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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 Prendergast7 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 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: …

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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 …

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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 …

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The Case of PT for Urge Incontinence

In Stress Urinary Incontinence by pelv_admin10 Comments

At our weekly staff meetings at PHRC, us PTs take turns presenting patient case studies to our colleagues. Our M.O. in presenting these case studies is to cover each of the patient demographics we see here at the clinic: female pelvic pain; male pelvic pain, postpartum and pregnancy issues; and incontinence and prolapse. (Obviously, there is some overlap, especially with …

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Q&A: Post-Op Pelvic Pain, Kegels for Erectile Dysfunction, Scar Tissue and More

In Female Pelvic Pain, Low-Tone Pelvic Floor Dysfunction, Male Pelvic Pain by Stephanie and Liz Prendergast and RummerLeave a Comment

As the blog grows, we continue to get important questions from our readers. In this blog post, we’re going to tackle a handful of the recent questions that have come our way. If you have a question of your own, please take the opportunity to post it in the “comments” section of this blog. Pelvic Floor Relaxation: Beyond the Drop …

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Find IC/Bladder Pain Support

In Stress Urinary Incontinence by Stephanie and Liz Prendergast and Rummer1 Comment

In the coming months we plan to cover issues related to IC/bladder pain on this blog. In the meantime,  we wanted to call your attention to a great resource for those struggling to find support for and gather information about this often complex pelvic pain-related issue. The IC/Bladder Pain Network, provides support for millions of men and women around the …

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Q&A: Pelvic Floor Drops, Weak and Tight Muscles, Tilted Pelvis and More

In Stress Urinary Incontinence by Stephanie and Liz Prendergast and Rummer93 Comments

Since launching the blog, we have received many questions from readers. In this post, we’re going to tackle a handful of them. If you have a question of your own, please take the opportunity to post it in the “comments” section of this blog. Stop UTIs from Impeding PT Progress Dear Stephanie and Liz, I have PFD and am currently …

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The Truth about Biofeedback and E-Stim

In Female Pelvic Pain, Low-Tone Pelvic Floor Dysfunction, Male Pelvic Pain by Elizabeth Akincilar-Rummer87 Comments

Many PTs use either biofeedback or e-stim as part of their protocol for treating pelvic pain. Indeed, a google search of either term will bring up a slew of pelvic floor PT websites boasting the benefits of both treatments. Meanwhile, based on feedback we’ve received from our patients and the PTs taking our class, I believe there’s a good deal …