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Advocacy and Research

The Pelvic Messenger

By Riva Preil You have heard my “written voice†for many months now via my blog, and now you will have the opportunity to hear my actual voice…via our new BLOG TALK RADIO show! That’s right, my friends. The new and exciting project BBPT has undertaken is helping conduct The Pelvic Messenger blog talk radio show. The goal of The Pelvic Messenger is to provide educational talk radio shows on various chronic pelvic pain topics and to provide hope and healing to individuals who suffer from pain related symptoms. The Pelvic Messenger is supported by the International Pelvic Pain Society (IPPS), Beyond Basics Physical Therapy, and the Alliance for Pelvic Pain. It is devoted to promoting awareness of various pelvic floor related disorders and pelvic pain in men, women, and children. It also is committed to improving patient and healthcare providers education on chronic pelvic pain. Elisabeth Oas is the founder and previous host of Pelvic Messenger. Current hosts include Amy Stein, Alexandra Milspaw, Stephanie Prendergast, Michelle Waterstreet, and…yours truly. The most recent show, approximately one week ago, was fantastic! Alexandra Milspaw interviewed Dr. Gina Ogden, sex therapist, on the topic of The Heart and Soul of Sexual Healing. Missed it? No worries…all shows are archived and accessible afterwards. To enjoy the show yourself, please refer to this link. Furthermore, I encourage you check out The Pelvic Messenger on Facebook and to “like†the fan page. STAY TUNED FOR MORE DETAILS ABOUT UPCOMING SHOWS! I look forward to hearing YOUR voice, dear reader, when you call in with questions when I am the host.

—FAQ

Frequently Asked Questions

Pelvic Floor Disorders and Treatment

What is pelvic floor dysfunction and why does it happen?

Pelvic floor dysfunction is extremely common and occurs when the muscles, tissues, or nerves of the pelvic floor are weakened, tightened, or injured by trauma, chronic strain, or overuse. Pelvic floor disorders can result from traumatic injury such as a fall, from sporting activity, surgery, or childbirth. They can also happen from more chronic issues, such as infection or chronic inflammation such as endometriosis. Pelvic floor disorders can be a consequence of poor alignment or posture, overuse, or improper movement. The pelvic floor muscles surround the urethra, rectum, vagina and prostate; therefore, if there is a dysfunction in these muscles it can result in urinary, bowel, or sexual dysfunction in people of all ages.

Who should I see to get a proper diagnosis?

Many healthcare providers don’t assess – or don’t know how to assess – the pelvic floor muscles and nerves, so it’s important to get a proper diagnosis from a practitioner who specializes in pelvic floor dysfunction and pelvic pain. Too often patients tell us that they’ve been to 10 different doctors and healthcare providers and their symptoms have not improved, or have worsened. Find a specialist right away and get on the path to healing as quickly as possible.

Why do healthcare providers miss (or misdiagnose) pelvic floor dysfunction?

Long story short, the medical practice is divided into areas of the body: Urology. Orthopedics. Gynecology. But the body itself doesn’t have walls; every system interacts with everything else. Sometimes providers are so laser-focused on what they treat that they miss the whole picture. 

As more and more research emphasizes the importance of physical therapy as part of a complete treatment regimen, more and more physicians are learning how to recognize and treat pelvic floor disorder. In the meantime, if you’re not getting relief from your current treatment, make an appointment with a pelvic floor specialist to learn more.

How does pelvic floor dysfunction affect sex?

Pelvic floor muscles have a huge impact on sex. Muscles that are shortened or tight and are unable to elongate will not allow for good blood flow into the genitals. This can result in pain, weaker erections, diminished sensation, inability to orgasm, and even decreased lubrication. Pelvic floor PT can help with these issues by enhancing blood flow and improving muscle function. 

How can pelvic floor dysfunction cause bloating?

Pelvic floor dysfunction, a condition characterized by the inability to correctly relax and coordinate pelvic floor muscles, can significantly contribute to bloating due to its impact on gastrointestinal functions. When these muscles are not functioning properly, it can impact the ease of emptying and make it difficult for your body to pass stool and gas through the intestines. This obstruction leads to an accumulation of waste and gas in the gastrointestinal tract, causing bloating and abdominal discomfort.

Is it true there’s internal massage?

There can be. We do perform internal soft tissue mobilization of the pelvic muscles that are inside your pelvis and are accessible only through the vagina or rectum. We never do internal treatment without your consent and understanding.

What makes someone a pelvic floor PT vs a regular PT?

All pelvic PTs get additional training in pelvic floor internal treatment through continuing education and at our clinic. 

We pride ourselves on the level of training we provide, not just at the beginning but throughout the time our therapists spend at Beyond Basics. We know that learning is a life-long process.  We also provide additional training in physiology of the GI system and urinary system as well as sexual health and function and nutritional training. Most PT programs and schools do not provide the depth and breadth of knowledge that we provide all our PTs at Beyond Basics.

Get help now from a pelvic floor therapist.

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