SHEFit Physical Therapy: Sheri DeSchaaf, DPT

SHEFit Physical Therapy: Sheri DeSchaaf, DPT

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Latching, pumping, weaning and more! My recent interview with of is up on our blog and YouTube channel!
Check it out at www.shefitpt.com/blog.
We discussed how IBCLCs can help not just with breastfeeding, but with pumping, transitioning to work, transitioning to solids, and weaning successfully! Rachael shared some great tips, so you're going to want to listen in. 😃
All these conditions are hot opportunities to develop mastitis or blocked ducts, which often arise due to a change in feeding or pumping schedule or demand.
If you're feeling the discomfort of blocked ducts and want fast relief, or want to catch and stop mastitis early, come see us to stop pain and inflammation and feel better fast!!
Many new moms expect breastfeeding to be natural and easy - and often it is! But when it's not, what do you do? My first baby was a breeze - she latched the moment the midwife put her to my breast and we never had any issues with nursing. So I was a bit surprised when my second baby didn't do so well - after seeing a lactation consultant in the hospital, several pediatricians, and chiropractors, and finally getting a toungue tie release at 4 months, it was still always a bit of a struggle. With this third baby, I found out, "I didn't know what I didn't know." The second LC to visit me in the hospital spent 90 minutes with me teaching me all kinds of things that I was never taught with baby #2. After 2 home sessions with a private IBCLC, feeding was going great, and I knew I would avoid the stress of #2. I will always wonder, if I had gotten an IBCLC consult early with my second, could we have avoided all that pain and the eventual release??
I'll never know.
But I do know that seeing an independent consultant is WORTH it. Get home, get settled, and if breastfeeding still is a challenge, call someone! For insight on what a good consultant can teach you, stay tuned for my upcoming interview with Rachael Oeffner IBCLC of , where we'll talk about pumping, weaning, positioning and more!
Struggling with or ?
We can help! Get fast relief with 3 PT sessions including ultrasound and therapeutic massage.
It takes a village! Let yourself get some help ❤️

I am one of those wierdos who LOVES public speaking (about my passion for pelvic floors anyway 😆), and I am excited to be speaking at the Bloom event on April 10!
If you are a new to toddler age mom, currently expecting (or planning to be), adoptive and/or foster mom, you don’t want to miss San Diego Moms annual Bloom event on Sunday, April 10th from 10am-1pm. 
At the event you will have the opportunity to hear from local experts, learn about the latest products, services and connect with mamas on a similar journey as yours.
I will be there with Dr. Meghan doing quick DR screenings and speaking about pelvic floor prep for childbirth!
Tickets start at just $25, use code bloomwithus for $5 OFF!
If you need some advice, mom-shopping or self-care time, this event is for you 💃
Come to a beautiful indoor-outdoor venue at Belmont Park and learn tips and tricks from local experts addressing relevant and timely information that is pertinent to being pregnant or a new (to toddler age) mom right now.

Buy tickets here: https://bit.ly/33GbGmx and use code bloomwithus for $5 off!
For more information on the event visit https://sandiego.momcollective.com/mom/bloom2022/

I have breastfed 3 babies, but I didn't know what I didn't know about breastfeeding until my third baby, when I actually received QUALITY lactation advice from hospital and private consultants. This advice changes my experience with baby 3 tremendously for the better, and I wish I had sought more help with #2 (hindsight is 2020). Given my recent training in mastitis care, I am super excited to interview Rachael Oeffner, IBCLC this week about less-discussed lactation topics including:
1. How can LCs help with pumping?
2. Can LCs help with weaning?
3. What are the top causes for poor latch?
4. How do IBCLCs approach mastitis?
And more....
What questions do you have for a lactation consultant??
Tell me in the Comments and maybe we'll fit them in! 😃
Stay tuned for the video interview Friday...
The fastest relief for blocked ducts/mastitis is achieved with 3 sessions within 5 days.
This special package includes your evaluation and 2 follow ups to be used within 7 days. We are SO excited to spread the word about this new service that we are offering a special introductory rate! Now until April 1 your 3-session "Happy Breast Package" will be >30% off our normal rates!
That's $350 for 3-visit package. 😃💃🤱
Want to try it out first? Mastitis/duct evaluations will also be offered at an introductory rate of $150 until April 1.
Call now to book!
*Mastitis/blocked duct patients only, visits must be used within 14 days of purchase.
from 2/27; better late than never!
Choose whatever resistance floats your boat and enjoy!
Don't forget to BREATHE and USE your CORE properly!! 😃❤️💪🏋🏽‍♀️
from 2/27, but better late than never!
Choose whatever resistance floats your boat and enjoy!
Don't forget to BREATHE and USE your CORE properly!! 😃❤️💪🏋🏽‍♀️
MASTITIS sucks. The majority of breast pain with lactation is related to inflammation, not infection, but there is NO known test for infection! This is why the AMA recommends conservative treatment for 24 hrs before prescribing antibiotics. Most of us would like to avoid antibiotics anyway, so we try all the standard advice - feeding/pumping like a maniac, hot showers, aggressively massaging the breast toward the ni**le to try to rid ourselves of the painful blockage, even cold cabbage leaves and crazy feeding positions in our desperation to alleviate the pain before going to see the MD for meds.
The most evidence-based way to reduce inflammation is therapeutic breast massage. But recent research indicates aggressive massage toward the ni**le, while good for expressing milk, is NOT the best way to reduce inflammation.
Therapeutic breast massage, a gentle modification of lymphatic massage that flushes inflammatory swelling out of the breast toward the lymph nodes, has been shown to be more effective. We use therapeutic breast massage in combination with hand expression to flush out the inflammation, relieve pressure on the duct, and remove the stagnant milk. (Plus other methods, but more on those later!)
You should see immediate results from your first PT session. After 2 subsequent sessions if you still have signs of infection (fever, chills, redness, heat and swelling, general malaise etc.), you can be more confident that those antibiotics your doc is prescribing are warranted and necessary, and that you will feel better faster with both medical and conservative treatment. (Most women see complete relief within 3-5 sessions over 5 days)
Do you suffer from pain due to blocked ducts or mastitis?
Let us help! Book now via my profile!
**LIMITED TIME "Happy Breast" Promo: 3 sessions for $350, or 1 session for $150!! Now until April 1st. (Blocked Duct/Mastitis patients only. Must mention this post when booking.)**
We now offer PT for mastitis and blocked ducts! Our treatment is evidence based and modeled after protocols used for years by women's health PTs in Australia, Ireland and Canada. We incorporate therapeutic breast massage, ultrasound, k-tape, and a whole-body approach to addressing your pain and inflammation.
Current medical guidelines for mastitis are to " try conservative treatment for 24 hrs before administering antibiotics," but what kind of conservative treatment have you actually received? Most of us are told to self-massage, heat, and feed or pump all day and night.
Let the pros do the work! Using specific evidence based massage techniques and ultrasound to reduce inflammation, manual expression to clear the ducts, KTape to promote continued circulation after you leave the clinic, and education to help you eliminate possible contributors to recurring issues, we are the "conservative treatment" that's been missing. 😃🤱💃
**We always recommend a consult with a qualified lactation consultant for thorough assessment of latch, suck, positioning, and other feeding factors. Don't have a consultant? We'll help you find one! ☺️**

Everyone loves a good massage, and as a prenatal PT I am a huge proponent of treating yourself to some hands-on TLC in that final stretch of prengancy. But did you know that not all prenatal massage is equal? A good, specialized prenatal massage can go beyond pain relief to actually help promote a swifter more efficient labor. CMTs who truly specialize in pregnancy also employ techniques to help you recover after birth, including abdominal massage with benefits to your digestion, uterus and pelvic organs. Check out my recent interview with Joanna Yanez CMT, certified Arvigo and Hara Massage therapist, herbalist, birth doula, and founder of Rebirth Massage, to learn about how these specialized treatments could make your pregnancy, labor, and recovery easier. Pelvic Floor PT and massage are two essential components of a rock solid prenatal pain relief plan! Enjoy the interview and learn more or book your session at Rebirth Massage!
Joanna has generously offered a limited time thank you discount for watching the interview! Use code shefit15 when booking to receive $15 off any service!
(First-time clients only. Expires March 11th 2022. Cannot be combined with any other discounts.)

Physical Therapy, Fitness training, Orthopedic and Pelvic Physical Therapy, Pregnancy related Physic We are a group of licensed Doctors of Physical Therapy, specializing in prenatal, postpartum, and pelvic floor concerns.

We are passionate about helping clients achieve health, fitness and functional goals through exercise and other natural techniques including massage and joint mobilization. Most people are familiar with orthopedic physical therapy - this is the treatment of dysfunction of bone, muscle, joint, tendon, ligament, and nerve tissues which can all generate pain and disability. Pelvic PT is less well kno

Operating as usual

09/22/2022

Postpartum fitness.
How "should" you feel at a year postpartum?
6 months?
6 weeks??
After 1 baby vs 3? After vaginal birth vs cesarean?
For me, I have been able to get back to my desired fitness level by 1 year postpartum with all 3 vaginal deliveries.
Without pain, without bladder or bowel leakage, but not without work, intentional rehab, and planning. I attribute this largely to my training and knowledge as a pelvic floor PT, but also to God's grace in how I have labored and birthed. Our birth stories and backgrounds will impact recovery!! That's why INDIVIDUAL assessment and guidance from a skilled pre/postnatal pelvic floor PT is crucial to optimizing and hastening your return to "normal" after birth.
After #1 return to running 6 miles and doing my desired strength training took

09/21/2022

This weekend was Chloe and my birthday 🎉🎂
I already miss having an infant in the house 😭
One year postpartum with my third baby, the joyful but busy weekend gave me only a few brief moments to reflect on the experience a year ago, and realize I never completely wrote down (let alone posted) my birth story!
I'm trying to rectify that, but here I am reminiscing and self -assessing at 41, 1 year postpartum.
A few of the highlights I'll share:
Labor was the fastest yet clocking in at about 6 hrs. I made it through another natural birth with the help of nitrous gas, my TENS unit, and good support. I also experienced some of the pressure birthing women face and had to practice self-advocacy and standing up for the birth plan I had chosen.
1st degree tear, birthing on hands and knees for the first time!
Breastfeeding was NOT immediately easy and I made the smart move to get my own lactation consultant at home this time (highly recommend!!)
***Recovery is NOT the same as after my first, or after my second babies - on this I will share more in coming days...☺️🏃‍♀️🏋️‍♀️

Stay tuned for some specific insights on my third postnatal recovery, exercise progression, return to running, and core Rehab!

09/09/2022

Pelvic Floor PTs not only help you recover from difficult birth experiences, but we can also help optimize your next birth experience, minimizing injury or long term problems! A recent study showed that two main factors help women have a positive birth experience:

Experiencing ability and strength

Having trustful and supportive relationships

Pelvic PTs enhance your ABILITY and STRENGTH through physical preparation throughout pregnancy, facilitating labor and delivery by:

Improving your WHOLE body’s strength, mobility, and endurance (labor is a marathon, not a sprint)

Preparing the pelvic floor muscles and abdominal wall for lengthening (strong, flexible muscles are less likely to tear)

Teaching breathing & pushing techniques to reduce stress on the body and baby, and connect you with your "birthing muscles"

Experimentation and training to find YOUR optimal positions and movements for labor and pushing (which positions are easiest for you to relax your pelvic floor and push)

Helping you understand your body, and how to use it during birth 

Pelvic physical therapists provide a supportive relationship, empowering you to:

Navigate labor and delivery expectations

Gain control of your own experience

Advocate for your rights and desires during labor

Have an objective and knowledgeable person to talk to about anything and everything!

SHEFitPT pelvic PTs are highly specialized in pregnancy and postpartum. We LOVE helping women rock their pregnancies, walk confidently into labor, and enjoy full recovery!  💪

Let us prepare and support you through your pregnancy and birth experience! To optimize your birth and recovery, schedule an appointment with one of our team members via my profile, or call the office at 858-247-2660 ❤️🤰




Karlström A, Nystedt A, Hildingsson I. The meaning of a very positive birth experience: focus groups discussions with women. BMC Pregnancy Childbirth. 2015 Oct 9;15:251.

09/06/2022

Last post we discussed how the body can react to a .
And....How can physical therapy help?
Point #2 was: Massage/bodywork to reduce muscle tension, increase scar tissue mobility, and increase visceral mobility

Pelvic Floor PTs have all kinds of tools to help your nervous system calm down and your muscles, ligaments and organs balance out - and we like to use them in combination according to what your body needs and how it responds.

Each PT has her own style and her own set of tools - Dr. Sheri tends toward deep tissue massage and point release, Dr. Ellen is schooled in visceral mobilization, Dr. Jessica is great with instrumental release like cupping - you might find we recommend you see more than one of us to fully benefit from the variety in our training!

Every body is different, but they all need some TLC every now and then 😃
So come see us!

If you or someone you know has had a difficult birth experience, we can help!
(P.S. : once postpartum, always postpartum! It's never too late to seek help ❤️)

Learn more at SHEFitPT.com and schedule via the links in my profile! 

08/31/2022

After a difficult birth experience, the body initiates a protective response, an increase in sympathetic drive in the autonomic nervous system (ANS). (See prior posts for more info)

Increased sympathetic drive leads to changes in:

👉Breathing patterns 🫁

👉Muscle tone & tension 💪

👉Pain levels 😣

👉Visceral mobility (organs like your bladder, uterus and bowel!) 💩

These changes can impact pelvic floor health as well as overall health by creating excess muscular tension and systematic stress. If you are experiencing pain in the abdomen, pelvis, back or hips, increased tension anywhere in the body, or changes in bowel, bladder, and/or gastrointestinal function after your delivery, it is time to see a pelvic floor physical therapist to help your body heal! 
How can physical therapy help?

Specific movements in clinic and at home to optimize breathing patterns, strength, and mobility

Massage/bodywork to reduce muscle tension, increase scar tissue mobility, and increase visceral mobility

Extensive education to empower you in your body and give you the tools you need your to heal 

• Techniques to improve nervous system balance and stress response

If you or someone you know has had a difficult birth experience, we can help!
(P.S. : once postpartum, always postpartum! It's never too late to seek help ❤️)

Learn more at SHEFitPT.com and schedule via the links in my profile! 

08/30/2022

What's the difference?
Birth injury: physical damage during birth
- perineal tears, lacerations, episiotomies
- cesarean incisions
- stitches, sutures, scars
- muscle strain
- ligamentous sprain
- tailbone fracture or dislocation
- disc herniation
- nerve damage
- hip labral damage
- etc.
Birth trauma: physical or emotional/psychological harm caused by events and experiences OR one's perception of those events/experiences during birth
- fear
- stress
- pressure
- medical complications
- emergent situations
- perceived loss of control
- see prior post...

BOTH are valid.
BOTH can cause pelvic floor dysfunction.
BOTH can cause pain, muscle spasm, weakness
BOTH impact postnatal mental & physical health/wellness.
BOTH deserve to be addressed.
BOTH can benefit from Postnatal Pelvic Floor PT!

Did you experience birth trauma?
Sustain a birth injury?
We can help, and it's NOT too late (it's never too late ☺️)
Come see us and let's move forward together.

08/29/2022

After a difficult birth experience, the body often initiates a protective response, an increase in sympathetic drive in the autonomic nervous system (ANS).
Increased sympathetic drive leads to changes in:

Breathing patterns
Muscle tone & tension 
Pain levels
Visceral mobility (organs like your bladder, uterus and bowel!)

These changes can impact pelvic floor health as well as overall health by creating excess muscular tension and systematic stress. If you are experiencing pain in the abdomen, pelvis, back or hips, increased tension anywhere in the body, or changes in bowel, bladder, and/or gastrointestinal function after your delivery, it is time to see a pelvic floor physical therapist! 
How can physical therapy help?

• Specific movements in clinic and at home to optimize breathing patterns, strength, and mobility

Massage/bodywork to reduce muscle tension, increase scar tissue mobility, and increase visceral mobility

• Extensive education to empower you in your body and give you the tools you need to heal fully

• Techniques to improve nervous system balance and stress response

If you or someone you know has had a difficult birth experience, we can help!

Learn more and schedule vie the links in my profile! 

08/26/2022

Difficult birth experiences impact your physical, mental, and emotional wellbeing. Many women don't recognize the events of birth as being traumatic, even though they were! You don't have to have an emergency C-section, a massive hemorrhage, or a 4th degree tear to experience "trauma" during labor.
What are some qualities of a difficult birth experience that may not be acknowledged?
Sudden: did you feel rushed? Did your care team take time to explain what they were doing? Did your birth plan have to change suddenly? Were you given time to ask questions?
Overwhelming: Did you feel like you were in control? Were you given too many instructions at once? Were there too many people in the room? Were the people present in the room demonstrating stress? Were you over/under medicated?
Dangerous: we're there complications? Did your delivery evolve into an emergency surgery? Did you lose a lot of blood? Did you worry about the life of your baby or yourself?

The body’s response to difficult events during/after birth often leads to increased sympathetic drive in the autonomic nervous system. The body more easily deviates towards its “fight, flight, or freeze” response too quickly or too often even when there is no real danger. 
Certain activities or stimuli may trigger your body to return to that state, even though your brain knows there is no current threat.
While this can be subconscious, it is not "all in your head," as many women are told, or tell themselves. This is a real physiological response that contributes to pain, weakness, muscle spasm, and emotional health postpartum!

Even when you think you have processed what happened during your birth experience, your ANS may not have.
Recovery means acknowledging the trauma in all body systems, and starting to gently ease out of the state of hyper sensitive responses and autonomic/sympathetic overdrive.
From the pelvic floor perspective, we are here to help! TOUCHING your scars, RECONNECTING with your abdomen and perineum, and relearning to love, control, and fully experience your body postpartum in light of your ENTIRE birth experience is the first step.
Schedule a visit via the website! (Link in profile)

08/16/2022

Your birth experience can, and DOES, affect your postpartum experience. 

You know Birth changes the body. But did you know it almost always causes changes in your nervous system? The autonomic nervous system (ANS) helps regulate the AUTOMATIC functions of your body in response to our experiences and environment. (Remember high school Biology? 😆) 

There are two ANS “modes”. One is parasympathetic, or “rest, digest, and heal” mode. The other is sympathetic, or “fight, flight, or freeze” mode. In a healthy nervous system, your body is able to naturally access both modes and have a balance between each mode.

So how does birth impact this system?

The same nervous system that controls your body's physical function also controls your brain and emotions. Surrounding an event like birth the physical is intimately intertwined with the emotional and psychological processes.

Birth is a huge event for your nervous system to facilitate, and a huge event for your nervous system to process. Difficulty or stress during birth can make it harder for your autonomic nervous system to regulate itself postpartum.

Even when you think you've "gotten over" how your birth played out, the nervous system can hang onto those emotions and experiences for a LONG time.

Often new mothers tell me " I'm fine, the baby's healthy and that's all that matters," but in reality their ANS is still in constant or heightened sympathetic mode. And guess what? That often results in pelvic floor dysfunction and heightened pain responses.

Stay tuned to learn more! If you want to go explore how your birth story may still be impacting your body, come see us! Schedule via my profile or website 😊

# birthexperience

Videos (show all)

Interview with Joanna Yanez, CMT, Founder of Rebirth Massage
Interview with Sarah Burns, Licensed Midwife and Doula Monatrice
Postpartum Running Screening!
Prolapse & Posture

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4747 Mission Blvd, Ste 4
San Diego, CA
92109

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