Pelvic Physical Therapy

best probiotics for pelvic pain. visual model of intestine with three spoons filled with probiotics

Best Probiotics for Endometriosis and Chronic Pelvic Pain

It can be hard to determine the best probiotics for endometriosis and chronic pelvic pain. The "best probiotic" can be challenging to choose from among the many options.  It's even more difficult to determine which probiotics are best for endometriosis and chronic pelvic pain. As health and wellness professionals who support clients with endometriosis and pelvic pain, we have to educate ourselves about the research on the best probiotics for…

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How to Heal and Treat Vulvodynia

How to Heal and Treat Vulvodynia Vulvodynia affects over 14 million people in the US alone. This complex pain syndrome is a frustrating condition to treat. Vulvodynia is a condition that causes pain in the vulva (or specifically in the vulvar vestibule). The root cause of vulvodynia is not fully understood. Vulvodynia is most bothersome when provoked and when the tissue is irritated. This often happens during sex, when wiping…

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Gluten and Endometriosis

Gluten and Endometriosis Is there a link between gluten and endometriosis?  Should women avoid gluten to lower their risk of endometriosis or to help to resolve the symptoms of endometriosis? Let’s look at the research… First, it’s important to consider that endometriosis has many characteristics of an autoimmune disease (Eisenberg, et al., 2012).  It is clear that endometriosis is an inflammatory disease process.  In endometriosis, the presence of endometrial glands…

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woman laying down on bed with arms around her

Sleep, Melatonin, and Endometriosis

Sleep issues and endometriosis often go hand in hand. Patients with endometriosis frequently struggle with a variety of sleep issues, including insomnia, pain-insomnia, poor sleep, chronic fatigue, restless leg syndrome, and more. But...why is it so common for people with endometriosis to struggle with poor sleep and sleep issues? When cortisol goes up, melatonin goes down. Cortisol, a key stress buffing hormone, inhibits melatonin, and melatonin is an important hormone…

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How to Relieve “Endo Belly”

One of the most frustrating challenges that our clients with endometriosis face is how to relieve the chronic bloating known as “Endo Belly.” Over the years, my practice has seen thousands of women struggling with this, and we have developed an integrative protocol for relieving the bloat for good. What is “Endo Belly”? Before we get into the steps to relieving Endo Belly, let’s talk about what it really is.…

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person holding their pubic area in pain

The Role of Rehabilitation Medicine in Chronic Pelvic Pain

It was my honor to interview Dr. Allyson Shrikhande, MD, founder of Pelvic Rehabilitation Medicine about the role of rehabilitation medicine in chronic pelvic pain. Rehabilitation medicine includes the tools of pain and nervous system modulation medications, specific injections to improve local pain in the pelvis, including pelvic nerve pain, and management and referrals for integrative healing. At Pelvic Rehabilitation Medicine, the physicians are on the cutting edge of pain…

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Solutions for Vulvovaginal Atrophy

Vulvovaginal Atrophy is Common   Vaginal dryness and vulvovaginal atrophy is a common problem for women. In the United States alone, 32 million women suffer from vulvovaginal atrophy in perimenopause and post-menopause. The symptoms associated with vulvovaginal atrophy include dyspareunia (pain during sexual intercourse), vaginal dryness, itching, irritation, burning, and painful urination. In perimenopause and menopause, vulvovaginal atrophy and dryness are primarily related to the decline in estrogen. With estrogen…

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Is Blood Sugar Instability Related To Chronic Pelvic Pain?

Is blood sugar instability related to chronic pelvic pain? The short answer is, yes! Usually, until a person is diagnosed with pre-diabetes or diabetes, they don't know that they have blood sugar instability. But, there are some simple ways to determine if your patient’s blood sugar instability and/or insulin resistance is related to their chronic pelvic pain or other chronic pain. When mindfully listening to your patients share their health…

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Endometriosis and Fatigue: Relieving pain and fatigue, and improving fertility with an integrative approach

  Up to 80% of pelvic pain is related to endometriosis, and 176 million girls and women worldwide suffer from endometriosis. Helping women to overcome endometriosis requires a multidisciplinary, integrative approach.  There is no silver bullet solution to endometriosis, but when we take a collaborative approach and dig until we find each patient’s individual healing recipe of therapies, mindsets, and support, healing is available. What is Endometriosis? Endometriosis is a…

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How to Heal PCOS with Nutrition and Lifestyle Medicine

What is PCOS? Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting between 5%  and 13% of women, depending on ethnicity and criteria used for diagnosis (Ding et al., 2017). African-American and Afro-Brazilian women experience the highest rates of PCOS; Chinese and Caucasian women experience the lowest rates. PCOS Diagnostic Criteria The most updated criteria for diagnosis was made by the Androgen Excess Society in 2006.  The diagnostic criteria…

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