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A Second Look at Pudendal Neuralgia.

In Female Interstitial Cystitis / Painful Bladder Syndrome, Male Pudendal Neuralgia, Post-Surgical Pelvic Floor Rehabilitation by Stephanie Prendergast37 Comments

  By Stephanie Prendergast I treated my first patient with Pudendal Neuralgia in 2002. As a young, excitable pelvic floor physical therapist, I was on a mission to help people suffering from pelvic pain and thought it would be just like what they said in PT school: stretch, strengthen, achieve goals, discharge. So when my patient began treatment for PN, …

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Off the Press! The Pink Pill and Other News

In Female Pelvic Pain by Stephanie Prendergast3 Comments

By Stephanie Prendergast It has been an eventful few weeks in pelvic health news! We’ve summarized the top stories and included our commentary. “Pelvic pain may be common among reproductive-age women, NIH study finds.” From the National Institute of Health Article summary: Pain reports were highest for women with endometriosis, however ⅓ of those without any pelvic condition also reported …

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Pelvic Pain Explained: A Sneak Peak!

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast9 Comments

    Earlier this year Liz and I completed our manuscript for our book, Pelvic Pain Explained. Writing it was a challenging process, to say the least. We are hopeful that this book will raise awareness about and help to demystify pelvic pain. By sharing our combined clinical experience we want to help people with pelvic pain and their providers …

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Playing with your sex hormones with Propecia use can play with your sex life

In Male Pelvic Pain by Stephanie PrendergastLeave a Comment

      “If you “play with sex steroid hormones” using finasteride (propecia) – the goal of finasteride (propecia) is to reduce the synthesis of the sex steroid hormone – dihydrotestosterone – then you will likely “play with your sex life” – as sexual function is very much related to sex steroid hormone levels”, says sexual medicine expert and urologist Dr. Irwin …

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Life After Cancer: The Role of Pelvic Physical Therapy

In Female Pelvic Pain by Stephanie Prendergast3 Comments

By Malinda Wright Every year over 70,000 American women are diagnosed with gynecological cancer, according to the CDC. A diagnosis of gynecological cancer can be devastating, but, as medical technology and research advances, more and more women with this diagnosis are becoming cancer survivors. Although surviving cancer is an amazing feat, many of these women are left with a decreased …

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PHRC’s Boston Office is Opening March 16th!

In Uncategorized by Stephanie Prendergast4 Comments

We’re thrilled to announce that PHRC is opening its Boston-area clinic next month with patient care starting March 16th! Liz, who will be re-relocating to the East Coast, will be spearheading the running of the clinic, the exact location of which is 303 Wyman St., Ste. 369, Waltham, Massachusetts. The clinic is in the greater Boston area, west and slightly …

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Pelvic Pain: Why a “Diagnosis” isn’t the Key to Recovery

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast46 Comments

When symptoms of pelvic pain strike, it’s natural to want to know: What’s my diagnosis? Every patient just beginning his/her journey to recovery from pelvic pain grapples with this question. But more often than not the quest to get that diagnosis leads to frustration and disappointment. On top of that, it can actually cause roadblocks to getting on the right …

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Roundup: What Top Pelvic Health Bloggers are Talking About

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast6 Comments

A gyno’s ad for Viagra; lessons about life with pelvic pain; overcoming treatment roadblocks; and “vagina therapy”: these are among the blog posts that some of our favorite pelvic health bloggers have posted in the past few weeks. In this blog we offer a roundup of these and other noteworthy posts for your reading pleasure. Here’s what happens when a …

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Can Essential Oils Help my Pelvic Pain?

In Female Pelvic Pain by Stephanie Prendergast7 Comments

By Guest Blogger: Liz Palmer Pelvic floor discomfort is literally a pain in the ass. The journey from disease to health can be long and frustrating, especially in a culture where doctors shrug their shoulders at pelvic pain. Taking advantage of holistic modalities can make the pilgrimage to health a less arduous one. One such method is essential oils—highly concentrated …

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PGAD: Separating Fact from Fiction

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast91 Comments

Persistent Genital Arousal Disorder or PGAD is a condition that’s been sensationalized in the media for years with headlines like “Nurse has 100 Orgasms a Day.” Back in 2012, a few news organizations did cover the condition in a more thoughtful manner after a woman suffering from PGAD committed suicide. But since then the media has resorted to its old …

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When should Men do Kegels?

In Male Pelvic Pain by Stephanie Prendergast12 Comments

By Stephanie Prendergast When should men do Kegels? As pelvic floor PTs who treat men, this is a question we often address in our clinics. Recently, the question of men and Kegels has hit the mainstream with both the New York Times  and Dr. Oz tackling the topic, among others. So I thought it a perfect time to address the …

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How PT can help with Anal Cancer Treatment

In Uncategorized by Stephanie PrendergastLeave a Comment

At PHRC we treat a wide variety of patient populations. One population that we’re beginning to see more often is patients undergoing treatment for anal cancer. Recent research has shown that the incidence of anal cancer, which is linked to the human papillomavirus (HPV), is on the rise, especially among men and women under the age of 45. Although we’re seeing …

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Pelvic Pain and Sex: Not Great Bedfellows

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast17 Comments

By Liz Rummer Akincilar Chronic pain can put a damper on anyone’s sex life no matter the location of the pain, but pelvic pain impacts a patient’s sex life on another level. The reason for this is that the pelvic floor plays a major role in sexual functioning. For instance, if you have vulvar burning or post-ejaculatory pain, you’ll understandably …

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What if you Can’t Find a Pelvic Floor PT?

In Female Pelvic Pain, Male Pelvic Pain, Post-Surgical Pelvic Floor Rehabilitation by Stephanie Prendergast40 Comments

By Guest Blogger Sara Sauder In this week’s post, blog contributor and fellow pelvic floor PT, Sara Sauder, who practices in Austin, Texas at Sullivan Physical Therapy, provides us with an honest, thoughtful answer to this all-too-common dilemma. Take it away Sara! If you’re lucky enough to find a pelvic floor physical therapist in your area, good for you!  You are …

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PHRC LA Now Open!

In Uncategorized by Stephanie Prendergast4 Comments

On May 5th, PHRC opened a new clinic location on the West Side of Los Angeles, and we couldn’t be more excited. The clinic is located in the heart of West LA at 11500 Olympic Blvd, Suite 440, in between Sawtelle Blvd. and Barrington Ave. Stephanie will be spearheading the LA clinic and is already feeling at home in LA. …

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The Case of Male Pelvic Pain, Painful Sex

In Male Pelvic Pain by Stephanie Prendergast8 Comments

History Ben is a 32-year-old male whose chief complaints are: right testicle ascension and sometimes associated pain, which started after he began using the hip adductor machine at the gym. His symptoms are worse post ejaculation or with strenuous activity, such as biking or playing tennis and remain for 20 to 30 minutes. He has a history of constipation and …

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What is a “Good” Pelvic Pain PT Session Like?

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast40 Comments

Recently we received a question from a reader asking us to describe what a “typical good pelvic floor physical therapy session” is like. It’s a question I’m sure every pelvic pain patient prescribed PT has thought about. Currently, there is no standard of care for pelvic pain PT. So unfortunately, patients get PT ranging from good to mediocre to inadequate …

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Pudendal Nerve Entrapment (PNE): Your Questions Answered Part II

In Female Pudendal Neuralgia, Low-Tone Pelvic Floor Dysfunction, Male Pudendal Neuralgia by Stephanie Prendergast42 Comments

This week’s post is the second half of a Q&A on the controversial diagnosis of pudendal nerve entrapment and the decompression surgery associated with it. For this post, we chatted with two of the leading experts on the topic: Michael Hibner, M.D., a gynecologic surgeon at St. Joseph’s Hospital and Medical Center in Phoenix, Ariz. and Mark Conway, M.D., a …

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Pudendal Nerve Entrapment (PNE): Your Questions Answered

In Female Pudendal Neuralgia, Low-Tone Pelvic Floor Dysfunction, Male Pudendal Neuralgia, Post-Surgical Pelvic Floor Rehabilitation by Stephanie Prendergast165 Comments

Part III of our “Demystifying Pudendal Neuralgia” Series  How does PNE (pudendal nerve entrapment) occur? How is it diagnosed? When is a patient a good candidate for the pudendal nerve decompression surgery? When are they not? These are among the questions we asked two of the leading experts on the controversial diagnosis PNE and the decompression surgery associated with it: …

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Stephanie talks to New York Times about Male Pelvic Pain Issue

In Male Pelvic Pain by Stephanie Prendergast1 Comment

On Sept. 12, the American Board of Obstetrics and Gynecology (ABOG) posted a new rule on its website prohibiting gynecologists from treating men. A few conditions were listed as exceptions; however, pelvic pain was not one of them. So writes the New York Times in an article published Dec. 10 titled “Men with Pelvic Pain find a Path to Treatment …