Dr. Nikki Cohen

Pelvic/Perinatal Physical Therapy
Healing chronic pain
A Radical Approach to Female Health

Operating as usual

12/21/2022

The right way to EMPTY YOUR BLADDER

11/10/2022

How to Do a Self-Internal Pelvic Floor Release

Struggling with pelvic floor issues? Are you dealing with not emptying your bladder all the way when you p*e, constipation, or pelvic pain?

Tightness in your pelvic floor muscles may be to blame. Just like tight hamstrings can lead to low back pain, tight pelvic floor muscles can lead to a whole host of problems.

There is good news, though! You can stretch your pelvic floor muscles just like any other muscle in your body.

To do a self-internal pelvic floor release:

Insert your thumb into the va**na, about 1 knuckle deep, and push slowly and gently into the va**nal walls to lightly stretch the muscles.

Press along different angles, working toward the bottom (bu****le) and along the other side. (You may want to switch hands to get the other side). Avoid going UP toward the urethra/pubic bone! This can make you feel like you have to p*e!

Remember, less is more!! Avoid deep pressure, as this can cause more pelvic tension and pain! Stop if at any point you experience pain.

You can do this up to a few times a day, like after p*eing (your pants are already off!). Relax as you stretch. Rushing only creates more tension!

With love,
Dr. Nikki

11/08/2022

The Magic of Visceral Manipulation

Did you know that unprocessed grief can be held in the lungs? And when the lungs are not fully clear and functioning optimally, the pelvis cannot function optimally.

Your lungs and pelvis balance each other with their internal pressure systems.

In situations like this, Visceral Manipulation gives access to working with parts of the body that were once considered insignificant regarding pain and physical therapy modalities.

The healing that can happen with Visceral Manipulation is truly magical.

Visceral Manipulation is changing how dysfunction in the body is viewed because its fundamental tenet is the interconnectedness of all things, mainly the body's “inner world”... The world inside of you.

If you or someone you know is struggling with grief, or unresolved pain, consider Visceral Manipulation as a tool for healing. You might just be surprised at the magic that can happen 💗

With love,
Dr. Nikki

11/07/2022

Vaginal health : 3 things you should know

Your va**na is a self-cleaning organ. That's right, it doesn't need any help from you!

The va**na has a pH balance that it needs to maintain to stay healthy. This pH balance can be upset by douching, using harsh soaps, or even using toilet paper or tampons that are fragrant.

When the pH balance is upset, it can lead to infections like bacterial vaginosis or yeast infections and can create general irritation in your va**na. So, how do you keep your va**na healthy?

1. Let it be! Don't do**he or use harsh soaps.
2. Wear cotton underwear. This will allow your va**na to breathe. (Consider even going underwear-less from time to time!)
3. Wipe from front to back. This will help keep the bad bacteria from your bu****le from getting into your va**na.

Following these simple tips will help keep you and your va**na happy!

With love,
Dr. Nikki

11/05/2022

The Shocking Truth About Kegels

Things the doctors don't want you to know about Kegels...

Kegels (pelvic floor exercises) might cause some women's health issues. Doing Kegels without relaxing can lead to pelvic pain, constipation, bladder issues, and even low back pain!

The secret to doing Kegels is to start from a relaxed position. Relax your jaw, chest, stomach, and va**na every hour to help your pelvic floor muscles relax.

When your pelvic floor muscles are relaxed, they can work when you need them, like the next time you have to p*e, or when you’re doing jump ropes.

If you're interested in learning more about the pelvic floor and why Kegels are not the end-all-be-all for women's health issues, download your free guidebook, The Truth About Kegels; the link is https://drnikkicohen.mykajabi.com/kegels

With love,
Dr. Nikki

11/03/2022

Bladder Leakage and Urinary Frequency

People often suffer from bladder leakage and urinary frequency without knowing the main causes. Though it's often chalked up to old age or pregnancy, many other potential causes are stress, diet, and pelvic floor muscle dysfunction.

One of the best things you can do for your bladder is to relax your belly. This will help your pelvic floor muscles relax, so they are ready and able to work for you when you sneeze, cough, or laugh!

If you're looking for more assistance with bladder leakage, urinary frequency, or rushing to the bathroom with strong urges to p*e, then Bladder Essentials is perfect for you.

Learn more by heading to the linkhttps://drnikkicohen.mykajabi.com/bladderessentials or contacting me to learn more about Bladder Essentials and finally get the resolution you’re looking for. You're too important to be dealing with bladder issues.

With love,
Dr. Nikki

11/01/2022

Why You Should Make Time for Yourself Every Day

Do you ever feel like you're just running around and getting nowhere? It’s probably because you're not taking care of your well-being.

Relaxation is one of the best things you can do for your well-being, and it's NOT selfish.

In fact, it's essential to be able to give your best to others. Make time for yourself every day, even if it's just 10 minutes, to do something you enjoy.

Self-care is productive because it allows your nervous system to "turn off", which can decrease pain, relieve headaches, improve digestion and decrease anxiety.

So the next time you feel overwhelmed by life, take a break and do something for yourself. You deserve it!

Or better yet, have time scheduled into your day that is purely catering to your well-being.

With love,
Dr. Nikki

10/29/2022

Childbirth and Your Bladder:

Childbirth is one of the women's most common causes of bladder leakage. Giving birth can impact the muscles and nerves in the pelvis, which can lead to incontinence.

If you're struggling with incontinence after childbirth, or during pregnancy, head to the Bladder Essentials https://drnikkicohen.mykajabi.com/bladderessentials

Don't suffer in silence – there are resolutions!

With love,
Dr. Nikki

10/27/2022

The Power of Your Pelvic Floor Muscles:

Your pelvic floor muscles are some of the most important muscles in your body!

These muscles support and help control your bladder, and when these muscles are weak or too tight, it can lead to bladder leakage or rushing to the bathroom all the time.

Pregnancy and childbirth can weaken the pelvic floor muscles, which support the bladder and help to prevent leakage. For healing after childbirth and to avoid long-term issues, learn more about Postpartum Essentials https://www.drnikkicohen.com/postpartumessentials so that you don’t have to carry around one more worry or annoyance and can give your full attention to your baby.

Strengthening your pelvic floor muscles is a great way to improve bladder control. Contrary to popular belief, Kegels may not be the best route for strengthening your pelvic floor. Follow the link in my bio for a free guide “The Truth About Kegels” to be empowered on what’s truly best for you to take care of your pelvic floor.

With love,
Dr. Nikki

10/25/2022

Diet and Bladder Health:

What you eat and drink affects your bladder health. (Don’t shoot the messenger!) LOL

But here’s the deal: Caffeine and alcohol are diuretics, which means they make you have to p*e more.
Certain foods, like citrus or spice foods, can irritate the bladder and make leakage worse.

If you're struggling with bladder health issues, it's important to learn more with the Bladder Essentials online program https://www.drnikkicohen.com/ to figure out what foods and drinks are best for you.

Take care of your body, and it will take care of you!

With love,
Dr. Nikki

10/22/2022

Embrace Change This Fall

Do you know what Fall means? It's time to change!

Let go of what's no longer serving you and make room for something new. What do you want to bring into your life? Start daydreaming about it now. Yes, allow yourself to dream again!

This season of change can be confronting sometimes, but you’re powerful and courageous. People often hold on to things without realizing it, and this resistance can impact the way your body functions.

If you need support during this time of transition, reach out to me. I’m here for you.

With all my love,
Dr. Nikki.

10/20/2022

Visceral Manipulation and Bladder:

Did you know your bladder is connected to your liver?

If you feel like you’re having issues with your bladder, there are a few pathways you can choose to resolve your symptoms and heal the source of the issue.

Whether you choose to heal through Bladder Essentials, a self-paced online program (https://drnikkicohen.mykajabi.com/bladderessentials), or hands-on work such as visceral manipulation….you will find relief.

Visceral manipulation is a hands-on technique I have been using as part of my in-person physical therapy. If you’re in Southern California and want to see if this technique is a good fit for you, head to drnikkicohen.com/contact to send me a message to connect – I am happy to support you if I can.

If you’re not in So-Cal, Bladder Essentials online program is a great place to start. This program will provide you with the basic and essential information you need to know to have your bladder “happier”. :)

With all my love,
Dr. Nikki

10/18/2022

Craniosacral Therapy and Your Pelvic Floor:

Your pelvic floor is connected to your craniosacral system 🤯

A pelvic floor is a group of muscles that support the pelvis and help to control bowel and bladder function. When these muscles are tight, it can lead to pain in the lower back, hips, and thighs. It can also cause other problems such as incontinence, sexual dysfunction, and digestive issues.

Craniosacral therapy is a gentle, hands-on treatment that can help to release restrictions in the body and alleviate pain.

If you're suffering from pelvic floor dysfunction, craniosacral therapy may be a miracle worker for you. If you’re in Southern California, feel free to reach out to me for a hands-on consultation.

With all my love,
Dr. Nikki

10/15/2022

TMJ and Pelvic Floor Dysfunction

If you suffer from TMJ, you probably also suffer from pelvic floor tightness as there may be a strong correlation between the two.

Your pelvic floor muscles and jaw muscles are both connected to parts of the body that allow bodily functions to operate. So, when you have increased stress, it's likely you’re clenching your teeth AND also have tight pelvic floor muscles.

What you can do about it: Every hour, relax your jaw, chest, belly, and pelvic floor for 15 seconds. This can give your 4 bodily cavities (head, chest, belly, and pelvis) a little break from being "on" and help alleviate muscle tension and pain.

If you're having pelvic pain, bladder issues, digestive problems, or jaw pain, try this simple 4-level relaxation technique and see if it makes a difference ❤️

With all my love,
Dr. Nikki

10/13/2022

New Mom? Get Some Rest

Are you a new mom? If so, you're likely struggling to "get back to the way you were" after giving birth.

But… it’s important to remember, it’s not a race to get back! Your body went through a LOT of changes during pregnancy and childbirth. It's like an injury… you need time to rest and recover.

I give you permission to be still. To do nothing for the first few weeks after giving birth.

In the first few weeks after childbirth, it's totally okay to focus only on bonding with your baby and getting some much-needed sleep. This is not the time to worry about getting back in shape or doing the laundry.

If you're pregnant or know someone who is, invite them to check out the Postpartum Essentials self-paced course (link in bio), to make healing after childbirth easier and smoother.

With all my love,
Dr. Nikki

10/11/2022

Self Care is Not Selfish

You are not selfish when choosing to care for yourself.

In fact, it's essential to your well-being.

Relaxation is one of the best things you can do for yourself. It allows your nervous system to "turn off", which can decrease pain, relieve headaches, and improve digestion.

You may not always have time for a long relaxation session, but even taking a few minutes throughout the day to check in with yourself can make a world of a difference.

So the next time you're feeling overwhelmed, stop and see what you need. Do you need to put your phone away for a few minutes? Lie down and do some mindful breathing? Reach out for a session with a mental therapist or bodyworker?

You are important, and your well-being is crucial to your happiness.

With all my love,
Dr. Nikki

09/06/2022

Power of Vulnerability in Transitioning

Transition periods aren’t easy in life, nor in the body. But connecting to our vulnerable points can help us create the changes we want.

When going through a life transition, being with the fears and getting real with what you're scared about can be a magical way to create a smooth change.

When your body is going through a transition, whether it be pregnancy, menopause, or making subtle shifts as you receive healing body work, it’s also through the vulnerable points that the shifts you are seeking can come with ease.

There are a few “transition points'' in the body that you can connect with to facilitate ease in transitions. Try placing one hand over your collarbone and the other on your groin. Connect to these body parts as access to connecting to your vulnerability.

Breathe normally and close your eyes.

Connect to anything that comes up for you whether it be pain, fear, sadness or worry, or nothing at all. BE with it and give it love.

Surprised at how much different you’re feeling now?

With love,
Dr. Nikki

09/04/2022

Side Effects of Being a Superwoman

Women with extraordinary strength are often envied for their ability to juggle so much at once.

But what many people don't realize is that this strength can often come with some not-so-pleasant side effects, like headaches, muscle tension, and even bladder issues.

If you're a woman who seems to have it all together, but you're also struggling with some of these physical issues, it might be time to take a closer look at your lifestyle.

Are you ALWAYS "ON"?

Do you find it difficult to relax?

Chronic stress could be causing tightness in your muscles, which can lead to all sorts of problems.

So, if you're feeling stressed, tense, or just plain "tight," take a step back and relax... your body will thank you for it!

With all my love,
Dr. Nikki

09/01/2022

Turn an Annoyance Into an Opportunity

Is there something in your life that just won't go away, no matter what you do? It could be physical pain, a frustrating situation, or anything else that's bothering you.

Before you try to fix the problem, consider that sometimes the best thing you can do is simply listen to what it says. The Universe works in mysterious ways, and that thing that's bugging you could be an opportunity for you to learn something new.

So next time you're faced with an unwanted issue, take a step back and see if maybe there's more to it than meets the eye. You might be surprised at what you discover.

With all my love,
Dr. Nikki

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2525 Camino Del Rio South, Suite 300
San Diego, CA
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