it's because muscles, fascia, bones are all connected. If one layer of tissue can't move properly, nothing else can work at its best. The solution? Honestly, it's PT. I'm not just saying that because I am a PT. It's that pelvic health physical therapists know exactly how to assess you and your movement. So after a big abdominal surgery, we know what is safe for you to work on right away, what things you can start to work on as time goes on, and what to teach you for the future so you can continue to live your best life. Pelvic PT is not just about the pelvic floor. Yes, that's a component, but you do NOT have to have had a vaginal delivery to see a Pelvic PT. We are also experts in the rest of your body!


So, if you have pain and have a history of a C-section birth, find a PT.
If you are scheduled for a Cesarean section, find a PT to prepare.
If you are worried about a Cesarean, find a PT.
If you just had a C-section, find a PT.


Do yourself a big favor and take your health and wellness into your own hands. There are Physical Therapists out there who don't need a referral, so you won't have to fight for your right to see one of us. There are so many physicians out there who are more than happy to send you to a PT if you ask. So use your momma bear voice and your mom smarts and find one near you! If you want more info about what we do and more about my own practice, check out my website!












Lacy Kells PT, DPT
http://www.fayettevillepelvichealth.com


Owner of Fayetteville Pelvic Health & Wellness
lacykells@fayettevillepelvichealth.com

Follow me on Facebook: Lacy Kells PT, DPT or
Instagram @lacykellspt

Standing hamstring stretch

Sit to stands for a quick desk exercise!

I’m pregnant. Should i wait until after delivery to see you?

Stress and Pain

What is dry needling? Do I need it?

I'm not sure what day it is but I know that can't be a good thing.

Motherhood. The most maddening, exhausting, often thankless but also the most incredible, gratifying, joyful job in the whole world. And it can go from one extreme to the other in a matter of seconds. This rollercoaster ride is exhausting even on a good day and it doesn't take long to learn that just with every new phase comes new challenges and rewards. It never ends. It's a burden that never lets up. There are no vacation days and even if you do get a "break," you are never fully removed from your duties because it's impossible to turn off that part of your brain and your heart.

I know that I don't speak for everyone when I describe the ups and downs of motherhood, but I also know that if any of my closest friends read the above statements they'd agree. Which means there's probably a lot of women who feel this way about being a mom. And if a chunk of us can acknowlege the incredible challenges of motherhood, why do we continue to add the burdens of perfection to our plates? It's heavy enough just trying to do the mininum. Most of us want to do better than the bare minimum as mothers but it's really hard. Society pressures us to do more, be better, curl our hair, put on makeup, bake for the bake sale, be on all the committees, do it all. It's too much. At least for some of us who already deal with mental health issues like anxiety and depression and fear and constant worry.

I had a crazy week last week and it was obvious that I wasn't handling the stress of life all that well. I spent Tuesday thinking it was Wednesday, Wednesday thinking it was Thursday, and then Saturday I got the time of a work talk mixed up and was late. This is not okay when you are a new business in town trying to make a good impression. Of course, all of these things were my own fault. I could, for instance, have just pointed my eyeballs onto my phone to see what day it was and certainly could have double and triple checked the time of my event on Saturday.

But look, I don't think our mom brains are designed to be this busy, have this many pressures on us. Today, we are expected to work (many of us full time), be the best Pinterest mom out there, look put together, act put together, get kids to 1 million activities on time with the right snacks, join the right clubs or church or boards. It's too much. Social media is too much. It's all just too much. How is this okay? How is okay to have a brain so cluttered with information and worries that you literally don't know what day it is for TWO FULL DAYS.

Now, I need to say that I realize this is not everyone. Not everyone struggles with anxiety and has a hard time functioning on overdrive. I know many incredible women and mothers who are their best selves when they are going full throttle all the time. Moms who crave that instead of recoil from it. For me, that breaks me down. I crave silence, peace, solitude in order to recharge my batteries. That's why this past week was such a signal to me to slow it down.

I spend several minutes in my birth classes telling my mommas that they have to allow their bodies to heal after childbirth. That it takes over a year for our bodies to heal from pregnancy and birth, often longer since we end up having to go back to work so quickly despite lack of sleep, continued tissue trauma, pain, etc. I'm very good at telling other moms to give themselves grace. I tell them to be kind to themselves, to allow themselves to be imperfect. Yet here I am, late for an important event because I've allowed myself to be overwhelmed. I've allowed myself to say yes to everything in an effort to please everyone. The result is that no one gets my best self. Not my clients, not my husband, not my kids, not me.

This is not sustainable. I can't be everything to every person. It's true, I just started a business and that is important. My friends are important. My church and my kids' school is important. But for this season, I'm supposed to be a mother. My number one priority changed when my son was born, and sometimes I have to remember that it's okay to say no, to set boundaries, to walk through Harris Teeter without makeup if it means I was able to quiet the chaos of my mind for a bit so I can be a better mom and wife.

I have decided already that my New Year's resolution for 2020 is going to be setting more intentional goals for each week as well as boundaries for what we as a family can commit to. I know it won't be easy, but I know that I have to practice what I preach for the good of my kids and my family. It means quieting my anxiety-ridden brain so that I can be a better PT for my patients who need that from me. It means being a better friend when my village needs me. It means saying yes to myself and motherhood and no to some of the noise. We'll see how it goes. Just remember, none of us know what another mom is going through, how she feels inside. We are very good at faking it. We are great at pretending to have it together, when sometimes it becomes obvious that we don't. Sometimes our friend has to text us to tell us what day it is, and that's when you know you need to regroup and reset your priorities. At least, for me that's a telltale sign.

Fayetteville Pelvic Health & Wellness
Lacy Kells PT, DPT
Owner

lacykells@fayettevillepelvichealth.com
910-309-3726


Follow me on Facebook: Lacy Kells PT, DPT
Follow me on Instagram: @lacykellspt

Website coming soon!!
www.fayettevillepelvichealth.com

Breathing break

What is dry needling? Do I need it?

Posture Reset

Arachnophobia and the Damp Panties

It's October and my son is obsessed with holiday decorating. We have a Halloween light show set to music currently set up in our front yard and this is just a tiny little warm up for his Christmas spectacular that will be coming soon to the lucky people of our neighborhood....Sorry y'all.

Part of his decor includes a couple of small spiders. Spiders are my number 1 fear in the entire world. I hate them, I can sense them near me, I can't look at them. It's a legitimate phobia and my children think that it's hilarious to hold up a fake tarantula near me and watch my terror. Super fun.

Here's the thing-  lots of women would not only be freaked out by the arachnic near their shoulder but also be freaked out by the fact that screaming and jumping would cause leaking. The case of the damp panties. No one wants to walk around Spirit Halloween in damp panties y'all. No one. And guess what, WE DON'T HAVE TO.

Did you get that? IT'S NEVER NORMAL TO PEE ON YOURSELF.

Even if there's a disgusting hairy fake spider near you and you'd rather curl up and die than have it touching your body. Even then. Not okay to pee.

What causes us to leak urine? 
1. Well, it could be weak pelvic floor muscles. Often, the muscles in our pelvic floor don't do a great job of keeping pressure on the urethra and keeping our pee inside of us. Our urethras are shorter than mens' so there's not as much distance between our bladders and the outside of our bodies unfortunately. The downward pressure of the shriek, cough, jump, sneeze can overcome the muscles and allow pee to squirt out.

2. Sometimes, the muscles are strong but get tired easily. Do you notice that you leak more at the end of the day? Your muscles may have good power, but get fatigued and just can't help you as much at the end of a busy day. This can cause leaking as well!

3. There is also the case of the tight muscles. A big number of us women are actually weak because our muscles are tight. Our muscles are too tense to work well for us, so when we try and use them they just can't get that good power behind them. Plus, when we cough, sneeze, run from a tarantula, the muscles are so tight that they can't let go to help take the load. Think of it like a trampoline. When you land on the trampoline, it gives a little before bouncing you back into the air. This is similar to how it works when you jump or laugh, the pelvic floor has to give a little before activating and lifting back up. If it can't, then you are jumping up and down on a firm floor and you are going to leak.




So, the next time your darling children, neighbor's children, grandchildren, students come at you with a horrifying beast such as a fake arachnid (or snake, frog, ghoul and ghost, whatever makes you recoil in fear), take a minute to think about your panties. Are they damp? If so, you know there's a little something that can use some attention in your pelvic floor!! Kegels may or may NOT be the answer for you and there IS a right way to Kegel, so get the help you need so that next Halloween even the nastiest eight legged creature won't scare the pee out of you!

Fayetteville Pelvic Health & Wellness
Lacy Kells, owner

lacykells@fayettevillepelvichealth.com
910-309-3726


Follow me on Facebook: Lacy Kells PT, DPT
Follow me on Instagram: @lacykellspt

Website coming soon!!
www.fayettevillepelvichealth.com