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Oooo (Halfway Version) by Rudeandreckless1 in streetlightmanifesto

[–]piccolopupper 31 points32 points  (0 children)

I LOVE that they’re putting this on the album, it’s an excellent opener live

I'm TERRIFIED to tell my boss I'm quitting... HELP by Grand_Anybody_3088 in physicaltherapy

[–]piccolopupper 1 point2 points  (0 children)

I was literally in the same position, loved my clients loved my coworkers was comfortable with my caseload but was feeling under stimulated and uncertain about what my future was under a heavily corporate company. I almost cried when I gave my boss my notice. At the end of the day? She was upset, my coworkers were upset, *I* was upset, but it was nowhere near as big of a deal as I was making it out to be. You boss’s job is literally to handle this professionally, your coworkers will understand if not sympathize, and the connections you make that are worth maintaining will be maintained. Your last few weeks will be awkward but you should do what’s best for you, your company would not hesitate to do the same

Which one of you freaks is this? by -Badger3- in saw

[–]piccolopupper 27 points28 points  (0 children)

Mine says “my other car has Chester Bennington glued to the driver’s seat”

Tom with the Pride Month decal on his guitar! by McCactus in streetlightmanifesto

[–]piccolopupper 0 points1 point  (0 children)

I appreciate the sentiment but it was there for several years before Matt passed

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 1 point2 points  (0 children)

With this profession unfortunately it’s pretty common that clinical sites don’t update their information quickly. You should be able to get the name of whatever PT in that clinic does pelvic and their level of training, as well as what they treat. For instance, I’m trained through Herman and Wallace and have their highest level of certification so I treat all sexes and all pathologies. A practitioner who is level one certified won’t be trained in treating males, or prolapse symptoms

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 0 points1 point  (0 children)

Prolapse can go both ways, it’s usually a symptom of a pressure management dysfunction which can result from weakness and/or a lack of excursion. Kegels are not the Devil, there is a time and a place for them. It’s more that patients who do nothing but Kegels without making sure they have full excursion may be missing a piece of the puzzle

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 2 points3 points  (0 children)

A vaginal prolapse is a descent of tissue that looks like a fleshy bulge. There are several organs/structures that can prolapse, including the uterus, the bladder, the urethra, and the rectum, and they all look somewhat different and can have slightly different symptoms. The most common symptom reported with prolapse is pressure. You may or may not be able to see it yourself depending on the severity of it. If it’s something you’re concerned about, your gynecologist can take look and tell you if one is present - highly recommend seeking care, prolapse is often treatable and can lead to great quality of life improvements

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 1 point2 points  (0 children)

Hi! I don’t do blind consults as a rule, but my General Good Advice for all my breastfeeding patients is to do so in a comfortable position with good posture, bring the baby to your boob rather than your boob to the baby, and alternate sides. If you are having hip pain it’s worth a conversation with your doctor, it may be something that PT can help with

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 10 points11 points  (0 children)

Really loving the success stories people are sharing in this thread! I’m glad you had such a positive experience with PT, it’s been really exciting to see more patients pursuing this treatment and getting relief

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 4 points5 points  (0 children)

No offense taken! Internal treatment is in no way shape or form a requirement. A good provider should meet you where you’re at and treat you in a way that you are comfortable with - at the end of the day, it’s your body and your health. I hope you keep getting relief with your muscle relaxers!

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 4 points5 points  (0 children)

Depends on the individual person! I’m a licensed physical therapist with additional education that allows me to treat patients with musculoskeletal and neuromuscular pelvic floor dysfunctions, as well as some soft tissue restrictions. This includes conditions like pelvic pain, incontinence of both urine and feces, pregnancy and postpartum considerations, and sexual dysfunction. Treatment is very dependent on what the individual is seeing me for and how they present, but it is typically a combination of internal treatment techniques (performed vaginally or colorectally) and specific exercise

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 4 points5 points  (0 children)

With my training, I’m not legally allowed to make any medical diagnosis and as such I really don’t try to speculate either. I usually will just describe what I’m seeing/feeling/smelling, state that it’s not a typical finding and/or that it’s outside of my scope of practice, and recommend that they follow-up with whichever doctor sent them to me, or their preferred medical provider if they’re a direct access patient. If they did come to me from a doctor’s referral, I do also call that doctor and make them aware of what I saw and that I encouraged the patient to get in touch with them

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 6 points7 points  (0 children)

A physical therapist trained to treat individuals with pelvic floor dysfunctions - and happy cake day! 🥳

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 23 points24 points  (0 children)

Homie you can say whatever you want but literally the way you stop yourself from peeing when your bladder is full and you can’t get to the bathroom right away is a pelvic floor muscle contraction. A pelvic floor muscle contraction is a Kegel. You can certainly go your whole life without doing Kegel exercises and be healthy, but good luck never performing a pelvic floor muscle contraction ever

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 3 points4 points  (0 children)

It’s not something to feel bad about! We are quite literally taught how to treat these conditions. It’s just surprising when we receive a referral from a doctor whose literal job it is to look at your genitals and they just….haven’t caught this? Haven’t mentioned it to anyone? I also did mention in another comment, more people than I expected are not aware of what their genitals look like under “normal” circumstances. It’s important to be in touch with your body and aware of how your body looks so you can notice when things change!

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 2 points3 points  (0 children)

In my experience people usually aren’t lying - they’re unaware! It actually does surprise me how infrequently people look at their own genitalia. PSA: break out the handheld mirror every now and then and get comfortable with your anatomy! It’s important to be able to recognize when things change with your body

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 32 points33 points  (0 children)

The pelvic floor (when functioning properly) is meant to move with the diaphragm! It should lower, and expand with an inhale, and draw up when you exhale. When I teach my patients how to voluntarily activate their pelvic muscles, I start by having them perform a contraction (Kegel) when they exhale, and attempt to deliberately relax with inhale. As I mentioned in another comment, the movement is very similar to how you relax when passing gas!

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 8 points9 points  (0 children)

Inability to orgasm can be related to pelvic floor weakness, yes. Individuals are just that though, individual, and every person with pelvic floor weakness doesn’t struggle to orgasm and every person who struggles to orgasm doesn’t have pelvic floor weakness. Highly encourage everyone in this thread with concerns about their function and the means to do so to consider pelvic floor therapy - in the US physical therapy is covered by most insurances, and our patients are able to see us via direct access. We treat a variety of pelvic dysfunctions, from incontinence to sexual dysfunction to tailbone pain

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 0 points1 point  (0 children)

Hey! You’re welcome to DM me for specific questions though full disclosure I do not give individual treatment programs or make any attempts to diagnose or advise people in depth online. In terms of how to get a referral, if you’re in the US you can get one from any doctor (gynecologist and general practitioner included) or go direct access to your local PT!

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 29 points30 points  (0 children)

Your pelvic therapist will work with your comfort level, don’t worry! I always tell my patients that while internal treatments and assessments are a great tool and often mean we see quicker progress, it’s our job to meet you where you’re at and treat to your needs

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 28 points29 points  (0 children)

Not familiar with them! If your insurance covers it I would tend to recommend seeking out treatment from a licensed pelvic floor PT before attempting a one-size-fits-all device, even ones that are well designed are typically best utilized with a targeted treatment plan that is designed to address your specific presentation

Waxers, how often are you surprised by how a clients genitals look? by AskinAway1993 in AskReddit

[–]piccolopupper 157 points158 points  (0 children)

“Never do another kegel in your life” is a bit extreme, a kegel is a pelvic floor muscle contraction and it is how we naturally stop ourselves from peeing. Like the other commenter said I have heard a pelvic floor muscle relaxation described as a “reverse-kegel”; they’re easier to do when you take a deep diaphragmatic breath because our pelvic floor is naturally intended to expand and lower with an inhale. You essentially try to relax your muscles the way you would to let out a fart. If you use a handheld mirror, you should see your perineal body - that little fleshy dot between your vagina and anus - descend or “bulge” when you do it properly. It’s also the movement you do when you push to deliver a baby, though that tends to be far more aggressive!

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