Lauren Trosch, PT

I'm a physical therapist helping people with urinary incontinence, painful s*x, and other bladder and bowel issues.

09/16/2024

📅 Next Saturday, we are excited to invite the PH1 Lab Santa Cruz attendees to join us for this post-lab event!

Don’t miss this in-person event "Refresh & Mingle". Join your California-North State Representative, Doris Cai, PT, DPT, at Whole Foods for a relaxed networking gathering. Connect with fellow physical therapists, assistants, and students over delicious snacks, share your lab experiences, and build lasting professional relationships. It’s the perfect way to cap off your course and keep the conversation going! Learn more and register at the link below!
https://loom.ly/jtI0M9Y

09/29/2021

Constipation can really be the worst. Especially if you feel like you’ve seen GI doctors and done everything you’re supposed to do.

Of course, there may be a lot of factors that may be contributing to constipation. But, in some cases, this could be a pelvic floor problem.

Your pelvic floor muscles control what’s going on or coming out of your pelvis. When they are overactive or tight, or maybe just are tightening instead of relaxing- this can lead to issues getting things in (painful penetr@tion) or getting things out- pooping or peeing problems.

So try making sure you have a nice, comfortable toilet posture - and gently blow as you to try to go. If you’re still having problems- make sure to get help. Of course, I’m a big fan of pelvic PT to help with constipation. But as PTs we often work in teams, so shout out to our lovely dietitians and functional medicine providers- .np -who can be a huge help with solving constipation woes!

09/25/2021

happy weekend ❤️

Anyone else with me? Give a 👍🏼

09/23/2021

A diagnosis or prolapse can be very scary but it is very common. Pelvic organ prolapse (POP) is the downward movement of your pelvic organs (bladder, uterus, re**um) and let me repeat- is very common. Some people with (POP) feel an uncomfortable bulge or heaviness or some bowel or bladder symptoms- where as others have no issues at all.

But know that interc0urse is safe with POP and should be comfortable! If it’s not comfortable- go see a pelvic floor physical therapist or a urogynelcologist. It may be that your discomfort has nothing to do with your prolapse.

So while you may notice things are a little different than they were before- this is very common and is not a deterrent to interc0urse or intimacy ❤️

*xeducation

09/22/2021

If pelvic floor muscles tightness or over activity is contributing to painful s€x, peeing problems, or constipation- teaching the muscles to relax can be very helpful.
Some people to well with exercise, stretching, breathing, meditation…and some do well with some gentle massage or soft tissue work to the tissues.
There are a lot of great resources out there to help teach your how to massage your pelvic floor muscles- see
But the most important rule about pelvic floor massage is that is needs to be comfortable. If it’s not, you should really see a specialist!

10/27/2020

It’s important for pelvic floor physical therapists to keep up with pelvic floor research along with orthopedic research. The research has shown us an association between back pain, pelvic floor problems, breathing issues, and GI issues. So to take care of our patients, we need to look outside the box and treat them as a whole person.

This new research highlights that early physical therapy interventions can help people who have sciatica improve their pain and function. Early referral to Physical therapy helped people get better faster and also had superior outcomes one year later than those who were just told to stay active.

10/26/2020

Make sure you look for any issues with coordination or pelvic floor muscle over activity before jumping into a strengthening program with your patients who have pelvic heaviness!

10/24/2020

Pain with tight clothing, peeing, s*x, or**sm, peeing, or even just sitting? No infection or findings on cystoscope, MRI, or X rays? It might seem completely odd and hard to understand, but it something that pelvic floor therapists hear on a regular basis and we can help!

Over active muscles and sensitive nerves can make light touch or pressure from a chair or clothes very uncomfortable. Changes in blood flow, muscle stretch, or muscle contraction can make you feel not so hot. So if you or your patient have been to the doctor and they just can’t seem to find what’s going on, a pelvic floor physical therapist may be a great addition to the treatment team to help you move towards some relief

*x

10/20/2020

So I heard say this during an IG live with .birthdoula

And I knew this information was gold for anyone who treats people who have s*xual dysfunction.

When it comes to treating people who experience painful s*x, we cannot separate the biological, psychological, and social factors that may be be contributing to s*xual dysfunction.

We need to be aware of all potential contributing factors to painful s*x- hormones, libido, body confidence, tissue health.....

While no one is a complete expert on all things that contribute to painful s*x- we need to know what’s in our wheelhouse and when to refer out.

So check out .birthdoula for Dr. Benyounes last IG live and catch her this Thursday for our next Academy of pelvic health webinar on perimenopause/menopause. DM me for the link to register and let me know your questions!

*x *xhealth

10/19/2020

So when you have a patient with bowel, bladder or other organ related pain, you want to check for an overactive pelvic floor.

Many of these diagnoses are accompanied by an overactive pelvic floor- so a thorough exam and treatment to reduce any over activity can actually help them with their bladder pain, IBS, or pain related to endometriosis.

Many patients are confused how relaxing their pelvic floors can help reduce their bladder pain or pain related to endometriosis since their pain seems related to their organs-
NOT their pelvic floors.

So if their pelvic floor is overactive:
Once you can show them that their pelvic floors is overactive and show them that calming down the pelvic floor helps their visceral symptoms you can really help your patients out!

10/16/2020

The pelvic floor and trapezius muscles become more active in response to threat for people WITH and WITHOUT vaginismus. These studies by J van der Velds in 2001 helped us to understand that our pelvic floor muscles respond to threat, likely as part of a defense mechanism.

It’s okay that the pelvic floor contracts in response to threat, that’s normal. As physical therapists we are not trying to eliminate this response.

Patients come to us when they want to be able to use tampons, have a gynecological exam, or participate in a penetrative activity without painful, reflexive contraction. We need to help make a previously threatening experience non-threatening. And we might not be able to do this on our own. We may need the help from our physician and behavioral health colleagues. What we do for our patients is create a safe, non-threatening environment for our patients where pain free pe*******on is possible and comfortable.
...

*x

10/15/2020

When you have an overactive pelvic floor, you might present with with one or a handful of urinary issues like painful voiding, difficulty voiding, or a change in urinary frequency.

Now any of these symptoms could be a sign of something else medical going on, so make sure you or your patients get checked out by a physician. Then once medically cleared, a thorough assessment of the pelvic floor is necessary to see if any pelvic floor over activity (or under activity) is contributing to these symptoms.

Address

1555 Connecticut Avenue NW #200
Washington D.C., DC
20036

Opening Hours

Monday

5pm - 8pm

Website

http://www.laurentrosch.com/

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