View Post

Vulvodynia: Do’s, Don’ts, + Symptom Management

In Female Pelvic Pain, Pelvic Health, Pelvic Pain, Vulvodynia by Emily TranLeave a Comment

 By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles   The diagnosis of Vulvodynia can be confusing, scary, and overwhelming. Studies show that vulvar pain affects as many as 1 in 3 women at some point during their lives and the medical community is finally getting better at diagnosing and treating it! ‘Vulvodynia’ simply means pain in the vulva. We consider …

View Post

Dermatomes: Let’s Get Into It

In Female Pelvic Pain, Female Pudendal Neuralgia, Male Pelvic Pain, Male Pudendal Neuralgia, Pelvic Pain by Emily TranLeave a Comment

By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles   At PHRC we love anatomy! As physical therapists we have advanced training in the neuromuscular systems of our body. Knowing where things come from and where things go help make us expert diagnosticians and treatment providers! Here is insight into which nerve roots are responsible for sensation in our pelvis. As …

View Post

Understanding Chronic Pain: A Journey Through Unseen Struggles

In Pelvic Health, Pelvic Pain by Emily TranLeave a Comment

By PHRC Admin In a world where we’re accustomed to physical discomfort being temporary, it’s hard to imagine what living with chronic pain feels like. It’s not just an ongoing ache or discomfort. It’s a complex, multifaceted experience that can seep into every aspect of life, making even the simplest tasks daunting. Explaining chronic pain to someone who hasn’t experienced …

View Post

Success Story: Exploring the Clinical Presentation of CPPS

In Male Interstitial Cystitis / Nonbacterial Chronic Prostatitis / Chronic Pelvic Pain Syndrome, Male Pelvic Pain, Pain, Pelvic Floor Dysfunction, pelvic floor physical therapy, Pelvic Pain by Emily Tran1 Comment

By Lauren Rogne, PT, DPT, PHRC San Francisco     The case of the mysterious pelvic pain – Exploring the clinical presentation of Chronic Pelvic Pain Syndrome (CPPS) Background Ben is a 35 year old with sudden onset of urinary tract-like infection symptoms, including urinary frequency, urgency, pain and burning. He visited his doctor, and his urinalysis came back negative …

View Post

The Jaw and Foot: Connections to the Pelvic Floor

In Female Pelvic Pain, Male Pelvic Pain, pelvic floor physical therapy, Pelvic Health by pelv_adminLeave a Comment

  Did you know that your foot can affect your pelvic floor? Foot and ankle positioning has an effect on the pelvic floor by influencing changes in muscle activation up the legs ultimately resulting in changes with pelvic tilt positioning.  There are biomechanical changes from the ground up.  The connection in brain mapping of motor and sensation- the genitals and …

View Post

June is Men’s Health Awareness Month

In Male Pelvic Pain, Pelvic Health by Elizabeth AkincilarLeave a Comment

By Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack   June is Men’s Health Awareness Month and it’s an important reminder of the need to prioritize preventative care and wellness for all. According to the U.S. Department of Health and Human Services, men are more likely to experience serious health problems such as heart disease, stroke, lung cancer, diabetes, suicide, substance abuse …

View Post

Male Pelvic Health: Erectile Dysfunction Causes & Treatments

In Male Pelvic Pain, Pain, Pelvic Floor Dysfunction, pelvic floor physical therapy, Pelvic Health by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles   Erectile dysfunction (ED) is the leading cause of sexual dysfunction in men affecting one in five men. It is defined as the inability to achieve & maintain an erection satisfactory for sexual intercourse. There are several causes for ED. Vasculogenic, or due to an issue with blood supply, is the …

View Post

It’s National Men’s Health Week!

In Male Pelvic Pain, Pain, Pelvic Floor Dysfunction, pelvic floor physical therapy, Pelvic Health, Pelvic Pain by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles National Men’s Health Week is held each year from June 8-14, and it is a time to raise awareness about the health of men and boys. This year’s theme focuses on the importance of preventive care, early detection, and treatment of medical conditions.   Men tend to avoid doctor visits, with …

View Post

Tight Lipped: You’re Not Alone; Patient-Led Communities

In Female Pelvic Pain, Pain, Pelvic Floor Dysfunction, pelvic floor physical therapy, Pelvic Health, Pelvic Pain by pelv_adminLeave a Comment

By Tight Lipped, guest blogger.   “My doctor in college told me that my partner simply ‘didn’t know what he was doing’, and that’s why it felt like his penis was hitting a wall inside me.” “When I saw a doctor for my vaginal pain, he told me to use a cucumber to stretch out my vagina.”  “So many doctors …

View Post

Obturator Internus: Anatomy, Dysfunction and Symptoms

In Female Pudendal Neuralgia, Male Pudendal Neuralgia, pelvic floor physical therapy, Pelvic Health, Pelvic Pain by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, DPT, MPT, Cofounder, PHRC Los Angeles The Obturator Internus (OI) muscle is an external rotator and an abductor of the hip. It is also a pelvic floor muscle, with half of the muscle belly sitting right next to our Levator Ani muscles. The muscle also forms part of Alcokc’s Canal, which houses the perineal branch of …

View Post

The Case of the Mysterious Hip and Testicular Pain

In Male Pelvic Pain, Pain, pelvic floor physical therapy, Pelvic Health, Pelvic Pain by Molly Bachmann3 Comments

By Molly Bachmann PT, DPT, Birth Doula, PHRC San Francisco, CA One of the most common questions I receive as a physical therapist is “But why does it hurt? How did I get this?” Sometimes, these questions are really challenging to answer. Other times, there is a distinct root cause. Let me tell you the story about a patient with …

View Post

Why Do Men Develop Penile Pain? Plus video resources!

In Male Pelvic Pain, Pain, pelvic floor physical therapy by Elizabeth AkincilarLeave a Comment

By Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack   One in 10 men will suffer from Chronic Pelvic Pain Syndrome at some point in their symptoms. Men can develop penile pain for numerous reasons: Excessive exercise Aggressive force and/or frequency of masturbation Persisting pain after disease, infection or inflammation Aggressive jelqing, attempts at foreskin regeneration, penile enhancement protocols   Symptoms of …

View Post

Prostatectomy: Facts, Complications and How Pelvic Floor PT Can Help

In Male Pelvic Pain, Pain, Pelvic Health, Pelvic Pain by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles   Let’s Talk Prostatectomy Facts   Although prostatectomy is a very effective surgical intervention for prostate cancer, there are some common symptoms that can occur following surgery that each person undergoing this procedure should be aware of. In fact, only 22% of patients undergoing radical prostatectomy were sufficiently counseled on the …

View Post

Pelvic Neuralgias: General Info, Causes, and Treatment

In Female Pudendal Neuralgia, Male Pudendal Neuralgia, Pain, pelvic floor physical therapy, Pelvic Health, Pelvic Pain by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles When considering neuropathic pain in the pelvis most people think of the pudendal nerve, but there are several other pelvic nerves that can also contribute to pelvic pain!  The genitofemoral nerve supplies a portion of the genitals as well as the front of the thigh. This nerve is sometimes confused with …

View Post

Clitoral Pain: Causes and Treatment

In Female Pelvic Pain, Pain, pelvic floor physical therapy, Pelvic Health, Pelvic Pain by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles   There are a number of treatable causes of clitoral pain, yet often patients are misdiagnosed and this distressing symptom can persist. Hormonal deficiencies associated with birth control pills, acne medications, and age can lead to thinning of hormonally sensitive structures, such as the clitoris and clitoral hood. This can lead …

View Post

Pelvic Pain 101: Definition + Resource List

In Pain, pelvic floor physical therapy, Pelvic Health, Pelvic Pain by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles   “Can you please define to us what exactly is pelvic pain when sitting. Over the bladder? In the groin? On the labia? Rectum? Sit bone? Like period cramps? What is the most common definition?  I’d love for this to be a post or a question for all.  I keep wondering …

View Post

Are Oral Birth Control Pills a Cause Of Or Solution For Pelvic Pain?

In Female Pelvic Pain, Pelvic Health, Pelvic Pain, Vulvodynia by Stephanie PrendergastLeave a Comment

By Stephanie Prendergast, MPT, Cofounder, PHRC West Los Angeles A frequent question from social media:    “I have Vestibulodynia and painful bladder syndrome. I am almost symptom free except for near or during my period. My hormone levels are fine. My urologist prescribed testosterone cream because he found atrophy. At the same time I have another doctor telling me that …

View Post

Pudendal Neuralgia Frequently Asked Questions- Answered

In Female Pudendal Neuralgia, Male Pudendal Neuralgia, Pain, pelvic floor physical therapy, Pelvic Health, Pelvic Pain by Elizabeth AkincilarLeave a Comment

By Elizabeth Akincilar, MPT, Cofounder, PHRC Merrimack Over the last couple of years PHRC has shared many YouTube videos and educational material on Instagram educating our viewers and readers about pelvic health. We have received an overwhelming response to several of our posts discussing pudendal neuralgia. Listed below are some of the most common questions we’ve received and our answers. …

View Post

How Denise Reduced Prolapse Symptoms with Therapeutic Yoga at PHRC

In pelvic floor physical therapy, Pelvic Health, Pelvic Organ Prolapse, Pelvic Pain by Melissa PatrickLeave a Comment

By Melissa Patrick, PT, DPT, RYT Denise  is an active 61 year old woman who enjoys spending time outside walking her dog, going to Zumba class and practicing yoga. When I met Denise, I could tell that she was energetic and lively but that her primary complaints of vaginal pressure were putting a damper on her lifestyle. I am happy …

View Post

How Alexandra Recovered from Pudendal Neuralgia at PHRC

In Female Pudendal Neuralgia, pelvic floor physical therapy, Pelvic Health, Pelvic Pain by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles Why do my sitz bones hurt with sitting, but not when sitting on the toilet? Alexandria’s Success Story with Highs and Lows throughout the Healing Process    The History of Alexandria’s Pain and How She Found PHRC   Alexandria is a 62-year-old female who showed up to PHRC with eight out …

View Post

Pain in your tailbone? You are not alone: Michelle’s Success Story

In Pain, Pelvic Health, Pelvic Pain, Pregnancy and Postpartum Pelvic Health by pelv_adminLeave a Comment

By Jennifer Keesee, PT, DPT, PHRC Westlake Village   Michelle is a 39 year old patient who was referred to PHRC by her pain management specialist for evaluation and treatment of tailbone pain, known as Coccydynia. Her symptoms started one year after giving birth to her second child, and had continued off and on for about three years. Michelle did …