Riczo Health Education

Riczo Health Education Riczo Health Education is dedicated to empowering women and health care professionals with education Deborah B.

Riczo is an author, speaker, continuing education developer, and doctor of physical therapy who is dedicated to women's health. She is an expert in pelvic girdle pain, which includes sacroiliac pain, pregnancy & postpartum issues, and does physical therapy on a cash basis in Ohio and offers personal coaching through her books. See links below for more info

https://linktr.ee/riczohealtheducation

I have heard this countless times, that using the or Pelvic Girdle Musculoskeletal Method has improved function. If yo...
07/24/2025

I have heard this countless times, that using the or Pelvic Girdle Musculoskeletal Method has improved function.

If you are dealing with sacroiliac pain, pelvic girdle, pain, hip pain, or low back pain and have found relief, give this method a try.

It is the basis of both of my books which are found on my website at www.riczohealtheducation.com. The link is in the bio!

Thank you for your comments and hopefully it will inspire others to try this approach.


Here are some tips about tailbone pain that may help you. Comments or questions below welcome!KEY POINTS🎯Avoid sitting s...
07/18/2025

Here are some tips about tailbone pain that may help you. Comments or questions below welcome!

KEY POINTS
🎯Avoid sitting slouched! This puts pressure directly on the tailbone area
🎯Use a cushion that is wedged, so that the thicker end is at the back of the seat. This will help tip your pelvis forward and off your tailbone area.
🎯Use a small lumbar support when sitting, again so you avoid slouching
🎯Think about relaxing your entire lower buttock area and breathing INTO it while doing hip/low back stretches (any of the stretches I have posted will work well!). Avoid kegels especially if they cause discomfort, your muscles may be too tight and in a holding up pattern.
🎯Avoid constipation as this can definitely increase tailbone pain. Eat healthy and drink water! Seek out help if needed.
🎯Massaging the muscles to the sides of your tailbone may help. Do this in a side-lying position and use your top hand. If a muscle is particularly tender, hold gentle pressure on the area while doing relaxing breaths for a few minutes until you feel it release. You can slowly increase the pressure as the muscle releases.

REMEMBER I AM NOT YOUR THERAPIST AND THIS IS GENERAL INFORMATION AND ADVICE.
You can book a Discovery call with me with the link in my bio or on my website, www.RiczoHealthEducation.com.

A pelvic health physical therapist has expertise to treat tailbone (or coccyx) pain. Go to APTApelvichealth.org FIND a PT to find a therapist in your area.

You can find more anatomy & exercises in my books “Sacroiliac Pain” and “Back and Pelvic Girdle Pain in Pregnancy and Postpartum” (links in bio and on my website www.RiczoHealthEducation.com)


I am teaching a live webinar to non-pelvic health PTs in a few weeks on pelvic floor and incontinence. Amazingly most PT...
07/17/2025

I am teaching a live webinar to non-pelvic health PTs in a few weeks on pelvic floor and incontinence. Amazingly most PTs who do not specialize in PF don’t have much education in this area.
Although I am a SIJ/low back pain specialist and have written books on this topic, the problem of incontinence and pelvic floor is closely connected because of the anatomy and neurophysiology.

For example:

The bladder, a muscular reservoir, interacts with two key players: the internal sphincter (smooth muscle) and the external sphincter (striated muscle).
—Internal Sphincter: Located at the bladder neck, smooth muscle, Involuntary control
—External Sphincter: Surrounds the urethra, Striated muscle, Voluntary control

The urethra, which carries urine out of the body, works in tandem with these muscles. Smooth muscles in the bladder wall contract to expel urine, while the striated external sphincter keeps things in check until it’s time to urinate.

Of course this is just a snippet of the anatomy and what has to happen in order for us to be continent.

If you are having trouble with leaking urine or incontinence, you are definitely not alone. This is unfortunately common during and after pregnancy, during sports, menopause and as we age.

Please talk to your doctor about it and consider a referral to a pelvic health physical therapist who specialize in this area.

If you are a non-pelvic health PT and want to know more about incontinence, and how you can help your patients and when to refer to a specialist, please sign up for my 2 hour live webinar, 3 CEs in July 24, 8 pm to 10 pm. More info at
www.motivations.ceu. Recordings will be available after the course.
TITLE: What the non-pelvic health therapist needs to know about the pelvic floor and incontinence.

I am teaching a live webinar to non-pelvic health PTs in a few weeks on pelvic floor and incontinence. Amazingly most PT...
07/16/2025

I am teaching a live webinar to non-pelvic health PTs in a few weeks on pelvic floor and incontinence. Amazingly most PTs who do not specialize in PF don’t have much education in this area.
Although I am a SIJ/low back pain specialist and have written books on this topic, the problem of incontinence and pelvic floor is closely connected because of the anatomy and neurophysiology.

For example:

The bladder, a muscular reservoir, interacts with two key players: the internal sphincter (smooth muscle) and the external sphincter (striated muscle).
—Internal Sphincter: Located at the bladder neck, smooth muscle, Involuntary control
—External Sphincter: Surrounds the urethra, Striated muscle, Voluntary control

The urethra, which carries urine out of the body, works in tandem with these muscles. Smooth muscles in the bladder wall contract to expel urine, while the striated external sphincter keeps things in check until it’s time to urinate.

Of course this is just a snippet of the anatomy and what has to happen in order for us to be continent.

If you are having trouble with leaking urine or incontinence, you are definitely not alone. This is unfortunately common during and after pregnancy, during sports, menopause and as we age.

Please talk to your doctor about it and consider a referral to a pelvic health physical therapist who specialize in this area.

If you are a non-pelvic health PT and want to know more about incontinence, and how you can help your patients and when to refer to a specialist, please sign up for my 2 hour live webinar, 3 CEs in July 24, 8 pm to 10 pm. More info at
www.motivations.ceu. Recordings will be available after the course.
TITLE: What the non-pelvic health therapist needs to know about the pelvic floor and incontinence.

Just a reminder on how important our breath is in settling our nervous system down! Awareness of our breathing is the fi...
07/13/2025

Just a reminder on how important our breath is in settling our nervous system down! Awareness of our breathing is the first hurdle and so important!
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My Story

I have been an advocate for women’s health since the early ‘80’s with my first entreprenur business, Contemporary Physical Therapy Services. Along with my colleagues Barbara Baumann, PT and Gail Connors, PTA, MS, we were dedicated to providing healthy, safe exercise for women during pregnancy and in the postpartum period. I was deeply involved in this business for 10 years, while working part-time in the hospital clinic, working on my masters, and having 2 children. (This is NOT in the order of being challenging, by the way!) In 2011 I founded Riczo Health Education to achieve the following goals: --provide high quality continuing education courses to health professionals --provide experienced consulting to health care organizations and consumers --provide dynamic presentations on a variety of health care topics to consumer groups

After over 30 years as a practicing physical therapist at MetroHealth Medical Center, I retired and am now totally focused on Riczo Health Education. This journey has been wonderful!! Excited to branch out and cause as much ripple effect that I can! I am in line with APTA’s (American Physical Therapy Association) vision: “the physical therapy profession will transform society by optimizing movement for all people of all ages to improve the human experience. “

And to this vision, I have written my first book, published by OPTP in 2018, “Sacroiliac Pain, understanding the Pelvic Girdle Musculoskeletal Method”, a method which I developed and have been teaching since 2011. My second book, published by OPTP in 2020 is “Back and Pelvic Girdle Pain in Pregnancy and Postpartum, finding relief using the Pelvic Girdle Musculoskeletal Method.” These are both my reach out to provide education directly to those in need.