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Pudendal Neuralgia – There is Hope!

Who's even heard of Pudendal Neuralgia? How about Pudendal Nerve Entrapment? (** Added 2/27/15 Please also read the newest blog: 5 Things We Wish You Knew About Pudendal Neuralgia) During my career, I developed an interest in working with patients with pudendal issues.  I joke around that I am famous in small circles - the "pudendal circle" is one. There's a tremendous amount of confusion about the diagnoses of Pudendal Nerve Entrapment, Pudendal Neuralgia, and Pudendal Neuropathy. Moreover, though it is a VERY important nerve  in the body that controls bowel, bladder, and sexual function, many physicians will admit something

By | April 3rd, 2012|

So, You Need Defecography Testing for Bowel Issues? Dispelling the Top 5 Myths

A common scenario: You have constipation, but the cause is unknown (and may have several underlying factors). There are a variety of tests for constipation. What if your physician orders a "DEFECOGRAM?" This is actually quite a common test, but if you search the internet, it will likely leave you with questions and fears. Dr. Vikas Shah, guest blogger and UK consultant radiologist specializing in gastrointestinal and colorectal imaging, shares information to dispel to the myths about defecograms. * Google Image What is a defecogram A defecating proctogram, also known as a defecography or a defagram, is used

By | June 18th, 2014|

Dear CrossFit and “CrossFit Gynecologist,” I’m Appalled. There’s Help For ‘Peeing’ During Workouts!

What's the Issue? Recently, a CrossFit video, entitled, 'CrossFit - Do You Pee During Workouts?' was released on YouTube. CrossFit participants were interviewed at the Central East Regional competition.  "CrossFit is the principal strength and conditioning program for many police academies and tactical operations teams, military special operations units, champion martial artists, and hundreds of other elite and professional athletes worldwide." CrossFit website Watch this video to see what the controversy is all about: Yikes!! Why am I Shocked About the Video? Any video that starts out with an announcer stating THIS is not going in a good direction:

By | June 22nd, 2013|

Vaginal Dilator Guide for Patients. Dilators and the Brain? Pain, Fear, and Anxiety

There are different reasons to use vaginal dilators. This particular post focuses on providing dilator information for women facing fear, anxiety, and/or pain with regard to vaginal touch, finger insertion, gynecology exams, use of tampons, and intercourse. My quest to find valuable, comprehensive resources for a guide for dilator use fell short. This is particularly true with regard to understanding that using dilators is NOT just to "stretch the vagina," which is often told to patients. I created documents for patients to use and wanted to share (still a work in process, but isn't it always?!). Dilators provide an excellent

By | August 30th, 2013|

The Ultimate Pelvic Anatomy Resource

Articles, Links, and Videos, Oh My! Ever wanted a resource with articles, pictures, and videos of pelvic anatomy all int he same place? Here it is! I’ve been putting this together for a while and am very excited to share this with you! This resource will evolve and update as new, exciting links are found. The content ranges from basic articles to in-depth anatomical reviews. Please leave a comment if you think other links or articles should be included in this resource. As always, thanks for all of the support. If you are a self-proclaimed Pelvic Nerd or just

By | January 12th, 2013|

10 Common 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,  "I had no idea this sort of thing exists, but I'm sure glad I found it because it has been THE missing treatment I have needed for years!". Guest post: 10 Common Misconceptions About Pelvic Physical Therapy I had never heard of pelvic physical therapy prior to beginning my doctoral program at Duke University. I remember very clearly when I first learned

By | August 5th, 2013|

My Vulva Is Itchy and Red. Gynecology or Dermatology?

 Excellent PDF link: The Vulvar Dermatoses: A Practical Approach to Evaluation and Management   Guidelines for the Diagnosis and Management of Vulval Carcinoma - PDF. Screening vs Dermatologic Conditions.   Here's the scenario we see often: A patient comes in to a gynecologist or pelvic physical therapist with complaints of burning at the vulva (or itching) and painful intercourse. It's quite possible that the patient has a typical type of presentation such as yeast or fungal infection OR vulvodynia with subsequent spasm of the pelvic floor muscles. However, admittedly anectodally, I have seen far too often in my practice, that

By | April 7th, 2012|

The 5 Things We Wish You Knew About Pudendal Neuralgia

The 5 Things We Wish PTs, MDs, and Patients Knew About Pudendal Neuralgia and Pudendal Nerve Entrapment Tracy Sher, MPT, CSCS and Loretta J. Robertson, PT, MS Why is the diagnosis of Pudendal Neuralgia confused with Pudendal Nerve Entrapment? Why are there so many misdiagnoses with pudendal symptoms? Its complex. We are both pelvic physical therapists who see primarily pelvic pain, and more specifically, a high volume of patients with pudendal nerve symptoms. We evaluate and treat patients from all over the world who are not finding help or differential diagnoses related to pelvic pain and pudendal neuralgia. We also

By | January 10th, 2015|