#80 -- Power to the Pelvis w/Dr. Susie Gronski

drsusieg.com DR. SUSIE GRONSKI —

• Licensed doctor of physical therapy since 2010
• Certified pelvic rehabilitation practitioner
• Sex counselor and AASECT certified sexuality educator (University of Michigan trained)
• Author of Pelvic Pain The Ultimate Cock Block
• International male pelvic pain and sexual health educator

A licensed doctor of physical therapy, certified pelvic rehabilitation practitioner, international teacher, and creator of one-to-one and self-paced health programs that help men with pelvic pain become experts in treating themselves.

5 S’s 

1. Support - for organs that sit on top of pelvis
2. Stability - structural control over distal actions
3. Sump pump - pee, semen 
4. Sexual appreciation 
5. Sphincteric control 

The major health knock on cycling has been its potentially negative effects on pelvic health. Rigorous training on a thin bicycle saddle (seat) can cause unwanted rubbing and prolonged pressure that leads to decreased blood flow.

In men, cycling has been linked to testicular pain, numbness, and infertility in extreme cases. In women, unchecked pelvic distress can lead to pain, incontinence and girdle distress.

Pelvic Issues:

• Penis pain
• Pudendal neuralgia
• Hard-flaccid
• Persistent genital arousal disorder (PGAD)
• Penis fracture (sexcapade injuries happen!)
• Testicle pain
• Post-vasectomy pain syndrome - Pain after vasectomy
• Peyronie's disease - A condition where scar tissue forms, most commonly, around the base of penis resulting in an abnormal bend or curve in the penis
• Pre- or post-prostatectomy surgery
• Pain with or after ejaculation
• Painful erections
• Erectile dysfunction (ED)
• Premature ejaculation (PE)
• Abdominal pain
• Groin pain
• Pelvic pain
• Sacroiliac joint (SIJ) pain
• Persistent hip or lower back pain
• Tailbone pain
• Pain with sitting
• Pain during bowel movements
• Constipation
• Urinary urgency or frequency- Frequently feeling a strong and sudden urge to urinate
• Urinary or fecal incontinence

Previous Wise Athletes episode mentioned in discussion with Dr. Gronski