Sep 1, 2026 · 20 min · 8 segments
Pelvic floor physical therapy can be life-changing — but sometimes it only gets patients part of the way there. In this episode, I discuss a client who was referred to me by a pelvic health therapist…
Erica MelloHost
And I'll just do a very quick history, long, long, long history of endometriosis, painful periods.
And she had a hernia of I got a while ago as well when she was very young, did a lot of biking, sort of that was her main exercise.
You know, worked from home, sat cross-legged quite a bit and, you know, was doing her weekly strength classes and which is great.
And just a little plug again for my dissertation, we're finding that the sarcopenia and the muscle loss that happens in women happens like years before menopause, like five years before menopause.
And so from my experience, generally you'll, whatever age your mother went through menopause is generally what you will do from what I've read in the most part.
And so the other past medical history that I think is relevant is, you know, I asked her what she thought was going on and I asked all of my patients that and she just felt that she was weak and maybe she was.
She was actually getting better with the pelvic health therapist in terms of her endometriosis, and it was really helping a lot.
But her hip was just not, her hips actually, both of them, were not really where they should be.
And so in terms of other past movement history or past injury history, was just left knee pain.
Like who hasn't? But it's still relevant, right? And then the movement history was just the biking.
And that really, at the end of the day, she didn't feel pain when she biked, but it was irrelevant.
And I'll just do a very quick history, long, long, long history of endometriosis, painful periods.
And she had a hernia of I got a while ago as well when she was very young, did a lot of biking, sort of that was her main exercise.
You know, worked from home, sat cross-legged quite a bit and, you know, was doing her weekly strength classes and which is great.
And just a little plug again for my dissertation, we're finding that the sarcopenia and the muscle loss that happens in women happens like years before menopause, like five years before menopause.
And so from my experience, generally you'll, whatever age your mother went through menopause is generally what you will do from what I've read in the most part.
And so the other past medical history that I think is relevant is, you know, I asked her what she thought was going on and I asked all of my patients that and she just felt that she was weak and maybe she was.
She was actually getting better with the pelvic health therapist in terms of her endometriosis, and it was really helping a lot.
But her hip was just not, her hips actually, both of them, were not really where they should be.
And so in terms of other past movement history or past injury history, was just left knee pain.
Like who hasn't? But it's still relevant, right? And then the movement history was just the biking.
And that really, at the end of the day, she didn't feel pain when she biked, but it was irrelevant.
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