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A Mesh of a Situation

In Female Pudendal Neuralgia, Pelvic Organ Prolapse, Post-Surgical Pelvic Floor Rehabilitation, Stress Urinary Incontinence by Elizabeth Akincilar-Rummer7 Comments

  By Elizabeth Akincilar-Rummer   In May 2015 a Delaware jury ordered Boston Scientific, a medical device company, to pay a woman $100 million for pain complications following vaginal mesh placement for treatment of pelvic organ prolapse. A few months prior to that a Texas woman was awarded $73 million for similar complications. Some think that these cases are just …

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What is GYROTONIC®?

In Post-Surgical Pelvic Floor Rehabilitation by pelv_admin7 Comments

    What is GYROTONIC®? When I first heard a colleague talk about gyrotonic about 4 years ago, I was like “GYRO WHAT? To me it sounded like some form of geriatric exercise, so I asked her more about this type of exercise and she gave me the low down. ‘Gyro’ in greek actually means spiral or circle, and tonic …

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How PT can help with Anal Cancer Treatment

In Post-Surgical Pelvic Floor Rehabilitation, Stress Urinary Incontinence by pelv_adminLeave a Comment

  At PHRC we treat a wide variety of patient populations. One population that we’re beginning to see more often is patients undergoing treatment for anal cancer. Recent research has shown that the incidence of anal cancer, which is linked to the human papillomavirus (HPV), is on the rise, especially among men and women under the age of 45. Although we’re …

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Male Pelvic Pain Explained: Steve’s Success Story

In Male Pelvic Pain, Stress Urinary Incontinence by Elizabeth Akincilar-Rummer7 Comments

By Elizabeth Akincilar-Rummer I am happy to say that in March we celebrated our one year anniversary in our Boston area office!! In February 2016 we were excited to welcome our new staff, Melissa Hines, DPT, staff physical therapist and Erika Toronto, Administrative Assistant. It has been a crazy year, but I’ve truly enjoyed getting to know new colleagues and …

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Sit yo’ a** down! The importance of sitting on the toilet

In Female Pelvic Pain, Stress Urinary Incontinence by Stephanie Prendergast6 Comments

        Sitting on the toilet!! Actually sitting, skin to porcelain. No more hovering! Even in public restrooms. I know, it’s going to be a tough paradigm shift since this issue is ubiquitous; one study, done in the UK, surveyed 528 women at a gynecology clinic and found that 85% reported that they crouched over public toilets while …

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Exercises for Short /Tight Pelvic Floor Muscles

In Female Pelvic Pain, Low-Tone Pelvic Floor Dysfunction, Male Pelvic Pain by pelv_admin18 Comments

By Admin Disclaimer: I’m a PT and a Pilates instructor.  Often, patients ask if Pilates is the answer for their pelvic floor dysfunction.  You know that old saying, “Kegel-ing all day, keeps the urine at bay.”  Well, unfortunately, this is not always true.  At times Kegel-ing can make actually make your symptoms worse, be it urinary urgency, frequency, incontinence or …

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What is Get PT 1st?

In Female Pelvic Pain, Male Pelvic Pain, Post-Surgical Pelvic Floor Rehabilitation by Stephanie Prendergast4 Comments

By Stephanie Prendergast   Last fall, I began seeing the logo you see above, appear in my Twitter feed and on Facebook. As a physical therapist, I was happy to see an organization committing to improving awareness about our field. It’s safe to say that most of the world has no idea what a pelvic floor physical therapist is or …

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“How Hernias Can Cause Pelvic Pain”

In Female Pelvic Pain, Male Pelvic Pain, Post-Surgical Pelvic Floor Rehabilitation by Stephanie Prendergast61 Comments

  This week, our guest writer Dr. Shirin Towfigh will discuss Inguinal Hernia’s and how they may be related to pelvic pain.  Hi all. This is Dr. Shirin Towfigh. I am a Board Certified General Surgeon who specializes exclusively in all things hernia, with specialty in hernias among women and complications related to hernia repair. Inguinal hernias are a common …

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A Second Look at Pudendal Neuralgia.

In Female Interstitial Cystitis / Painful Bladder Syndrome, Male Pudendal Neuralgia, Post-Surgical Pelvic Floor Rehabilitation by Stephanie Prendergast37 Comments

By Stephanie Prendergast I treated my first patient with Pudendal Neuralgia in 2002. As a young, excitable pelvic floor physical therapist, I was on a mission to help people suffering from pelvic pain and thought it would be just like what they said in PT school: stretch, strengthen, achieve goals, discharge. So when my patient began treatment for PN, I …

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A Balm for Belly Blues: Maya Abdominal Massage & Gynecological Health

In Female Pelvic Pain, Pregnancy and Postpartum Pelvic Health, Stress Urinary Incontinence by Stephanie Prendergast6 Comments

This week, our guest blogger Bria Larson, MS, LAc, FABORM  will discuss The Arvigo Techniques of Maya Abdominal Therapy. By Bria Larson The abdomen and pelvis are the source of our creativity and nourishment.  They are also vulnerable to injury from physical and emotional trauma, disease and dietary stressors.  Based on the healing traditions of the Maya, as taught by Dr. …

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The Ultimate Solution To Help Mothers Reconnect With Their Bodies And Rebuild Post-Baby Foundations

In Female Pelvic Pain, Pregnancy and Postpartum Pelvic Health, Stress Urinary Incontinence by Stephanie Prendergast1 Comment

By Wendy Powell, Postpartum Exercise Expert, Founder + CEO of MuTu System   This information relates to every woman who is having, has had, or will ever have a baby, who wants to regain full use and look of her beautiful pre-baby body (who doesn’t?). Whether she has just had a baby, has teenage children, or if she is about to give …

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Gwyneth’s Goop and the Pelvic Floor: What They Missed

In Female Interstitial Cystitis / Painful Bladder Syndrome, Female Pelvic Pain, Stress Urinary Incontinence by Stephanie Prendergast4 Comments

By Stephanie Prendergast Last week, Gwyneth Paltrow’s popular newsletter featured an article on pelvic floor muscles, which prompted numerous emails and tweets in my direction. Apparently this is a topic that makes my friends and colleagues think of me. While pondering why everyone, except for me,  seems to be reading Goop,  I took a look. I am glad to see …

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The Case of Post-prostatectomy Urinary Incontinence

In Male Pelvic Pain, Stress Urinary Incontinence by Stephanie Prendergast12 Comments

Patient History Ted is a 67-year-old male with a primary concern of stress urinary incontinence (SUI) and secondary concerns of erectile dysfunction. Ted reports he was diagnosed with prostate cancer in September 2013 and underwent a “bilateral nerve-sparing radical suprapubic prostatectomy”, a procedure in which the nerves must be cut in order to remove the cancerous tissue, later that fall. …

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The Case of Pelvic Organ Prolapse

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

  Patient History Elena is a 35-year-old female who was referred to pelvic floor physical therapy by her ob/gyn with a diagnosis of prolapse. (Want more information on a prolapse diagnosis? Check out a detailed blog post on the topic here.) Elena’s chief complaints stem from giving birth to her first child via vaginal delivery six months prior to her …

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Taking a Closer Look at Pelvic Organ Prolapse

In Female Pelvic Pain, Pelvic Organ Prolapse, Stress Urinary Incontinence by Stephanie Prendergast6 Comments

One of the jobs of the pelvic floor in women is to support the organs of the pelvis. But for a variety of reasons the muscle and fascia that offer that support can weaken, and when it does these organs can descend into the vagina causing a myriad of symptoms. This condition is known as “pelvic organ prolapse” or “POP” …

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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 …

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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 …

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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 Prendergast165 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: …