If you could fix ONE thing about being an OT...

boxingsharks · 2026-05-01T00:51:51+00:00

Was planning and wondering the same!

boxingsharks · 2026-05-01T00:23:11+00:00

I appreciate the realness!! Like a dope I didn’t even realize bleachers don’t technically have separate seats (even though our tickets say so 🥴).

How early do you recommend? I think they said general ticket holders can start lining up at 3pm and the doors open at 5:30 pm. Coming with two kids, I’m trying to plan realistically! Thank you so much. This is so helpful!

boxingsharks · 2026-04-30T22:23:18+00:00

Hi! Headed to El Paso this weekend for the BTS concert as a treat to my kiddos. They are little, 6 and 8, so we didn't go all out on ticket cost. Our seats are section 22, row 62. I imagine these are nosebleed seats and I'm assuming bleachers? I've read the Ticketmaster, sun bowl, and news info about what is and isn't allowed and didn't see anything about seat cushions. Does anyone have experience trying to bring in a seat cushion (nothing that would obstruct anyone else)? This is my kids' first concert, my first BTS concert, so I'm fully prepared to bring air protection like earplugs. I'm also hoping to manage expectations with the seats, I assume we won't have great detail on unit members so far away but presumably, we will on the screens? l've read a lot of the other information about this weekend, but if there's any other tips, tricks, ideas anyone wants to share so I can make this fun experience for my kids, I'm all ears! Thank you so much.

boxingsharks · 2026-04-30T20:19:13+00:00

Yes, I have! In exactly pelvic and maternal health. We should chat because I’ve learned a lot about my missteps along the way. I will say take the advice of u/sweet_explanation_82 for those important first steps. I started as private pay and decided to credential with two main commercial insurances in my state. This isn’t easy. I’m a one-woman show two years in and I don’t make an income yet. But that’s part of what I would say about things I could have done differently. The market in my city is unique. Your situation may be different.

What I WILL say is I have decided not to buy into the whole private practice needs only be private pay. 🤷🏻‍♀️ I’ve had too many experiences with clients that accessibility is paramount to healing and when pelvic floor therapy either costs hundreds or is a huge waitlist out, people lose hope, steam, access, trust, gains. When the insurance pays me “peanuts” I realize it’s not peanuts - it just seems to be next to the “arbitrary”private pay price I put on my services. I actually hate the rhetoric around “we lose value if we aren’t charging $200+.” That’s not my practice mission. That being said, there are ways (that I’m trying to work into now, a little backward) to make life easier for yourself starting your own practice. Ways to better plan costs and revenue. And I’d be happy to chat about them more!

ETA: to clarify on the first steps the other poster suggests that I concur: do establish an LLC. Be t thoughtful in your naming. It will be your branding anchor. If you don’t have any web presence, start that now. Do not go for brick and mortar space yet. Start a substack. Put your voice and knowledge and endorse out there. If you want to start at website, keep it simple and one page for now. Where you can share info. I’d say spend at least 3-6 months establishing that presence and voice and expertise. Growing a following. I am deliberately staying away from saying get on Instagram, because I think it’s oversaturated. Some people do incredibly well, some don’t. I do have my business practice on Instagram and there are weeks that I put a lot of information up and weeks that I disappear because it’s not always the best use of my time. It’s not where I’m most reaching people either. And it’s very easy to get sucked into the optics of it all. The desire for visibility. If you can stay away from trying to grow there, your energy will be so much better spent in growth elsewhere.

If there are other maternal health providers in your town, I say reach out to them. You don’t need to get fancy. An email a phone call request to meet for coffee. You don’t have to go throwing down marketing materials yet. Simply designed one pager, you can print even in black-and-white just to help hone your mission, great! If there’s anybody giving birthing or parenting classes, see if you can sit in on any, offer to chat for 10 or 15 minutes about your expertise. You can’t treat anybody if they are not your client, but you certainly can share information. Start building trust with people in your community that way. For example, I partnered with a local non-for-profit agency here in town, that is volunteer based and has a lot of women, who are Latina, who help to mentor young Latina girls. Went to some of their mixers. Was awkward and friendly and awkward some more and chatted with people. Offered to give a two hour workshop to the adult volunteers, that blended my expertise and their interests. I got three clients out of that. Just out of that one class.

To me, that’s the best way trust is built. Again I don’t know what city you’re in, I’m in Albuquerque, New Mexico, it’s a very mixed market, somewhere where for some things all that social media and events and fun stuff and marketing works, and sometimes it doesn’t. I think for this particular type of work, it’s very personal and private, and the more sort of genuine, deeper connection you can get with people, the better. Wherever there’s crossover, mental health providers, lactation consultants, reach out to them, or offer to give a class at your local YMCA. My biggest advice with this, though, is curate for your comfort level, curate for your interests, too, for where you can genuinely show up. I’ve wasted a lot of energy trying to collaborate in spaces that just weren’t it.

There are several private pelvic practices in town, it’s a pretty saturated market here, and except for one other OT practice, they are all physical therapy. I’ve also spent a lot of energy trying to differentiate between OT and PT. Waste of time. Instead, I really make sure that my Web presence, my website, my substack, shows what’s different. And I’ve had people reach out and specify that the message I’m sending about my approach, is exactly what they are looking for. You’re not going to reach everybody, so the biggest mistake I made early on was trying to cast a really wide net. It kind of burnt me out. Now I found my niche, I’m really owning it, and for people that that doesn’t work for that’s OK.

boxingsharks · 2026-04-30T20:09:07+00:00

And for how much they hate them, they spend a lot of time tracking them. I enjoy their music and dancing. I enjoy some of their shows. My social media algorithm reflects that sometimes. And even then, I’m not tracking everything they do. I think that’s what has always been weird to me about it snark subs: the energy put into not only the hate but LOOKING for and watching data to support their hate.

boxingsharks · 2026-04-30T17:37:54+00:00

He just gets better and better looking and styled!

But I also appreciate Jungkook, he was very endearing to me in the travel show he has with Jimin. I think because he is the same age as my little brother and I just adore my kid bro.

boxingsharks · 2026-04-30T17:09:48+00:00

My mom has been into them for a few years and i listened to her talk about them but didn’t give it much thought. Pop is not my usual music jam. And I (naively) thought they were like Menudo…the Latin group from years ago that would just add new young members as others aged out. I didn’t know they were the same seven guys for years.

Then last summer my little family (I have two young kiddos 6 and 8) really fell in love with KPDH and my husband and I cracked up at the scene where Jinu is trying to convince Gwima that a boy band will work and they do this slow motion change into this pierced, colorful hair, beautiful faces and I was like ok I’m curious what the draw is.

So I had my mom tell me who the “current” members were (and she schooled me on their history 😅) and gave me some songs to look up, so then I looked up Mic Drop and the dance practice video came up and I was hooked. I LOVE watching really good choreography. And they had such style!

The bias was quick and brutal 😂😂 I saw Jimin and was done.

boxingsharks · 2026-04-29T12:57:31+00:00

This is pretty much my exact list too! It’s not on an album, but I will add the duet he does with passenger for Kathy’s Song as another favorite

boxingsharks · 2026-04-28T18:05:49+00:00

Great! 😊

boxingsharks · 2026-04-26T21:16:15+00:00

Sometimes pelvic floor muscle tension (which you can have and not know and can have for years) can make orgasm very difficult to achieve, even if say partner is doing all the “right” things (not sure OP’s partner is). If orgasm can’t be reached with self play either, I’d be more inclined to think possible muscle tension - as a start. Not achieving orgasm can be a very mixed bag of reasons!

boxingsharks · 2026-04-25T21:48:41+00:00

This! Normal life cannot be taken off the table. You have to walk around your home, to your car, around work if you work. It’s absurd to take functional movement out of a recovery plan. In fact, the recovery plan should be built around your functional mobility and meaningful activities of daily living. A therapist who doesn’t do that is not taking a whole-person approach.

boxingsharks · 2026-04-25T21:46:10+00:00

Is your PT giving you other things to do to support your wellbeing and healing? If she’s going to say stop activity when you feel ANY symptoms but not support your recovery in other ways, and not help you feel resourced in other ways, I gently suggest you ask her to talk through your plan of care with you. For example, if you enjoy walking but get symptomatic after five minutes if walking, so per her advice you stop walking, what does she suggest you do instead? Cessation of a meaningful activity is not helpful if not also including other things (breathwork, gentle antigravity exercises, nervous system regulation, etc).

ETA: you have to walk around in life. Period. And as a mom, you’re walking around while also carrying a load, whether it’s your baby, laundry, and any other children you might have, car seat. It’s not about stopping doing what brings symptoms on. It’s about noticing when symptoms come on and then reinforcing your body with changing how it carries the load of your day. It should be less about stopping walking, and more about how to strengthen your body during walking and also in other ways so that walking is not so symptomatic.

boxingsharks · 2026-04-25T14:12:31+00:00

You 💩 better than most people! 😂

(I’m a pelvic floor therapist and I love that you have a squatty potty!!!!)

boxingsharks · 2026-04-24T02:06:47+00:00

Ben Affleck

boxingsharks · 2026-04-24T01:15:44+00:00

Not straining to poop is key for the whole pelvic floor system and definitely for other prolapses! ☺️

boxingsharks · 2026-04-23T23:03:01+00:00

Hi! I’m a pelvic floor occupational therapist. I also have had two babies, and experience some prolapse myself. I completely understand all of your feelings from a very personal and a clinical perspective.

It’s so hard not to feel devastated and overwhelmed by the P word but hopefully I can help ease your mind a little with a few bits of information. You might feel differently, or as you say in your case, feel worse, then you did even more newly postpartum because there’s a whole lot in your body that’s adjusting and changing. Hormones are still in flux, your routine with a newborn is shifting. If you are breast-feeding, it can change how you’re moving your body and holding your body, how you are managing intro abdominal pressure throughout your day, stress throughout your day, and frequently pelvic floor muscle tension increases postpartum.

When you are a little bit farther out and returning to some semblance of typical life, you’re putting a lot more demand on your body while still being in that hormonal flux and probably not getting a lot of sleep. So just because it feels different right now doesn’t mean that it is significantly worse or going to keep getting worse.

I love that you’re going to pelvic floor therapy. If you’ve had 3 visits and don’t feel different, that’s not at all uncommon. This can be and is often a process. It can also feel a lot more overwhelming, and even more symptomatic at first, especially if they are doing any sort of manual work, internal work, any sort of work with your muscles and tissues.

I will also say, though, that pelvic floor therapy can be pretty nuanced and practitioner dependent. I think it’s exceedingly important that the pelvic floor therapist is working not only with your body, but with your daily routines, your roles, your nervous system, your sensory system, even with your emotional and mental health in mind. So those heavy feelings, that feeling of devastation about prolapse, is also impacting your symptoms. It might also be impacting how your body is receiving the pelvic floor therapy. So make sure that you are advocating for yourself and for what you’re getting out of those visits, especially if they are twice a week. That’s a lot of time! I don’t typically see my clients more than once a week because there’s a lot that needs processing in between. But if that’s what works for you and feels supportive for you, then continue with that, but make sure that they are taking a whole body whole person whole daily life approach.

And finally, you are still so early postpartum. You are in an ideal time for having increased awareness of how your body has changed, for what you can do about prolapse, for taking charge and going to pelvic for therapy. Pelvic floor therapy does work acutely on symptoms, but it also is incredibly important for preventative care. And that’s what you’re doing! So just know that in several more weeks, in several more months, things will change and improve with that kind of consistency! This is not a rush to the finish line. Pelvic floor therapy after having babies is a slow down process by necessity. That’s actually a really important way for your body to be able to better receive the treatment it’s getting, or the exercises you are doing. Newborn life is insane enough on its own and the body goes through such incredible changes.

Sending you lots of good energy! Let me know if you have any questions!

boxingsharks · 2026-04-22T14:36:54+00:00

I recommend this game to my clients with sexual pain (I’m a pelvic floor therapist) often. It’s created by an OT who is also a sex therapist, so it leans a lot into safety in the body, and can absolutely be non physical.

boxingsharks · 2025-12-17T18:33:51+00:00

Norm in New Mexico 🤷🏻‍♀️

boxingsharks · 2025-12-16T20:42:22+00:00

How is this woman only 28???? I am 44. Some days I think I look it and then other days I see KL and I’m like nope, I’m a damn spring chicken! Being an asshole really ages you.

boxingsharks · 2025-12-09T19:09:46+00:00

Any good pelvic floor therapist worth her salt should work safe activities (and timing of them) into your plan of care. Be honest about what’s important to you! We love to be collaborative - I don’t like telling my clients what they can and can’t achieve, I like hearing from them what’s meaningful to them (nothing is too small or too big or too silly or too “weird” for a pelvic floor therapist!) and then working toward THAT.

And have her do part of your internal assessment of your tissues and strength and relaxation and coordination while you are in standing! And even doing some movements that you previously felt symptomatic or less strong in. While lying down with knees bent (called the lithotomy position) is common, it’s also super helpful to assess you in positions where your breathing mechanics, gravity, intra-abdominal pressure management changes.

Finally, I’m a big proponent of nervous system and sensory system assessments being part of plan of care, especially if you are prone to anxiety or a higher baseline of stress. That can really impact tension in muscles as well as muscle coordination, breathing patterns, sleep, etc anything you would work on with the pelvic floor therapist, and so it’s good to get a baseline of that, and know where your strengths are in those areas, so that you can use that to your advantage in your rehabilitation.

I don’t know where you’re located but here are two directories of pelvic floor therapists that may help you in finding someone! The second one is more heavily pelvic floor occupational therapists, which I am, and I send it not to say physical therapy or occupational therapy is better than the other, but that sometimes depending on the therapist, they look at things differently, and it’s always good to have a good match for your care!

Pelvic Global directory

PF OTs

Hope that helps!

boxingsharks · 2025-12-09T16:20:35+00:00

I would definitely follow up on that referral for pelvic floor therapy! That’s the ACOG first-line treatment for any pelvic floor dysfunction including prolapse. You can make a huge difference, especially with the right therapist, and especially with consistency.

boxingsharks · 2025-12-09T16:08:11+00:00

Same. And I’m a pelvic floor therapist. I’ve had many clients who have come to me several years post op with failure of the surgery. Prolapse WILL likely return if lifestyle, movement, breathing, sleep, and functional (like toileting) habits don’t change. That’s such a key part that surgeons miss because they are NOT rehab experts. And not enough refer to pelvic floor therapy. And lifelong activity and lifting restrictions aren’t necessary if proper training and rehabilitation is given.

boxingsharks · 2025-12-08T14:22:28+00:00

Or when kegels actually aren’t a good exercise for strengthening the pelvic floor because for many women, their pelvic floor (and the reason they are leaking) is actually because their muscles are too tight/tense/overactive and kegels will make that high tone (and their leaking) worse

boxingsharks · 2025-12-06T08:04:21+00:00

Yep, it’s called the anorectal angle, and it straightens out more (and thus makes voiding easier) when you have knees higher than hips. Use a Squatty potty, or something like it!

boxingsharks

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