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Dyspareunia: Symptoms and Associated Conditions

In Endometriosis, Female Pelvic Pain, pelvic floor physical therapy, Pelvic Pain, Vulvodynia by Stephanie Prendergast1 Comment

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles   What is dyspareunia? A high number of people with a vagina suffer from painful versus pleasurable sex, including before, during or after sexual encounters. Superficial dyspareunia refers to pain at the opening of the vagina, whereas deep dyspareunia refers to feelings like something is being ‘hot’ or painful, deeper inside.  …

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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 …

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What to Expect at a Prepartum/Postpartum Evaluation

In Female Pelvic Pain, Pelvic Health, Pelvic Pain, Pregnancy and Postpartum Pelvic Health by Stephanie PrendergastLeave a Comment

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles During prepartum/postpartum evaluations, a physical therapist will take an extensive medical history. Following the history, the PT will perform a thorough external and internal musculoskeletal exam.   Your evaluation should include: Musculoskeletal: An assessment of structure, muscles, tissue, joints and manual evaluation of the pelvic floor muscles. We can identify problematic …

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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 …

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Common Prepartum Symptoms and Their Treatments

In Female Pelvic Pain, Pain, Pelvic Floor Physical Therapy Telehealth, Pelvic Health, Pelvic Pain, Pregnancy and Postpartum Pelvic Health by Stephanie PrendergastLeave a Comment

By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles   If you are expecting, plan to be in the future or know someone that is, here are some common Prepartum symptoms! Low back pain- Foot and back pain are due to hormonal and musculoskeletal changes. Studies have shown that 40% to 60% of women will experience back pain during pregnancy and …

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Hormonal Prepartum Changes and Postpartum Complaints

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

By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles   Hormones play a vital role in day-to-day function. They allow for the organs to communicate with each other so that we can filter toxic waste, grow muscle, sleep well . . . . and even grow a human! Let’s take a look at what happens during pregnancy: Estrogen goes up, elevating …

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Navigating Mental Health: Strategies for Managing Your Mental Well-Being

In Pain, pelvic floor physical therapy, Pelvic Health, Uncategorized by Emily TranLeave a Comment

By Emily Tran, PHRC Admin, Westlake Village   Pelvic pain can be a source of significant stress and anxiety for individuals. Living with chronic pelvic pain can often lead to feelings of hopelessness, sadness, and even depression. It’s important to recognize the impact pelvic pain can have on mental health. Here are a few ways mental health can affect pelvic …

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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 …

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Iliopsoas Dysfunction: Anatomy, Symptoms and Treatments

In pelvic floor physical therapy, Pelvic Health, Uncategorized by Stephanie Prendergast and Elizabeth RummerLeave a Comment

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles and Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack   Optimal pelvic health and biomechanics involves the iliopsoas muscle. When this muscle is not functioning properly pelvic, hip and and back pain can become a problem. The psoas muscle portion originates from T12/L1. It is a powerful hip flexor and it helps to …

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The Right Way To Poop and Improve Bowel Movements

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

By Stephanie A. Prendergast, DPT, MPT, Cofounder, PHRC Los Angeles   April is Irritable Bowel Syndrome Awareness Month, so we felt it was most appropriate to discuss bowel mechanisms and the ‘right way’ to poop.   According to a study by Shahid (et al in 2012), “constipation affects up to 28% of Americans.” More Americans suffer from constipation than die …

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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 …

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Success Story: Constipation and Urinary Retention Resolved

In Female Interstitial Cystitis / Painful Bladder Syndrome, Male Interstitial Cystitis / Nonbacterial Chronic Prostatitis / Chronic Pelvic Pain Syndrome, Male Pelvic Pain, Pain, pelvic floor physical therapy, Pelvic Health, Pelvic Pain by Melinda Fontaine1 Comment

By: Melinda Fontaine, DPT, PHRC Walnut Creek   Darnell took a trip to Europe a few months ago with his spouse. They had planned a wonderful vacation, but what they didn’t plan for was Darnell not being able to urinate or have a bowel movement (BM) for nine days! He took magnesium citrate which helped him produce partial BMs. When …

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March is Endometriosis Month; Current News and Updates

In Endometriosis, Female Pelvic Pain, Pain, Pelvic Health, Pelvic Pain by Jandra MuellerLeave a Comment

By Jandra Mueller, DPT, MS, PHRC Encinitas   March is the month where we get to talk about all things Endometriosis. Endometriosis (‘endo’) is an estrogen mediated, inflammatory disease characterized by endometrial-like tissue found outside of the uterus. Most commonly it is found in the abdominal and pelvic cavity, but can be found elsewhere in the body as well. Endo …

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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 …

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What is Ischial Bursitis and How Can Pelvic Floor PT Help?

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

By Lauren Opatrny, PT, DPT, PHRC San Francisco, CA   Ischial bursitis, or ischiogluteal bursitis, is a condition where the bursa that lies between the ischial tuberosity and the gluteus maximus muscle becomes inflamed.(1) Ischial tuberosities are the bones that we sit on and are commonly referred to as your “sits bones.” They provide support for the body while sitting …

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Ehlers Danlos Syndrome: Facts, Information and Myths Busted

In Pain, pelvic floor physical therapy, Pelvic Health, Uncategorized by Elizabeth Akincilar2 Comments

By Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack   Ehlers Danlos Syndrome is a rare inherited connective tissue disorder. It affects the skin, joints, and blood vessel walls. It causes joint hypermobility (joints that move too much!) which can result in joint dysfunction and pain. If many joints are affected, it can cause muscle dysfunction throughout the body, as the muscles …

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Scar Facts: All You Need to Know

In Uncategorized by Stephanie PrendergastLeave a Comment

By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles   Let’s talk scars and facts:   Scar tissue is of poorer quality than regular tissue; therefore it is more sensitive to UV light. Be sure to protect your scars with SPF! Don’t be surprised when hair doesn’t grow back in your scars. Hair follicles and sweat glands do not regenerate in …

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What is Persistent Genital Arousal Disorder (PGAD/GPD)? Part 2

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

By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles   In 2021, a panel of experts published a consensus and management of care paper on Persistent Genital Arousal Disorder/Genito-Pelvic Dysesthesia (PGAD/GPD) in the Journal of Sexual Medicine. The paper describes a treatment algorithm involving five different therapeutic targets for PGAD/PGD! The paper describes how clinicians newer to treating this diagnosis can …

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What is Persistent Genital Arousal Disorder (PGAD/GPD)? Part 1

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

By Stephanie Prendergast, MPT, Cofounder, PHRC Los Angeles   Persistent Genital Arousal Disorder (PGAD) is a syndrome characterized by unwanted genital arousal in nonsexual situations and was first described in 2001. The syndrome is being studied and in 2021 the International Society for the Study of Women’s Health (ISSWSH) published new guidelines about PGAD, broadening the term to genito-pelvic dysesthesia …

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Myofascial Trigger Point: What They Cause + Treatments

In Female Pelvic Pain, 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   Trigger points can cause local pain at the site of the trigger point and/or they can cause referred pain in a location distant from the trigger point itself. Trigger points in each muscle have common referral patterns that have been well documented in the medical literature.   Trigger points can …