By Katie Hunter “In the wild, mother and young have a better chance of survival if the mother can regulate labor so that the young are born in safe, quiet surroundings.” –Niles Newton, behavioral scientist and professor at Northwestern University circa 1987 Before I explain what all of this means… let’s go over some of the facts. …
Male Pelvic Pain and Chronic Nonbacterial Prostatitis: A Story of Hope and Determination
By Shannon Pacella, DPT, PHRC Lexington Unfortunately, the majority of the men we see at PHRC have been through quite a journey with their pelvic pain, before finding pelvic floor physical and occupational therapy. I want to share a recent success story about one of my male patients, Ben (his name has been changed for anonymity). My hope …
THINKING OUTSIDE THE GUT: Could Endometriosis be the culprit behind your Constipation or Bloating?
By Iris Kerin Orbuch, MD Did you know that Gastrointestinal (GI) symptoms are as common as gynecological symptoms in women with endometriosis? Do you suffer from bloating and/or constipation? Endometriosis may be the cause of your bloating and/or constipation. Over 90% of women diagnosed with endometriosis actually present with GI symptoms as their initial symptoms. Before we delve into why …
Love and Vaginismus: Mary’s story of personal growth
By Melinda Fontaine Mary is an amazing story because in a matter of months, she went from not having any penetrative sex for many years to having unrestricted intercourse with her partner. When Mary was a young woman, she saw a gynecologist for a routine exam. Now, lying on the exam table with your butt almost falling off the …
Period Drama: Endometriosis Diagnosis and Treatment
By Stephanie Prendergast, Cofounder, PHRC Los Angeles Severe menstrual pain is not normal. If you experience severe pain during your period it is possible you are suffering from an underdiagnosed disease called Endometriosis. Endometrial tissue lines the uterus. In response to hormonal influences, the endometrium of a healthy uterus thickens and then sheds through the cervix, through …
Diaphragmatic breathing, pelvic pain, peeing and pooping
Diaphragmatic breathing aka deep belly breathing – how is that an exercise? Many of my patients are surprised when I prescribe and emphasize diaphragmatic breathing in their home exercise programs. Historically, they have associated physical and occupational therapy and/or exercise with strengthening, stretching or the need to get the heart rate up. However, with the pelvic floor muscles, …
Sitting on painful fascia: connective tissue and pelvic pain
By: Admin If you’ve recently been to your physical and occupational therapists, massage therapist, personal trainer, or body worker and heard the words “fascia” and “manipulation” in the same sentence, you are not alone. Fascia has become quite the buzzword for treating everything from chronic neck pain, ACL repair surgery, plantar fasciitis, and yes—even pelvic floor dysfunction. …
Time to Man Up: The Future of Male Birth Control
By Elizabeth Akincilar-Rummer MEN!!! Are you ready?? Birth Control for men is here….almost. Contraception. For some of us, that word has been a saving grace in preventing unwanted pregnancies and diseases. For others, it is fraught with moral and ethical dilemmas. But, those who are the most concerned with and often the most involved with contraception, are …
Pelvic floor physical and occupational therapy for vulvodynia: a clinician’s guide
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles Recently I was asked to write an article about pelvic floor physical and occupational therapy for the treatment of vulvodynia, which will be published later this year as a tool for gynecologists. Since our blog readers are a combination of clinicians and people with pelvic pain I figured I would share …
Proper Treatment for Male Pelvic Pain: A Need for Change
By Stephanie Prendergast and Elizabeth Akincilar-Rummer Tony is one of those people who seem superhuman. In his early 30s, he’s lean and athletic. When he isn’t chasing after one of his three young children or helping to run a successful family business, you can find him surfing, hunting, snowboarding, golfing, swimming, or playing basketball. It’s hard to …
What Hollywood Didn’t Teach Me About Sex
By Admin Art imitates life, though Hollywood’s imitation of sex is often a crude copy. Now, don’t get me wrong, I do enjoy a good rom-com, and I may or may not be on my second viewing of True Blood, but sometimes I just don’t get it. The sex on TV is not the sex in real life, …
Contracture: Can it occur in the pelvic floor?
By Rhonda Kotarinos, PT, DPT In this week’s post, guest author and pelvic floor expert Rhonda Kotarinos shares a controversy from the 2016 International Pelvic Pain Society conference. In October I had the privilege of presenting at the International Pelvic Pain Society’s annual meeting. During one of the presentations, a discussion ensued regarding the term contracture. The discussion was centered on …
Midlife Sex Crisis: What Are My Perimenopause Options?
By admin You hit your 40s or 50s and all of the sudden things start spiraling: Your period is out of whack, your undergarments are damp with urine after a one mile walk with your dog, and you can no longer wear your favorite jeans because they’re irritating to your lady parts. As if that wasn’t enough to deal with, …
Happy New Year from PHRC!
By Stephanie Prendergast After a fun holiday season the crew at PHRC is back at work and excited to start the new year. In this week’s post we take a grateful look back on 2016 as we start working on our goals for 2017. Last year, We published our book….. On January 16, 2016, Pelvic …
The Hemorrhoid: The World’s Biggest Pain In The Butt
Hemorrhoids. About 75% of us will have one at some point in our lives,1 and half of us will have had one before the age of 50.2 Surprised? It’s not the kind of thing we like to discuss with our friends – until you actually have one, that is. Then you find out your buddy has had one too. Americans …
Tech-ual Arousal: The Future of Technology and Sexual Health
We live in a different time. I remember when chat rooms and meeting people from the internet was the plot line for a Lifetime movie. Now, we get in cars driven by strangers and fall in love via sophisticated algorithms and profile pictures. What a time to be alive! It is pretty apparent that technology plays a huge role in …
Diastasis Recti: Closing The Gap Between Research and Function
By Admin During pregnancy and the postpartum period, many women suffer from both functional and cosmetic issues caused from the widening of the abdominal wall from stretch and pressure generated from the growing uterus. This stretching can result in a separation of the rectus abdominis muscle, known as a diastasis recti (DR). Diastasis recti occur in approximately 66% of …
Your pelvic floor: what is it good for?
By Shannon Pacella, DPT, PHRC Lexington The pelvic floor is a phrase used very frequently here on the blog as well as in our clinics, but to those unfamiliar with this area of the body, it may still be this illusive mystery. I want to break down the pelvic floor into each of the muscles it is comprised of, …
Oh coccyx, my coccyx!
By Admin If you don’t know what or where your coccyx is, count yourself lucky. This little bone can make quite a ruckus when it’s not happy, often called coccydynia. The coccyx, or tailbone, is our little vestigial tail, after eons of evolution. It is often ignored and forgotten by most, but to me, it’s one of the …
Is your internal thermometer working correctly? Persisting pain and your thyroid
As a physical and occupational therapists specializing in pelvic floor disorders, specifically pelvic pain, I have noticed a strong correlation between chronic pain, the thyroid, and the endocrine system. I wanted to explore what hormonal imbalances can do to chronic pain. I won’t go into too much detail about persistent pain here, instead please refer to the blog post Pain …
Physical and Occupational Therapy Treatment for Interstitial Cystitis and Chronic Pelvic Pain Syndrome
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles Urinary tract infections hurt. It hurts as your bladder fills, you constantly feel the need to pee and when you do it feels like knives are coming out of your body. You do not experience post-void relief and immediately feel like you need to pee again. Your doctor asks you …