Dr. Ann Nwabuebo, PT, DPT

09/17/2022

Studies show that the majority of people lack knowledge of pelvic floor muscle dysfunction. As a result they don’t know how to identify risk factors. 🤷🏾‍♀️🤔
⠀
While pelvic floor training is incredibly effective in treating all types of pelvic floor problems (like pain with s*x, urinary incontinence and constipation).., early detection is 🔑.
⠀
The 𝘊𝘰𝘻𝘦𝘢𝘯 𝘗𝘦𝘭𝘷𝘪𝘤 𝘋𝘺𝘴𝘧𝘶𝘯𝘤𝘵𝘪𝘰𝘯 𝘚𝘤𝘳𝘦𝘦𝘯𝘪𝘯𝘨 𝘗𝘳𝘰𝘵𝘰𝘤𝘰𝘭 is a great tool 🛠👍🏾 I use at community seminars to help people identify if they may have some type of pelvic floor problem.
⠀
So if you wondering whether you might have pelvic floor problems, 𝘴𝘤𝘳𝘰𝘭𝘭 𝘵𝘩𝘳𝘰𝘶𝘨𝘩 𝘵𝘰 𝘵𝘢𝘬𝘦 𝘵𝘩𝘪𝘴 𝘲𝘶𝘪𝘻! 🧐
⠀
If 𝘺𝘰𝘶 𝘤𝘩𝘦𝘤𝘬𝘦𝘥 >3 𝘰𝘳 𝘮𝘰𝘳𝘦, 𝗽𝗲𝗹𝘃𝗶𝗰 𝗳𝗹𝗼𝗼𝗿 𝗱𝘆𝘀𝗳𝘂𝗻𝗰𝘁𝗶𝗼𝗻 𝗶𝘀 𝗹𝗶𝗸𝗲𝗹𝘆…, but these symptoms are treatable! 😉
⠀
So reach out to a pelvic floor therapist to get a comprehensive assessment and get started on an individualized treatment plan.

If you are in the Philadelphia area.., DM me to set up a consult!

09/17/2022

Studies show that the majority of people lack knowledge of pelvic floor muscle dysfunction. As a result they don’t know how to identify risk factors. 🤷🏾‍♀️🤔
⠀
While pelvic floor training is incredibly effective in treating all types of pelvic floor problems (like pain with s*x, urinary incontinence and constipation).., early detection is 🔑.
⠀
The 𝘊𝘰𝘻𝘦𝘢𝘯 𝘗𝘦𝘭𝘷𝘪𝘤 𝘋𝘺𝘴𝘧𝘶𝘯𝘤𝘵𝘪𝘰𝘯 𝘚𝘤𝘳𝘦𝘦𝘯𝘪𝘯𝘨 𝘗𝘳𝘰𝘵𝘰𝘤𝘰𝘭 is a great tool 🛠👍🏾 I use at community seminars to help people identify if they may have some type of pelvic floor problem.
⠀
So if you wondering whether you might have pelvic floor problems, 𝘴𝘤𝘳𝘰𝘭𝘭 𝘵𝘩𝘳𝘰𝘶𝘨𝘩 𝘵𝘰 𝘵𝘢𝘬𝘦 𝘵𝘩𝘪𝘴 𝘲𝘶𝘪𝘻! 🧐
⠀
If 𝘺𝘰𝘶 𝘤𝘩𝘦𝘤𝘬𝘦𝘥 >3 𝘰𝘳 𝘮𝘰𝘳𝘦, 𝗽𝗲𝗹𝘃𝗶𝗰 𝗳𝗹𝗼𝗼𝗿 𝗱𝘆𝘀𝗳𝘂𝗻𝗰𝘁𝗶𝗼𝗻 𝗶𝘀 𝗹𝗶𝗸𝗲𝗹𝘆…, but these symptoms are treatable! 😉
⠀
So reach out to a pelvic floor therapist to get a comprehensive assessment and get started on an individualized treatment plan.
If you are in the Philadelphia area.., DM me to set up a consult!

07/10/2022

If you are or know anyone is pregnant or newly postpartum.., you have to check out a project I was involved with called ..
Nike’s (M)ove Like A Mother Program! 💪🏾

It’s the 1st of it’s kind! It’s got …

👉🏾a series of 24 workouts (focused on various stages during pregnancy & postpartum)
👉🏾expert led tutorial videos (including mine 😉)
👉🏾and several editorial articles I contributed to..

…..and it’s all FREE!!!👏🏼🤗🎉

The program lives in in the Nike Training Club app that you can easily download from your App store.

I’m really proud to have been a contributor to the program ☺️along with a stellar team of health care providers and fitness professionals.
🏅

Over the next few posts, I’ll share some highlights .., but first check out the promo video👌🏽

07/04/2022

If you are experiencing any discomfort, pain or urinary symptoms with tucking, try these 10 healthy tucking tips to see if it helps.

06/25/2022

Tucking is a term used to describe the act of flattening the external genitalia for a smoother outward appearance.

People tuck to feel more comfortable with their appearance, reduce dysphoria or affirm their gender 🥰❤️🌈🏳️‍⚧️

Tucking may be mildly uncomfortable (when you first get started), however it should not be painful or cause any health concerns.

Common side effects can include chronic urinary tract infections or problems urinating due to the placement and compression of the urethra (where p*e comes out) close to the a**s. Prolonged tucking can also lead to symptoms like prostatitis or cystitis from the increased pressure on the tissues around the external ge****ls. As the pelvic floor muscles guard in response to the tissues being irritated around them…, pelvic floor dysfunction or chronic pelvic pain can result😣.

Affirming pelvic health therapists 🌈❤️can help treat these different concerns by finding techniques to allow affirmative practices while decreasing the unwanted side effects.

In the next post, let’s go through some simple self care tips I give my patients to try.

06/11/2022

Reinforcing healthy chest binding practices allows my clients and patients to have less health complications in the long run.

Here are 10 helpful binding tips to consider when binding👍🏾…

✔️Try to take your binder off as much as possible during times where it’s less important to bind. Also consider taking a few days off from binding.

✔️ Take your binder off before you sleep. Give your body rest while you rest. 😴💤🛏

✔️ Work out using a less compressive garment. 🏋🏽‍♂️Sports bras are designed to move with you as you workout, while a binder can make movement and even breathing more difficult. So consider wearing a sports bra with a baggy shirt, or a binder that is a size larger.

✔️ Ideally, wear a binder that is commercially made that has a chest compressing fabric.

✔️Be sure to use the sizing guidelines to find your ideal size.

✔️Avoid use of duct tape, saran wrap or ace bandages to bind your chest. Ace bandages in particular are designed to constrict, 😣so as you breathe, they get tighter which can hurt.

✔️ Stay hydrated!💦💧

✔️ Stretch your chest, ribcage and back and work on breathing 😮‍💨🫁and postural re-education anytime you are out of your binder.

✔️ Keep your binder clean, and be sure to first check with your binder manufacturer’s website to see if they have recommendations for how best to wash your specific garment. 🧺🧽🧼

✔️If you are feeling any nagging pain , don’t ignore it. Stop binding 🚫 for some time and ask for help from your health care team.

REFERENCES: healthybinding.com, pointofpride.org

06/08/2022

Chest binding is the use of compression garments to make one’s chest appear flatter. This can be a significantly affirming practice particularly for trans and non-binary people❤️🌈

Other benefits were noted in a study published in the medical journal Culture, Health & Sexuality included;
✔️ Increased self-esteem
✔️ Minimized gender dysphoria — a conflict between a person’s physical gender and the gender with which they identify
✔️ Decreased anxiety and depression and
✔️ Improved sense of autonomous control of the body

The downside of binding is it can also be associated with chronic pain and postural problems. In a 2017 study that included 1800 people who bind; 97% reported experiencing 1 negative health outcome associated with binding like back pain, overheating, chest pain and shortness of breath. 82% of them also believed it was important to have a conversation with their health care provider 👩🏾‍⚕️about their binding habits.

People who bind shouldn’t feel like they have to choose between feeling confident in their own bodies and physical pain or discomfort. 😔

This is where gender affirming PT/ OT can help! 😊🙆🏾‍♀️Treatment options can include:

🔅 Exercises to improve mobility of the ribcage, spine & shoulders
🔅 Breathing & relaxation exercises
🔅 Strength training: core & upper back muscles
🔅 Education on safe binding practices

In the next post let’s get it into some specific exercises👍🏾

06/07/2022

According to the Center for American Progress (CAP), nearly 50%of transgender people — and 68%of transgender people of color — reported having experienced mistreatment by a medical provider, including being refused care.🚫

Societal stigmas, discrimination (and other factors) prevent trans & gender diverse people from seeking necessary medical care with 28% reporting having postponed or not gotten necessary medical care for fear of mistreatment.

These barriers make it hard to be open and honest with a provider—and as we celebrate Pride 🌈this month (and every month) - highlighting the specific needs of the LGBTQIA+ community is so needed.

As a PT serving this community, those unique needs can include (but not limited to):
🔅Tissue preparation Pre-Gender affirming surgery
🔅Post gender affirming surgery rehab
🔅Pain from surgical scars
🔅Pain or difficulty with vaginal pe*******on
🔅Inability to achieve vaginal pe*******on
🔅Difficulty or inability to achieve or**sm
🔅Urinary problems including incontinence
🔅Pain or postural problems associated with chest binding
🔆Pain associated with tucking or packing
🔅Pelvic pain
🔅Pudendal Neuralgia (pelvic nerve pain)
🔅Constipation

Let’s talk about some of these topics over the next several posts and how patient-centered, affirming and evidence-based PT can significantly help. 🤲🏾

04/07/2022

I’m so excited to share that I sat down with to speak on the the pelvic floor. 🤗

I got the chance to share my own pelvic floor journey and to educate athletes and people who are pre- and postpartum on how to be mindful of and proactive about their pelvic floor.

My hope is that together we can reduce the stigma around pelvic floor dysfunctions. Thank you again to the Nike trained podcast team for inviting me ❤️

Hope you enjoy ii! 👍🏾Link in bio ⬆️

03/03/2022

This week I worked with a high school basketball player, a triathlete, a competitive weight lifter, a dancer and a soccer player. Athletes across ages and genders but one thing in common - their pelvic pain has sidelined them from returning to their sport of choice 😞

Just like any other injury to the body, creating an effective pelvic pain rehab plan to return you back to the sport that brings you joy should be a priority.

Working through these 3 key rehab phases really helps my patients feel focused on the plan towards their goals. So I hope you find this helpful.

🪜🔆STAGE 1: Reduce pain and Improve mobility
This can include manual (hands-on therapy) in and around the pelvic floor/ spine/ abdomen etc; breathing exercises; mobility/ stretching exercises; alignment and postural re-education work.

Goal: Improve blood flow, calm down the nervous system, relax and gently stretch those stiffened pelvic floor muscles and the muscles that surround it.

🪜🔆STAGE 2: Strength train
Work on lengthening AND strengthening the muscles around the spine, pelvis, legs. Add some resistance with body weight, dumbbells/ kettlebells or resistance bands.

Goal: Change how the nervous system responds to those muscles contracting and relaxing. Start to incorporate modifications of your sport of choice e.g do some weightlifting at 25-50% of where you were when you were at your best etc

🪜🔆STAGE 3: Challenge your body!
Start to add more load i.e heavier weights or resistance. Add more reps, more impact. Use the principles you learned from Stage 1 and apply them here while you train. Stick with the general rule of thumb and limit your increase in resistance work (eg dumbbell training) to 10% at a time. Take 1-2 days to recover and monitor how your pelvic floor responds after each progressively harder routine.

Goal: To steadily, safely and mindfully challenge your body with heavier resistance exercise, until you are back to the sport you love.

Contd in comments …

02/27/2022

The vagus nerve is the main parasympathetic nerve of the body. When we feel calm, the vagus nerve keeps out heart rate down and digestive system working. It runs from the neck, through the chest and down into the digestive tract.

When we are stressed or anxious (and feeling more of those chronic pelvic pain symptoms) pain😖this nerve works hard to try and calm things down. 😊

Here are some simple tips to try and help it out.

🔅Sing or read out loud: The vibration from the vocalization helps stimulate the vagus nerve. You can also take long, slow exhalations making “hmmm” or “om” sounds.

🔅Ear pulls: 👂 This provides indirect input input to your nervous system to create a calming response. This can also be helpful if you have tension headaches or TMJ.

🔅Laugh out Loud: 😂 Our nervous system doesn’t know the difference between real and fake laughter. They both have the same effect of helping us feel happier and more relaxed.

🔅Diaphragmatic breathing: 😮‍💨Find a comfortable position. Inhale for 2 secs and exhale for 4 secs. Repeat for 2 mins.

🔅Yawn: 🥱Do this from time to time voluntarily. This will help your body feel calmer.

🔅Be conscious of your diet: 🥕Limiting foods like artificial sugar, processed foods and dairy ❌ can help reduce gut inflammation and bloating and relieve some of the pressure around the vagus nerve.

02/16/2022

Super grateful to partner with Maisonette] in supporting our prenatal/ postpartum community. Be sure to check them out along with my recent blog post:)

Repost from Maisonette]
•
Are you trying to figure out what is and isn’t normal for your pelvic health after childbirth? Pelvic Health Specialist, Dr. Ann Nwabuebo of , offers insights on key things every postpartum parent should know about their pelvic health now on Le Scoop at the link in bio.

Illustration by

01/18/2022

Filled with gratitude 🙏🏾 for clients who allow me the opportunity to walk with them for a part of their healing journey. 🙏🏾❤️✨

01/03/2022

Happy New Year friends 🎊🎆🎈 May the new year bless you with joy, health, and so much happiness. 🎉🎊❤️

12/13/2021

So I did a thing!.. 😉

Just published !

“Each Woman’s Menopause: An Evidence Based Resource”

Really proud to have joined a team of incredible clinicians and Lucia Miller, MPT,WCS to co-author a chapter that covers an interdisciplinary approach in treating symptoms associated with menopause.

This book offers a diverse world 🌎 picture on menopause using global data about this important life transition.

Writing my chapter, I thought a lot about my mother, her experience and cultural expectations 🇳🇬 while going through “the change”.

I wondered how different her experience would have been had she received the medical guidance the way this resource offers it. My hope is that the international reach of this book will offer that to many others.

So grateful to our editor for doing me the honor in allowing me to be a part of this amazing project. 🙏🏾❤️🥰

Scroll through to check out one of my favorite excerpts from the book’s preface.

11/06/2021

11/05/2021

It was really awesome getting interviewed as a member of the MossRehab (Tabor Road) Philadelphia team. Check out the article 😉

10/28/2021

These are devices I recommend to my patients on a daily basis. Accessibility to them is what allows them to progress so much farther and faster in their care. Please show some support and sign the petition today.🙏🏾