Physiotherapy

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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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…

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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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My Long Covid Recovery: Perspectives from a Nutritionist and Physical Therapist

My Long Covid Recovery: Perspectives from a Nutritionist and Physical Therapist As an introduction to this article, I would like to share a few details about how I decided to write this post about long-covid recovery: Normally when sharing something like this with my colleagues of clinical relevance, I would cite as much literature as possible to explain my decision-making process. While I may add this later, I decided to…

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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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Using an Elimination Diet to Relieve Vulvodynia and IBS

Functional Nutrition Treatment Options for Vulvodynia and IBS When the pain of vulvodynia hits - the painful sex, the pain with wearing tight pants, the pain with just sitting through a movie! - you just want it gone. Fortunately, by taking an integrative approach and getting to the root cause of your vulvodynia, it's possible to relieve your pain for the long term! You might have heard of seeking specialized…

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Pelvic Pain and Autoimmune Disease with Dr. Terry Wahls

Chronic Pelvic Pain and Autoimmunity... Is there a connection? In my practice, many of my patients who struggle with chronic pelvic pain also have autoimmune conditions.  Even those who don't have clear autoimmune diagnoses, often have autoimmune issues - such as intestinal barrier inflammation, food sensitivities, immune hyper-responsiveness, and chronic inflammation. In this interview with Dr. Terry Wahls, we discussed her approach to reversing autoimmune disease, and the connections between…

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Women, Safety, and Pain

In a study, recently published in BMC Pregnancy Childbirth, the researchers asked 21 women who had never had children, through face-to-face interviews and written questionnaires, about their experiences.(1)  They were interviewed and questioned before and after their first birth experience. "The overall theme to emerge from the data was that the pain a woman may be feeling during labour is given a meaning and it is the meaning of the…

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Exercise and Hormones for Women over 40

80% of adults don’t even get the minimum recommended amount of exercise recommended by the CDC and similar public health organizations - 2 days per week of strength training and 150 minutes per week of moderate aerobic exercise.(1)  Exercise for women over 40 is essential.  But, it's important to consider a number of factors before starting a fitness program. Starting with an intense spinning, Cross Fit, or other training program…

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