View Post

Vulvovaginal Disease Update 2014: Must-read Nuggets

In Female Pelvic Pain, Vulvodynia by Stephanie Prendergast8 Comments

Last month three of our PTs, Allison, Malinda, and Stacey attended the Vulvovaginal Disease Update 2014. Vulvar dermatoses affects millions in the United States often greatly interfering with a woman’s quality of life. And as pelvic floor PTs, it’s certainly an issue that can overlap with the musculoskeletal impairments that we treat. Therefore, this annual conference, which is hosted by …

View Post

What if you Can’t Find a Pelvic Floor PT?

In Female Pelvic Pain, Male Pelvic Pain, Post-Surgical Pelvic Floor Rehabilitation by Stephanie Prendergast40 Comments

  By Guest Blogger Sara Sauder In this week’s post, blog contributor and fellow pelvic floor PT, Sara Sauder, who practices in Austin, Texas at Sullivan Physical Therapy, provides us with an honest, thoughtful answer to this all-too-common dilemma. Take it away Sara! If you’re lucky enough to find a pelvic floor physical therapist in your area, good for you!  You …

View Post

Molly’s Pelvic Pain Success Story

In Female Pelvic Pain by Stephanie Prendergast14 Comments

One month after my thirty-second birthday, I woke up in excruciating pain—it was as if someone had set me on fire while I was asleep—the focal point of my pain was the left side of my vulva but I also had extreme vaginal and urethral burning. My first thought was that I had either a yeast or bladder infection; I …

View Post

Is “Vaginismus” an Outdated, Useless Term?

In Female Pelvic Pain by Stephanie Prendergast3 Comments

VAGINISMUS IS AN OUTDATED, USELESS TERM. This was the debate topic the Journal of Sexual Medicine posed to two teams of clinicians back in February at the annual ISSWSH conference. (ISSWSH is the International Society for the Study of Women’s Sexual Health.) Liz was asked to take a spot on the team that argued that “vaginismus” is not an “outdated, …

View Post

Our Favorite Pelvic Pain Resources

In Female Pelvic Pain, Male Pelvic Pain, Uncategorized by Stephanie Prendergast3 Comments

In this week’s blog we’re offering a list of our all-time favorite resources for our pelvic pain patients: Brand New IPPS Blog and Website At the beginning of the year the International Pelvic Pain Society (IPPS) launched a completely revamped website. The goal of the site is to be a one-stop-shop for both patients and providers looking for information about …

View Post

What is a “Good” Pelvic Pain PT Session Like?

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast42 Comments

Recently we received a question from a reader asking us to describe what a “typical good pelvic floor physical therapy session” is like. It’s a question I’m sure every pelvic pain patient prescribed PT has thought about. Currently, there is no standard of care for pelvic pain PT. So unfortunately, patients get PT ranging from good to mediocre to inadequate …

View Post

Pudendal Nerve Entrapment (PNE): Your Questions Answered Part II

In Female Pudendal Neuralgia, Low-Tone Pelvic Floor Dysfunction, Male Pudendal Neuralgia by Stephanie Prendergast42 Comments

This week’s post is the second half of a Q&A on the controversial diagnosis of pudendal nerve entrapment and the decompression surgery associated with it. For this post, we chatted with two of the leading experts on the topic: Michael Hibner, M.D., a gynecologic surgeon at St. Joseph’s Hospital and Medical Center in Phoenix, Ariz. and Mark Conway, M.D., a …

View Post

Pudendal Nerve Entrapment (PNE): Your Questions Answered

In Female Pudendal Neuralgia, Low-Tone Pelvic Floor Dysfunction, Male Pudendal Neuralgia, Post-Surgical Pelvic Floor Rehabilitation by Stephanie Prendergast171 Comments

Part III of our “Demystifying Pudendal Neuralgia” Series  How does PNE (pudendal nerve entrapment) occur? How is it diagnosed? When is a patient a good candidate for the pudendal nerve decompression surgery? When are they not? These are among the questions we asked two of the leading experts on the controversial diagnosis PNE and the decompression surgery associated with it: …

View Post

Jessica’s Pelvic Pain Success Story

In Female Pelvic Pain by Stephanie Prendergast10 Comments

When you’re in the throes of pelvic pain, it’s hard to believe that you’ll ever get better. You will. But we don’t just want you to take our word for it. We want you to hear from patients themselves who have healed. That’s why we’re kicking off a regular feature of patient “Success Stories” on today’s blog. We’re going to …

View Post

The Role of Physical Therapy in Treating Pudendal Neuralgia

In Female Pudendal Neuralgia, Male Pudendal Neuralgia, Post-Surgical Pelvic Floor Rehabilitation by Stephanie Prendergast159 Comments

Part II in the “Demystifying Pudendal Neuralgia” Series       In the previous post in our “Demystifying Pudendal Neuralgia” series, I talked about the difference between PN and PNE. In addition, I reviewed a list of treatment options for PN. Physical therapy was at the top of that list. Today, in this second post in the series, I will …

View Post

How do I know if I have Pudendal Neuralgia or Pudendal Nerve Entrapment?

In Female Pudendal Neuralgia, Male Pudendal Neuralgia by Stephanie Prendergast546 Comments

  Part I in the “Demystifying Pudendal Neuralgia” Series For so many the term “pudendal neuralgia” conveys a frightening and mysterious chronic pain diagnosis. And to be sure, at one time, receiving a diagnosis of pudendal neuralgia, or “PN” as it’s commonly called, was truly terrifying, especially considering that it was against the backdrop of a medical community that didn’t …

View Post

Pelvic Pain PT: The Role of Connective Tissue Manipulation

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast39 Comments

You say “skin rolling.” I say “connective tissue manipulation.” Tomato…tomahto; semantics aside, let’s talk about what it is and what it has to do with pelvic pain. “Skin rolling” or “connective tissue manipulation” as I’ll be referring to it throughout this post, is a major component of our pelvic pain treatment technique here at PHRC. That’s because in our experience …

View Post

Pelvic Health Blog Roundup: CrossFit Controversy and More!

In Female Pelvic Pain, Pelvic Organ Prolapse, Pregnancy and Postpartum Pelvic Health, Stress Urinary Incontinence by Stephanie Prendergast4 Comments

Our favorite health bloggers have been busy in the past couple of months! For one thing, they swooped in and completely set the facts straight after a viral video endorsed the infuriating message that it was “okay to pee during workouts”. (See how the controversy unfolded below.) On top of all of that, our blog buddies offered up a slew …

View Post

Rethinking Pelvic Pain: How “Desensitization” Fits into PT

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast9 Comments

I am dedicating this blog post to the work of Lorimer Moseley. His presence and research is revolutionizing treatment approaches to pain. Here at PHRC we are strategically and diligently working as a team innovating our treatment approach to incorporate his research. Lorimer also happens to be one of the reasons the IPPS had its most successful meeting yet back …

View Post

Can Yoga help my Pelvic Pain?

In Female Pelvic Pain, Male Pelvic Pain, Uncategorized by Elizabeth Akincilar-Rummer12 Comments

Is there a role for yoga in pelvic pain healing? “Absolutely!” says Dustienne Miller, a Northern California-based pelvic floor PT who also happens to be a certified yoga instructor. I sat down with Dustienne to learn more about exactly how yoga and pelvic pain rehab go together, and in today’s post I’m going to share what I’ve uncovered. How Yoga …

View Post

The Case of Female Pelvic Pain, Painful Sex

In Female Pelvic Pain by Stephanie Prendergast12 Comments

This week’s post is a case study of a female pelvic pain patient. Before I get into the specifics of the case, let’s first take a look at female pelvic pain by the numbers: 10% of all visits to gynecologists are due to chronic pelvic pain. 25% of women will experience chronic vulvar pain at some point in their lives. …

View Post

Q&A: Kegel Confusion, Penile Pain, Pregnancy after PN, and More

In Female Pelvic Pain, Male Pelvic Pain, Pregnancy and Postpartum Pelvic Health by Stephanie and Liz Prendergast and Rummer11 Comments

In today’s Q&A post, we tackle some important pelvic floor issues, including whether Kegels are appropriate to do in preparation for childbirth; penile pain, and pregnancy after PN. Should I do Kegels to Prep for Childbirth? Dear Marcy, I’m 23 weeks pregnant and have been told that Kegels are absolutely beneficial. Plus, I read on Web MD that “Kegel exercises …