PELVIC GURU, LLC
MAITLAND, FLORIDA

to people around the globe to improve access to skilled healthcare providers, education, and online resources. So many people experience issues in this area, and they’re afraid to ask for help. You’re not alone. We get it. This is why Pelvic Guru was created. We’re passionate and we’re committed to making sure more health professionals are trained in the latest research and interventions for Sometimes your pelvis needs a professional—a Pelvic Guru. Who Pelvic Guru is for: Health professionals looking for reliable pelvic health information that doesn’t just talk about what the research says—Pelvic Guru provides the time-saving resources for you Pelvic Guru isn’t for you if: I’m the founder of this information-packed website, Pelvic Guru, and I’m excited to partner with the other gurus on this site to bring you the best and most relevant pelvic health research through blog posts, videos, and courses. I’m on a mission to present you with rock-solid pelvic health information from numerous experts, including physicians, fitness experts, researchers, clinicians, physical therapists, sex therapists, and sex educators with a wide array of degrees and backgrounds—all with the evidence to back up what they teach. in Orlando, Florida. I enjoy the opportunity to help patients from all over the U.S. and the world.I also love taking the stage and teaching courses and speaking to physical therapists, physicians, nurses, fitness experts, and community groups. The information you find here comes from many pelvic gurus from various specialty fields and the blog has grown to a reliable source to turn to for valuable information, funny stories, and support. We are just warming up and can’t wait to share the world of pelvic health with you! It warms our hearts when we see the positive changes happening just by starting a conversation about pelvic health. Tracy & The Pelvic Guru Crew 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 developed a full course for health professionals on pudendal neuralgia. What is most surprising to us is how many health care practitioners are not familiar with the diagnosis and treatment of pelvic pain and associated neuropathy in that area. We hear comments such as, “I don’t treat with the chief complaint of “penis pain” he’s had for 14 years. He also said he had pain with sitting. He’s gone to the best medical centers all over the U.S. He’s had pudendal nerve decompression surgery, numerous other procedures such as pudenda nerve blocks, pulsed radio frequency ablation and cryoablation to the pudendal nerves. He’s had many different types of imaging tests – pelvic MRI and spine MRI. He’s tried all sorts of medications. Nothing helped with his discomfort, or if it has, it was fleeting for a few days. Every place he went, they tried their best treat for what was considered a “pudendal issue.” Based on his symptoms, it was good to know he found professionals who even knew about the pudendal nerve and types of treatments. This is not always the case. But, in this case, this was likely the wrong path for treatment. ), stating without hesitation, that this type of specialized work, is very rewarding, challenging, and vitally important to people all over the world. Pelvic physical therapists are musculoskeletal experts in the areas associated with the pelvis (sacrum, sacroiliac joints, coccyx), including vulvar and vaginal, penile and scrotum, colorectal regions. Most importantly, as physical therapists, we are trained to assess the musculoskeletal system and body as a whole as well (not just small bits and parts). We can still treat necks, shoulders, knees, etc., but some of us have such a high volume of patients needing pelvic health care that we focus in this area exclusively (and still treat the person as a WHOLE). It is also common for pelvic physical therapists to take post-graduate advanced classes to study GI, reproductive/sexual, orthopedic, neurologic and dermatologic “systems” (and more) to understand the complexity of how this all impacts an individual’s function and movement. We are interested in how systems operate together. Many of us are lucky to work with a network of specialized physicians, midwives, sex therapists and educators, fitness professionals and others in associated fields. 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 that some physical therapists did “that.” One of my fellow students had completed a small half-day observation at a local clinic, and excitedly told us all about his day watching the “Pelvic PTs.” We were blown away. We had always assumed physical therapists treated back pain, helped patients after surgery, worked with people who had strokes…but pelvic pain? Urinary incontinence? Sexual dysfunction? This was shocking and new. Not surprisingly, I was not the only person surprised to hear of this *new* specialty. Of the new patients I see, I estimate that 90% of them have never heard of pelvic PT… and in that, there are a TON of misconceptions people have about my profession. I thought it would be helpful to share a few of the top misconceptions with you today. We have discussed this in the past in other blog posts, but this really is a very common misconception I often have to fight with my patients. Urinary incontinence is a failed system, not just a failed muscle. From a musculoskeletal standpoint, a person needs a well-functioning pelvic floor muscle group, abdominal muscles, hip muscles, diaphragm and low back muscles. People need strong, but flexible muscles that tighten when they need to and relax when they need to. If a person has a shortened, irritated pelvic floor, they may have just as much difficulty holding back urine as the person with a weak pelvic floor. It is important to trust your physical therapist to prescribe the specific exercises necessary to help YOU.