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http://www.pelvicpainrehab.com/

Pelvic Health and Rehabilitation Center, SF, Berkeley, Los Gatos, Walnut Creek, Los Angeles, Encinitas, Westlake Village, Pasadena, Massachusetts, New Hampshire, Columbus OH, san fransisco, CA (2026)

04/02/2026

Your tailbone is not the drama… it’s just caught in it 💥

If you’ve been dealing with tailbone pain that won’t quit, there’s a good chance the real issue isn’t the bone itself—it’s the muscles attached to it.

Your pelvic floor and tailbone are deeply connected. When those muscles are tight, weak, or uncoordinated, they can literally pull on your tailbone and keep you stuck in a pain loop 🔁

And here’s the wild part: Even a perfectly “normal” X-ray doesn’t rule this out.

That’s why so many people:
❌ Try cushions
❌ Rest more
❌ Wait it out
…but don’t get better.

Because the missing piece is often muscular, not structural.

The good news: this is treatable. Pelvic floor PT/OT can help you actually resolve the root cause—not just manage symptoms.

If this sounds like you, drop a 🔥 to be DMd the link to this blog!

04/01/2026

If your bathroom habits are stressing you out… this post is for you.

April is and it’s time we stop pretending this isn’t a thing.

Because struggling with things like:
🚫 Constipation
🚫 Straining or pushing
🚫 Feeling like you didn’t fully empty
🚫 Urgency or barely making it to the bathroom
🚫 Leakage (yes, even a little)
🚫 Pain with bowel movements

…is WAY more common than people think.

But let’s be clear 👇
👉 Common does NOT mean normal.

Your bowel movements are closely connected to your and when those muscles aren’t coordinating well (too tight, too weak, or just not syncing properly), things can get… complicated.

And no, the answer isn’t always just “drink more water” or “eat more fiber.”

✨ There is another layer to this ✨

Pelvic floor therapy helps address the *how* behind your symptoms — improving muscle coordination, reducing strain, and helping your body actually function the way it’s supposed to.

Because you shouldn’t have to plan your day around the bathroom.

Or feel anxious every time you go.

Drop a 💩 in the comments if you’ve ever dealt with bowel symptoms — we’ll send you more info on how to actually get support.

03/31/2026

If you’ve been told “everything looks normal”… but your pelvic pain says otherwise 👀

Let’s talk about something not enough people are talking about: mast cells.

These immune cells live in your bladder, gut, and pelvic tissues—and when they’re triggered, they release inflammatory chemicals (like histamine) that can drive pain, irritation, and nerve sensitivity ❗

💡 When mast cells are overactive (hello MCAS):
🔥 inflammation increases
⚡ nerves become more sensitive
💥 pain can feel louder, sharper, and more persistent

And because they exist across multiple systems… symptoms can feel *all over the place* (GI, bladder, vulvar, pelvic pain, etc.)

Plot twist: in Endometriosis, mast cells can actually be drawn to lesions and contribute to ongoing inflammation + pain

👉 meaning it’s not “just hormones”

The takeaway 👇
Pelvic pain is often **multisystem**
→ immune system
→ nervous system
→ pelvic floor

All interacting together

Have you noticed your symptoms flare with stress, certain foods, or your cycle? Drop a 🔥 or share what your flares feel like 👀

03/30/2026

How do we use a pilates ring to support a patient's pelvic health? 👇
🩰 Pliés
💃 Quadruped Hip Extension
🧯 Fire Hydrants
🐛 Dead Bug

03/26/2026

🚨 Testicular pain isn’t always what you think…

If imaging is “normal” but the pain is still VERY real—your pelvic floor might be the missing piece 👀

Testicular pain can come from 👇
💥 Tight pelvic floor muscles
💢 Irritated nerves
⚠️ Hip + core dysfunction
🫪 Even things like heavy lifting, cycling, or breath-holding

Yep… it’s not always an infection or something “structurally wrong.”

Here’s the part people don’t talk about 👉When the pelvic floor is stuck in a contracted state, it can **refer pain** to the testicles, groin, or perineum—and even affect bladder symptoms too❗

The good news? Pelvic floor PT/OT can help by:
⚡ Releasing muscle tension
⚡ Improving coordination (aka learning to RELAX, not just contract)
⚡ Addressing surrounding muscles like hips + core

Pain ≠ always where the problem is!

Drop a 🥒 to be DMd the link!

03/25/2026

Plot twist: your pelvic pain might involve your immune system too 👀

Meet Mast Cells 💥—tiny cells that live in the bladder, gut, and pelvic tissues… and release inflammatory chemicals when triggered.

When they’re overactive →
🔥 more inflammation
⚡ more nerve sensitivity
💥 more pelvic pain

And in conditions like Endometriosis, mast cells can actually *amplify* symptoms 👉contributing to pain, GI issues, bladder symptoms, and flares that feel all over the place.

💡 Translation: it’s not “just hormones”
…it can be immune + nervous system + pelvic floor all interacting

Which is why care needs to be just as multifaceted❗

Have you noticed your symptoms flare with stress, food, or your cycle? Drop a 🔥 if yes or tell us what your flares feel like 💛

Get more info here about and

https://pelvicpainrehab.com/blog/understanding-mast-cell-mediated-genitopelvic-pain/

03/24/2026

Endometriosis Awareness Month might be coming to a close… but the conversations? Far from over.

Endo is so much more complex than we were taught.

It’s not just “uterine tissue outside the uterus” 👉 it’s a multifaceted, inflammatory condition that doesn’t look the same for everyone.

And maybe one of the biggest takeaways? Care is NOT one-size-fits-all.

What works for one person (surgery, medication, conservative care) might not work 👉 or even be accessible for someone else.

We also can’t ignore that SO many people with endo are forced to become the experts in their own bodies because the system hasn’t caught up yet❗

As March wraps up, here’s what we’re holding onto 👇
More listening.
More individualized care.
More curiosity.
And way less “this is the only way.”

Help us keep the conversation going 📣 💬

What’s something YOU’ve learned about endometriosis this month—either as a provider, patient, or advocate?

If you want to read this blog, respond BLOG to be DMd the link!

03/23/2026

Did you know what your is good for?

03/19/2026

⚠️ Pro tip: slow it all the way down ⚠️ The way you move *between* poses matters just as much as the poses themselves.

These restorative shapes aren’t about stretching deeper—they’re about signaling safety. Each one supports pelvic floor relaxation while helping shift your body out of “go-go-go” mode (aka fight or flight).

⬇️🔊 If you’re dealing with persistent pelvic pain, neuropathic pain, or a hypertonic pelvic floor… this part is key: healing happens when your nervous system feels safe enough to turn the volume down.

That’s where these poses come in.

They gently nudge your body toward “rest + digest,” where recovery, repair, and true muscle relaxation can actually happen.

Here’s how to get the most out of each one 👇

👶 Happy Baby (modified): keep your low back grounded. As you inhale, imagine your sit bones softening and widening—no pushing, just space.

🐸 Frog over bolster: supported + passive. Let your inner thighs and belly soften. Think: *receive the stretch*, don’t force it.

🌾 Side bend over bolster: melt into the support. Reach long through fingertips and toes to open the side body (hello TFL + QL), then switch sides.

🧒 Supported Child’s Pose: your nervous system’s favorite. Let your breath expand into your back body and pelvic floor—lengthening without effort.

Reminder: if you’re rushing, gripping, or “trying hard”… you’re probably missing the point❗

💬 Want more nervous system–friendly pelvic floor tips?

Drop a 🧘‍♀️ and we’ll send you more ways to work with your body, not against it.

03/19/2026

Endometriosis + MCAS = not just “pelvic pain”

It’s a whole-body experience shaped by 👇
💢 chronic inflammation
🫠 immune system overactivity
⚡ nervous system sensitization

Which is why patients often show up with:
pelvic pain + GI issues + bladder symptoms + fatigue + sensitivity… all at once ❗

Pelvic floor PT/OT can help address:
💥 muscle guarding + tension
💢 myofascial restriction
🫨 nervous system dysregulation

…but this isn’t a one-system issue❗

✨ it’s an interdisciplinary picture
✨ it requires nuanced, paced care
✨ and symptoms that seem “all over the place”… usually make clinical sense

If it feels complex, it probably is! → think immune + nervous system, not just local tissue.

Drop a 🔥 to be sent the link to this blog!

03/18/2026

⚠️ Pro tip: slow it all the way down ⚠️ The way you move *between* poses matters just as much as the poses themselves.

These restorative shapes aren’t about stretching deeper—they’re about signaling safety. Each one supports pelvic floor relaxation while helping shift your body out of “go-go-go” mode (aka fight or flight).

⬇️🔊 If you’re dealing with persistent pelvic pain, neuropathic pain, or a hypertonic pelvic floor… this part is key: healing happens when your nervous system feels safe enough to turn the volume down.

That’s where these poses come in.

They gently nudge your body toward “rest + digest,” where recovery, repair, and true muscle relaxation can actually happen.

Here’s how to get the most out of each one 👇

👶 Happy Baby (modified): keep your low back grounded. As you inhale, imagine your sit bones softening and widening—no pushing, just space.

🐸 Frog over bolster: supported + passive. Let your inner thighs and belly soften. Think: *receive the stretch*, don’t force it.

🌾 Side bend over bolster: melt into the support. Reach long through fingertips and toes to open the side body (hello TFL + QL), then switch sides.

🧒 Supported Child’s Pose: your nervous system’s favorite. Let your breath expand into your back body and pelvic floor—lengthening without effort.

Reminder: if you’re rushing, gripping, or “trying hard”… you’re probably missing the point❗

💬 Want more nervous system–friendly pelvic floor tips?

Drop a 🧘‍♀️ and we’ll send you more ways to work with your body—not against it.

03/16/2026

Pelvic floor strength isn’t just about squeezing harder ❗
Sometimes… it’s about using gravity, breath, and positioning to your advantage.

These yoga poses can help you practice pelvic floor contractions in a different way 👉 letting gravity assist the lift of the pelvic floor muscles when paired with the right breathing pattern.

This can be helpful for people experiencing ⬇️
💢 Pelvic organ prolapse
⚡ Postpartum pelvic floor weakness
💧 Urinary leakage or incontinence

Here’s the key piece many people miss: breath.

🚨 Your diaphragm and pelvic floor work together🚨
✨ Inhale → the pelvic floor lengthens and relaxes
✨ Exhale → the pelvic floor naturally lifts

Practicing a gentle pelvic floor contraction on the exhale while in these positions can help improve coordination and strength.

💡 Quick note 💡
Puppy Pose and Downward Dog are commonly used to lengthen the pelvic floor and widen the sit bones. But with intentional breathing and contraction, they can also be used to practice up-training thanks to gravity lending a hand.

Pelvic floor training = strength + relaxation + coordination.

Pelvic Health and Rehabilitation Center

04/02/2026

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Tuesday	8am - 6pm
Wednesday	8am - 6pm
Thursday	8am - 6pm
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