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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 …

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Using Cannabis to Treat Persistent Pelvic Pain

In Pelvic Health by Stephanie PrendergastLeave a 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 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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Wait there’s a (secret) society for that?

In Pelvic Health by Stephanie Prendergast2 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 Stephanie PrendergastLeave 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 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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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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Antenatal and Postpartum Pelvic Floor Physical Therapy as Standard of Care

In Pregnancy and Postpartum Pelvic Health by Stephanie Prendergast3 Comments

  By Dr. Ann Croghan, PT, DPT, CLC, and CAPP-OB trained with introduction by Stephanie Prendergast, MPT   A few months ago I shared a link to an article I was interviewed for in Men’s Health Magazine about postpartum sex on our PHRC Facebook Page. I was disappointed there was not better coverage about postpartum pelvic floor physical therapy 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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Posture Revisited: Sitting and the Pelvic Floor

In Pelvic Floor Dysfunction by Nicole Davis3 Comments

Photo via Joe Loong via Flickr   By Nicole Davis   In previous entries, Britt beautifully took us through all things posture (Posture and the Pelvis Part One and Part Deux). Here are some important takeaways from her posts to consider as we explore how sitting may affect your pelvic floor:   The diaphragm, trunk (back extensors, transversus abdominis, obliques, etc.) …

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Vaginismus: Real Answers for Sexual Pain

In Female Pelvic Pain by Jandra MuellerLeave a Comment

  By Jandra Mueller   Vag·i·nis·mus /ˌvajəˈnizməs/   Noun noun: vaginismus painful spasmodic contraction of the vagina in response to physical contact or pressure (especially in sexual intercourse).   What is vaginismus?   Above is the definition that comes up when you google vaginismus. You may have seen blogs or posts on social media about vaginismus or painful sex or …

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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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The Most Proven IC Treatment: Pelvic Floor Physical Therapy

In Female Interstitial Cystitis / Painful Bladder Syndrome, Male Interstitial Cystitis / Nonbacterial Chronic Prostatitis / Chronic Pelvic Pain Syndrome by Stephanie Prendergast4 Comments

  By Guest Blogger Nicole Cozean, PT, DPT, WCS and author of The Interstitial Cystitis Solution   Pelvic floor physical therapy is the most proven treatment for interstitial cystitis. It’s the only therapy given an evidence grade of ‘A’ by the American Urological Association and recommended in the first line of medical treatment. But patients often wonder how does treating …

The Squattypottymus: could reducing childhood constipation help prevent adult pelvic pain?

In Pelvic Floor Dysfunction by Elizabeth Akincilar-Rummer2 Comments

  By guest blogger Steve Hodges, MD with an introduction from Elizabeth Akincilar   As pelvic floor physical therapists, we often notice a common denominator among our patients suffering with pelvic pain: CONSTIPATION. Probably more frequently than not, our patients with pelvic pain also struggle with constipation currently, or have at some point in their lives. Many of them will …

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PHRC teams up with Innovative Wellness in Walnut Creek!!!!

In Pelvic Floor Dysfunction by Stephanie Prendergast3 Comments

    By Stephanie Prendergast   The Pelvic Health and Rehabilitation Center is expanding to Walnut Creek! We are excited for a unique opportunity to team up with Rachael Cabreira, RN, BSN, MSN, FNP-C and Certified Sexual Health Clinician inside her new private practice, Innovative Wellness. People who know us at PHRC know that we believe in coordinated, interdisciplinary care for …

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The Twisted Trunk: Implications for Abdominal and Pelvic Pain

In Female Pelvic Pain by Sigourney Cross4 Comments

  By Sigourney Cross   While attending the 3rd World Congress of Abdominal and Pelvic Pain Conference last October in Washington, DC, I had the pleasure of listening to the lecture of Dr. Diane Lee, BSR, FCAMPT, CGIMS. Dr. Lee discussed the impact that altered pelvic biomechanics and non-optimal function in the abdominal wall and pelvic floor have on pelvic …

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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, …