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 vice …
Posture and the Pelvis: Part Deux
“Share the load” – Samwise Gamgee “It’s all about the base ” – Meghan Trainor “Drop it like it’s hot” – Snoop Dogg Some different quotes from last time, but after reading today’s post you’ll understand how Samwise, Ms. Trainor and Dr. Dogg are all talking about posture and the pelvis, and they didn’t even know it. …
Make Erections Great Again
By Dr. Joshua Gonzalez As a sexual medicine specialist, I spend a good deal of time talking about erections. Erectile dysfunction (ED) is actually a pretty common problem. Estimates of the prevalence of ED range from 9% to 40% of men by age 40, and generally increase by 10% with each decade thereafter1. ED affects approximately 30 million …
Pelvic floor physical therapy helps men after prostatectomy
By Melinda Fontaine, DPT, PHRC Walnut Creek What would men’s health month be without a blog about prostate cancer? One in seven men will be diagnosed with prostate cancer in his lifetime. Will this number be affected by the recent change in the U.S. Preventive Services Task Force’s change in recommendations on screening for prostate cancer? What happens when …
Brace yourselves: protecting your pelvic floor during CrossFit and loaded exercise
If you are a male and either currently participate in CrossFit workouts or another form of Olympic weightlifting, and have developed one or more of these symptoms: perineum pain with sitting, lower abdominal pain with intense activity or ejaculation, testicular pain that radiates to the abdomen or the vice versa, and urinary hesitancy with urgency and frequency, this blog is …
Prostatitis, pelvic pain, and physical therapy: a case of success!
By Admin David was diagnosed with a urinary tract infection and prostatitis. Antibiotics did not help. Did he have an infection or pelvic floor dysfunction? A few initial words from David: “My journey that ended with pelvic health and rehabilitation began with an unfortunate experience that I understand is all too common a story for men. After I …
Posture and the Pelvis: Part One
By Admin “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 the structure in …
I insist! My pelvic pain is my Tarlov cyst!!
By Elizabeth Akincilar-Rummer For the average person, the words Tarlov cyst mean absolutely nothing. For the average medical professional, they mean little to nothing. So why are we devoting an entire blog post to these cysts that no one seems to care about? Full disclosure, personally, I was curious what the literature had to offer on Tarlov cysts since …
The Liver and Hormone Connection
By Dr. Thalia Farshchian It can be both a beautiful and frustrating thing that the body is so interconnected. In some respects, it is fascinating and comforting and in other ways, it can feel so complicated. The more I study medicine, the more in awe I become of how it all works. As a doctor, I focus on …
Check Yourself Before You Stress Yourself
Stress: I’m all too familiar with it. As I write this blog I feel the stress of the deadline rapidly approaching. Writing is not my forte, so I tend to start writing assignments at the last minute, which puts me under pressure and causes, well…stress. I can feel the heaviness in my chest, the adrenaline pumping through my body, and …
The Scoop on Poop: More than Constipation
Everybody poops! I hope that everyone reading this blog accepts this reality. At PHRC, we spend a lot of time talking to our patients about the importance of proper pooping. Often, this discussion is uncomfortable. I get it. No one is keen to bond with their bowel movements. Poop has a bad reputation, which is unfortunate because it can …
Male Pelvic Pain and Chronic Nonbacterial Prostatitis: A Story of Hope and Determination
By Shannon Pacella, DPT, PHRC Lexington Unfortunately, the majority of the men we see at PHRC have been through quite a journey with their pelvic pain, before finding pelvic floor physical therapy. I want to share a recent success story about one of my male patients, Ben (his name has been changed for anonymity). My hope by sharing …
Sitting on painful fascia: connective tissue and pelvic pain
By: Admin If you’ve recently been to your physical therapist, massage therapist, personal trainer, or body worker and heard the words “fascia” and “manipulation” in the same sentence, you are not alone. Fascia has become quite the buzzword for treating everything from chronic neck pain, ACL repair surgery, plantar fasciitis, and yes—even pelvic floor dysfunction. But what …
Time to Man Up: The Future of Male Birth Control
By Elizabeth Akincilar-Rummer MEN!!! Are you ready?? Birth Control for men is here….almost. Contraception. For some of us, that word has been a saving grace in preventing unwanted pregnancies and diseases. For others, it is fraught with moral and ethical dilemmas. But, those who are the most concerned with and often the most involved with contraception, are …
Male Pelvic Pain: It’s Time to Treat Men Right
By Stephanie Prendergast and Elizabeth Akincilar-Rummer Tony is one of those people who seem superhuman. In his early 30s, he’s lean and athletic. When he isn’t chasing after one of his three young children or helping to run a successful family business, you can find him surfing, hunting, snowboarding, golfing, swimming, or playing basketball. It’s hard to …
What Hollywood Didn’t Teach Me About Sex
By Admin Art imitates life, though Hollywood’s imitation of sex is often a crude copy. Now, don’t get me wrong, I do enjoy a good rom-com, and I may or may not be on my second viewing of True Blood, but sometimes I just don’t get it. The sex on TV is not the sex in real life, …
Contracture: Can it occur in the pelvic floor?
By Rhonda Kotarinos, PT, DPT In this week’s post, guest author and pelvic floor expert Rhonda Kotarinos shares a controversy from the 2016 International Pelvic Pain Society conference. In October I had the privilege of presenting at the International Pelvic Pain Society’s annual meeting. During one of the presentations, a discussion ensued regarding the term contracture. The discussion was centered on …
Happy New Year from PHRC!
By Stephanie Prendergast After a fun holiday season the crew at PHRC is back at work and excited to start the new year. In this week’s post we take a grateful look back on 2016 as we start working on our goals for 2017. Last year, We published our book….. On January 16, 2016, Pelvic …
The Hemorrhoid: The World’s Biggest Pain In The Butt
Hemorrhoids. About 75% of us will have one at some point in our lives,1 and half of us will have had one before the age of 50.2 Surprised? It’s not the kind of thing we like to discuss with our friends – until you actually have one, that is. Then you find out your buddy has had one too. Americans …
Tech-ual Arousal: The Future of Technology and Sexual Health
We live in a different time. I remember when chat rooms and meeting people from the internet was the plot line for a Lifetime movie. Now, we get in cars driven by strangers and fall in love via sophisticated algorithms and profile pictures. What a time to be alive! It is pretty apparent that technology plays a huge role in …
Oh coccyx, my coccyx!
By Admin If you don’t know what or where your coccyx is, count yourself lucky. This little bone can make quite a ruckus when it’s not happy, often called coccydynia. The coccyx, or tailbone, is our little vestigial tail, after eons of evolution. It is often ignored and forgotten by most, but to me, it’s one of the …