Statistics show up to 60% of women experience female pelvic pain at some point in their lives. The reasons women develop pelvic pain are multi-factorial, stemming from a number of causes. The vulvovaginal area can be affected by hormones, medications that influence our hormones such as oral contraceptives and acne medications, childbirth, disease, infections, and pelvic surgeries. Regardless of the reason that pelvic pain develops, research shows that the pelvic floor muscles are almost always a cause or contributing factor to the pain and physical therapy helps.
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles In 2021, a panel of experts published a consensus and management of care paper on Persistent Genital Arousal Disorder/Genito-Pelvic Dysesthesia (PGAD/GPD) in the Journal of Sexual Medicine. The paper describes a treatment algorithm involving five different therapeutic targets for PGAD/PGD! The paper describes how clinicians newer […]
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles Persistent Genital Arousal Disorder (PGAD) is a syndrome characterized by unwanted genital arousal in nonsexual situations and was first described in 2001. The syndrome is being studied and in 2021 the International Society for the Study of Women’s Health (ISSWSH) published new guidelines about PGAD, broadening […]
By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles There are a number of treatable causes of clitoral pain, yet often patients are misdiagnosed and this distressing symptom can persist. Hormonal deficiencies associated with birth control pills, acne medications, and age can lead to thinning of hormonally sensitive structures, such as the clitoris and […]
By Stephanie Prendergast, MPT, Cofounder, PHRC West Los Angeles A frequent question from social media: “I have Vestibulodynia and painful bladder syndrome. I am almost symptom free except for near or during my period. My hormone levels are fine. My urologist prescribed testosterone cream because he found atrophy. At the same time I have […]
By Kim Buonomo, DPT, PHRC Lexington Introduction Megan (mid-50 year old cisgender female) started seeing me in September 2021. She had a history of bowel dysfunction since giving birth to her daughter in the late 1990’s. She described her symptoms as a pattern of alternating constipation and diarrhea, associated with bloating, hemorrhoids and abdominal […]
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles & Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack What are the possible causes of clitoral pain? How can each of these things cause it? There are several possible causes of clitoral pain. This list of causes is not exhaustive, but are the most common causes of clitoral […]
By Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack Receiving a gynecological cancer diagnosis is wrought with emotions: fear, grief, confusion, anger, among others. Additionally, the number of medical providers that one will encounter throughout the treatment process is many. One of the important members of your interdisciplinary cancer care team is a pelvic floor physical and […]
By Jillian Giannini, DPT, PHRC Pasadena, Jennifer Keesee, DPT, PHRC Westlake Village and Emily Schwerdtfeger, BA, PHRC Westlake Village “I’m the exception, right?” “It could never happen to me.” Emily is a 25 year old female that has had left hip pain for five years now. She describes her hip pain as: Achy or […]
By Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack As we recognize International Women’s Day in March, this is the perfect opportunity to educate our community about how pelvic floor physical and occupational therapy can benefit women and folks with uteruses throughout the different phases of their lives. The truth is, virtually all women and people […]
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles What is Vulvar Lichen Sclerosus? Like so many other pelvic pain diagnoses, Vulvar Lichen Sclerosus (VLS) is riddled with challenges in terms of diagnosis and treatment. Many people with VLS also have pelvic floor dysfunction, and as a result we have seen lots of patients […]
By Stephanie Prendergast, MPT, PHRC Los Angeles A few weeks ago I had the pleasure of interviewing Dr. Rachel Rubin on Instagram Live. I wanted to interview Rachel because of her unique background as a board-certified female urologist who completed a sexual medicine fellowship with Dr. Irwin Goldstein. Dr. Rubin is a clinician, a […]
By Jandra Mueller, DPT, MS, PHRC Encinitas Here is the situation, you have irritation down there, you go to your doctor, she performs her exam and tests, she swabs you, then you get the call… your cultures came back negative. Here is what your GYN may have missed. Many women experiencing pelvic pain, urinary, and […]
By Elizabeth Akincilar, MSPT, Cofounder, PHRC Lexington Did You Know… An estimated sixty-one percent of women with bladder pain syndrome have comorbid chronic pelvic pain, while almost fifty percent of women with endometriosis suffer from chronic pelvic pain.1 Seventy percent of women with a previous diagnosis of endometriosis are diagnosed with chronic pelvic […]
By Karah Charette, PT, DPT, RYT When I first met Sara* (name changed for the story), I knew she was going to do well with pelvic floor physical and occupational therapy. She was motivated, curious, and engaged in her healing process. She came in with questions and reflections each session, and was open to […]
By Shannon Pacella, DPT, PHRC Lexington Do you remember the first time you tried using tampons? Did you have anyone help guide you or were you trying to follow the little paper instructions from inside the box? Once you mustered up the courage to try and insert it, was it painful? Maybe you were […]
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles Do you know the difference between vulvodynia & vestibulodynia? Vulvodynia simply means pain in the vulva, which includes the clitoris, labia, mons pubis, perineum, hymen, and vestibule. Tune into our IG Live about Vestibulodynia with special guest, Doctor Irwin Goldstein at 5:30PM PST, 2/18/2021. Vestibulodynia is pain […]
By Kim Buonomo, DPT, PHRC Lexington Ally is a lovely 64 year old woman that I’ve been working with at PHRC Lexington since April 2019. During the course of her treatment, she read my previous success story and told me how it inspired her and that she believed she would find the same success […]
Author: Tracy MacNeal, Materna CEO This week we are posting about the Milli, the first-ever gradually expanding dilator. Please note PHRC cofounder Stephanie Prendergast is a member of the Materna Scientific Advisory Board and PHRC is posting this blog on their behalf. Vaginal dilators are often recommended in treatment plans for women suffering […]
By Jandra Mueller, DPT, MS, PHRC Encinitas In our third and final post of this series we share hormonal alterations that people may experience. In case you missed it, check out Period Health 101, Part One and Period Health 101, Part Two to best understand this post! Symptoms of Hormonal Alterations Hormonal birth […]
By Jandra Mueller, DPT, MS, PHRC Encinitas In case you missed it, here is Period Health 101: Everything You Should Have Learned in 6th Grade, But Didn’t, Part 1. What are your hormones doing throughout the various phases? To understand this, refer to the chart below. It is actually helpful in understanding the […]
By Jandra Mueller, DPT, MS, PHRC Encinitas As menstruating people, you would think that we would understand what a period is, the purpose of it, and all of the information it can give us. Unfortunately, we do not, and this is not okay. Our periods are more than a sign we are not pregnant, more […]
