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Managing Life on or after “The Pill”

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

  By: Jandra Mueller If you are a female reader of our blog, have experienced painful intercourse, and happened to have come to the Pelvic Health and Rehabilitation Center (PHRC) for treatment, then you are probably familiar with our talk about how systemic birth control like oral contraceptives (OCPs) or “The Pill,” may be the underlying culprit. The pill is …

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Part 2 of 2: What is a good pelvic PT session like?

In Pelvic Health by Stephanie Prendergast1 Comment

  By: Katie Hunter   Last week, in Part 1 of What is a good pelvic PT session like,  we described what a pelvic floor physical  therapy evaluation consists of and how we go about developing an assessment and setting goals to help our patients get better. This week we dive deeper into pelvic floor physical therapy treatment plans, patient …

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Part 1 of 2: What is a good pelvic PT session like?

In Pelvic Health by Stephanie Prendergast2 Comments

    By: Katie Hunter   Pelvic Health and Rehabilitation Center is proud to announce that we now have eight locations across the country. Our newest locations include Walnut Creek, CA, Bedford, NH and Westlake Village, CA. We pride ourselves on our constant commitment to give the best possible care for our patients. Patients suffering from long-standing pelvic conditions are …

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How Pelvic Floor Physical Therapy Can Serve the Transgender Population: Part 1

In Transgender Health by Stephanie Prendergast2 Comments

By: Shannon Pacella Earlier this summer, Dr. Heidi Wittenberg wrote a blog post enabling medical providers to understand transgender healthcare needs, which you can read here. Following Dr. Wittenberg’s lead, I was fortunate enough to attend an educational course focused on the physical therapy evaluation and treatment of transgender patients, and I believe it is imperative to convey how important …

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Mindfulness Meditation: Is it actually effective for treating chronic pain?

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast1 Comment

  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, …

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Sex Therapy and CBT for Pain with Sex

In Female Pelvic Pain by Stephanie PrendergastLeave a Comment

  By Nicole Davis   In 2012, The Journal of Sexual Medicine published an article, What we don’t talk about when we don’t talk about sex: results of a national survey of U.S. obstetrician/gynecologists. The results from the survey revealed that though Ob/gyns routinely (63%) assess their patients’ sexual activities, only 40% of them ask their female patients about sexual …

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Polycystic Ovary Syndrome: what everyone needs to know

In Female Pelvic Pain by Malinda WrightLeave a Comment

  By: Malinda Marshall   Do you know what the most common cause of female infertility is? Polycystic ovary syndrome, also known as PCOS. It is estimated that 15-20% of women will be diagnosed with PCOS at some point in their lives.1 It is the most common endocrine (hormone) disorder for women of reproductive age.2 Approximately 90-95% of women with anovulation …

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The Pelvic Health and Rehabilitation Center Turns 12!

In Pelvic Floor Dysfunction by Stephanie PrendergastLeave a Comment

  By: Stephanie Prendergast   On July 17th, 2006,  Liz and Stephanie opened the doors to the Pelvic Health and Rehabilitation Center in San Francisco. Their mission was to improve the quality of life of their patients and to contribute to the dynamic growth of their employees and students.  They aspired to educate the community and medical professionals about pelvic …

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Your Vagina Is Cleaner Than You Think

In Female Pelvic Pain by Sigourney CrossLeave a Comment

Photo courtesy of: Scrubbing Bubbles   By: Sigourney Cross   I love taking bubble baths. I use my scented body wash and a loofah down there. Sometimes I wipe so hard I bleed a little bit. I always use scented wet wipes to stay fresh. I wear thongs under my yoga pants. I use a daily scented panty liner just in …

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Vulvodynia, Vestibulodynia, and Vaginismus: what’s the difference and why does it matter?

In Vulvodynia by Stephanie PrendergastLeave a Comment

  By Stephanie Prendergast   As many as 28% of women experience painful sex at some point during their reproductive years and that sucks. Knowledge is power and May is Pelvic Pain Awareness Month so we want to provide women with useful information about the three most common diagnoses associated with painful sex: vulvodynia, vaginismus, and vesitbulodynia. Differentiating between these …

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The Blunt Truth About Medicinal Marijuana and Pelvic Pain: Part 2

In Female Pelvic Pain, Male Pelvic Pain by Shannon Pacella2 Comments

  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, …

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The Connection Between SIBO and Interstitial Cystitis/Painful Bladder Syndrome (and How to Relieve Both)

In Female Interstitial Cystitis / Painful Bladder Syndrome, Male Interstitial Cystitis / Nonbacterial Chronic Prostatitis / Chronic Pelvic Pain Syndrome by Stephanie Prendergast1 Comment

  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 …

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A Biopsychosocial Approach to Vulvodynia

In Vulvodynia by Malinda WrightLeave a Comment

  By Malinda Marshall   Throughout my years of practice I’ve treated many women with vulvodynia. I’ve noticed that it’s rare for women to return to 100% solely with physical therapy treatment; even though their musculoskeletal impairments may have returned to normal, some women continue to feel pain. In my experience, it takes a team of practitioners to treat vulvodynia, …

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Mechanistic Interplay among Peripheral, Spinal and Brain Adaptions to Chronic Visceral Pain

In Female Pelvic Pain, Male Pelvic Pain by Britt Van Hees2 Comments

  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 …

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The Peripheral Nervous System, Interstitial Cystitis, and Pelvic Pain

In Female Pelvic Pain, Male Pelvic Pain by Katie Hunter5 Comments

  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. …

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This is Us: a look inside PHRC

In Female Pelvic Pain, Male Pelvic Pain, Pregnancy and Postpartum Pelvic Health by Stephanie Prendergast2 Comments

  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 …

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Autonomic Features of Chronic Pelvic Pain

In Female Pelvic Pain, Male Pelvic Pain by Elizabeth Akincilar-Rummer5 Comments

  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 …