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Time to Talk About Healing, It’s a Process

In Pain by Rachel GelmanLeave a Comment

By: Rachel Gelman Earlier this month I had my wisdom teeth removed. Last thing I remember was talking about elephants in Thailand, and next thing I know I wake up looking like a chipmunk that got in a bar fight (and lost). After a few days, I couldn’t understand why I still felt bad. This was a “simple” procedure and …

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Recovered From Pudendal Neuralgia: Sheyoume’s Success Story

In Female Pudendal Neuralgia, Male Pudendal Neuralgia by Stephanie PrendergastLeave a Comment

By: Stephanie Prendergast Pudendal neuralgia is a syndrome characterized by burning, stabbing pain in the territory of the pudendal nerve, which has a vast distribution in the pelvis. The symptoms can wreak havoc during ordinary daily activities such as sitting, exercising, going to the bathroom, and having sex. Nerves are physiologically different from muscles, therefore they heal differently than most …

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Muscles Affecting Pelvic Health: It’s Not Just The Pelvic Floor

In Female Pelvic Pain, Male Pelvic Pain by Shannon PacellaLeave a Comment

By: Shannon Pacella As you may know, us pelvic floor physical therapists tend to talk about the pelvic floor muscles quite a lot. However, we also assess and treat many other muscles surrounding the trunk, pelvis, hips, and thighs, that influence pelvic health and various pelvic floor muscle dysfunctions. If you’d like to learn about pelvic floor muscle anatomy, check …

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Battle of the bulge: is your weight impacting your pelvic floor function?

In Pelvic Floor Dysfunction by Sigourney CrossLeave a Comment

By: Sigourney Cross If you’re anything like me, you’ve probably spent the last couple of months eating everything in sight. With Thanksgiving, Christmas and New Year’s back to back, it’s hard to say no to all those delicious side dishes and homemade desserts. But now that the holidays have come to an end, it’s back to reality. Did you know …

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Visceral Pain: Notes from #IPPS2018

In Pelvic Pain by Julia Zaitsev3 Comments

By: Julia Zaitsev Asking patients about pain is a major component of an initial evaluation as well as with follow-up treatments. Monitoring changes in pain behavior, the intensity and the location can help gauge treatment success and progress. However, not a lot of people are aware of a major source of pain which is visceral pain. Kevin Hellman, PhD from …

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Abdominal Wall and Hernia Pain

In Pelvic Pain by Elizabeth Akincilar-Rummer1 Comment

By: Elizabeth Akincilar   For some of you reading this, October conjures images of autumn leaves, Halloween, and pumpkin spiced…everything. For me, there’s one additional thing that I associate with October. The Annual International Pelvic Pain Society Scientific Meeting. Every October, for the past 13 years, I’ve attended and participated in this meeting. This year, I was pleased to see …

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EVERYTHING Is Connected: What is Visceral Manipulation and How Does it Relate to the Pelvic Floor?

In Female Pelvic Pain, Male Pelvic Pain by Nicole DavisLeave a Comment

By: Nicole Davis Remember our earlier post on fascia? Simply put, fascia is a continuous sheath of connective tissues that lines everything in our body – the organs, bones, muscles, blood vessels, nerves etc. Healthy fascia is fluid and mobile. It allows everything in the body to slide and glide promoting healthy and balanced movement. Restrictions in fascia can impact …

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Alternative Treatments for IBS: Can Hypnosis Help Heal Your Gut?

In Pelvic Health by Lisa ThompsonLeave a Comment

By: Lisa Thompson Irritable bowel syndrome (IBS) is considered a functional gastrointestinal disorder. The Rome Foundation defines IBS as when a person has chronic abdominal pain at least one day per week in the last three months combined with at least two of the following: abdominal pain related to having a bowel movement; abdominal pain onset is associated with change …

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Center for Disease Control Opioid Guidelines: notes from #IPPS2018

In Pain by Kim Buonomo1 Comment

By: Kim Buonomo   At the International Pelvic Pain Society’s annual meeting I had the great opportunity to listen to two presenters discuss the role of medications in managing pelvic pain. In this blog, I’ll be talking about Dr. Stephen Ziegler PhD, JD from Purdue University’s lecture regarding the opioid epidemic and ways that we can improve medical management of …

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Managing Life on or after “The Pill”

In Female Pelvic Pain, Pelvic Health by Jandra MuellerLeave 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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Using Cannabis to Treat Persistent Pelvic Pain

In Pelvic Health by Melinda Fontaine1 Comment

Introduction by Melinda Fontaine, article by guest bloggers Eloise Theisen, AGPCNP-BC and Timothy Byars From Melinda: For years, I have seen my patients using cannabis to treat a variety of conditions.  A common complaint is the lack of guidance to do so. Recently, I found a medical professional who is not afraid to make specific recommendations. In fact, cannabis education, …

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

In Pelvic Health by Katie Hunter1 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 education, and …

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Wait there’s a (secret) society for that?

In Pelvic Health by Julia Zaitsev2 Comments

By: Julia Zaitsev In the age of social media and WebMD, often times I will have a patient who has gained information from all sorts of sources all over the internet. It takes a lot of effort to weed through the information that the patient has “learned” and separate fact from fiction. One of the best and most rewarding parts …

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How Pelvic Floor Physical Therapy Can Serve the Transgender/Gender Non-conforming Population: Part 2

In Transgender Health by Shannon PacellaLeave a Comment

By: Elizabeth Akincilar Last week, Shannon Pacella, DPT, taught us how physical therapy can benefit transgender individuals prior to gender affirming surgery and for those who choose not to undergo gender affirming surgery. You can read her blog here. This week, I present Part two, where I will explain why physical therapy for transgender individuals after gender affirming surgery should …

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

In Transgender Health by Elizabeth Akincilar-Rummer2 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 Nicole DavisLeave 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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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 …