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Understanding Pelvic Floor Movement

In Low-Tone Pelvic Floor Dysfunction, Post-Surgical Pelvic Floor Rehabilitation, Stress Urinary Incontinence by Katie Hunter3 Comments

  By Katie Hunter   Drop, push, bulge, squeeze.  These words are used regularly when talking about pelvic floor function but what do they actually mean?   We often talk about how the pelvic floor muscles become dysfunctional and can cause daily symptoms of pelvic pain, bladder and bowel urgency and frequency, incontinence, prolapse, and sexual dysfunction. Today, I would …

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Posture and the Pelvis: Part One

In Female Pelvic Pain, Male Pelvic Pain, Stress Urinary Incontinence by Britt Van Hees1 Comment

  By Britt Van Hees “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 …

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Diaphragmatic breathing, pelvic pain, peeing and pooping

In Low-Tone Pelvic Floor Dysfunction, Stress Urinary Incontinence by Nicole Davis3 Comments

  By Nicole Davis   Diaphragmatic breathing aka deep belly breathing – how is that an exercise? Many of my patients are surprised when I prescribe and emphasize diaphragmatic breathing in their home exercise programs. Historically, they have associated physical therapy and/or exercise with strengthening, stretching or the need to get the heart rate up. However, with the pelvic floor …

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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 Jandra MuellerLeave a Comment

  By Jandra Mueller   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 …

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Kegel What?

In Pelvic Organ Prolapse, Post-Surgical Pelvic Floor Rehabilitation, Stress Urinary Incontinence by Britt Van Hees3 Comments

  By Britt Van Hees   The Kegel, the black box of the exercise world.   Are you really doing it right?     In today’s post we are going to review some simple exercises to help get to know the pelvic floor muscles. Now, I strongly recommend going through my past post “Exercises for Short/Tight Pelvic Floor” first. Generally …

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Jagged Little Pill: How Oral Contraceptives Wreak Havoc on the Female Body

In Female Pelvic Pain, Stress Urinary Incontinence, Vulvodynia by Joshua Gonzalez, MD7 Comments

    By Joshua Gonzalez, MD   The advent of oral birth control pills in the 1960s was heralded as a huge victory for women’s rights.  Finally, women could take control of their bodies and their fertility.  Since then, oral contraceptive pills (OCPs) have become ubiquitous in reproductive aged women with nearly 10 million women today using The Pill as …

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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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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 urinating. …

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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 …

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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 …

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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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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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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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 …