By Jandra Mueller, DPT, MS, PHRC Encinitas Endometriosis is well known for its significant menstrual pain (dysmenorrhea), and often silent infertility. It has long been thought that this disease is a ‘women’s’ disease or menstrual disease allowing for a long history of hysterectomies and hormone suppression aimed at suppressing menstruation. Sampson’s theory of retrograde menstruation has been perpetuated …
As The Pelvis Turns: Top Blogs of 2023
By PHRC Admin Team As we find ourselves on the cusp of a new year, it’s time to take a nostalgic walk down memory lane and revisit the top blogs of 2023. This year has been a rollercoaster ride, filled with insightful discussions, enlightening discoveries, and inspiring stories from all across the globe. So, let’s wrap up the year …
Fusobacterium and Endometriosis: New Insights or Media Frenzy?
By Jandra Mueller, DPT, MS, PHRC Encinitas The recent study titled “Fusobacterium infection facilitates the development of endometriosis through the phenotypic transition of endometrial fibroblasts” by Muraoka et al. has generated significant attention and frenzy in the media. The media coverage of this article has been intense, with headlines highlighting the potential breakthrough in understanding the pathogenesis of endometriosis, …
March is Endometriosis Month; Current News and Updates
By Jandra Mueller, DPT, MS, PHRC Encinitas March is the month where we get to talk about all things Endometriosis. Endometriosis (‘endo’) is an estrogen mediated, inflammatory disease characterized by endometrial-like tissue found outside of the uterus. Most commonly it is found in the abdominal and pelvic cavity, but can be found elsewhere in the body as well. Endo …
What is Persistent Genital Arousal Disorder (PGAD/GPD)? Part 2
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 to treating this diagnosis can …
Endometriosis: Frequently Asked Questions & Their Answers
By Jandra Mueller, DPT, MS, PHRC Encinitas This past month was Endometriosis Awareness Month. It was very exciting to see how many more individuals and providers were sharing amazing information about this disease that affects such a large percentage of our population. This was not always the case, and it is a sign we are moving in the right …
Pelvic Hip Pain, A Patient Success Story
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 sharp In front of L …
Setting Up for Success after Endometriosis Excision Surgery
By Jennifer Keesee, DPT, PHRC Westlake Village & Jandra Mueller, DPT, MS, PHRC Encinitas Congratulations on taking the next step in your healing journey! You’ve found a great doctor and decided to proceed with endometriosis excision surgery. If you’re like me, after many years of managing endo symptoms, you’re probably excited to address the root cause. If you have …
Endometriosis & Nutrition, How They Work Together, A Success Story
By Jandra Mueller, DPT, MS, PHRC Encinitas and Jennifer Guan, DPT, PHRC Los Gatos Happy Endo Awareness Month! Tracy is a 35 year old patient who was referred to PHRC by her doctor. This is her story: “I was diagnosed with stage four endometriosis through a laparoscopy and excision surgery in 2017. Sadly, my first surgeon didn’t …
Endometriosis: A PT’s Journey to Diagnosis & Treatment
By Jennifer Keesee, DPT, PHRC Westlake Village March is endometriosis awareness month, and here at PHRC we want to help spread the word about this complex disease that is often hidden in plain sight. Endometriosis is a condition that affects approximately 10% of women, which also includes trans-men, and those who do not identify as a woman, but were born …
Dear Doctor, Your Patients are Human; An Open Letter
By Emily Schwerdtfeger, PHRC Westlake Village Admin Assistant A patient submitted this letter following their personal experience with patient care An open letter to any doctor who’s ever seen a patient. To patients who have experienced something similar, I’m sorry and you didn’t deserve it. “I understand that doctors have limited time with patients and that medicine is …
New Perspectives on Endo: Gut-Immune Link & IG Live w/ Dr. Orbuch
By Jandra Mueller, DPT, MS, PHRC Encinitas March is Endometriosis Awareness Month, AND National Nutrition Month – what a great time to talk about how optimal gut health and nutrition impacts endometriosis. Optimal gut health and nutrition play a crucial role in one’s endometriosis journey because having a healthy gut means improving our mental health, optimizing our immune system, …
Nutrition Awareness Month: Integrative Health & Nutrition Services
By Jandra Mueller, DPT, MS, PHRC Encinitas March is Nutrition Awareness Month and we’d love to share the services we offer here at PHRC and talk about why nutrition is so important, especially for those with pelvic health conditions. What is Integrative Health and Nutrition? In contrast to conventional medicine, which places emphasis on treating a disease, …
Lj Powerhouse and Jandra Mueller of PHRC: IG Live Endometriosis Q&A
By Lj Powerhouse & Jandra Mueller, DPT, PHRC Encinitas In December 2020, PHRC physical therapist, Jandra Mueller joined Lj Powerhouse on Instagram for a LIVE Q&A. It was awesome to answer all of the questions you asked and we were bummed we couldn’t get to all of them! Here is a re-cap as well as answers to many of the …
Integrative Health & Nutrition Services Now Offered Virtually Through PHRC!
By Jandra Mueller, DPT, MS, PHRC Encinitas I’m Jandra, and I am a pelvic floor physical therapist here at PHRC, and the Director of PHRC Encinitas. I am very excited to announce that I have just completed my Master of Science degree in Integrative Health and Nutrition from Maryland University of Integrative Health. A little about me: a few years …
Success Story: How Jennifer Beat Endometriosis
By Jandra Mueller, DPT, MS, PHRC Encinitas Jennifer was referred to PHRC by her urogynecologist who diagnosed her with interstitial cystitis/painful bladder syndrome (IC/PBS). For more information on this condition, check out Melinda’s webinar on IC/PBS. She was diagnosed with IC in 2012/2013 because she had been experiencing significant cramping in her bladder, as well as urinary urgency and frequency. …
Summary from IPPS 2019: Chronic Pain in Endometriosis
By: Morgan Conner, DPT, PHRC Los Gatos In October I had the pleasure of attending the International Pelvic Pain Society’s Scientific Meeting with a number of my colleagues here at PHRC. On the second day of the main conference, Catherine Allaire MDCM, FRCSC gave the James E. Carter keynote lecture titled Endometriosis: Towards Prevention of Chronic Pain. There were two …
Pelvic Pain Explained: Endometriosis + Resource List
By Jandra Mueller, DPT, PHRC Encinitas At PHRC we want to do our part to help people better understand pelvic pain syndromes and more importantly, help people suffering with these diagnoses get the help they need to recover. Since knowledge is power we created 6 videos and blog posts that we hope people find useful. This week, in our sixth …
What to Know About Your Menstrual Cycle
By: Rachel Daof, DPT Here at PHRC we see conditions that affect that dreaded time of the month: our periods. As we have written before, conditions like endometriosis can directly affect menstruation. Other menstrual related issues include period cramps, nausea, bowel movement issues, headaches, and many other symptoms all driven by our cycle. To many of us, these are things …
Managing Life on or after “The Pill”
By: Jandra Mueller, DPT, MS, PHRC Encinitas If you are a female reader of our blog, have experienced painful intercourse, and happened to have come to the Pelvic Health and Rehabilitation Center (PHRC) for treatment, then you are probably familiar with our talk about how systemic birth control like oral contraceptives (OCPs) or “The Pill,” may be the underlying culprit. …
The Blunt Truth About Medicinal Marijuana and Pelvic Pain: Part 2
By Shannon Pacella, DPT, PHRC Lexington First things first: if you haven’t already read the Part 1 to this post, please do so first! There are a few updates since my first post regarding laws and legislature for marijuana (cannabis) use throughout the United States. Updates Currently, 29 states plus Washington, D.C. have legalized the use of medicinal marijuana, …
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