In Your Pants with Dr. Susie G

Latest Episodes:

Science Behind Strength Training for Your Health Jan 19, 2024

Show notes

Science Behind Strength Training for Your Health

Strong muscles play a key role in our ability to do the everyday activities we need and love to do (including sexy time). For most, getting the gumption to pick up a weight feels impossible. It doesn't have to be! Groundbreaking research tells us that doing something is better than doing nothing. Simple is sexy folks. If reducing frailty isn't enough of a motivator, then maybe erectile dysfunction is. Exercise is the number one preventative medicine for erectile dysfunction. So get up and grab those weights, your penis (and your partner) will thank you.

Join Brad Currier, a PhD candidate at McMaster University in Ontario, Canada, and Pelvic Health Specialist in Asheville, NC, Dr. Susie Gronski, as they uncover simple, sensible, and science-best ways to strengthen your muscles for your health.

Video Chapters:

0:52 82% of people don't meet resistance training guidelines 2:24 Benefits of strong muscles 3:23 Strength training guidelines for general health 4:15 Why people avoid lifting weights 6:35 You can build strong muscles with lighter weights 7:32 You can build muscle without getting massive and bulky 9:55 The 3 most studied resistance training programs (load, sets, and frequency) 10:25 Doing something is better than nothing. 10:52 Exercise dose to build muscle strength 10:59 Exercise dose to build muscle mass with resistance training 12:33 Minimum number of days to get benefits from resistance training 13:30 How many reps and sets should you do for muscle strengthening 18:30 Resistance training to improve daily activity 20:00 Strengthening pelvic floor muscles 23:30 Testosterone and steroids for muscle strength 27:04 Supplements are a waste of money 29:03 Best advice if you're new to strength training 32:11 Connect with Brad on Twitter and LinkedIn

Meet Our Guest:

Brad Currier is a PhD candidate at McMaster University in Ontario, Canada. Brad's research aims to improve health throughout the lifespan, with a particular focus on muscle, nutrition, and exercise. Brad has been recognized for his work by several organizations, including the American College of Sports Medicine and Natural Sciences and Engineering Research Council of Canada.

#weightlifting #musclegrowth #resistancetraining #exercise #strengthtraining #musclebuilding #strength #gettingstronger #health #menshealth #womenshealth #testosterone #pelvichealth #pelvichealthspecialist #ashevillenc

RESOURCES:

Free sex and pelvic pain resources https://drsusieg.com/resources

Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program

Connect With Brad Currier:

Check out Brad and his team's research here: 10.1249/01.mss.0000988184.72637.ef

Twitter: https://twitter.com/brad_currier

LinkedIn: https://www.linkedin.com/in/brad-currier

CONNECT WITH ME DR. SUSIE AND HER TEAM:

Website: https://drsusieg.com/

Instagram: https://www.instagram.com/dr.susieg/ and https://www.instagram.com/lainie_ot/

Disclaimer:

This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional.

Causes of Hip Pain with "The Hip Physio" Mehmet Gem Dec 22, 2023

Show notes

Is pelvic tilting and misfiring glutes the cause of your hip pain? Tune in to find out! Many factors affect hip pain and care management. Exploring sensible causes, pain management strategies and re-engaging with meaningful activities is key to a successful recovery from hip pain. These are the questions asked and answered in today's In Your Pants episode with The Hip Physio, Mehmet Gem.

We cover topics such as:

Causes of hip pain
Common misconceptions about hip pain
The truth about pelvic tilting
Hip labral tears, athletic pubalgia, femoroacetabular impingement
Dangers of diagnostic scans for hip pain
The best evidence-based approaches for hip pain

Meet the guest: Mehmet Gem, Physiotherapist, has specialized in musculoskeletal Physiotherapy, specifically developing his specialist interest in Hip & Groin injuries over the last 10 years, specifically specializing in FAI syndrome. Alongside his role as Regional FCP Lead for Pure Physiotherapy, Mehmet has his own private hip consultancy clinic where he sees patients both locally to Devon and also with Zoom consultations for patients who are based all around the world.

Episode Chapters:

0:00 Podcast Intro

0:35 Intro to hip pain

2: 55 Misinformation about hip pain causes

4:03 Causes of hip pain are complex

5:11 Exploring hip pathologies

6:31 Does pelvic tilt cause hip, back, and pelvic pain

7:55 What's useful for hip pain

8:14 Effects of anterior pelvic tilt

10:38 Relevant factors for hip pain

13:17 Causes of hip labral tears

15:53 Fixing what's broken

16:28 Diagnostic scans for hip pain

20:32 Dangers of wrong treatment management

21:19 Muscles not firing

24:39 Links and risk factors of hip pain

28:00 Embracing the uncertainty of hip pain causes

30:00 Getting back to meaningful activities

35:19 Making improvements and progress

38:44 Sports hernias, athletic pubalgia, pelvic pain, and overlapping symptoms

45:07 Exploring pubic related pain and surgery

48:01 Advice for hip pain

50:27 Connect with hip physio Mehmet Gem

52:15 Outro and CTA

RESOURCES:

Free sex and pelvic pain resources https://drsusieg.com/resources

Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program

CONNECT WITH MEHMET GEM:

Website: thehipphysio.com

Instagram: https://www.instagram.com/the.hip.physio/

CONNECT DR. SUSIE & TEAM:

Website: https://drsusieg.com/

Instagram: https://www.instagram.com/dr.susieg/ https://www.instagram.com/lainie_ot/

Disclaimer:

Treating Chronic Pain in Children Nov 24, 2023

Show notes

Unlock a Pain-Free Life with Curable! 🌟 Join thousands on the path to healing with this app's step-by-step recovery program. Get bite-sized lessons, brain exercises, and meditations. Don't miss out on your exclusive 6-week FREE trial through my link: www.getcurable.com/drsusieg Start your journey to pelvic pain relief today!

Understanding pain is not just a physical sensation, but a complex symphony of biological, psychological, and social cultural factors. Join us in shattering the stigma around pain and how learning about pain can actually reduce pain. Recent research shows that pain education empowerment and resources, like Zoe and Zak's Pain Hacks https://www.zoeandzakspainhacks.com/, helps transform the way we treat pain in children (and adults!). It's not just about pain relief, but also fostering meaningful lifestyle and behavior changes so that you can get back to the activities you enjoy (including sexy time!).

Meet Dr. Joshua W. Pate, PhD, Pain Scientist:

Dr. Joshua W. Pate is a researcher of pain in childhood and related education. He is a Senior Lecturer in Physiotherapy. Dr. Pate is also a children's book author - Zoe and Zak's Pain Hacks has just been published; it's a series of books covering the latest science about pain. Visit https://www.zoeandzakspainhacks.com/ to learn more.

We cover topics such as:

00:00 Introduction 00:35 Special thanks to our sponsor Curable Health App 1:15 Episode and guest introduction 2:35 What causes us to feel pain? 4:03 Other people shape our pain experience 4:54 Kids difficulty expressing pain 6:36 Penis pain in boys 8:20 Advice for parents, carers, and clinicians to talk about pain with children 8:40 Using Zoe and Zack's Pain Hacks for pain education 9:40 Empowering children with pelvic pain 11:01 Key messages and resources to reduce pain 14:43 Understanding pain helps reduce pain 18:30 Applying pain education practically 19:47 Everyone's journey with pain is unique 21:44 Cultivating life skills 21:09 Changing the world with pain knowledge 22:50 Does early life pain education prevent chronic pain in adults? 25:14 Implementing pain education in school systems 26:38 Interactive online resources for kids in pain, carers, and educators 28:31 The Mysterious Science of Pain video 29:48 Connect with Dr. Joshua W. Pate

RESOURCES:

Dr. Joshua W. Pate's website: https://joshuawpate.com/

Zoeandzakspainhacks.com

Mysterious Science of Pain (Ted-Ed) https://youtu.be/eakyDiXX6Uc?si=LpXOFgArSw1RMTDF

Free sex and pelvic pain resources

https://drsusieg.com/resources

Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program

CONNECT WITH Dr. Joshua W. Pate:

Website: https://joshuawpate.com/

Instagram: @joshuawpate

Twitter: @JoshuaWPate

CONNECT WITH ME (DR. SUSIE) AND TEAM:

Website: https://drsusieg.com/

Instagram:

https://www.instagram.com/dr.susieg/ https://www.instagram.com/lainie_ot/

___________________________________________________________________________

Disclaimer:

#paineducation #chronicpain #painsupport #painrelief #painmanagement #painsupport #simplifyingpain #acutepain #education #pain #curableapp

Optimizing Erectile Health Oct 27, 2023

Show notes

Erectile dysfunction is a complex issue with various factors at play, including vascular, hormonal, and psychological elements that all intersect. Did you know that it can also be a strong predictor of future cardiovascular disease? Yes, ED is often a symptom of some underlying health issue, making it crucial to address holistically.

When trying to optimize erectile health, one aspect that often gets overlooked is nutrition. Your diet can impact all three of these factors - vascular, hormonal, and psychological. In this episode, we'll explore how factors like cardiovascular disease, metabolic syndrome, and diabetes can have a detrimental effect on your ability to achieve and maintain healthy erections.

Meet Dr. Jason Stevens, RDN, DCN: Dr. Jason is a Doctor of Clinical Nutrition and Registered Dietitian Nutritionist who completed his advanced practice residency with Dr. Gronski, working primarily with men with chronic pelvic pain. He was awarded a medal for outstanding clinical performance for his residency work. In his twelve years as a dietitian, he has worked as a clinical oncology dietitian, taught clinical nutrition in an accredited educational program for dietetics students, and is currently a full-time college educator. His research interests include advanced-level practice in the field of nutrition and dietetics, and the role of nutrition in pelvic health.

We cover topics such as:

00:35 Intro 02:10 Top causes for erectile dysfunction 03:11 Testosterone and erectile dysfunction 04:07 Erectile dysfunction strong predictor for cardiovascular disease 05:10 What is Metabolic Syndrome 06:00 How does Metabolic Syndrome affect erectile function 07:08 Diagnostic tests and lab markers for erectile dysfunction 08:12 Effects of diet on sexual function 09:14 Best diet for healthy erections 15:27 Supplements for erectile dysfunction (the hard truths 😫) 23:40 Other threats to sexual function 25:50 Managing expectations 30:32 Connect with Dr. Jason Stevens, RDN, DCN

Join us as we embark on this informative journey to demystify erectile dysfunction and empower you with the knowledge to take control of your sexual health. Don't forget to subscribe, like, and share this episode with anyone who may benefit from this essential discussion

RESOURCES:

Free sex and pelvic pain resources https://drsusieg.com/resources

Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program

CONNECT WITH DR JASON STEVENS, RDN, DCN:

Website: https://drsusieg.com/

Instagram: @JSTEVENSRD

CONNECT WITH ME (DR. SUSIE) AND TEAM:

Website: https://drsusieg.com/

Instagram: https://www.instagram.com/dr.susieg/

___________________________________________________________________________

Disclaimer:

#ErectileHealth #ExpertInsights #NutritionAndED

Vibrators for pelvic floor and sexual health Sep 29, 2023

Show notes

Today, we delve into a topic that may have raised a few eyebrows 🤨: the prescription of vibrators for pelvic floor and sexual health for men and women. Yes, you read that correctly! In this podcast episode, I had the privilege of hosting Dr. Alexandra Dubinskaya, MD, who shared her research findings on this intriguing (and taboo) subject.

**Meet Dr. Alexandra Dubinskaya, MD**

Dr. Alexandra Dubinskaya is a board-certified gynecologist specializing in female pelvic medicine, reconstructive surgery, menopause, and women's sexual health. She is not only a dedicated clinician but also a passionate advocate for her patients. As the Chair of the Communication Committee for the International Society of Sexual Medicine, she has actively contributed to advancing medical care for women through research.

We cover topics such as:

- 00:00 Introduction - 02:40 Dr. Dubinskaya's motivation to research vibrators for pelvic floor health - 04:11 A tool that women (and men) use to support their pelvic floor muscles - 05:10 How vibrators work on the body - 05:45 Vibrator use benefits on sexual function, incontinence, and pelvic floor muscles - 07:10 External or internal vibrator stimulation; is one better than the other? - 09:30 Benefits using vibrators for men's pelvic floor and sexual health - 11:15 Women who use vibrators partner's improve their sexual function - 12:23 Aging, sex, pelvic floor health - 15:14 Considerations for vibrator use in older population - 16:00 Will long term vibrator use make it harder to orgasm? - 18:55 Can manual stimulation offer similar effects to a vibrator? - 19:45 How do we define and measure orgasm? - 22:47 Orgasms change with age - 24:03 Barriers for vibrator use - 27:29 Adverse reactions with vibrator use - 29:50 How clinicians can talk about sexual health with their patients

RESOURCES:

Free sex and pelvic pain resources https://drsusieg.com/resources

Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program

CONNECT WITH DR. ALEXANDRA DUBINSKAYA, MD:

Website: http://drurogyn.com/

Instagram: @a.dubinsky

Twitter: @dubinsky_a

Facebook: https://www.facebook.com/alexandra.dubinskaya.7

CONNECT WITH ME (DR. SUSIE) AND TEAM:

Website: https://drsusieg.com/

Instagram: https://www.instagram.com/dr.susieg/

___________________________________________________________________________

Disclaimer:

#pelvicfloor #sextoys #pelvicfloorexercises #vibrators #pelvicfloorhealth

Navigating sex after prostate cancer Sep 04, 2023

Show notes

Sex after prostate cancer treatment can be a goal for some men and not a priority for others, but recovery is all connected. Taking time to address sexual health concerns will simultaneously improve urinary incontinence. It's time to revitalize your pleasure.

In this special 4-part series featuring Dr. William Mills, PT, DPT and Dr. Susie Gronski, PT, DPT we delve into insights and solutions centered on the treatment and rehabilitation of men's pelvic and sexual health following prostate cancer.

Dr. William Mills, PT, DPT is a physical therapist who specializes in male pelvic rehabilitation, particularly post-prostatectomy and chronic pelvic pain. With a forte in manual therapy and corrective exercises, he enhances outcomes, enabling men to regain urinary control, bowel function, erectile function, and overcome pain. Together with his colleagues at Alinea Performance, he is committed to assisting men of all ages in enhancing their quality of life.

00:00 Introduction 03:30 How erections are good for your health 05:22 Using a penis pump after prostate cancer treatment 07:50 Focusing on pleasure over performance 09:31 Becoming comfortable with new sexual experiences 13:00 It's all connected! 16:20 Shock wave therapy and vibration stimulation 18:20 Holistic approach to recovery

**Reframing Sex Post-Prostatectomy**

I'm not going to sugar coat it: things are different than they were, but your capacity for pleasure is limitless! Connect with your pleasure rather than the performance. While using something new to help you get erect may seem unfamiliar, getting comfortable with it is only a temporary hurdle. Once you're comfortable, you're free to keep swinging.

**Strategies For Getting Hard**

At this phase, you want to focus on blood flow. Tools like the penis pump, medications like Cialis or Viagra, and techniques like physical touch can help you get and maintain an erection. But remember: it's not just starting in body, you also need to get your brain involved and retrain your neural pathways with mental arousal.

**Your Concerns Are Interconnected**

Recovery is a package deal. There's research that supports using a penis pump can improve urinary incontinence. Focusing on all things that have changed will bring your recovery faster and farther.

**How Pelvic Floor Physical Therapy Can Help**

Pelvic floor physical therapists think outside the box, considering your personal experiences, physical health, a hands-on exam, and what matters to you most. We look to see what treatments are on the table for you and which to try first. Everyone is unique and some particular modalities or treatments may be more or less beneficial for some.

RESOURCES:

Free sex and pelvic pain resources https://drsusieg.com/resources

Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program

CONNECT WITH DR. WILLIAM MILLS:

Website: www.alineaperformance.com

Instagram and Facebook: docmills.dpt

Twitch: docmillsdpt

CONNECT WITH ME (DR. SUSIE) AND TEAM:

Website: https://drsusieg.com/

Instagram: https://www.instagram.com/dr.susieg/

___________________________________________________________________________

Disclaimer:

#prostatehealth #prostatecancer #prostatectomy

Treatment for urinary incontinence after prostate cancer Sep 03, 2023

Show notes

Many men experience urinary incontinence after prostate cancer. It's common to delay treatment, thinking that it'll go away on its own, but there are many strategies you can start using right away to stop peeing and start living again.

Our episode covers topics including:

00:00 Introduction 01:00 Bladder retraining for post prostatectomy 01:26 Pelvic floor contractions in treating urinary incontinence 02:23 Cueing pelvic floor contractions with Star Wars 03:42 Applying pelvic floor contractions to improve daily activities

**Intake and Output**

Start by taking note of how much water you currently drink a day: the goal you should aim for is ~half your body weight in ounces of water. Also note how often you go to the bathroom: the goal you should aim for is creating a bladder schedule where you pee every 2-3 hours. If you're nowhere close to that 2-3 hours, don't panic and don't force yourself to hold it. A pelvic floor physical therapist can plan out a treatment path to get you where you're at to where you want to be.

**Pelvic Floor Contractions**

Pelvic floor contractions are a coordinated effort with key three areas: simultaneously pulling in and lifting back of the pelvic floor, lifting the testicles upwards, and lifting the rectum towards your belly button. If you're struggling with these movements, you're not alone. Many men feel more confident with contraction exercises after working with a physical therapist.

RESOURCES:

Free sex and pelvic pain resources https://drsusieg.com/resources

Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program

CONNECT WITH DR. WILLIAM MILLS:

Website: www.alineaperformance.com

Instagram and Facebook: docmills.dpt

Twitch: docmillsdpt

CONNECT WITH ME (DR. SUSIE) AND TEAM:

Website: https://drsusieg.com/

Instagram: https://www.instagram.com/dr.susieg/

___________________________________________________________________________

Disclaimer:

#prostatehealth #prostatecancer #prostatectomy

After prostate cancer Sep 02, 2023

Show notes

After prostate cancer, men often grapple with urinary incontinence, sexual dysfunction, and other pelvic floor challenges. The significance of pelvic floor rehabilitation is that it can mitigate symptoms after prostate cancer and help you quickly get back to enjoying the activities you love. Whether it's regaining intimacy or achieving better bladder control, getting an early start can set you years ahead on your recovery path.

While it's expected to face new and persistent symptoms, it's empowering to know that with tailored rehabilitation methods, these challenges can be temporary.

Our episode covers topics including:

00:00 Introduction 00:35 Deciding on radiation or prostatectomy for prostate cancer 02:01 Urinary incontinence post-prostatectomy 04:26 Sexual function challenges post-prostatectomy 06:04 Viagra and Cialis post-prostatectomy 07:03 Treatment approaches for post-prostatectomy 11:44 Should I go to the doctor for post-prostatectomy symptoms?

**Delaying Treatment:** You're not alone. Many men experience sexual difficulties and urinary incontinence post prostatectomy. When concerns are not addressed early on, they may become more difficult to treat as time goes on, leading to unnecessary long-term suffering and reduced quality of life. There's help and there's hope.

**Prostate Cancer Rehabilitation Options:** A comprehensive understanding of post-treatment rehabilitation for prostate cancer is key. While the key decision may feel like deciding between radiation and prostatectomy, there are many decisions for after-cancer care.

**Intimacy After Prostate Treatment:** Some men experience reduced sensation in their penis and erectile dysfunction, feeling less connected to physical stimuli and their sexual selves. Nerve injury and diminished blood circulation, which can be a result of prostate cancer treatment like prostatectomy, can lead to reduced penis sensation and erectile dysfunction. Penile vibratory therapy, a penis pump, and medications are just a few treatment options that can help in improving blood circulation and erectile function. An individualized approach is best.

**Urinary Incontinence After Prostate Treatment:** By addressing bladder habits, such as hydration and reducing potential bladder irritants, and with functional pelvic floor exercises, recovery can be expedited and post-treatment symptoms like incontinence can be mitigated. Proactively seeking knowledge and tailored rehabilitation strategies enables you to regain urinary control, greatly enhancing your quality of life outside the bathroom.

RESOURCES:

Free sex and pelvic pain resources https://drsusieg.com/resources

Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program

CONNECT WITH DR. WILLIAM MILLS:

Website: www.alineaperformance.com

Instagram and Facebook: docmills.dpt

Twitch: docmillsdpt

CONNECT WITH ME (DR. SUSIE) AND TEAM:

Website: https://drsusieg.com/

Instagram: https://www.instagram.com/dr.susieg/

___________________________________________________________________________

Disclaimer:

#prostatehealth #prostatecancer #prostatectomy

Prostate cancer pelvic floor therapist for post-surgery treatment Sep 01, 2023

Show notes

Prostate cancer patients face a multitude of challenges post-treatment. From incontinence to erectile dysfunction, the journey to recovery can be daunting, and finding the right prostate cancer pelvic floor therapist for you becomes paramount.

In a special 4-part series featuring Dr. William Mills PT, DPT and Dr. Susie Gronski, PT, DPT we delve into insights and solutions centered on the treatment and rehabilitation of men's pelvic and sexual health following prostate cancer.

Our episode covers topics including:

00:00 Introduction 00:35 Prostate cancer journey 01:04 How to find a male pelvic health physical therapist 02:04 Post prostate cancer treatment in Baton-Rouge Louisiana 03:34 Pioneers in the male pelvic health space 04:00 Treatment plans post-prostatectomy 04:58 Early warning signs and rehabilitation for prostate cancer 05:56 The Prosfit app for post-prostate cancer treatment 07:52 How prostate cancer symptoms affect daily life

**Need for More Expert Male Pelvic Health Therapists:**

Everyone has a pelvic floor, including you, and it plays a pivotal role in concerns such as erectile dysfunction and urinary incontinence. Unfortunately, due to societal stigmas and narrowly focused marketing, there's a disconnect in the availability of pelvic health therapists specializing in men's care. Addressing this educational and accessibility gap is crucial for providing comprehensive healthcare to those who need it most.

**Leading Voices in Care for Male Pelvic Health:**

Dr. Susie G and Dr. Jo Milios are at the forefront of efforts to educate both patients like you and physicians about male pelvic health while improving access to necessary care. Dr. Susie is the founder of a pelvic and sexual health clinic exclusively for men, serving patients in-person in Asheville, North Carolina and globally online. Her clinic brings together the expertise of pelvic floor physical therapy, pelvic floor occupational therapy, nutrition, sex therapy and mental health. Meanwhile, Dr. Milios's research promotes sexual recovery and continence control through tailored pelvic rehabilitation using pelvic specific exercises for men and therapeutic ultrasound for Peyronie's Disease that can be adopted to improve therapeutic outcomes post prostatectomy.

**Confronting Chronic Challenges in Post-Prostate Cancer Care:**

Issues accompanying prostate cancer, such as erectile dysfunction and urinary incontinence, can severely hinder your quality of life. These conditions extend beyond physical repercussions, also taxing mental and emotional health. It's essential to understand that for many who have accepted these issues as the new norm, there are avenues to alleviate or even completely overcome these concerns.

RESOURCES:

Free sex and pelvic pain resources https://drsusieg.com/resources

Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program

CONNECT WITH DR. WILLIAM MILLS:

Website: www.alineaperformance.com

Instagram and Facebook: docmills.dpt

Twitch: docmillsdpt

CONNECT WITH ME (DR. SUSIE) AND TEAM:

Website: https://drsusieg.com/

Instagram: https://www.instagram.com/dr.susieg/

___________________________________________________________________________

Disclaimer:

#prostatehealth #prostatecancer #prostatectomy

Muscle tone pelvic pain in men Aug 04, 2023

Show notes

It's human nature to get excited by the latest and greatest treatments, from outer space to muscle tone pelvic pain, we're captivated by scientific advancements. But this enthusiasm has a dark side, causing many clinics and patients to exchange simple and effective strategies for flashy new treatments that come with a hashtag.

Dr. Rachel Worman is a licensed physical therapist (PT) who has experience in acute care physical therapy and extensive dual training, clinical and teaching experience in musculoskeletal and pelvic health physical therapy. After 13 years of clinical practice, Dr. Rachel earned her PhD with a focus on pelvic health outcome measures and male pelvic health.

We cover topics such as:

1:15 What to call it? Hypertonic pelvic floor, overactive pelvic floor, tight or non-relaxing pelvic floor muscles?

8:55 How and who treats pelvic floor dysfunction

10:30 Educating patients with pelvic pain and choice of language

16:37 Uncertainty and the biopsychosocial model

17:40 Pain and hypertonicity

20:00 ICS and reasoning scale

36:00 EMG biofeedback for pelvic floor physical therapists

45:00 Internal and manual therapy for male pelvic pain

51:30 Psychosexual measures and sleep, hormonal, or musculoskeletal factors

55:00 Bridging research with clinicians on social media

Pelvic floor physical therapists and patients have to be mindful of the influence that media (including social media and speakers at conferences) has on trending treatment ideas and how common it is for a 10-second video on social media to hijack a patient's treatment plan, simply because it wasn't a good fit.

There's no one-size-fits-all treatment strategy for pelvic pain, which is why there many treatment strategies. Through critical evaluation, clinicians must determine the most appropriate and effective treatment strategy, or combination of strategies, for that single patient. Dr. Rachel shares how important it is for clinicians to be flexible, individualized, and science-based, and to avoid getting caught up in clinical habits of using one hallmark treatment for all patients.

In such a difficult field, where all the measures we have for tone are problematic, these generalizations and trending treatment ideas, while good for marketing, ultimately delays effective treatment and harms patients. It's necessary to prioritize the knowledge of evidence-based practices and personalized care to ensure optimal outcomes for patients.

RESOURCES:

Free sex and pelvic pain resources https://drsusieg.com/resources-for-pelvic-pain-in-men

Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program

Research paper on resting pelvic floor muscle activity https://academic.oup.com/ptj/article-abstract/102/7/pzac059/6585840?redirectedFrom=fulltext&login=false#no-access-message

CONNECT WITH RACHEL WORMAN:

Website: https://www.researchgate.net/profile/Rachel_Worman

Instagram: @pelvic.fiiit.facts

Twitter: @rachel_worman

CONNECT WITH ME (DR. SUSIE):

Website: https://drsusieg.com/

Instagram: https://www.instagram.com/dr.susieg/

___________________________________________________________________________

Disclaimer:

#tightmuscles #pelvicpain #pelvicfloorphysicalthearpy