Online Educational & Empowerment Course for Women Suffering with PGAD &/or Vulvodynia

therapy

A unique program designed for a small group of women (15) who suffer with PGAD and chronic vulvar pain.  From the comfort of your home, you’ll have the opportunity to connect with each other in a safe environment, using private encrypted meeting platform (Zoom.us) while learning evidence-based therapeutic solutions for both your physical and emotional healing process. Each class is 2 hours held every 2 weeks for a total of eight(8) classes over a four month time period.

Health care experts from the fields of physical therapy and social work will be teaching this one of a kind program: Evelyn Hecht, PT, ATC and Eva Margot Kant LCSW-R . Their combined 35 years of experience will help you learn effective self-help tools for your mind and body while connecting and supporting each other on your journey to health.

Evelyn Hecht, PT, ATC owner of EMH Physical Therapy has been treating women with pelvic pain and sexual dysfunction for 20 years. She and her team of Doctor of Physical Therapists will be teaching self-care techniques and exercises that can be easily implemented into your healing routine.   The DPT’s will will answer questions about physical symptoms and exercises to the best of their virtual ability.

Physical therapy topics will include

  • Breathing and Meditation
  • Symptom Tracking to identify triggers and solutions
  • Pelvic Floor stretching exercises
  • Neuroplasticity – break the pain cycle

Eva Margot Kant, LCSW-R is a compassionate sex/psychotherapist in private practice with 15 years counseling patients with chronic and sexual pain. She helps clients navigate life’s transitions, address fears and questions about chronic illness/pain.  As a group therapy facilitator, she has worked with organizations including the American Cancer Society and National Multiple Sclerosis Society. Eva teaches courses on sexuality at Columbia University Graduate School of Social Work.

Talk therapy topics will include:

  • Fear
  • Avoidance
  • Mindfulness Based Stress Reduction (MBSR)
  • Educating the Clinician
  • Sharing Information to Loved Ones
  • Dating/Love Relationships

Additional Experts may be incorporated into the separate groups to share information and resources.

Course Details

Length of Online Group Class: 7PM to 9PM Eastern Standard Time

Start Date: Thursday January 19, 2017

2017 Class schedule:  1/19, 2/2, 2/16, 3/2, 3/16, 3/30, 4/13, 4/27

Number of Classes:  Eight (8) classes over a 4 month period January thru April 2017

Cost: Each two hour class is $40.00 per person.  You must register and pre pay for  all 8 classes, at a cost of $320 per person one week prior to the first class.  The price of attending one personal session with a counselor or physical therapist can range between $80 to $250 per hour, depending on where you live. This program offers you access to speak to and learn from a pelvic physical therapy professional with experience treating PGAD, vulvodynia and a clinical social worker seasoned in treating sexual issues and chronic pain for a total of 16 hours at a reduced rate of $320.

While Online Educational & Empowerment Course for Women with PGAD &/or Vulvodynia  does not substitute for individualized therapy, the evidence-based strategies, techniques and support you will gain without leaving the comfort of your home is a one of kind opportunity.

Online Educational & Empowerment Course for Women with PGAD &/or Vulvodynia welcomes a maximum of 15 attendees.

To Register: contact Cindy or Star at (212) 288-2242. Payment is accepted by check, no credit cards. Write check to “Evelyn Hecht, PT” in the amount of $320 and mail to following address:

Evelyn Hecht, PT,1317 Third Avenue,9th Floor, New York, NY 10021

Payment in full is due by January 12, 2017.

Space is limited, so please Sign Up Today

This course will only be conducted with a registration of 15 women.  If the course is cancelled, all monies will be refunded.

For additional questions, please email: info@emhphysicaltherapy.com or call  (212) 288-2242

 

 

Tips for regaining firm abs and pelvic floor for all Moms

As a licensed physical therapist specializing in pelvic floor and core dysfunction, I treat women who experience pelvic pain, sexual pain, leaking, constipation, urinary urgency, have restricted C-section/episiotomy scars and  weak pelvic and core muscles, months or years after delivering their children (Vaginal or C-Section).

If all moms consulted a physical therapist soon after giving birth, this is what I would teach:

1)   To prevent leaking urine or feces, or future prolapses of the bladder or rectum, do pelvic floor strengthening exercises (if there is no pelvic pain). Many women do not know how to recruit these small muscles surrounding the vaginal and anal region.  Some either hold their breath, or tighten their inner thighs, gluteal and abdominal muscles when doing the pelvic floor muscle contraction.  A licensed PT can guide on how to recruit these muscles without substitution via our manual and biofeedback therapies.

Pelvic Floor Strength Exercise: Contract the pelvic floor muscles (squeeze the anal and vaginal regions) for up to 10 full seconds (one – one thousand, two -one-thousand, etc). Then, more importantly, relax,  completely let go of the contraction, softening for up to 20 seconds. If 10 second contraction and 20 second relaxation is too much, start with 5 seconds contraction and 10 second relaxation. Do this exercise 10 times, once in the morning and once at the end of the day. They can be performed in lying, sitting even standing (once you are good at the exercise).

2) To reduce pelvic pain, breathe and relax your pelvic floor muscles.  Slow deep breathing, produces a calming effect on your muscles, heart, and brain activity. It also gently massages the abdominal contents. If you have pelvic/lower back/hip/groin or abdominal pain, consult with your doctor first and then see a pelvic physical therapist for our targeted therapies and exercises to reduce pain and regain function.

Diaphragmatic Breath Exercise:  Inhale for 5 seconds, hold the inhale for 5 seconds, exhale for 5 seconds. Repeat 2 times, twice a day or as needed.  During your inhalation, allow your stomach to expand or balloon to allow the diaphragm to descend which  fills the lungs with oxygen. As the stomach expands, think letting the pelvic floor muscles widen, soften (no pushing outward!).  As you exhale, allow the stomach to contract and see if you can keep your pelvic floor muscles relaxed.

3) To reduce your belly post baby, reduce the DR or “diastasis rectus”, which is the separation of the two long rectus abdominal muscles as the baby grew in utero, you can wear a compression garment and strengthen your lower abdominal muscles.  The abdominal binders and/or compression shorts that support the pelvic floor can be worn daily during and after delivery to prevent further widening of the DR.

Core Exercise: Breathe in. Breathe out and think of zipping up a tight pair of jeans.  There should be no major movement of your spine, just the lower abdominal region moving “up and in” as it tightens. Hold this for 5 seconds. Breath in as you release.  Breathe out as you tighten and hold.  Repeat 10 times. Do this 5 times throughout the day.  A physical therapist can help with your DR by modifying the exercise. This can be done during pregnancy to minimize the DR and keep a strong core.

4) To prevent binding of fascia, abdominal restrictions and  pain, mobilize your C-section scar.

Scar Tissue Massage: Gently press your fingers against the scar and pull the scar in a upward direction and hold the end range for a minute. Then move downwards, to the R, and L sides, holding the end range of each direction for a minute, until you feel less burning, less tension. Eventually you can try to pick up the scar up in-between your thumb and fingers to lift the scar away from your body, affording more stretch.  For perineal scars, your physical therapist can perform manual therapies and guide you in self perineal stretches and use of a dilator to help increase the flexibility of the scar.

5) To return to pain free intercourse, if painful due to episiotomy scar, your physical therapist can perform intravaginal manual therapy, scar mobilization and teach you how to gradually and painlessly stretch your vaginal area with dilators.

Along with postural exercises, instruction on how to lift, carry and feed baby, your physical therapist can help you regain your body, prepare for another child and most importantly, prevent the pain and other issues that so many of our mothers took for granted as a “normal part of having babies”.

 

 

 

 

Pelvic Health Physical Therapy app Launches November 2013

Watch for the launch of my new app: “Pelvic Health PT, The Hecht Program“. Launch Date: November 2013!!

Pelvic floor dysfunction (PFD) affects women (6 out of 10) and men (#’s unknown) and includes painful intercourse (women), painful or lack of erection (men),  constipation, incontinence after prostatectomy surgery (men), leaking of urine and/or feces with laughing, exercise or with the urge to go.  PFD can cause abdominal  bloating, urinary urgency,  straining during bowel movements,  pain in the pelvic/groin, lower back and hips.

The app, Pelvic Health PT, The Hecht Program” is a tool that I designed along with Kalpesh Wireless, a software company, to help men and women suffering from PFD, some too embarrassed to talk to their doctor about it, take action. By following some of my tips, techniques and exercises, you can regain a healthy pelvic floor.  This app is best used while working with a licensed physical therapist who specializes in pelvic floor rehabilitation.

When your physicians have run medical tests and all are negative for infection or inflammation and medication does not help, the most likely cause of your symptoms could be due to muscle and fascial restrictions, trigger points, weakness and incoordination of the internal and external muscle of the pelvis. The pelvic nerves  become pinched as they travel from your sacrum through the gluteal, hip and pelvic muscles to innervate the pelvic floor region leading to further dysfunction and pain.

For over 17 years, my practice has healed thousands of men and women with PFD by lengthening  restrictions, mobilizing the skin, muscle and nerves, teaching a tailored stretching and strengthening and postural home program.

The Pelvic Health PT, The Hecht Program  has over 50 exercises and awareness techniques to regain a healthy pelvis and pelvic function. Improved sexual function, decreased pain, improved bowel and bladder habits, and a stronger core are the results.

The  app has 4 parts: 1) Symptom Tracker 2)  Set Reminder, 3) Pelvic Relaxation & Stretching, 4) Pelvic Floor and Core Strengthening.

1) Symptom Tracker: Before starting some of my exercises and awareness techniques, go to the “My Symptoms” page and input each one of your symptoms /dysfunction. Be as detailed and descriptive as you want. Then for each symptom/dysfunction, rate the level of pain or discomfort on scale of 0 to 10, 0 = no pain or no trouble and 10 = worst pain or the most difficult.  After you input this detailed information, start to incorporate some of the awareness techniques and exercises that your pelvic floor physical therapist recommends.  If you do not have a pelvic floor physical therapist and working independently under the care of your physician, start slowly with the gentle tips/exercises incorporating one or two new things at a time. No exercise should increase your pain or symptom for more than 3 days following the exercise.  If this happens, stop the exercise and consult with a pelvic floor physical therapist.  If all is progressing well, at the 2 week or 1 month from starting Pelvic Health  PT, The Hecht Program, go to “My Symptoms” page and rate your symptoms at that point.  After 2 months, you should see some functional progress.   The symptom tracking helps you see that your body CAN change and motivates you to continue doing what you have started.

2) Set Reminder: You can program a reminder in your I-phone for an exercise or awareness technique that needs to be done many times a day. For example, a quick way to lower stress is to perform the Diaphragmatic Meditative Breath.  Program your reminder in the app for this exercise every 2 hours. You can become more calm during the day and prevent the build up of muscle tension, shallow breath and decreased oxygenation.

3) Pelvic Floor Relaxation and Stretching: Most people with PFD need to do the awareness techniques and pelvic floor relaxation BEFORE they start to do the strengthening, or, “Lengthen before Strengthen”  Anyone with pain should also do the relaxation exercises, assess their postures during the day (via photograph), adjust poor postures and do not start any strengthening exercises when first starting my program. Contracting or shortening an already tight muscle/fascial group will  cause further tension and result in increased pain.  Your pelvic floor physical therapist will guide you to become aware of your pelvic muscles, teach you how to relax and  lengthen all the muscles that attach onto the pelvis (hamstrings, inner thighs, hip flexors, plus more) before doing any strengthening.

4) Pelvic Floor and Core Strengthening: Once the muscles are stretched, the trigger points released and you are doing regular daily stretches, a gentle core strengthening program can begin. The app gives a progression from basic pelvic floor and abdominal recruitment, to full planks for maximum core stabilization training.  To insure long lasting results of pelvic floor rehabilitation, the core must be strengthened.

The app is best used while under the care of a licensed physical therapist who specializes in pelvic floor rehabilitation.   Your  physical therapist can direct you on which specific exercise to perform, teach you how to do the movements, perform manual therapies to reduce tension and trigger points and guide you on when to start a strengthening program.