Health Organization for Pudendal Education

Hi, I see Laura Robbins at Marathon, and I like her very much. I am making some progress with her.

Thats good news. What are your symptoms and what type of therapy has she done for you?

Thanks

So far she done a walking biomechanical assessment, assessment of tension internally and externally, myofascial release, and prescribed stretching exercises. Also diet and hydration has been reviewed and advised. In a future session she will have one of her colleagues assess my cycling form, which is in their expertise. My strength training will be revised, at least temporarily.

Cool. Must be a nice feeling to get relief even if only a bit. I may look into her in the future.

Dave wrote:Hi, I see Laura Robbins at Marathon, and I like her very much. I am making some progress with her.

Things started very well with Laura Robbins at Marathon PT with myofascial release and stretching. 

However, things have really gone terribly down hill as she has been focusing on trying to get me to strengthen my glutes and abs, in theory, to take pressure off of the pelvic floor muscles. This approach may work with many forms of pelvic floor dysfunction, however, I don't think it works well with pudendal neuralgia.  And it's backfiring terribly for me.

Also, bigger issue, Marathon PT does not take my insurance. I am going to try Stacey Berger in Westborough. She takes my insurance. Does anybody know anything about her?

Dave

Dave wrote:

Dave wrote:
However, things have really gone terribly down hill as she has been focusing on trying to get me to strengthen my glutes and abs, in theory, to take pressure off of the pelvic floor muscles. This approach may work with many forms of pelvic floor dysfunction, however, I don't think it works well with pudendal neuralgia.  And it's backfiring terribly for me.

Also, bigger issue, Marathon PT does not take my insurance. I am going to try Stacey Berger in Westborough. She takes my insurance. Does anybody know anything about her?

Dave

I don't but sorry you took a turn for the worse. Perhaps more specific abdominal and gluteal muscles would be the target. Granted the pudendal nerve varies from individual to individual. She told me ab strength training should continue but in my cases crunches should be truncated for the time being. The last scheduled appointment might have exacerbated only because I was stuck on 495 and 93, which must have been backed up from Boston to St. Johnsbury, instead of at my appointment. From my experience with her so far so good.

Hi, I am looking for a good manual therapist with pelvic dysfunction experience in southern NH or MA. I see this thread is old. Does anyone have any new experiences with PTs in this area?

I have seen the following

Megan Markowski cucchiara. Super nice. Saw her 3 years ago when symptoms first started. No improvement after 4.months with her.

Ana koteff. Also super nice. Way more in depth than megan was, had more technology to take advantage of.

Tina dicenso. Another nice woman. Even more in depth than ana was. After 3 months she had my pelvic floor totally relaxed. But pain still was a 10 and actually worse so i decided to stop seeing her.

I gave up with PT. I think its official that my pelvic floor is tight because of my painful nerve, not the other way around.

Joe did you see Tina in Waltham? Did she take any insurance? I'd love to hear more about her.

Liz Rummer is now practicing in Waltham. She is great, but does not take insurance. If you can, it may be worth seeing for an evaluation or a few sessions to get you started. She can probably also recommend another local PT for regular appointments as I am sure she will understand that you need someone who takes your insurance.