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 GuruRead More
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…Read More
It is with great passion and sincere hope that I share this website link with you. There are so many patients we touch every day who crave love and intimacy, but feel isolated and alone because they cannot tolerate having full sexual intercourse. This happens to both men and women. For example- Some male patients have severely painful ejaculations or pain with any touch to the genitals; while women may not be able to tolerate vaginal penetration at all due to pain or adhesions/scarring from gyn radiation therapy. This is real, but we can help. If an individual’s goal is to have full sexual intercourse, then we want to aim treatment at achieving this. However, just remember that it may not be an end goal OR it just may not be realistic for that individual. Here’s another option.
This will continue to be a hot topic we will further explore in additional postings.
Here’s another link for the ABC story featuring this website: http://abcnews.go.com/Health/cancer-survivor-creates-website-sex-love/story?id=14285437&page=2#.T5S3UO33DPARead More
The goal of www. pelvicguru.com is to provide solid, expert information to patients and medical practiotioners who have an interest in this area. The website link provided here is full of great resources for you. In the near future, we will provide more information with patient stories and patient questions.Read More
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…Read More
The latest NY Times Health article. The “bottom line” is to make sure you are sitting on your “sit bones” instead of the soft tissue/muscles right around your genitals (perineum).Read More
PELVIC GURU writes: The preface: A Pelvic Physical Therapist (did you know this even exists?) has a very unique “relationship” with patients. She spends usually 40 minutes to 1 hour with each patient (one-on-one), dealing with very personal pelvic floor or abdominal musculature issues such as chronic pelvic pain, vulvar pain, painful intercourse (dyspareunia), and…Read More