Sex and the Psyche S2E21: EP21: Dr. Hollie Neujahr - Understanding Pelvic Floor Issues and How to Treat Them
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Dec 6, 2023 Dr. Hollie Neujahr, the owner of N2 Physical Therapy, is a pelvic floor rehabilitation expert with a DPT from Duke. She discusses the intricacies of pelvic floor pain, including conditions like vulvodynia and vaginismus, and how they affect sexual health. Hollie explains the importance of pelvic physical therapy, touching on the roles of consent and trust in treatment. The conversation highlights how chronic pain is influenced by both physiological and psychosocial factors, as well as the need for multidisciplinary care for enhanced recovery.
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Pelvic Pain Manifests Many Ways
- Pelvic floor pain shows up in many ways like burning, stinging, guarding, or pain with penetration.
- Hollie Neujahr emphasizes each person’s experience is unique and common across lifespans.
Use Hands-On Assessment First
- Pelvic health PT uses hands-on external and internal assessment after building consent and trust.
- Neujahr recommends checking for trigger points and nerve compressions as part of that manual exam.
Think Beyond The Pelvis
- Pelvic floor issues often require whole-body evaluation, not just local treatment.
- Pregnancy, low back and hip mechanics can force the pelvic floor to overwork and tighten.
