Blog

Plain-language articles on dry needling, acupuncture, pelvic floor pain and shockwave therapy from Dr. Anthony J. Gordon.

A woman holding her lower back with the tailbone area highlighted

Pain | Pelvic Floor

Tailbone Pain: Why Sitting Hurts at the Very Bottom of the Spine

Tailbone pain often starts with a fall or childbirth. I explain why sitting and leaning back hurt, which muscles pull on the coccyx, and when to see a doctor first.

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Illustration of the pelvic floor muscles inside the pelvis

Pelvic Floor | Pain

Rectal Pain With Normal Tests: Levator Ani Syndrome

A deep rectal ache with a normal colonoscopy can come from the levator ani muscle. I explain how GI doctors define levator ani syndrome, and where muscle care fits.

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Hand pressed on the buttock where pelvic nerve pain is felt

Pelvic Floor | Pain

How Pudendal Neuralgia Is Diagnosed, and Why It Takes So Long

No single test confirms pudendal neuralgia. I explain how doctors use the Nantes criteria and a nerve block, and why the road to a clear answer is often long.

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An older woman on a sofa holding her hip

Pelvic Floor | Pain

Hip Pain and the Pelvic Floor: How One Can Drive the Other

Deep hip pain and pelvic floor symptoms often show up together. I explain how the obturator internus links the two, and why treating only one can leave you stuck.

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Anxious young woman sitting on a bed

Women's Health | Pelvic Floor

Persistent Genital Arousal Disorder: A Plain Explanation

PGAD causes unwanted genital arousal sensations unrelated to desire. I explain what it is, how nerves and the pelvic floor can be involved, and who to see first.

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Woman holding her lower abdomen from pelvic pressure

Women's Health | Pelvic Floor

Pelvic Heaviness and Pressure: Prolapse or Muscle Tension?

Pelvic heaviness is often blamed on prolapse, but tight, tired pelvic floor muscles can feel the same. I explain how the two differ, and why an exam comes first.

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Woman at a laptop holding her sore shoulder

Pelvic Floor

Stress and the Pelvic Floor: Why You May Be Clenching Without Knowing

The pelvic floor tightens with stress, and many people hold it tight all day without noticing. I explain the everyday signs of clenching, the breath link and what helps.

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Two middle-aged women out walking on a wooded trail

Women's Health | Pelvic Floor

Leaking When You Cough, Laugh or Run: Stress Incontinence Explained

Leaking with a cough, laugh or run is stress incontinence. I explain why it happens, what works first, and why Kegels alone do not help everyone who leaks.

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Middle-aged woman lying on a sofa holding her stomach

Women's Health | Pelvic Floor

Pelvic Pain in Perimenopause and Menopause: What Changes

Falling estrogen thins and dries vaginal and urinary tissue, and the pelvic floor muscles often react. I explain what changes in menopause, and who to see first.

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Not sure what is causing your pain? The My Symptoms page walks through common causes by body area.

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