Restore Pelvic Therapy

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San Diego, CA
Restore Pelvic Therapy

Pelvic floor PT treating men & women with bowel, bladder, sexual dysfunction and pain.

06/19/2025

✨Stage does NOT always equal the severity of symptoms.✨

And THIS MATTERS!!!!

This is true for MANY things in pelvic therapy. Endometriosis. Prolapse. Strength and diastasis.

However, today I’m talking about endometriosis…

So why does it matter?

Because some people may say their symptoms aren’t that bad and putt of treatments or surgeries. They may brush off managing their endometriosis because it’s “not that bad”. But the thing is it may not FEEL that bad but be extensive. It may not feel “that bad” but is still growing and affecting your fertility. If you think you may ever want to get pregnant, this matters.

The other thing is, I don’t want people to feel like they aren’t justified in having surgery, just because it isn’t the latest stage of endo. You prevented it from worsening and brought down symptoms, pain, and inflammation. That matters. It sets you up for success in the future.

Do you have questions? Reach out!💌

06/17/2025

There are 4️⃣ stages of endometriosis.

Endo stages are given by assigning points according to characteristics of the disease, given during surgery.

The Stages:
💥Stage 1 or minimal (5 points or less). There are a few small adhesions with minimal to no scar tissue.

💥Stage 2 or mild (6 to 15 points). There are more and deeper adhesions than in stage 1. Possible scar tissue but not active inflammation.

💥Stage 3 or moderate (16 to 40 points). There are many deep implants, with cysts in at least one o***y, and filmy adhesions.

💥Stage 4 or severe (41 points and higher). This is the most widespread with many deep implants, many dense adhesions, and large cysts on one or both ovaries.

🔥 BUT here’s the plot twist: your stage does NOT always match the severity of symptoms. Stage 1 can feel like Stage 4 and vice versa. Any stage can affect fertility. Pain is pain, and you deserve care no matter your stage. Staging = surgical findings, NOT symptom severity.

06/13/2025

According to the WHO (World Health Organization), endometriosis occurs in 10% of women and people with a uterus, of reproductive age. This is referring to people that are DIAGNOSED with endometriosis. However, we KNOW a large percent of the population lives with it and goes undiagnosed. I expect this statistic would be much larger if it were accurate. A very large portion of my patients have endo and I’m seeing it in younger people, than what we typically see represented in research.

Endometriosis is so often misdiagnosed. People are often simply told they “have bad periods and should get on birth control”. Many people with endo are given GI diagnoses (like IBS, SIBO, or slow transit), bladder diagnoses (IC or just recurrent UTIs), and some people are given slightly more accurate pelvic pain diagnoses (like vestibuladynia or vulvadynia). Sure, they may have these things, but they may also have endometriosis OR they may just be presenting with these diagnoses due to the global inflammation.

If you feel like you aren’t being heard, or are given diagnoses that just don’t ~feel right~, keep searching! Find a doctor that will listen and investigate.

06/11/2025

Endometriosis is more than just “bad periods”. This belief is one of MANY reasons it goes undiagnosed (or even misdiagnosed) for so long. It’s a chronic inflammatory condition which responds to estrogen. Due to where it can occur in the body and this inflammation, it can affect many body “systems” and cause various symptoms.

MANY doctors think of it as “painful periods”. Some more informed, may think of it when someone has fertility issues- but it is SO much more than those things.

THESE ARE TYPICAL SYMPTOMS I SEE IN THE CLINIC:
-Chronic internal pelvic or abdominal pain
-Chronic constipation
-Painful periods or heavy cramping (some people say “like you’re missing school or work” but not everyone has that privilege or ability despite the pain)
-Pain during intimacy
-Painful pap smears or inability to insert a tampon
-Painful bowel movements or urination
-Pain with the ~urge~ to go p*e or p**p
-Difficulty emptying p**p
-GI symptoms: Bloating, diarrhea, constipation, nausea, or abdominal discomfort
-Infertility
-Irregular menstrual cycles
-Low back or leg pain (can present with sciatic nerve pain)
-Abdominal pain with exercise or physical activity
-Painful bladder syndrome/interstitial cystitis (IC)
-Fatigue or brain fog

**ALL of these should say MAY be worse around ovulation or menstruation- because it often STARTS cyclical but eventually if left untreated becomes constant

It’s important to note that endometriosis symptoms vary widely among people, and most people have some cOmBiNaTiOn of them. Some people may have silent endo, and not notice ANY of these symptoms. If you suspect you may have endometriosis or are experiencing any of these symptoms, it’s important to consult with a qualified healthcare provider for an accurate diagnosis and appropriate management✨🤍

06/06/2025

Endometriosis (or “endo”) is a chronic inflammatory condition where tissue similar—but not identical—to the uterine lining grows outside the uterus. This tissue is most often found in the pelvis or abdomen, though in rare cases it’s been discovered as far as the shoulder, lungs, or even heart. Like the uterine lining, this tissue responds to hormonal shifts and may flare or change throughout the menstrual cycle.

Endometriosis frequently involves the bladder, uterus, fallopian tubes, ovaries, and re**um. It can cause decreased mobility of pelvic organs and fascia, leading to symptoms such as abdominal pain, constipation, painful periods, and pelvic pain—though symptoms vary widely from person to person.

The exact cause is still unknown, and because endo is a complex, multifaceted disease, effective management often requires a team approach. I typically refer patients to an endometriosis specialist () for formal diagnosis and possible surgical intervention, and also recommend acupuncture to help address inflammation, pain, and hormone balance (among other things- big fan).

Endometriosis is a diagnosis of the **body**—it’s so much more than painful periods.

06/04/2025

First off, let’s bust a myth- pelvic PT is never just “internal” work. There are a million other things we can do to support your progress that are not directly to the pelvic floor that will still make progress. We’ve got a whole bag of tricks that don’t involve the pelvic floor directly—and they still get results✨

Second, we CAN still do “internal” work if you’re comfortable with it. Your pelvic PT is unbothered. Truly. We’ve seen it all, heard it all, and it’s just another Tuesday to us. Ain’t no thang💛

Third, did you know that pelvic therapy can seriously be very helpful in relieving period symptoms (cramps, aches, that “someone-punched-me-in-the-uterus” feeling)? It’s a game changer🎉

Lastly, consistency is where the magic happens. Taking a week off is like binge-watching half a season and then forgetting what show you were even watching. We lose the groove! So let’s keep that pelvic party rollin’🤘🏼

06/02/2025

Yep, you’ve got a pelvic floor, my guy—and when it’s not happy, you definitely know it.

Typical things we address when treating a “male” pelvic floor: 🔹 Testicular, re**al, groin, pelvic, or perineal pain
🔹 Chronic pelvic pain syndrome aka CPPS
🔹 Constipation
🔹 Bladder issues (like leakage, incomplete emptying, or frequent urination).
🔹Painful bladder syndrome or IC 🔹 Dribbling after p*eing 🔹 Tailbone or hip pain 🔹 Pain with sitting or during s*x
🔹 Diastasis or hernias (yep in boys!)

Pelvic PT isn’t all kegels- we get into the nitty-gritty of your core and pelvic muscles (sometimes literally). It’s science. And it works. 🍆✨

Do you have questions? Reach out!

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San Diego, CA

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https://www.restoretherapysd.com/

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