View Post

Embracing Sexual Health Awareness: Chronic Pain & Intimacy

In Pain, Pelvic Health, Pelvic Pain, Vaginismus by Emily TranLeave a Comment

By Emily Tran, PHRC Westlake Village   September marks Sexual Health Awareness Month, a time to raise awareness about the importance of sexual health and well-being. One often overlooked aspect of sexual health is the impact of chronic pain on intimacy. Millions of people worldwide suffer from chronic pain, and it can significantly affect their relationships and sex lives. In …

View Post

September Marks Gynecologic Cancer Awareness Month

In Pelvic Health, Uncategorized by Emily TranLeave a Comment

By Emily Tran, PHRC Westlake Village   September marks Gynecologic Cancer Awareness Month, an important time to raise awareness about the importance of early detection and preventive measures for several types of gynecologic cancers.   Gynecologic cancers refer to several different types of cancer that affect women’s reproductive organs, including cervical, ovarian, uterine, vaginal and vulvar cancer. While these cancers …

View Post

Success Story: How Stacey Recovered from Leaking and UTIs at PHRC

In Female Pelvic Pain, Menopause, Pelvic Floor Dysfunction, pelvic floor physical therapy by Emily EckmannLeave a Comment

By Emily Eckmann, DPT, PHRC West Los Angeles   Stacy’s History   Stacy is a woman in her 60s who came to PHRC seeking help for her urinary incontinence that had progressively gotten worse over the last five years. She was eight years into menopause and had seen several gynecologists who did not find ‘anything wrong with her bladder.’ She …

View Post

Fusobacterium and Endometriosis: New Insights or Media Frenzy?

In Endometriosis, pelvic floor physical therapy, Pelvic Health by Jandra MuellerLeave a Comment

By Jandra Mueller, DPT, MS, PHRC Encinitas   The recent study titled “Fusobacterium infection facilitates the development of endometriosis through the phenotypic transition of endometrial fibroblasts” by Muraoka et al. has generated significant attention and frenzy in the media.  The media coverage of this article has been intense, with headlines highlighting the potential breakthrough in understanding the pathogenesis of endometriosis, …

View Post

Dyspareunia: Symptoms and Associated Conditions

In Endometriosis, Female Pelvic Pain, pelvic floor physical therapy, Pelvic Pain, Vulvodynia by Stephanie PrendergastLeave a 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.  …

View Post

Biomechanical Evaluation for Pelvic Floor Dysfunction & PF Functions

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

By Stephanie A. Prendergast, MPT, Cofounder, PHRC Los Angeles   To start, there are various functions we can thank our pelvic floor, but let’s get into the MAIN functions: Part of core muscles The pelvic floor supports your core muscles: transversus abdominis, rectus abdominis, and the external oblique muscles. The PFM tends to act reflexively when we’re using our core …

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

A Kenyan Pelvic Health Physical Therapy School Scholarship 

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

By Elizabeth Akincilar, MSPT, Cofounder, PHRC Merrimack The Jackson Clinics Foundation was formed in 2012 to fund educational efforts in East Africa. To date the foundation has sent over 100 faculty members from their clinics and from around the country to teach in east and central Africa. Some of the best and brightest physical therapists in the United States have …

View Post

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 …

View Post

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 …

View Post

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 …

View Post

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 …

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

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 FontaineLeave a 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 …

View Post

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 …

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 BachmannLeave a Comment

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

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 …

View Post

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 …

View Post

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 …

View Post

Ilioinguinal Neuralgia: Causes and Treatment

In Female Pudendal Neuralgia, Male Pudendal Neuralgia, 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   Ilioinguinal neuralgia is typically caused by a surgical procedure or an inguinal hernia.   A hernia is when tissue pooches through the abdominal wall due to a weak point in the abdomen. An inguinal hernia, which is a hernia in the inguinal canal, can put pressure on the ilioinguinal nerve, …