Pain Is Not a Damage Meter: Why Endometriosis and other Chronic Pelvic Pain Conditions Require Pain Science Education

Pain shows up in almost every pelvic health plan of care, but a lot of providers were never actually trained to teach pain in a way that changes outcomes. We learn how to assess tissues, strength, tone, and pathology, but pain is not a simple “damage meter.” It’s a protective output of the nervous system, shaped […]

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Dry Needling in the Management of Pelvic Pain: A Clinical Perspective

What Is Dry Needling? Dry needling is a skilled intervention performed by trained rehab therapists using thin, solid-filament needles inserted into muscle and connective tissue. The technique targets myofascial trigger points and dysfunctional neuromuscular tissue to reduce tone, improve local circulation, modulate nociceptive input, and restore normal muscle function. It is a neurophysiologic intervention, not

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Post Prostatectomy Rehab

As rehabilitation professionals, we must ask ourselves: Are we fully educating our patients on all available rehab techniques, beyond just Kegels? Here’s an evidence-based overview of penile rehabilitation following radical prostatectomy, emphasizing the importance of a comprehensive approach to restore erectile function and maintain overall penile health.   Understanding Penile Rehabilitation Penile rehabilitation focuses on

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Local Estrogen Cream: Clearing the Air So You Can Calm Patient Worry

Concerns about local estrogen cream come up a lot in pelvic health practice. Many patients arrive anxious, often after reading alarming packaging warnings or online anecdotes, despite being prescribed a low-dose, locally applied estradiol. As providers, our role is to help separate fear from physiology. Is Local Estrogen Cream Safe? Yes! And this distinction matters when educating

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Pain Science Education

“But nothing showed up on the MRI…” If you’ve worked with people experiencing chronic pelvic pain, you’ve likely heard this line (or screamed it into the void yourself). Pelvic pain is complex. It’s layered. And when traditional diagnostic tools come up short, patients are left confused, discouraged, and often dismissed. This is where pain science

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Gspot Debate

Why are we still debating G-spot and Female Prostate? For decades, the G-spot has captivated attention, sparking debates in science and popular culture. Is it a distinct anatomical structure, a myth, or simply the same region as the ‘female prostate’? While opinions differ, the heart of the discussion may be less about anatomy and more

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Understanding GSM in Pelvic Rehab

Menopause is a natural phase in a woman’s life, signaling the end of her reproductive years. While many are familiar with common symptoms such as hot flashes, night sweats, brain fog, and mood changes, there is another less-discussed condition that affects many women: Genitourinary Syndrome of Menopause (GSM). GSM encompasses a range of symptoms affecting

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Mastering Bladder Retraining: A Guide to Healthy Bladder Function

Bladder health is something many people take for granted—until it becomes an issue. Whether it’s frequent trips to the bathroom, trouble holding it, or nighttime voiding, bladder dysfunction can significantly impact quality of life. Fortunately, bladder retraining is an effective way to restore healthy bladder function. In this post, we’ll dive into what bladder retraining

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