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Vaginal Estrogen for Urinary Tract Infections (UTI): Does it help?

Vaginal Estrogen for Urinary Tract Infections: Does it work?

Iโ€™m so pleased to share a comprehensive critical review of the top randomized controlled trials about vaginal estrogen vs. placebos in preventing or treating UTIs in postmenopausal women. ~Tracy Sher, PT, MPT, DPT (2022) ๐——๐—ผ๐—ฒ๐˜€ ๐˜๐—ต๐—ฒ ๐—จ๐˜€๐—ฒ ๐—ผ๐—ณ ๐—ฉ๐—ฎ๐—ด๐—ถ๐—ป๐—ฎ๐—น ๐—˜๐˜€๐˜๐—ฟ๐—ผ๐—ด๐—ฒ๐—ป ๐——๐—ฒ๐—ฐ๐—ฟ๐—ฒ๐—ฎ๐˜€๐—ฒ ๐—จ๐—ฟ๐—ถ๐—ป๐—ฎ๐—ฟ๐˜† ๐—ง๐—ฟ๐—ฎ๐—ฐ๐˜ ๐—œ๐—ป๐—ณ๐—ฒ๐—ฐ๐˜๐—ถ๐—ผ๐—ป๐˜€ (๐—จ๐—ง๐—œ๐˜€) ๐—ผ๐—ฟ ๐—จ๐—ฟ๐—ผ๐—น๐—ผ๐—ด๐—ถ๐—ฐ ๐—ฆ๐˜†๐—บ๐—ฝ๐˜๐—ผ๐—บ๐˜€ ๐—ถ๐—ป ๐—ฃ๐—ผ๐˜€๐˜๐—บ๐—ฒ๐—ป๐—ผ๐—ฝ๐—ฎ๐˜‚๐˜€๐—ฎ๐—น ๐—ช๐—ผ๐—บ๐—ฒ๐—ป?โฃ โฃ This is available…

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Beginners’ Guide to Pelvic Floor Muscle Exercises

Pelvic Floor 101 to teach people how to do a kegel and understand pelvic physical therapy

There are questions that come up around the topic of pelvic floor muscle exercises. Here at Pelvic Guru, the most common questions we receive are: Where are the pelvic floor muscles and what do they do? What is a kegel and is it the same as a pelvic floor contraction?ย  Is a pelvic floor exercise…

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Ketamine Infusion for Pelvic Pain. What is it?

Discussion of ketamine infusions for chronic pelvic pain.

The topic of Ketamine infusions can elicit some strong concerns. Some clinicians are familiar with a type of infusion known as “Ketamine comas,” in which people are placed in a medical coma and stay in an ICU for treatment. This is often viewed as quite extreme, and risky; and leaves many wondering the efficacy of such a treatment when the patient is not actively participating in recovery from a brain/pain connection. For clarification, the coma is not the only protocol available. Ketamine infusions can involve: 1. Outpatient “awake” protocol 2. Low-dose inpatient protocol 3. Ketamine coma. (In addition, there are now physicians who prescribe compounded ointments with Ketamine as one of the medications. This is not the same as an infusion. There’s not enough data at this time about efficacy and safety of this approach with topicals.) Our guest blogger, Dr. Allison Wells, MD, is sharing information about the outpatient procedure. ~ Tracy Sher of Pelvic Guru

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Kegels and Comedy? Meet Gusset Grippers.

Usually, matters of urinary incontinence and pelvic organ prolapse is NO laughing matter. However, Elaine Miller, a hilarious physiotherapist in the UK has found a unique way to bring these topics to the comedy stage with grace.

Meet Gusset Grippers. Stand-up comedy about ‘wee’, ‘pish’, and ‘banging on’. The 1st Pelvic Professional Spotlight MEET GUSSET GRIPPERS! Who is Elaine Miller, A.K.A Gussie Grips, Gusset Grippers? Usually, discussing matters of urinary incontinence and pelvic organ prolapse is NO laughing matter. However, there’s a fabulous, hilarious physiotherapist in the UK (Edinburgh, Scotland) who’s found…

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Bladder Pain and Bowel Issues – Oy! IPPS Conference Highlights

Highlights on bladder pain and bowel issues from the International Pelvic Pain Society Conference in Orlando, FL.

Bladder Pain and Bowel Issues – Oy! Highlights on these topics from the International Pelvic Pain Society Conference in Orlando, FL, October 17-20, 2013. The 2013 International Pelvic Pain Society (IPPS) Conference was highly anticipated and with great reason! We were impressed by the excellent clinical information for first-time and return attendees to the conference.…

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Pelvic Pain Research: What’s Happening and Who’s Recruiting?

Pelvic Pain Research: What's Happening and Who's Recruiting?

Pelvic pain research “nerd alert”. You have been warned! Here’s a sampling of some of the great research projects and trials (primarily pelvic pain with some others sprinkled in) listed asย CURRENTLYย recruiting subjects in the United States and Canada. ย Who else hopes the funding dollars are there to support these (crossing fingers)!? Let’s face it: pelvic…

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10 Common Misconceptions About Pelvic Physical Therapy

Jessica Powley discusses 10 major misconceptions about pelvic physical therapy.

Have you ever heard of pelvic physical therapy before? Many have not, but this specialty can be a crucial part of someone’s complete medical care – for women, men, and even children. As one my patients recently said, ย “I had no idea this sort of thing exists, but I’m sure glad I found it because…

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Toilet Talk: Things You Should Know, But Probably Don’t.

Tracy Sher shares a list of some of the best tips that every person should know about toilet talk.

Parents can relate to the fact that we spend a lot of time potty training children. However, that’s likely the only time we experience “toilet talk”. ย When I provide basic bowel and bladder tips to my adult patients, I am always surprised when they say “why didn’t anyone tell me that?”. ย So, here’s a list…

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