By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles What is dyspareunia? A high number of people with a vagina suffer from painful versus pleasurable sex, including before, during or after sexual encounters. Superficial dyspareunia refers to pain at the opening of the vagina, whereas deep dyspareunia refers to feelings like something is being ‘hot’ or painful, deeper inside. …
Biomechanical Evaluation for Pelvic Floor Dysfunction & PF Functions
By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles To start, there are various functions we can thank our pelvic floor, but let’s get into the MAIN functions: Part of core muscles The pelvic floor supports your core muscles: transversus abdominis, rectus abdominis, and the external oblique muscles. The PFM tends to act reflexively when we’re using our core …
June is Men’s Health Awareness Month
By Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack June is Men’s Health Awareness Month and it’s an important reminder of the need to prioritize preventative care and wellness for all. According to the U.S. Department of Health and Human Services, men are more likely to experience serious health problems such as heart disease, stroke, lung cancer, diabetes, suicide, substance abuse …
What to Expect at a Prepartum/Postpartum Evaluation
By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles During prepartum/postpartum evaluations, a physical therapist will take an extensive medical history. Following the history, the PT will perform a thorough external and internal musculoskeletal exam. Your evaluation should include: Musculoskeletal: An assessment of structure, muscles, tissue, joints and manual evaluation of the pelvic floor muscles. We can identify problematic …
Male Pelvic Health: Erectile Dysfunction Causes & Treatments
By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles Erectile dysfunction (ED) is the leading cause of sexual dysfunction in men affecting one in five men. It is defined as the inability to achieve & maintain an erection satisfactory for sexual intercourse. There are several causes for ED. Vasculogenic, or due to an issue with blood supply, is the …
It’s National Men’s Health Week!
By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles National Men’s Health Week is held each year from June 8-14, and it is a time to raise awareness about the health of men and boys. This year’s theme focuses on the importance of preventive care, early detection, and treatment of medical conditions. Men tend to avoid doctor visits, with …
A Kenyan Pelvic Health Physical Therapy School Scholarship
By Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack The Jackson Clinics Foundation was formed in 2012 to fund educational efforts in East Africa. To date the foundation has sent over 100 faculty members from their clinics and from around the country to teach in east and central Africa. Some of the best and brightest physical therapists in the United States have …
Common Prepartum Symptoms and Their Treatments
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles If you are expecting, plan to be in the future or know someone that is, here are some common Prepartum symptoms! Low back pain- Foot and back pain are due to hormonal and musculoskeletal changes. Studies have shown that 40% to 60% of women will experience back pain during pregnancy and …
Hormonal Prepartum Changes and Postpartum Complaints
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles Hormones play a vital role in day-to-day function. They allow for the organs to communicate with each other so that we can filter toxic waste, grow muscle, sleep well . . . . and even grow a human! Let’s take a look at what happens during pregnancy: Estrogen goes up, elevating …
Navigating Mental Health: Strategies for Managing Your Mental Well-Being
By Emily Tran, PHRC Admin, Westlake Village Pelvic pain can be a source of significant stress and anxiety for individuals. Living with chronic pelvic pain can often lead to feelings of hopelessness, sadness, and even depression. It’s important to recognize the impact pelvic pain can have on mental health. Here are a few ways mental health can affect pelvic …
Tight Lipped: You’re Not Alone; Patient-Led Communities
By Tight Lipped, guest blogger. “My doctor in college told me that my partner simply ‘didn’t know what he was doing’, and that’s why it felt like his penis was hitting a wall inside me.” “When I saw a doctor for my vaginal pain, he told me to use a cucumber to stretch out my vagina.” “So many doctors …
Iliopsoas Dysfunction: Anatomy, Symptoms and Treatments
By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles and Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack Optimal pelvic health and biomechanics involves the iliopsoas muscle. When this muscle is not functioning properly pelvic, hip and and back pain can become a problem. The psoas muscle portion originates from T12/L1. It is a powerful hip flexor and it helps to …
The Right Way To Poop and Improve Bowel Movements
By Stephanie A. Prendergast, DPT, MPT, Cofounder, PHRC Los Angeles April is Irritable Bowel Syndrome Awareness Month, so we felt it was most appropriate to discuss bowel mechanisms and the ‘right way’ to poop. According to a study by Shahid (et al in 2012), “constipation affects up to 28% of Americans.” More Americans suffer from constipation than die …
Obturator Internus: Anatomy, Dysfunction and Symptoms
By Stephanie A. Prendergast, DPT, MPT, Cofounder, PHRC Los Angeles The Obturator Internus (OI) muscle is an external rotator and an abductor of the hip. It is also a pelvic floor muscle, with half of the muscle belly sitting right next to our Levator Ani muscles. The muscle also forms part of Alcokc’s Canal, which houses the perineal branch of …
Success Story: Constipation and Urinary Retention Resolved
By: Melinda Fontaine, DPT, PHRC Walnut Creek Darnell took a trip to Europe a few months ago with his spouse. They had planned a wonderful vacation, but what they didn’t plan for was Darnell not being able to urinate or have a bowel movement (BM) for nine days! He took magnesium citrate which helped him produce partial BMs. When …
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 …
The Case of the Mysterious Hip and Testicular Pain
By Molly Bachmann PT, DPT, Birth Doula, PHRC San Francisco, CA One of the most common questions I receive as a physical therapist is “But why does it hurt? How did I get this?” Sometimes, these questions are really challenging to answer. Other times, there is a distinct root cause. Let me tell you the story about a patient with …
Why Do Men Develop Penile Pain? Plus video resources!
By Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack One in 10 men will suffer from Chronic Pelvic Pain Syndrome at some point in their symptoms. Men can develop penile pain for numerous reasons: Excessive exercise Aggressive force and/or frequency of masturbation Persisting pain after disease, infection or inflammation Aggressive jelqing, attempts at foreskin regeneration, penile enhancement protocols Symptoms of …
What is Ischial Bursitis and How Can Pelvic Floor PT Help?
By Lauren Opatrny, PT, DPT, PHRC San Francisco, CA Ischial bursitis, or ischiogluteal bursitis, is a condition where the bursa that lies between the ischial tuberosity and the gluteus maximus muscle becomes inflamed.(1) Ischial tuberosities are the bones that we sit on and are commonly referred to as your “sits bones.” They provide support for the body while sitting …
Ehlers Danlos Syndrome: Facts, Information and Myths Busted
By Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack Ehlers Danlos Syndrome is a rare inherited connective tissue disorder. It affects the skin, joints, and blood vessel walls. It causes joint hypermobility (joints that move too much!) which can result in joint dysfunction and pain. If many joints are affected, it can cause muscle dysfunction throughout the body, as the muscles …
Scar Facts: All You Need to Know
By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles Let’s talk scars and facts: Scar tissue is of poorer quality than regular tissue; therefore it is more sensitive to UV light. Be sure to protect your scars with SPF! Don’t be surprised when hair doesn’t grow back in your scars. Hair follicles and sweat glands do not regenerate in …