Bethany Hansen, LLC

Bethany Hansen, LLC I bring experience and passion for all things pelvic health to help people achieve their goals. Location: Blooma (Minneapolis) or mobile in-home

Cervical Cancer Awareness Month!Check out this podcast episode from You Are Not Broken with Dr. Kelly Casperson, MDMay 1...
01/07/2026

Cervical Cancer Awareness Month!

Check out this podcast episode from You Are Not Broken with Dr. Kelly Casperson, MD

May 12, 2024 #264 Cervical Cancer, Birth Control, Vulvar Pain, Gaslighting with Dr. Andrew Goldstein, MD

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🤦‍♀️If I had a dollar for everytime a pregnant person asked me this because they saw someone say it in IG….well, I’d be ...
12/30/2025

🤦‍♀️If I had a dollar for everytime a pregnant person asked me this because they saw someone say it in IG….well, I’d be 🤑💰💵

NO! Doing kegels (aka, pelvic floor muscle training) during pregnancy does not make your pelvic floor “tighter”, delivery harder or longer, and they don’t lead to increased trauma to the pelvic floor muscles.

🚫This is simply not true.

That’s like saying that if someone does hamstring curls at the gym for a few months and gets their hamstrings stronger, that they will no longer be able to touch their toes. Not true - muscles can be strong or weak AND flexible or inflexible. These are separate properties of muscle function.

🧐In a recent systematic review and meta-analysis by Zhang et al. (2024), they concluded that pelvic floor muscle training proved effective in reducing the risk of urinary incontinence and the occurence of third-or fourth-degree perineal tears.

I don’t know how this myth started but if you believe it’s true, by all means prove me wrong and send me your source showing that pelvic floor muscle training leads to worse birth and pelvic floor outcomes.

I don’t believe kegels play a big role in pelvic floor physical therapy, but they certainly aren’t harmful for the average pregnant person to do.

👉Save this post, and if you see someone repeat this myth on social media, send it to them. We can only dispel myths with evidence-based information, and the more we spread the word, the better off more people will be!

If you live in the Minneapolis, MN area and want to work with me, book a consult or contact me at www.bethanyhansenpt.com (link in the bio).

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pelvicfloorpt pelvicphysio

A fairly recent Time magazine article discussed how destigmatizing issues people experience postpartum can be helpful. C...
12/12/2025

A fairly recent Time magazine article discussed how destigmatizing issues people experience postpartum can be helpful. Celebrities are talking about their birth experiences and outcomes, and people we follow on social media share the good, the bad, and the ugly.

However, as they report in the article, “As two psychologists specializing in women’s health, we’ve recently come to a surprising realization: maybe all this normalization has a dark side. In our culture’s noble attempt to encourage talking about postpartum pain and illness, we have inadvertently normalized the experience of postpartum pain and illness”.

ACOG now recommends that physical therapists be part of the healthcare team for postpartum care, emphasizing the importance of pelvic floor rehabilitation for issues like urinary incontinence, diastasis recti, and pain, and encourages early intervention for optimal recovery.

However, this recommendation was initiated in 2018 - it’s now 2025, and many OBGYNS still don’t routinely refer to pelvic floor PT for their pregnant or postpartum patients.

What can help?

Spread the word about pelvic floor PT/OT to everyone you know - friends, family, acquaintances, social media groups, medical and alternative health providers, etc....

Want to learn more about what I teach people to prepare for vaginal birth? Check out my blog post “How to Prepare for Vaginal Birth” (link in the bio) or follow me for more!

If you live in the Minneapolis, MN area and want to work with me, book a consult or contact me at www.bethanyhansenpt.com (link in the bio).

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12/10/2025

💥Shout it out. We need better!!💥

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You know this has happened to you!! You’re minding your own business, listening to a well-intentioned person (and highly...
12/03/2025

You know this has happened to you!! You’re minding your own business, listening to a well-intentioned person (and highly educated, I might add) talk on a podcast, and BAM - they say something and you’re yelling “No!” and anyone close by starts staring at you…

Example:
PTs discussing a topic in which dry needling is mentioned as a possible treatment option.

Board-certified PT: “Dry needling is actually very similar to acupuncture”.

No, it’s not.

For the record, acupuncture is a form of Traditional Chinese medicine in which needles are placed at specific points to improve the flow of energy, or Qi, to improve health.

Dry needling is used to effect change in body structures and functions for the evaluation and management of neuromusculoskeletal conditions, pain, movement impairments, and disability.

Preliminary research supports that dry needling improves pain control, reduces muscle tension, and normalizes dysfunctions of the motor end plates, the sites at which nerve impulses are transmitted to muscles.

🤦‍♀️There will always be misinformation on social media and podcasts, and nobody’s perfect (myself included!). But as physical therapists (and other medical professionals), it’s our job to call out things that are untrue or misleading when we see or hear them.

Want to learn more about dry needling from a PT perspective? Check out my blog post “What does dry needling do and what is it used for in physical therapy?” www.bethanyhansenpt.com (link in the bio).

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Cummings MT, White AR. Needling therapies in the management of myofascial trigger point pain: a systematic review. Arch Phys Med Rehabil. 2001;82(7):986–992.

Kalichman L, Vulfsons S. Dry needling in the management of musculoskeletal pain. J Am Board Fam Med.2010;23(5):640–646.

11/24/2025

I can’t make this stuff up. Thankful she even sought me out after that experience. 😞

What’s the craziest thing you’ve ever experienced as a patient or heard from a patient as a pelvic floor provider???

If you’ve been told to avoid crunches forever or that your “gap must close” before you can do the exercise you love to d...
11/20/2025

If you’ve been told to avoid crunches forever or that your “gap must close” before you can do the exercise you love to do 😳 — this one’s for you.

Diastasis Recti (DRA) is a NORMAL, expected tissue adaptation during pregnancy.

Not a tear. Not a hernia. Not an injury.
And no — exercise isn’t going to “make it worse.” 💛

Here’s what the research actually supports:
✨ The gap alone doesn’t determine symptoms
✨ Most people see natural improvement in the first year
✨ Strength training helps
✨ Doming is not automatically harmful
✨ Your goals matter more than measurement methods

Rehab for DRA isn’t about closing the gap — it’s about building strength, body confidence, and functional capacity so you can lift, run, carry, chase, plank, crunch, and live your life without fear.

If you want guidance that’s practical, empowering, and based on current evidence (not fear-based rules)…
I’d love to support you.

Want more details? 💡Check out my latest blog post “What to do for Diastasis Recti: A Pelvic Floor PT Perspective” (www.bethanyhansenpt.com/blo)
👉 DM me with questions
👉 Or book a consult via the link in my bio

You’re strong, adaptable, and more capable than you’ve been told.

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11/11/2025

Bladder Leakage? It’s more than just kegels!

As a pelvic floor PT who treats a lot of people with bladder leakage, here are some other areas that we can address that may have an impact:

✅Posture: excessive anterior pelvic tilt, rib flaring, abdominal clenching, or excessive slumping

✅Breathing: shallow breathing, breath holding, tightness in ribs and middle spine

✅Strength and endurance of pelvic floor accessory muscles - abdominals, outer hips, inner thighs, glutes

✅Manual therapy: Due to the attachment of the levator ani muscles to the obturator internus muscle via the arcus tendineus, increased tone in the levator ani muscles results in increased tone in the obturator internus muscles.
Because increased tone in the obturator internus can compress the perineal branch of the pudendal nerve, which also innervates the external urethral sphincter, doing manual therapy (trigger point release, stretching, massage, pelvic wand) can relieve this compression, allowing the nerve and external urethral sphincter to function better.

✅Consider compound movements and accessory muscle use to progressively challenge the muscles.

Let’s dispel the myths:

☠️”Kegels are the only solution.”

☠️”It’s just part of getting older.”

☠️”Surgery is the only option.”

If you’re struggling with bladder leakage and you live in fear of having an accident or limit your activity to avoid embarrassment, you’re not alone!

Want to learn more? Check out my blog post “How to Help Stress Incontinence: A Pelvic Floor PT’s Guide to Understanding and Management” (bethanyhansenpt.com/blog)

Is the Emsella chair (and similar “quick fix” devices) worth the hype… or just expensive butt-warmers? 🪑⚡When you dig in...
11/06/2025

Is the Emsella chair (and similar “quick fix” devices) worth the hype… or just expensive butt-warmers? 🪑⚡

When you dig into the research, the story changes quickly.
Here’s the truth:

✅ Some studies show short-term improvement
❌ Long-term results? Not supported
❌ Many studies have tiny sample sizes
❌ Lots of missing control groups
❌ High relapse rates after treatment
❌ Clinics sell 6 sessions… but most studies showing any benefit used 12–32 sessions (😳)

And yes, it’s “FDA approved”…
but FDA approval means safe, not effective.
The most frustrating part?
Patients trust their doctors.

When clinics sell Emsella instead of referring to pelvic PT, people assume it must work — and spend thousands on something with weak evidence.

I’m not saying this device doesn’t help anyone. Everything out there will help some people - which is why robust research is important. But for many people this can be a huge waste of time and money!

Meanwhile, pelvic floor PT continues to show real, meaningful improvements for stress urinary incontinence.

Evidence matters.

Patients deserve transparency.

And we deserve better than overpriced shortcuts.

🧠Check out my blog post “Does the Emsella Chair Really Work for Urinary Incontinence?” for more information and study references at www.bethanyhansenpt.com/blog.

Have you had patients ask about Emsella or other devices?
Drop your experience in the comments. ⬇️

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Address

Minneapolis, MN

Opening Hours

Monday 8am - 2pm
Tuesday 8am - 6pm
Thursday 8am - 6pm
Friday 8am - 2pm

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