By guest blogger Steve Hodges, MD with an introduction from Elizabeth Akincilar As pelvic floor physical and occupational therapistss, we often notice a common denominator among our patients suffering with pelvic pain: CONSTIPATION. Probably more frequently than not, our patients with pelvic pain also struggle with constipation currently, or have at some point in their lives. Many of …
PHRC teams up with Innovative Wellness in Walnut Creek!!!!
By Stephanie Prendergast The Pelvic Health and Rehabilitation Center is expanding to Walnut Creek! We are excited for a unique opportunity to team up with Rachael Cabreira, RN, BSN, MSN, FNP-C and Certified Sexual Health Clinician inside her new private practice, Innovative Wellness. People who know us at PHRC know that we believe in coordinated, interdisciplinary care for …
Mechanistic Interplay among Peripheral, Spinal and Brain Adaptions to Chronic Visceral Pain
For those of you following our journey through the 3rd World Congress on Abdominal and Pelvic Pain (#WCAPP17), here is another light-bulb lecture explaining the interconnections of chronic visceral pain. The presenter, Melissa A. Farmer, PhD, is a researcher at the Feinberg School of Medicine at Northwestern University with a long-standing relationship with the International Pelvic Pain Society (the …
Autonomic Dysregulation in Functional Gastrointestinal Disorders
By Melinda Fontaine, DPT, Walnut Creek At the 3rd World Congress on Abdominal and Pelvic Pain organized by the International Pelvic Pain Society, Professor Qasim Aziz spoke about Autonomic Dysregulation in Functional Gastrointestinal Disorders. Qasim Aziz, MBBS, FRCP, PhD is Professor of Neurogastroenterology at Barts and The London School of Medicine and Dentistry at Queen Mary, University …
The Peripheral Nervous System, Interstitial Cystitis, and Pelvic Pain
By Katie Hunter I had the pleasure of attending Dr. Kenneth Peters’ lecture on the role of the Peripheral Nervous System(PNS) in the development and management of pelvic pain. Kenneth Peters, MD is a urologist practicing at Beaumont Hospital in Royal Oaks, MI, who specializes in treating complex pelvic pain including interstitial cystitis. For more information on Dr. …
This is Us: a look inside PHRC
By Stephanie Prendergast, Cofounder, PHRC Los Angeles January is often the time to reflect on the past year and set goals for the future. So, in that spirit, we thought it would be fun to dedicate this post to a few top Pelvic Health and Rehabilitation Center events of 2017….and a peak forward to 2018. In no particular …
Positive Affect Helps Mitigate Chronic Pain: Building a Positive Piggy Bank
Many patients find that managing chronic pelvic pain conditions can sometimes be difficult. Oftentimes there is no one “thing” or pathology that symptoms can be tied to which, understandingly, can be frustrating or overwhelming. More accurately, chronic pelvic pain is a complex interaction of both physiological and psychosocial components. It is not only the body but the mind and …
Urologic Chronic Pelvic Pain & Manual Pelvic Floor Physical and Occupational Therapy
By Shannon Pacella While attending the 3rd World Congress on Abdominal and Pelvic Pain organized by the International Pelvic Pain Society, I had the privilege of listening to Rhonda K. Kotarinos, DPT, MS give a lecture on the topic of urologic chronic pelvic pain and manual physical and occupational therapy. Rhonda K. Kotarinos, DPT, MS is a Doctor …
Autonomic Features of Chronic Pelvic Pain
By Elizabeth Akincilar Understanding and effectively treating chronic pain continues to challenge the medical community. Now more than ever, there is a sense of urgency to treat this disease. With the astounding reports of opiate addiction and opiate related deaths in this country, we now know that throwing drugs at chronic pain is not the answer. So what …
3rd World Congress on Abdominal and Pelvic Pain Pain Updates, Part I
By Stephanie Prendergast Last month, pelvic pain enthusiasts traveled from all over the globe to attend the 3rd World Congress on Abdominal and Pelvic Pain in Washington, DC. The World Congress on Abdominal and Pelvic Pain is joint scientific meeting between the International Association for the Study of Pain Special Interest Group on Abdomino-Pelvic Pain, Convergences in pelvic-Perineal …
How to Stop Worrying and Obsessing About Pelvic Pain Symptoms
By Lorraine Faehndrich If you’re suffering with pelvic pain it’s very likely that you’ve spent a lot of time worrying and obsessing about your symptoms. Maybe you’ve spent hours online searching for answers, reading stories of others’ experiences with pelvic pain, or participating in “support” groups that leave you even more stressed, worried and fearful than you already …
Tips for Coping With Persistent Pelvic Pain
By Jessica Newman, LMHC Living with persistent pelvic pain is, by definition, painful physically. What can be hard to talk about (especially for folks with pelvic pain) is just how emotionally distressing the pain is. And because the mind and body are a functional whole (think: a Mobius strip) emotional distress can trigger or amplify physical pain and vice …
Posture and the Pelvis: Part Deux
“Share the load” – Samwise Gamgee “It’s all about the base ” – Meghan Trainor “Drop it like it’s hot” – Snoop Dogg Some different quotes from last time, but after reading today’s post you’ll understand how Samwise, Ms. Trainor and Dr. Dogg are all talking about posture and the pelvis, and they didn’t even know it. …
How Pelvic Floor Physical and Occupational Therapy Helps Fecal Incontinence
Loss of bowels can be quite alarming considering a recent systematic review revealed that nearly 7.7% of community adults, with no difference in gender, have fecal incontinence.2 Fecal incontinence is defined as an uncontrolled loss of stool and can have significant implications on one’s physical and psychological well being. It is associated with social isolation, anxiety, loss of employment and …
Brace yourselves: protecting your pelvic floor during CrossFit and loaded exercise
If you are a male and either currently participate in CrossFit workouts or another form of Olympic weightlifting, and have developed one or more of these symptoms: perineum pain with sitting, lower abdominal pain with intense activity or ejaculation, testicular pain that radiates to the abdomen or the vice versa, and urinary hesitancy with urgency and frequency, this blog is …
Understanding Pelvic Floor Movement
By Katie Hunter, DPT Drop, push, bulge, squeeze. These words are used regularly when talking about pelvic floor function but what do they actually mean? We often talk about how the pelvic floor muscles become dysfunctional and can cause daily symptoms of pelvic pain, bladder and bowel urgency and frequency, incontinence, prolapse, and sexual dysfunction. Today, I …
Posture and the Pelvis: Part One
By Admin “In all nature structure determines function” – William Herbert Sheldon, father of somatotyping “Form and function are a unity, two sides of a coin” – Ida P. Rolf, biochemist and fascial genius “Conjunction junction, what’s your function?” – Schoolhouse Rock, how us 30+s learnt grammar Structure and function are intricately connected. Our posture is the structure in …
I insist! My pelvic pain is my Tarlov cyst!!
By Elizabeth Akincilar-Rummer For the average person, the words Tarlov cyst mean absolutely nothing. For the average medical professional, they mean little to nothing. So why are we devoting an entire blog post to these cysts that no one seems to care about? Full disclosure, personally, I was curious what the literature had to offer on Tarlov cysts since …
The Liver and Hormone Connection
By Dr. Thalia Farshchian It can be both a beautiful and frustrating thing that the body is so interconnected. In some respects, it is fascinating and comforting and in other ways, it can feel so complicated. The more I study medicine, the more in awe I become of how it all works. As a doctor, I focus on …
Check Yourself Before You Stress Yourself
Stress: I’m all too familiar with it. As I write this blog I feel the stress of the deadline rapidly approaching. Writing is not my forte, so I tend to start writing assignments at the last minute, which puts me under pressure and causes, well…stress. I can feel the heaviness in my chest, the adrenaline pumping through my body, and …
The Scoop on Poop: More than Constipation
Everybody poops! I hope that everyone reading this blog accepts this reality. At PHRC, we spend a lot of time talking to our patients about the importance of proper pooping. Often, this discussion is uncomfortable. I get it. No one is keen to bond with their bowel movements. Poop has a bad reputation, which is unfortunate because it can …