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

Pain Interventions for Labor and Birth With a Partner

In pelvic floor physical therapy, Pelvic Health, Pregnancy and Postpartum Pelvic Health by Molly BachmannLeave a Comment

By Molly Bachmann PT, DPT, Birth Doula When it comes to pain management during labor, most of us think of medical interventions such as an epidural or pain medication. Did you know that there are things that your doula, support person, midwife, partner or even OB can do to decrease pain? When I’m working with patients to help them prepare …

View Post

Diastasis Recti : What is It & Who Can it Affect?

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

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles Some people with diastasis recti (DR) also report urinary incontinence, fecal incontinence, pelvic organ prolapse and myofascial pelvic pain. HOWEVER, it is not the presence of diastasis alone that leads to these things. Longer term problems from unresolved DR can (but don’t always) include: back pain poor posture pelvic floor dysfunction …

View Post

Birth Control: Reviewing Your Options and Their Differences

In Pelvic Health, Uncategorized by Elizabeth AkincilarLeave a Comment

By Elizabeth Akincilar, MPT, Cofounder, PHRC Merrimack    In a post-Roe world, conversations and questions about birth control options are on the rise. Currently, everyone still has a constitutional right to contraceptives. There are many ways to prevent pregnancy, including oral medications, implantable devices, injectable medications, barrier methods, surgical interventions, fertility awareness, and abstinence. There are advantages and disadvantages for …

View Post

Performing Artists and Pelvic Floor Dysfunction

In Pelvic Floor Dysfunction, Pelvic Health, Pelvic Pain by Alexa SavitzLeave a Comment

By Alexa Savitz, DPT, PHRC Pasadena Reflecting on my previous years as a former professional dancer, I too often heard dressing room conversations with cast members sharing stories of accidents or urinary leakage happening over a few laughs, during partnering, while lifting, or jumping. At that time there was little to no education around what our pelvic floor muscles even …

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

Success Story: How André Recovered from Groin Pain

In Male Pelvic Pain, pelvic floor physical therapy, Pelvic Health, Pelvic Pain by Emily SchwerdtfegerLeave a Comment

By Jennifer Guan, PT, DPT  PHRC  Los Gatos   André Fenri* is a 28 year old male who was referred to PHRC by his urologist. André reports that three months prior to his initial evaluation, he developed pressure and pain on the left side in his groin region. He reports that he had gone skateboarding prior and his MD suspected …

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

PHRC is going back to Nairobi, Kenya!

In pelvic floor physical therapy, Pelvic floor physical therapy continuing education, pelvic floor physical therapy mentoring, Pelvic Health by Elizabeth AkincilarLeave a Comment

By Elizabeth Akincilar, MPT, Cofounder, PHRC Merrimack   PHRC is going back to Nairobi, Kenya!   The Pelvic Health and Rehabilitation Center is returning to Nairobi, Kenya to teach a pelvic health course to a second cohort of physical therapists in October 2022. We taught the first cohort of physical therapists in February 2020 and unfortunately COVID has delayed our …

View Post

IPPS Post-Conference Specialty Course

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

By Amy Stein, MPT, DPT, BCB-PFD, IF & Karen Brandon, DSc, PT, WCS This year we are excited to present a post-conference course dedicated to physical therapy clinical skills and treatment planning for complex endometriosis cases. This workshop is in-person and virtual.  We are so excited to have an all-star group of presenters, an expert panel, and case dissection round tables where …

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

Solutions for Menopausal Women with GSM and Pelvic Floor Dysfunction

In Menopause by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, MPT , Cofounder, PHRC Los Angeles   Most people have not heard of term “Genitourinary Syndrome of Menopause” (GSM). One key reason is that the term did not exist until 2014, when leadership societies recognized that menopausal women were suffering from many more symptoms than just ‘vaginal atrophy’ and vaginal dryness. The expanded GSM term more …

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 Jennifer KeeseeLeave 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 …

View Post

Myofascial Trigger Points: Facts & General Information

In 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   Let’s talk Myofascial Trigger Point (MTrPs) Facts: MTrPs are contracted fibers with a muscle. MTrPs are painful when compressed. Active MTrPs cause pain and/or dysfunction whereas latent MTrPs do not currently cause pain and/or dysfunction but have the potential to. MTrPs can cause pain locally (at the spot of the …

View Post

Myofascial Trigger Points – Frequently Asked Questions & Their Answers

In Pelvic Health, Pelvic Pain by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles   Over the last few week’s, we have received various inquiries about Myofascial Trigger Points. Why do they occur? What are they? How can we fix them? This week we do a deep dive and answer our most frequently asked questions!   Q: Never heard of this ! What is this …

View Post

Physical Therapy Rehab After Gender Affirming Surgeries

In Pelvic Floor Dysfunction, pelvic floor physical therapy, Pelvic Health, Pelvic Pain, Transgender Health by Elizabeth AkincilarLeave a Comment

By Elizabeth Akincilar, MPT, Cofounder, PHRC Merrimack   Although still out of reach for many, gender affirming surgical procedures are becoming more accessible as more surgeons are offering these services and more insurance providers are covering some of the costs associated with these procedures. As more people undergo these surgical procedures the need for rehabilitative services post operatively has increased. …

View Post

Hard Flaccid: Causes, Treatments, and Symptoms

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

By Elizabeth Akincilar, MPT, Cofounder, PHRC Merrimack Although our knowledge is limited with regards to hard-flaccid syndrome, based upon the minimal medical literature dedicated to this syndrome and our own experience at PHRC, hard-flaccid syndrome most commonly occurs secondary to the following:   When the PFM, particularly the urogenital diaphragm, or superficial PFM, become too tight or hypertonic, they can …