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

12/29/2025

Did you know that the ligaments of the hip actively stabilize the hip joint in the hip socket (acetabulum), keeping it secure during all your movements?

These 3 ligaments form the hip joint capsule:
• Iliofemoral Ligament: Resists hyperextension and provides anterior support.
• Pubofemoral Ligament: Limits excessive abduction and extension.
• Ischiofemoral Ligament: Offers posterior support and prevents excessive internal rotation.

When ligaments are injured, healing takes time-often several weeks to months-because ligaments have a slower blood supply compared to muscles.

TREATMENT MAY INCLUDE:
Rest and controlled movement to promote
healing.
→ Physical therapy to regain strength and mobility.
→ Gradual return to activity to prevent re-injury.
The hip joint influences the dynamics in the pelvic girdle and shares muscles that support it with the , and .
More anatomy in both my books, as well as a
remedial method, the to get you moving again!

Comment “Book” and I will send you the link!
Ask questions or comments below!

Video credit: .repost

12/29/2025

If you have been following me for awhile you know I love anatomy because it helps us understand how our bodies work.

This imaging is showing how our diaphragm moves down with the inhale and lets the air come into our lungs more efficiently and then how when we exhale the diaphragm moves up and compresses our heart muscle.

The captions from describes very well how this movement of the diaphragm and cycles of pressure/less pressure on our heart actually effects our heart rate.

But the take home message here is that through our breathing we can affect our heart rate and link into our autonomic nervous system which I have talked about consistently in my breathing posts, usually once or so a week.

It is that important my friends, for management of pain, stress, anxiety, sleep, anger management and more. And so important to breathe properly during exercise which I incorporate in both my books. Links in bio.❤️
Comment “book” and I will send you the link!

Comments welcome below! ⬇️⬇️⬇️

You probably know if you have nerve pain. It is usually sharp, shooting or burning and can even feel like electric shock...
12/27/2025

You probably know if you have nerve pain. It is usually sharp, shooting or burning and can even feel like electric shocks.

There are many reasons/conditions that can cause nerve pain such as cancer, diabetes, amputations, herniated discs and even vitamin deficiencies (B12, B1), and understanding what can contribute to nerve pain is helpful.

In general, nerves need to be able to move, or glide in the surrounding tissues, and they need to have adequate blood flow. So anything affecting these 2 basic things can increase nerve pain, such as:

►muscles being tight, in spasm
►tight clothing, shoes, boots, walking boots, casts or other restriction
►surgical trauma to the nerve
►falls or other trauma
►overstretching caused from overextension of bowels/abdominal contents, etc
►being stuck in scar tissue

Persons with low back pain/pelvic girdle pain and hip pain can have complaints of nerve pain that can be debilitating. Addressing the blood flow and lessening the compression to the nerves by balancing the pelvic girdle muscles can help decrease this pain.

If this is you, try the method in my books, the which will take you step-by-step toward balancing your pelvic girdle muscles. Link in bio for my books.

Comment “book” and I will send you the link!

Comments welcome below. Share with someone who would also like to know this information!



Maybe you have been wondering if you should get a SIJ injection as one of my followers. My discussion with her may help ...
12/22/2025

Maybe you have been wondering if you should get a SIJ injection as one of my followers. My discussion with her may help you.

The imaging of her spine and pelvis were not indicating any major problems.

Her concerns:
1. Fearful of injection
2. Don’t know if it is a bad thing to do
3. Don’t know if I should just keep doing what I am doing, have bad and better days
4. Don’t know if it is going to make me feel worse
5. My friend to me not to get it

MY OPINION
Reasons NOT to get an injection
1. Just want a QUICK FIX
2. No plans on doing exercise in any fashion
3. Not willing to change lifestyle habits
4. You don’t expect the pain to ever come back and will be totally upset if it does
5. You want someone else to take full responsibility for your pain


I told her she would benefit from trying an anti-inflammatory injection because
1. No significant pathology found
2. Improve ability to move and participate in daily activities
3. She has been working on lifestyle habits and exercise
4. She would benefit from reducing inflammation in her tissues
5. She has a positive outlook on her future

Anti-inflammatory injections serve a great role in temporarily reducing inflammation so there is less pain during exercise. It is important to do progressive exercises so as not to cause more inflammation.

So my answer to this client was YES she should get an injection and then work on the of exercises found in my books.

Link in bio!

This is not medical advice to you, discuss your situation with your healthcare provider.



12/20/2025

Every day we’re bombarded with lists of risk factors for medical conditions—

—genetics, age, s*x, family history, past injuries, pregnancy, menopause, stress, sleep, inflammation, movement habits, nutrition, and more.

It can make us feel overwhelmed… or even a little paralyzed.

That’s a lot of noise.

Yes—some risks are non-modifiable:
⭐️genetics
⭐️ aging
⭐️ medical history

But many are modifiable:
⭐️ how we move
⭐️ how we sleep
⭐️ how we manage stress
⭐️ how we fuel our bodies
⭐️ how we respond to pain, fear, and uncertainty

Awareness matters—but obsession doesn’t help healing.

Choose the risk factors that are meaningful and changeable.
Release the rest.
And keep living—fully, intentionally, and realistically—in the body you have today.

What risk factors do you find most helpful to focus on?
I’d love to hear your thoughts.

Our thoughts create our feelings which trigger releases of specific hormones that affect our body’s functioning.For exam...
12/20/2025

Our thoughts create our feelings which trigger releases of specific hormones that affect our body’s functioning.

For example, did you ever think about something that makes you “sick to your stomach?”

If you are “stuck” in a bad place with pain, especially chronic pain, take a look at these suggestions of powerful thoughts that can be very helpful.

Research is clear, if you believe that you will cause yourself more damage by moving, you will be fearful of any movement. And that is a phenomenon that causes people to not get better.

If you believe you are broken. . .
If you believe you will not get better. . .
If you believe you will never have joy. . .

This is a difficult season when everyone thinks everyone is having fun, celebrating, etc. but them. It adds to stress, and we know stress can be very harmful.

If you find yourself in this situation, I hope this post is helpful. You have power, you can do this.
You are not alone, and there is help.

Dm me to set up a free 15 min Discovery Call to find out if virtual coaching is right for you.

Comment below! Love to hear your thoughts on this.❤️

Are you a physical therapist, physiotherapist, physical therapist assistant or other health care provider that wants a s...
12/17/2025

Are you a physical therapist, physiotherapist, physical therapist assistant or other health care provider that wants a streamlined approach to treating PELVIC GIRDLE AND SACROILIAC DYSFUNCTION?

I have a 12 short course series of on-demand webinars hosted by Physioplus that will give you that, AND MORE! These course have great reviews which you can see on their website.

Take advantage of my over 30 years of clinical practice and study in this area. You will learn the PELVIC GIRDLE MUSCULOSKELETAL METHOD, .

I promise you, you will NOT be disappointed!

AND get 30% discount off your Physioplus registration with my special LINK.

THIS DISCOUNT AND REGISTRATION ALLOWS FREE ACCESS TO ALL OF PHYSIOPLUS FOR 1 YEAR!

Comment “Physioplus” and I will send you the link!


12/17/2025

Did you know your arm flexibility is related to the functioning of your back and pelvis?

The latisimus dorsi muscle is often not only weak but tight with symptoms of and even .

Incorporate the breath —INHALE as arms reach up and EXHALE as arms come down.

Do what you can in a relaxed mindframe.

More tips in both of my books and Amazon book section.
📕Sacroiliac Pain”
And
📕”Back and Pelvic Girdle Pain in Pregnancy and Postpartum”

Comment “Book” and I will send you the link!

12/15/2025

Did you know poor sleep can lower your pain tolerance?

Pain often feels worse after a bad night of sleep.
In fact, the body is so dependent on sleep that we would die from sleep deprivation before food deprivation.

✨ Sleep is not a luxury—it’s pain management.

Improve your sleep hygiene 👇

AVOID before bed
• Caffeine (coffee, soda, tea) after 1:00 pm
• Alcohol close to bedtime
• Phone, laptop, or screens right before sleep
• Loud or stimulating media
• Intense exercise late at night

SUPPORT better sleep
• Create a consistent bedtime routine
• Read, meditate, or listen to calming music
• Use low lighting in the evening
• Make sure your mattress & pillow support you
• Clear your mind—use a sleep or meditation app if helpful

It’s essential for your health and for managing pain.

If all of these tips don’t help, seek the help of sleep specialists. There is help out there as there are many reasons why you may not be sleeping well.

Share this with someone who may benefit.
DM me with questions or comment below ⬇️

Link in bio to my books and website dealing with pelvic girdle and sacroiliac pain.

Did you know leaking urine can be related to your back pain? That is because the pelvic floor muscle is not only respons...
12/12/2025

Did you know leaking urine can be related to your back pain? That is because the pelvic floor muscle is not only responsible for
✅ controlling urine & bowels
✅ supporting everything inside of you including your organs
✅ key in s*xual satisfaction and in*******se
✅ key in contributing to the blood/fluid circulation in the area to prevent congestion

AND finally
✅ Part of of deep inner core muscles proving postural strength and pelvic stability that is needed in normal functioning

So when there is , and whether the muscle is too tight or too stretched out, it affects ALL of the muscle functions and can definitely contribute to , and more.

So make sure your rehab exercises are incorporating breath and pelvic floor muscles so you can have success in treating both your pain and leaking issues.

The pgmmethod which both my books are based on incorporates this approach.
Link to books in bio!
Comment “book” and I will send you the link!

12/11/2025

This story is quite unbelievable. Even for me, who worked my entire career as a health professional, and at a large urban hospital.

this thinking/labeling of women is unacceptable and has caused undue suffering in hardship on countless women who are going through perimenopause and menopause. If this sounds like you, and you are not getting the help that you need, don’t give up. Look for a Doctor Who has specific training in menopause. Fortunately, there is much more awareness regarding this issue today and there ever was although a lot of work still needs to be done.

share your story below and how you got the help you needed.

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Cleveland, OH

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Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

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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.