By: Stephanie Prendergast Pudendal neuralgia is a syndrome characterized by burning, stabbing pain in the territory of the pudendal nerve, which has a vast distribution in the pelvis. The symptoms can wreak havoc during ordinary daily activities such as sitting, exercising, going to the bathroom, and having sex. Nerves are physiologically different from muscles, therefore they heal differently than most …
Muscles Affecting Pelvic Health: It’s Not Just The Pelvic Floor
By: Shannon Pacella As you may know, us pelvic floor physical therapists tend to talk about the pelvic floor muscles quite a lot. However, we also assess and treat many other muscles surrounding the trunk, pelvis, hips, and thighs, that influence pelvic health and various pelvic floor muscle dysfunctions. If you’d like to learn about pelvic floor muscle anatomy, check …
Choosing the Right Tool for the Job: Scott’s Recovery from Pelvic Floor Dysfunction
By: Malinda Marshall The holiday season tends to be a stressful time for many people. It’s not uncommon for people to feel their bodies tense up as the levels of stress and anxiety rise – and every year we see an increase in patient numbers as a result. In December, I had the opportunity to evaluate a male patient, who …
EVERYTHING Is Connected: What is Visceral Manipulation and How Does it Relate to the Pelvic Floor?
By: Nicole Davis Remember our earlier post on fascia? Simply put, fascia is a continuous sheath of connective tissues that lines everything in our body – the organs, bones, muscles, blood vessels, nerves etc. Healthy fascia is fluid and mobile. It allows everything in the body to slide and glide promoting healthy and balanced movement. Restrictions in fascia can impact …
Mindfulness Meditation: Is it actually effective for treating chronic pain?
By Elizabeth Akincilar Mindfulness meditation. Even if you’re not exactly sure what it is, I’m going to bet you’ve heard of it. It has gotten a lot of attention recently. It’s everywhere. It’s not like the mediation of 20 years ago. Back then meditation was considered “alternative” or “fringe” that few people practiced, especially in western countries. Now, …
Putting down the prescription pad: The opioid epidemic and pelvic pain
By: Katie Hunter It should be a surprise to no one that we are in the middle of a serious, nationwide opioid epidemic. And to top that off, a crisis on opioid overdose. Did you know that on average 115 Americans die each day from opioid overdose?2 In October 2017, President Trump declared the opioid crisis a public …
What’s new in research and clinical care for “Prostatitis” aka male Chronic Pelvic Pain Syndrome (CPPS)?
By Stephanie Prendergast If you are a man suffering from what feels like ‘prostatitis’, this blog and our upcoming informational event is for you. Did you know?… 10% of men experience prostatitis-like symptoms at some point in their lives. 97% of these men do not have a prostate or bladder infection yet are still treated with …
The Blunt Truth About Medicinal Marijuana and Pelvic Pain: Part 2
By Shannon Pacella First things first: if you haven’t already read the Part 1 to this post, please do so by clicking here! There are a few updates since my first post regarding laws and legislature for marijuana (cannabis) use throughout the United States. Currently, 29 states plus Washington, D.C. have legalized the use of medicinal marijuana, …
The Connection Between SIBO and Interstitial Cystitis/Painful Bladder Syndrome (and How to Relieve Both)
By Guest Blogger Jessica Drummond MPT, CCN, CHC One of the reasons that relieving pelvic pain is so challenging is that pain in different systems within the pelvis can overlap. For example, in rats where experimental colitis (colon irritation) was induced, many of the rats also experienced bladder and urethral pain (Yoshikawa et al., 2015). Thus, there is …
The Most Proven IC Treatment: Pelvic Floor Physical Therapy
By Guest Blogger Nicole Cozean, PT, DPT, WCS and author of The Interstitial Cystitis Solution Pelvic floor physical therapy is the most proven treatment for interstitial cystitis. It’s the only therapy given an evidence grade of ‘A’ by the American Urological Association and recommended in the first line of medical treatment. But patients often wonder how does treating …
Mechanistic Interplay among Peripheral, Spinal and Brain Adaptions to Chronic Visceral Pain
By Britt Van Hees For those of you following our journey through the 3rd World Congress on Abdominal and Pelvic Pain (#WCAPP17), here is another light-bulb lecture explaining the interconnections of chronic visceral pain. The presenter, Melissa A. Farmer, PhD, is a researcher at the Feinberg School of Medicine at Northwestern University with a long-standing relationship with the …
Autonomic Dysregulation in Functional Gastrointestinal Disorders
By Melinda Fontaine At the 3rd World Congress on Abdominal and Pelvic Pain organized by the International Pelvic Pain Society, Professor Qasim Aziz spoke about Autonomic Dysregulation in Functional Gastrointestinal Disorders. Qasim Aziz, MBBS, FRCP, PhD is Professor of Neurogastroenterology at Barts and The London School of Medicine and Dentistry at Queen Mary, University of London. Professor …
The Peripheral Nervous System, Interstitial Cystitis, and Pelvic Pain
By Katie Hunter I had the pleasure of attending Dr. Kenneth Peters’ lecture on the role of the Peripheral Nervous System(PNS) in the development and management of pelvic pain. Kenneth Peters, MD is a urologist practicing at Beaumont Hospital in Royal Oaks, MI, who specializes in treating complex pelvic pain including interstitial cystitis. For more information on Dr. …
This is Us: a look inside PHRC
By Stephanie Prendergast January is often the time to reflect on the past year and set goals for the future. So, in that spirit, we thought it would be fun to dedicate this post to a few top Pelvic Health and Rehabilitation Center events of 2017….and a peak forward to 2018. In no particular order, here’s what happened …
Positive Affect Helps Mitigate Chronic Pain: Building a Positive Piggy Bank
By Nicole Davis Many patients find that managing chronic pelvic pain conditions can sometimes be difficult. Oftentimes there is no one “thing” or pathology that symptoms can be tied to which, understandingly, can be frustrating or overwhelming. More accurately, chronic pelvic pain is a complex interaction of both physiological and psychosocial components. It is not only the body …
Urologic Chronic Pelvic Pain & Manual Pelvic Floor Physical Therapy
By Shannon Pacella While attending the 3rd World Congress on Abdominal and Pelvic Pain organized by the International Pelvic Pain Society, I had the privilege of listening to Rhonda K. Kotarinos, DPT, MS give a lecture on the topic of urologic chronic pelvic pain and manual physical therapy. Rhonda K. Kotarinos, DPT, MS is a Doctor of Physical …
Autonomic Features of Chronic Pelvic Pain
By Elizabeth Akincilar Understanding and effectively treating chronic pain continues to challenge the medical community. Now more than ever, there is a sense of urgency to treat this disease. With the astounding reports of opiate addiction and opiate related deaths in this country, we now know that throwing drugs at chronic pain is not the answer. So what …
3rd World Congress on Abdominal and Pelvic Pain Pain Updates, Part I
By Stephanie Prendergast Last month, pelvic pain enthusiasts traveled from all over the globe to attend the 3rd World Congress on Abdominal and Pelvic Pain in Washington, DC. The World Congress on Abdominal and Pelvic Pain is joint scientific meeting between the International Association for the Study of Pain Special Interest Group on Abdomino-Pelvic Pain, Convergences in pelvic-Perineal …
Beating Interstitial Cystitis
By Stephanie Prendergast “Thousands of people with Interstitial Cystitis live healthy, pain-free lives and so can you.” – The Interstitial Cystitis Solution, Nicole Cozean PT, DPT, WCS In honor of Bladder Health Month this week’s blog is dedicated to Interstitial Cystitis/ Painful Bladder Syndrome. IC/PBS is a treatable pelvic pain syndrome affecting roughly 3 million men and 9 …
How to Stop Worrying and Obsessing About Pelvic Pain Symptoms
By Lorraine Faehndrich If you’re suffering with pelvic pain it’s very likely that you’ve spent a lot of time worrying and obsessing about your symptoms. Maybe you’ve spent hours online searching for answers, reading stories of others’ experiences with pelvic pain, or participating in “support” groups that leave you even more stressed, worried and fearful than you already …
Tips for Coping With Persistent Pelvic Pain
By Jessica Newman, LMHC Living with persistent pelvic pain is, by definition, painful physically. What can be hard to talk about (especially for folks with pelvic pain) is just how emotionally distressing the pain is. And because the mind and body are a functional whole (think: a Mobius strip) emotional distress can trigger or amplify physical pain and …