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 may have experienced it …
You are invited to Becoming UnWOUND: A Conversation about Female Sexual Health & Pelvic Pain with Screening of Animated Short Film“Tightly Wound”
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 …
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, …
The Most Proven IC Treatment: Pelvic Floor Physical Therapy
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 …
A Biopsychosocial Approach to Vulvodynia
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, such as a physician …
When Sex Hurts: A Diagnostic Algorithm
Most people know that I am a fan of sexy science. So when I saw that the World Congress on Pelvic Pain (WCAPP) had an entire section dedicated to sexual dysfunction I was pretty stoked. You may already be imagining some very arousing presentations; or you may think listening to a talk on intercourse would induce the same amount …
Endometriosis: Beyond the lesions
By: Jandra Mueller, DPT, MS, PHRC Encinitas In our second post of our series covering the Third World Congress on Abdominal and Pelvic Pain, I will cover the lecture titled Endometriosis-associated pain, why should we consider the central nervous system? If you missed our first post, click here. This year at the annual meeting of the International Pelvic …
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 …
How Diane beat Vulvodynia
By Diane I suffered with pelvic pain for years. I want to share my story, so others won’t have to suffer needlessly. It started in February 2009 when I tried having sex with my boyfriend. Intercourse was extremely painful, and each time, my perineum tore a bit. I’d be sore for days afterward. Eventually I’d heal, but it …
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. …
Foul! What the Media Got Wrong about Women’s Health!
Over the last year, the media has come under increasing scrutiny: visit almost any website, and you’ll see that the terms “fake news” and “alternative facts” have taken over the headlines and the comments section. Now, I love the people who produce pieces that aim to educate the community, especially when the subject is women’s health and the author is …
Reducing perineal trauma during labor and delivery
By Stephanie Prendergast, Cofounder, PHRC Los Angeles Who doesn’t love a crowning baby cake? If our image didn’t catch your eye the title of this post probably did if you are pregnant or thinking about becoming pregnant. Last week we presented a pelvic health quiz about the role of the pelvic floor muscles play in childbirth. This week we …
What women do and don’t know about childbirth and their pelvic floor muscles
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles Recently, a number of studies were published on what women do and don’t know about their pelvic floor muscles, childbirth, and longer-term pelvic health. How much do you actually know? Take our quiz and find out! If you do not know the answers, don’t fret. You are amongst 93% of …
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 …
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 …
Sitting on painful fascia: connective tissue and pelvic pain
By: Admin If you’ve recently been to your physical therapist, 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. But what …
Pelvic floor physical 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 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 it here …
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, …
Why All Postpartum Women Need Pelvic Floor Physical Therapy
Image permission via Cosmopolitan By Stephanie Prendergast The Facts 21% of women undergoing vaginal delivery had levator ani avulsion1 29% of women undergoing vaginal deliveries had pubic bone fractures2 60% of postpartum women reported Stress Urinary Incontinence (SUI)3 64.3% of women reported sexual dysfunction in the first year following childbirth4 77% of women had low back pain that …