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What is Red Cord Physical Therapy?

In Pelvic Floor Dysfunction by Stephanie PrendergastLeave a Comment

  By Sarah Court, PT, DPT, e-RYT   Traditionally, the thinking around how to approach low back and pelvic girdle pain has had a singular approach: find the ‘tight’ muscle and stretch it, and then find the ‘weak’ muscle and make it stronger.   While it’s true that muscular tone imbalances can and do create the kind of postural disequilibrium …

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Antenatal and Postpartum Pelvic Floor Physical Therapy as Standard of Care

In Pregnancy and Postpartum Pelvic Health by Stephanie Prendergast4 Comments

  By Dr. Ann Croghan, PT, DPT, CLC, and CAPP-OB trained with introduction by Stephanie Prendergast, MPT   A few months ago I shared a link to an article I was interviewed for in Men’s Health Magazine about postpartum sex on our PHRC Facebook Page. I was disappointed there was not better coverage about postpartum pelvic floor physical therapy in …

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Why Your Period Makes You Poop!

In Female Pelvic Pain by Julia ZaitsevLeave a Comment

  By Julia Zaitsev   Ladies, have you ever felt bloated or backed up the week before your menstrual cycle? What about noticing diarrhea at the start of your menstrual cycle? I know I have. If you’ve been or are pregnant, have you noticed major changes in your digestive system and bathroom behaviors? Below I explore the connection between hormones and …

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Good Vibes Coming At You

In Female Pelvic Pain by Rachel GelmanLeave a Comment

  By Rachel Gelman   May is a great month. Summer is starting to creep in, which in San Francisco means more fog, but if you are a sex nerd like me then you know that May is Masturbation Month. An entire month dedicated to self-love and pleasure. In a prior post, I talked about masturbation in general, including the …

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Vulvodynia, Vestibulodynia, and Vaginismus: what’s the difference and why does it matter?

In Vulvodynia by Stephanie Prendergast1 Comment

  By Stephanie Prendergast   As many as 28% of women experience painful sex at some point during their reproductive years and that sucks. Knowledge is power and May is Pelvic Pain Awareness Month so we want to provide women with useful information about the three most common diagnoses associated with painful sex: vulvodynia, vaginismus, and vesitbulodynia. Differentiating between these …

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Childbirth Medical Interventions and Pelvic Floor Dysfunction

In Pregnancy and Postpartum Pelvic Health by Natalie Christopherson2 Comments

  By Natalie Christopherson   As a pregnant woman and pelvic floor physical therapist, I am surrounded by stories, advice, and opinions about the right way to give birth. Most of us know that pregnancy and childbirth often result in trauma to the pelvic floor and perineum, which can lead to incontinence, pelvic organ prolapse, and painful sex, among other …

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Posture Revisited: Sitting and the Pelvic Floor

In Pelvic Floor Dysfunction by Nicole Davis3 Comments

Photo via Joe Loong via Flickr   By Nicole Davis   In previous entries, Britt beautifully took us through all things posture (Posture and the Pelvis Part One and Part Deux). Here are some important takeaways from her posts to consider as we explore how sitting may affect your pelvic floor:   The diaphragm, trunk (back extensors, transversus abdominis, obliques, etc.) …

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Got Water?

In Female Pelvic Pain by Rachel Gelman2 Comments

      By Rachel Gelman   Other than pelvic health and sex, my favorite conversation topic is cats water! Yes, good old H-2-O! You may recall a post I did a while back that discussed how diet can play a role in pelvic health. I talked about the importance of water intake, but patients still ask me questions about …

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Vaginismus: Real Answers for Sexual Pain

In Female Pelvic Pain by Jandra MuellerLeave a Comment

  By Jandra Mueller   Vag·i·nis·mus /ˌvajəˈnizməs/   Noun noun: vaginismus painful spasmodic contraction of the vagina in response to physical contact or pressure (especially in sexual intercourse).   What is vaginismus?   Above is the definition that comes up when you google vaginismus. You may have seen blogs or posts on social media about vaginismus or painful sex or …

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What’s new in research and clinical care for “Prostatitis” aka male Chronic Pelvic Pain Syndrome (CPPS)?

In Male Interstitial Cystitis / Nonbacterial Chronic Prostatitis / Chronic Pelvic Pain Syndrome by Stephanie Prendergast5 Comments

  By Stephanie Prendergast   If you are a man suffering from what feels like ‘prostatitis’, this blog and our upcoming informational event is for you.   Did you know?…   10% of men experience prostatitis-like symptoms at some point in their lives. 97% of these men do not have a prostate or bladder infection yet are still treated with …

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You are invited to Becoming UnWOUND: A Conversation about Female Sexual Health & Pelvic Pain with Screening of Animated Short Film“Tightly Wound”

In Female Pelvic Pain by Stephanie PrendergastLeave a Comment

  By Stephanie Prendergast   The Pelvic Health and Rehabilitation Center, Femina Physical Therapy, and the Milli, the first  Expandable Dilator, are teaming up to bring Shelby Hadden and her animated short film about vaginismus, Tightly Wound, to Los Angeles on Saturday, May 19th! Many of you may know of Shelby and her past struggles with pelvic pain. Her journey …

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The Blunt Truth About Medicinal Marijuana and Pelvic Pain: Part 2

In Female Pelvic Pain, Male Pelvic Pain by Shannon Pacella2 Comments

  By Shannon Pacella   First things first: if you haven’t already read the Part 1 to this post, please do so by clicking here!   There are a few updates since my first post regarding laws and legislature for marijuana (cannabis) use throughout the United States. Currently, 29 states plus Washington, D.C. have legalized the use of medicinal marijuana, …

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The Connection Between SIBO and Interstitial Cystitis/Painful Bladder Syndrome (and How to Relieve Both)

In Female Interstitial Cystitis / Painful Bladder Syndrome, Male Interstitial Cystitis / Nonbacterial Chronic Prostatitis / Chronic Pelvic Pain Syndrome by Stephanie Prendergast1 Comment

  By Guest Blogger Jessica Drummond MPT, CCN, CHC   One of the reasons that relieving pelvic pain is so challenging is that pain in different systems within the pelvis can overlap. For example, in rats where experimental colitis (colon irritation) was induced, many of the rats also experienced bladder and urethral pain (Yoshikawa et al., 2015). Thus, there is …

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The Most Proven IC Treatment: Pelvic Floor Physical Therapy

In Female Interstitial Cystitis / Painful Bladder Syndrome, Male Interstitial Cystitis / Nonbacterial Chronic Prostatitis / Chronic Pelvic Pain Syndrome by Stephanie Prendergast4 Comments

  By Guest Blogger Nicole Cozean, PT, DPT, WCS and author of The Interstitial Cystitis Solution   Pelvic floor physical therapy is the most proven treatment for interstitial cystitis. It’s the only therapy given an evidence grade of ‘A’ by the American Urological Association and recommended in the first line of medical treatment. But patients often wonder how does treating …

The Squattypottymus: could reducing childhood constipation help prevent adult pelvic pain?

In Pelvic Floor Dysfunction by Elizabeth Akincilar-Rummer2 Comments

  By guest blogger Steve Hodges, MD with an introduction from Elizabeth Akincilar   As pelvic floor physical therapists, 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 them will …

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PHRC teams up with Innovative Wellness in Walnut Creek!!!!

In Pelvic Floor Dysfunction by Stephanie Prendergast3 Comments

    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 …

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The Twisted Trunk: Implications for Abdominal and Pelvic Pain

In Female Pelvic Pain by Sigourney Cross4 Comments

  By Sigourney Cross   While attending the 3rd World Congress of Abdominal and Pelvic Pain Conference last October in Washington, DC, I had the pleasure of listening to the lecture of Dr. Diane Lee, BSR, FCAMPT, CGIMS. Dr. Lee discussed the impact that altered pelvic biomechanics and non-optimal function in the abdominal wall and pelvic floor have on pelvic …

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A Biopsychosocial Approach to Vulvodynia

In Vulvodynia by Malinda WrightLeave a Comment

  By Malinda Marshall   Throughout my years of practice I’ve treated many women with vulvodynia. I’ve noticed that it’s rare for women to return to 100% solely with physical therapy treatment; even though their musculoskeletal impairments may have returned to normal, some women continue to feel pain. In my experience, it takes a team of practitioners to treat vulvodynia, …