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Brace yourselves: protecting your pelvic floor during CrossFit and loaded exercise

In Female Pelvic Pain, Low-Tone Pelvic Floor Dysfunction, Male Pelvic Pain by pelv_admin2 Comments

  If you are a male and either currently participate in CrossFit workouts or another form of Olympic weightlifting, and have developed one or more of these symptoms: perineum pain with sitting, lower abdominal pain with intense activity or ejaculation, testicular pain that radiates to the abdomen or the vice versa, and urinary hesitancy with urgency and frequency, this blog …

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Posture and the Pelvis: Part One

In Female Pelvic Pain, Male Pelvic Pain, Stress Urinary Incontinence by pelv_admin1 Comment

  By Admin “In all nature structure determines function” – William Herbert Sheldon, father of somatotyping “Form and function are a unity, two sides of a coin” – Ida P. Rolf, biochemist and fascial genius “Conjunction junction, what’s your function?” – Schoolhouse Rock, how us 30+s learnt grammar   Structure and function are intricately connected. Our posture is the structure …

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I insist! My pelvic pain is my Tarlov cyst!!

In Female Pelvic Pain, Male Pelvic Pain by Elizabeth Akincilar-Rummer14 Comments

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 …

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The Female Prostate: Fact or Fiction?

In Female Pelvic Pain by Stephanie Prendergast3 Comments

  By Stephanie Prendergast   Do women have a prostate? Where is the female prostate and what does it do? I have been a pelvic floor physical therapist for 17 years and, until recently,  had never heard of such a structure.   Last month, Dr. Irwin Goldstein, urologist, sexual medicine enthusiast, and International Society for the Study of Women’s Sexual …

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THINKING OUTSIDE THE GUT: Could Endometriosis be the culprit behind your Constipation or Bloating?

In Endometriosis by Stephanie Prendergast1 Comment

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 …

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Period Drama: Endometriosis Diagnosis and Treatment

In Endometriosis by Stephanie Prendergast1 Comment

  By Stephanie Prendergast   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 the vagina and out …

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Sitting on painful fascia: connective tissue and pelvic pain

In Female Pelvic Pain, Male Pelvic Pain, Post-Surgical Pelvic Floor Rehabilitation by Kristin Leli4 Comments

    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 …

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Pelvic floor physical therapy for vulvodynia: a clinician’s guide

In Female Pelvic Pain, Vulvodynia by Stephanie Prendergast12 Comments

  By Stephanie Prendergast   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 too. Warning: it is …

Contracture: Can it occur in the pelvic floor?

In Female Pelvic Pain, Male Pelvic Pain by Erika Toronto2 Comments

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 …

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Tech-ual Arousal: The Future of Technology and Sexual Health

In Female Pelvic Pain, Low-Tone Pelvic Floor Dysfunction, Male Pelvic Pain by Rachel Gelman1 Comment

  By Rachel Gelman   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 …

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Diastasis Recti: Closing The Gap Between Research and Function

In Female Pelvic Pain, Pregnancy and Postpartum Pelvic Health, Stress Urinary Incontinence by pelv_adminLeave a Comment

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 …

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Is your internal thermometer working correctly? Persisting pain and your thyroid

In Female Pelvic Pain, Male Pelvic Pain, Post-Surgical Pelvic Floor Rehabilitation by pelv_adminLeave a Comment

As a physical therapist 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 as the …