Mind Body Pelvis

Mind Body Pelvis Dr. Natalia is a Doctor of Physical Therapy specializing in pelvic floor physical therapy in NJ

12/26/2025

During the holidays, water is usually the first thing to go. ๐Ÿ’ฆ

More travel, more coffee, more festive drinks, less routine. ๐Ÿคถ๐Ÿป

When water intake drops, pelvic floor symptoms often flare.

Dehydration can lead to:
-Constipation
-Bladder urgency and frequency/irritation
-Increased pelvic floor tension
-Bloating
-Less muscle elasticity

Hydration supports so much through the body as a whole, but especially our pelvic health.

So take this as your friendly pelvic floor therapist reminder to stay hydrated!

Sip consistently, pair water with your cocktail or coffee. Your pelvic floor deserves care this holiday season too! ๐ŸŽ„โค๏ธ

Does anyone else have an emotional support water bottle?! I feel like water bottle stickers say a lot about who you are ๐Ÿ˜‚

Let's Talkโ€ฆ Constipation isnโ€™t always just about food or โ€œnot enough fiber.โ€ Sometimes the why goes much deeper.Here are...
12/22/2025

Let's Talkโ€ฆ Constipation isnโ€™t always just about food or โ€œnot enough fiber.โ€ Sometimes the why goes much deeper.

Here are a few root causes I often see in the clinic:

๐Ÿง  Nervous system stress
When your nervous system is constantly up-regulated (hello, holiday stress, travel, family dynamics), your gut can respond with diarrhea or constipation. The gut and nervous system are deeply linked, and your bowels often tell the story before your mind catches up.

๐Ÿงต Scar tissue (like C-section incisions)
Scar tissue in the abdomen โ€” including after a C-section โ€” can change how tissues glide and how the gut and pelvic floor move. That can contribute to feelings of pressure, incomplete emptying, or constipation over time.

๐Ÿคฐ Pregnancy & postpartum changes
Shifts in hormones, pressure on the organs, changes in movement, and birth-related trauma can all impact the bowels and pelvic floor.

๐ŸŽฏ Tight pelvic floor
Yes, a tight pelvic floor can absolutely contribute to constipation. If the muscles canโ€™t relax and lengthen, itโ€™s harder for stool to pass โ€” even if everything else (fiber, hydration) looks โ€œperfectโ€ on paper.

If you see yourself in any of these, pelvic floor therapy can help you explore the bigger picture with curiosity and compassion โ€” not shame. Your body is communicating; our job is to listen and support it.










โ€œDr. Natalia was incredibly supportive and helpful throughout my postpartum journey. After a difficult delivery, she hel...
12/16/2025

โ€œDr. Natalia was incredibly supportive and helpful throughout my postpartum journey. After a difficult delivery, she helped me recover in a way that allowed me to really enjoy the experience of bringing my baby into the world.

Her care made a huge difference, and Iโ€™m so thankful for her guidance.

To any other moms going through a tough time... hang in there. There is a light at the end, and having someone like Dr. Natalia in your corner can make all the difference.

Sheโ€™s now someone I consider a friend, and Iโ€™m so grateful for that.โ€

-L

You donโ€™t have to do postpartum alone. You deserve to build your team, you deserve to take care of yourself, and you deserve guidance. ๐Ÿค

12/10/2025

Constipation isnโ€™t always just about whatโ€™s happening in your gut.

More often than not itโ€™s about whatโ€™s happening at your pelvic floor!

Tight muscles? You might feel like you have to strain and strain and nothing happens, you may even feel pain during or after bowel movements. You also might be the person that has hemorrhoids too. This is why I love the pelvic wand! Itโ€™s a great tool to help release that pesky pubore**alis muscle-the muscle that wraps around the re**um to make sure we donโ€™t p**p our pants. When it remains tense on the toilet, it interrupts our day to day! ๐Ÿ’ฉ

Uncoordinated muscles? You might feel like you strain, you also may feel like the urge suddenly goes away when you sit down. Itโ€™s often due to your belly muscles not working correctly with your pelvic floor muscles. Basically your brain tells your body you have to empty, and your core and pelvic floor do the opposite of what they should be doing to evacuate stool. I love using re**al dilators to help my patients understand awareness, mind body connection, proprioception, and practicing p**ping to get all the muscles working together as a team! ๐Ÿšฝ

Last but not least. Put your damn feet down FLAT on the floor when you p**p. Even better, use a squatty potty to promote an optimal anore**al angle. No tippy toes this season, no rushing, give yourself the gift of a squatty potty and good p**ps. ๐Ÿ’ฉ ๐Ÿšฝ

Constipation is not a one size fits approach, itโ€™s always best to get evaluated by a pelvic floor PT/OT that can thoroughly assess your symptoms and get to your root cause and teach you how to use these tools!

Happy p**ping this holiday season! ๐Ÿคถ๐Ÿป ๐ŸŽ„

Not all constipation is the same โ€” and that matters for how we treat it.Two common types I see:๐Ÿš‰ Slow transit constipati...
12/09/2025

Not all constipation is the same โ€” and that matters for how we treat it.

Two common types I see:

๐Ÿš‰ Slow transit constipation

Think of your gut like a train line. In slow transit, the โ€œtrainโ€ is just moving very slowly through the system. The stool hangs out longer in the large intestine, more water is absorbed, and it becomes dry and hard โ€” like little pellets that are hard to pass.

๐Ÿ›ค๏ธ Outlet dysfunction

Here, the โ€œtrainโ€ makes it all the way to the stationโ€ฆ but canโ€™t leave. Stool arrives in the re**um, but the pelvic floor and coordination at the โ€œexitโ€ arenโ€™t working well. You might feel the urge to go, sit on the toilet, and still feel blocked or unable to fully empty.

If youโ€™ve ever thought,
โ€œI know I have to go, but my body just wonโ€™t let it happen,โ€
thatโ€™s often more of an outlet issue โ€” and this is where pelvic floor therapy can be incredibly helpful.

Understanding which kind of constipation youโ€™re dealing with is the first step toward real relief.

๐Ÿ’ฉ๐Ÿ‘‹ December is Constipation Awareness Month โ€” which feels oddly perfect for a time filled with travel, rich foods, and d...
12/04/2025

๐Ÿ’ฉ๐Ÿ‘‹ December is Constipation Awareness Month โ€” which feels oddly perfect for a time filled with travel, rich foods, and disrupted routines. ๐Ÿš—๐Ÿท๐Ÿฐ

Constipation isnโ€™t just โ€œnot going enough.โ€ It can look like:

๐Ÿšฝ Feeling like you canโ€™t fully empty
๐Ÿ˜– Needing to strain or hold your breath
๐Ÿชจ Hard, pellet-like stools
๐Ÿ˜ฐ Bloating, pressure, or heaviness in the pelvis

You donโ€™t have to white-knuckle your way through the holidays feeling stuck and uncomfortable. Supporting your bowels is a big part of pelvic floor health, and small changes in posture, breathing, hydration, and fiber can make a real difference.

This month, Iโ€™ll be sharing bite-sized posts on constipation: what it is, why it happens, and gentle ways to support your body โ€” especially if youโ€™re pregnant, postpartum, or living with pelvic floor symptoms. ๐Ÿ’›










Your pelvic floor on Thanksgivingโ€ฆMore often than we realize, our pelvic floor takes on the brunt of our stress and anxi...
11/26/2025

Your pelvic floor on Thanksgivingโ€ฆ

More often than we realize, our pelvic floor takes on the brunt of our stress and anxiety.

Stress, anxiety, hustle and bustle, standing on our feet cooking all day, wrapping presents, lifting pots and pans and running after little kids (and pets!) around the house.

The holidays are my favorite time of year, but itโ€™s almost inevitable that with that comes less time to focus on ourselves or pay attention to what our body is telling us.

Hereโ€™s your gentle reminder to check in with your pelvic floor and try these quick tips to keep your posture, intra-abdominal pressure and nervous system happy all day. ๐Ÿค

Whatโ€™s your favorite way to check in with yourself? Let me know in the comments below! ๐Ÿ‘‡๐Ÿผ

๐— ๐˜†๐˜๐—ต ๐˜ƒ๐˜€ ๐—™๐—ฎ๐—ฐ๐˜: ๐—›๐˜†๐—ฑ๐—ฟ๐—ฎ๐˜๐—ถ๐—ผ๐—ป & ๐—™๐—ฟ๐—ฒ๐—พ๐˜‚๐—ฒ๐—ป๐—ฐ๐˜†๐— ๐˜†๐˜๐—ต: โ€œIf Iโ€™m peeing a lot, I should drink way less.โ€ ๐—™๐—ฎ๐—ฐ๐˜: Total fluid needs are ind...
11/25/2025

๐— ๐˜†๐˜๐—ต ๐˜ƒ๐˜€ ๐—™๐—ฎ๐—ฐ๐˜: ๐—›๐˜†๐—ฑ๐—ฟ๐—ฎ๐˜๐—ถ๐—ผ๐—ป & ๐—™๐—ฟ๐—ฒ๐—พ๐˜‚๐—ฒ๐—ป๐—ฐ๐˜†

๐— ๐˜†๐˜๐—ต: โ€œIf Iโ€™m peeing a lot, I should drink way less.โ€

๐—™๐—ฎ๐—ฐ๐˜: Total fluid needs are individualized; but many adults feel best consuming around ยฝ their body weight in ounces of water daily.

Dehydrated urine can actually create more bladder urgency by irritating the lining of the bladder.

โœ… Aim for comfort + clear-to-light yellow urine and a voiding schedule of 2โ€“4 hours.

โœ… Hydration supports bladder comfortโ€”chugging or restricting donโ€™t.

โœ… Think steady sips, light-colored urine, and a 2โ€“4 hour voiding schedule.

๐Ÿ‘‰ If youโ€™re up all night, going every hour or not emptying all day, thatโ€™s a great reason to check in with a pelvic PT.

11/19/2025

Planes, trains, andโ€ฆ panic pees? Try steady sipping of water, planned stops on a 2-4 hour voiding schedule, and full, relaxed emptying instead of hovering. Your bladder loves calm, consistent routinesโ€”even on the road.

(Normal frequency + complete emptying ideas align with bladder health guidance

Address

714 Executive Drive
Princeton, NJ
08540

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Monday 9:30am - 5:30pm
Tuesday 9:30am - 5:30pm
Wednesday 9:30am - 5:30pm
Thursday 9:30am - 5:30pm
Friday 9:30am - 5:30pm
Saturday 11am - 4pm

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