Amy in London!

By Amy Stein, DPT

Yesterday, I was speaking in London with the well-known Fiona Lewis, vulvar dermatologist specialist, Peter Greenhouse, Maria Elliott and Fabrizio Bogliatto in London. It was a wonderful and informative seminar that Maria Elliott worked very hard at putting together, with an amazing group of people. Michelle Lyons and Jenny Burrell also attended.

My talk in London was well received with a mixed audience of beginner women’s health PTs and some physicians and also more advanced PFPTs like the host, Maria Elliott, Michelle Lyons and Andrea Dugan.

Peter Greenhouse was a very dynamic speaker and he disagrees with vestibulectomy, stating that there are other treatment options and the research of 61% is not strong enough to warrant a surgery. Other physicians may argue this.

Maria Elliott, the host, spoke on the importance of proper alignment and functional biomechanics.  She mentioned the importance of having a happy gut. We both mentioned the importance of a home program and we discussed lubricants like Yes, and massage tools like EZ Magic and EZ fit.

The commonality amongst all five of us was that vulvar and pelvic pain require a multidisciplinary approach and most of the time there is not a quick fix.

I also mentioned attending #ipps16 in Chicago, October 2016, and IPPS’s world congress on abdominal and pelvic pain in DC in October 2017!  I spoke to them about the Alliance for Pelvic Pain weekend patient retreat, as well, which is coming up in May 2016! I also discussed the importance of manual therapy both external and internal, and the need to assess and treat the rectal muscles. Even though it was a vulvar and pelvic pain seminar I did mention how male pelvic pain is also so prevalent and how necessary it is to help the male patients. Our practice is about 40% male pelvic floor dysfunction and pelvic pain.

Fiona Lewis discussed vi pat dermatoses and how you can have vaginal crones, lichens sclerosis, lichens planus and various other diagnoses. She   also discussed how some Vulvodynia is not “seen” and therefore can be moe challenging to diagnose. She praised me on my presentation, stating that physicians are not taught in most European medical schools on how to assess he musculoskeletal impairments that can cause pelvic and vulvar pain.  They are not taught how to palpate the pelvic floor muscles externally or internally, and she along with the other physicians are surprised by this because it is so important.

At the end of the evening, after an amazing job by Maria Elliott and Ilaina Brockman, of, Maria took 12 of us to a lovely dinner in London and we celebrated her success over delicious food and wine!

See below for pictures!





What Happens in Vegas Returns to New York

By Riva Preil

After spending three days last week at Combined Sections Meeting (CSM), the American Physical Therapy Association’s annual conference, I am overwhelmed by the tremendous amount of PRIDE and PRIVILEGE that I feel to be a physical therapist.  Approximately 10,000 physical therapists gathered at the Venetian in Las Vegas from across the country to learn, develop profession skills, share research, and network.  I have personally never attended a conference of such a large magnitude!  Physical therapists from many different specialties, including pediatric, geriatric, aquatic P.T., home care, and of, course, pelvic floor, came together to attend lectures relating to their area of expertise.

As a pelvic floor physical therapist, I had the opportunity to attend many fascinating and important lectures, including the effects of estrogen hormone replacement therapy on the musculoskeletal system, a diastasis rectus correction class, effective interviewing for pelvic floor practitioners, and psychosocial considerations of pregnant and post partum women.  In addition, I attended a lecture taught by several physical therapists who spent time treating underprivileged women in Goma, Democratic Republic of Congo, who suffered from obstetric and traumatic fistulas.  Also, I thoroughly enjoyed a two part session that was taught by Dr. David Butler and Dr. Lorimer Moseley, authors of Explain Pain.  Butler and Moseley shared their latest research findings on how our brain interprets pain and how various pain pathways are created and reinforced within the neurologic system. Their research has shown that individuals who UNDERSTAND the science behind their pain can better cope with and control their pain symptoms.  They encouraged us, an audience full of physical therapists, to explain the mechanism of pain to our patients as much as possible to offer each patient improved levels of control.

Furthermore, the conference featured poster presentations with the latest research discoveries.  I was especially interested in the research of Dr. Chiarello, PT, PhD at Columbia University, which was on Diastasis Rectus Abdominis and Function in Pregnancy.  Dr. Chiarello was joined at the poster presentation by Dr. Stephanie Stamas, a former student physical therapist at BBPT, who helped Dr. Chiarello with her research.  The overall exchange of information, sharing of knowledge, and professional networking during the conference was incredible.  CSM was a rewarding and enlightening experience, and I hope to have the opportunity to participate in future similar courses.

Below: Me and Stephanie at CSM; the CSM conference



Say YES to IPPS!

By Riva Preil

The International Pelvic Pain Society (IPPS), established in 1996, was created with two primary objectives: “To educate health care professionals how to diagnosis and manage chronic pelvic pain, thereby changing the lives of patients worldwide [and] to bring hope to men and women who suffer from chronic pelvic pain by significantly raising public awareness and impacting individual lives.”

Every year, IPPS hosts their Annual Fall Meeting on Pelvic Pain, and this year, the conference will take place this coming weekend, October 17- 19, in Orlando, Florida. There will also be a post conference course on October 20.  The conference is geared towards educating gynecologists, physical therapists, nurses, and residents on the latest research in treatment and diagnosis of pelvic pain related disorders.  Lecture titles include “A Multidisciplinary Approach to Caring for Women with Chronic Pelvic Pain” (by Donna Carrico, WHNP, MS), “Introduction to the Physiology of Chronic Pain,” and “Evaluation and Treatment of Musculoskeletal Causes of Chronic Pelvic Pain.”  Other topics that will be addressed include painful bladder syndrome, postsurgical pain, abdominal pain, pelvic musculoskeletal health, endometriosis surgical management, and vulvar disease management.

Our very own Amy Stein is very involved with the IPPS- she has been on the Board of directors since 2007 and has been Chairperson of the Fundraising and Marketing committee since 2012.  STAY TUNED for more details from Orlando as the conference unfolds… it is sure to be an educational and exciting convention, and we look forward to keeping you abreast of the information that will be shared!


New Bid-ness: A Silent Auction at IPPS

The mission of the International Pelvic Pain Society (IPPS) is to educate healthcare professionals serving patients with pelvic pain, raise public awareness and offer hope to the 200 million men and women worldwide who suffer from chronic pelvic pain conditions. IPPS strives to optimize diagnosis, evaluation and management of patients suffering from chronic pelvic pain.
We encourage you to support this not-for-profit organization. IPPS is having an on-line auction from October 11-25th. Please mark your calendars and visit Please note: the site will not be active until the actual start date on the 11th.

There are several educational opportunities and fun items (jewelry, gift cards, Apple, Starbucks…, 2nd row tickets to Stanley Cup Champions Chicago Blackhawks game, travel).

Your support of the IPPS allows invaluable educational programs that work for the betterment of the diagnosis and treatment of those with chronic pelvic pain. Contributions to the IPPS are tax-deductible by donors as provided in section 170 of the IRS code.

To learn more about chronic pelvic pain, IPPS and their annual conference, go to This years meeting is being held October 17-20th in Orlando, Florida. Thank you so much for your support!

Amy Stein is a Board Member of IPPS. Here is a photo of her with colleagues Stephanie Prendergast and Lorimer Mosley at last year’s conference!


International Pelvic Pain Society

2013 IPPS Online Auction

October 11, 2013

8:00 A.M. ET

 The IPPS2013 Auction opens for bidding on October 11, 2013 at 8:00 A.M. ET. Our goal this year is to raise $15K to support IPPS. We need your support! This is an exciting and fun way to help us, and at the same time have a chance to win several great items!

Bid on several pelvic pain items, instructional tools, and

other exciting auction items, including: Treatment Combo  (“tool kit”)

How about a Vacation in Dardanelle and Istanbul Turkey?

Perhaps a boating trip on the Chesapeake?

Maybe you prefer an autographed football from the University of Alabama?

Take a look at the items to preview as the auction date approaches. Check back often to see what’s new. Place a ‘Watch’ on your favorites to know as soon as bidding begins!

To register and bid: Click the “Register” link in the upper right corner of any auction page. You will need to give a credit card to hold the bidding items. Your card will be charged if you are the highest bidder and the item will be sent to you. Once you have completed the registration, enter your username and password in the upper right corner and click the “sign in” button. Bidding is available October 11-25th at All funds will be donated to IPPS, which is a not for profit organization (minus Bidding for Good’s 10% operational fees).