Marcy Crouch, PT, DPT, WCS

Moms deserve more than survival.

A single 6-week checkup cannot cover physical recovery, mental health, pelvic floor trauma, feeding struggles, sleep deprivation, or pain.

Postpartum support should be a system — not an afterthought.

What do you wish your provider had done postpartum?

🚨 Pelvic floor dysfunction doesn’t always look like p*eing your pants.

In fact, some of the most common symptoms are the ones people never realize are connected to their pelvic floor.

Things like:
⚠️ Feeling like you never completely empty your bladder
⚠️ Needing to push or strain to poop
⚠️ Pain with intimacy
⚠️ Tailbone, hip, or low back pain that won’t go away
⚠️ A constant feeling of pressure “down there”
⚠️ Having to p*e all the time, even when your bladder isn’t full
⚠️ Difficulty inserting tampons
⚠️ Leaking gas or struggling to hold it in

Many people spend years treating the symptom without ever addressing the source.

They see a GI specialist for constipation.
A urologist for urinary urgency.
A chiropractor for back pain.
A gynecologist for painful in*******se.

And sometimes, the missing piece is the pelvic floor.

Just because a symptom is common doesn’t mean it’s normal.
If you’ve been told to “just live with it,” this is your reminder that there may be treatment options available. 💛

Which symptom surprised you the most?

Knowledge is power

My App is ready for you in the app store. Pay what you can

Best pregnancy and birth course out there IMO 🥰

Let’s talk about one of the most underrated birth prep tools: perineal massage. 👇

Starting around 32–34 weeks, perineal massage may help prepare the tissues between the v@ginal opening and Nus Font for the stretching that occurs during birth.

While it can’t guarantee you’ll avoid tearing, studies suggest it may help reduce the risk of more significant tears and decrease perineal pain after delivery—especially for first-time moms.

But the benefits aren’t just physical.
✨ It can help you:
• Become more comfortable with pressure and stretching sensations
• Build confidence before labor
• Reduce fear surrounding birth
• Learn how to relax your pelvic floor muscles

Think of it as practice—not perfection.

Birth asks your body to do something incredible. Taking a few minutes each week to connect with and prepare these tissues can be one small way to support yourself before the big day.

Have you been told about perineal massage during pregnancy, or is this the first time you’re hearing about it?

Pretty sure I ovulated with this one. Crying babies, sleepy ones, awake ones, whatever...I tell all my people that if you don't have help or don't want to leave the baby, bring em! That is not a reason to not come to therapy. ♥️