Theresa had struggled with debilitating symptoms since she was 12 years old—severe cramps, migraines, fatigue, back and leg pain, painful intercourse, and nerve issues. Despite undergoing laparoscopic excision surgery for endometriosis, her symptoms worsened, leaving her with leg numbness, joint inflammation, and unbearable daily pain. She sought help from multiple doctors over the years, often facing dismissal and misdiagnoses.

After exhausting all options, Theresa turned to PRM. Initially skeptical, she decided to follow the PRM protocol, traveling for treatment and ultimately undergoing another surgery. Through prehabilitation, surgery, and post-surgical care, she saw remarkable improvements in her pain levels and overall well-being. PRM provided the compassionate and expert care she had been searching for, validating her experience and giving her the relief she never thought possible

Emily, a resident of Victoria, BC, Canada, struggled with a myriad of symptoms related to endometriosis including heavy, painful and irregular periods, bloating, migraines, chronic pain, and various other health issues. Despite seeking medical help from different doctors, she was often dismissed and told her symptoms were all in her head. After years of suffering and misdiagnosis, she finally received validation and a diagnosis of endometriosis at the age of 31. Following surgery and treatment at the PRM Clinic, Emily experienced significant improvement in her symptoms, including a decrease in pain levels and a better quality of life. She highlights the importance of being properly educated about endometriosis and the impact of trauma caused by being dismissed by healthcare professionals. Emily expresses gratitude for the support and understanding she received at the PRM Clinic and encourages others with endometriosis to seek proper care and validation for their symptoms.

Joyce candidly shares her struggle with debilitating pelvic pain that left her bed-bound and emotionally drained. Despite trying numerous medications and treatments with no success, her journey took a hopeful turn when she sought treatment from Dr. James for her pelvic pain. Following the treatment plan, Joyce found immense relief and expressed her joy at being pain-free and feeling like herself again. She credits Dr. James for her transformation without undergoing surgery, highlighting the effectiveness of the recommended treatment. Joyce’s story underscores the importance of perseverance in finding the right healthcare provider and treatment approach, as supported by her urologist’s recommendation of Dr. James.

Lexi’s journey with chronic pelvic pain led her to seek help at PRM after years of suffering. She discovered PRM through the specialized Facebook group dedicated to her condition, Nancy’s Nook, where she found validation and support. Through Dr. McHale’s care and a comprehensive treatment plan, including surgery, Lexi’s pain decreased significantly. With PRM’s support, she now enjoys a higher quality of life, marked by improved periods and daily activities. Lexi’s story is a testament to the transformative impact PRM has on patients’ lives.

Lori’s journey began with debilitating pelvic floor pain, making simple tasks like driving or sitting unbearable. She had tried various treatments with no success until she was referred to Dr. Sandhu. Initially skeptical, Lori’s hope was rekindled when she experienced relief after her first set of injections. Dr. Sandhu’s compassionate care and effective treatment allowed Lori to wake up pain-free for the first time in years. Grateful for the support she received from Dr. Sandhu’s team in navigating insurance challenges, Lori felt truly uplifted by her newfound pain-free life. Encouraging others not to lose hope, Lori urges those struggling with chronic pain to consider pelvic rehabilitation medicine, emphasizing that with persistence and the right care, pain-free living is possible.

Mary’s SOS story follows her more than 20-year journey with endometriosis and chronic pelvic pain, beginning with extremely painful and heavy periods in adolescence and progressing into worsening symptoms throughout adulthood, including severe menstrual pain, fatigue, gastrointestinal symptoms, and pain with intercourse.

Over the years, her symptoms intensified—especially after coming off birth control in her 30s—leading to debilitating pain, missed workdays, and significant disruption to daily life. Despite multiple evaluations and testing, her symptoms were initially not clearly connected to endometriosis.

After independently researching her symptoms and advocating for further evaluation, Mary ultimately found PRM and was quickly assessed by a pelvic pain specialist. She was identified as a strong candidate for surgical treatment and scheduled for minimally invasive excision surgery shortly after her initial visits.

Her care included multidisciplinary evaluation, endometriosis excision surgery, and coordinated post-operative support. Following treatment, Mary experienced significant improvement in pain and daily function.

“I just wanted answers. For the first time, I felt listened to, believed, and finally understood.”

Mary’s story highlights the impact of delayed diagnosis in endometriosis and the importance of specialized, multidisciplinary care for complex pelvic pain conditions.

After months of worsening pelvic pain and urinary/bowel issues, Lorrie went to PRM in search of answers, and our providers were able to diagnose her with pelvic floor dysfunction and vuvodynia. Before finding PRM, Lorrie had been misdiagnosed by multiple other providers and underwent unnecessary and ineffective treatments; including hormone replacement therapy and cortisone injections for a misattributed pinched nerve. Sadly, most of her treatments prior to PRM worsened her symptoms.

At her first visit, she found the answers she was searching for through a compassionate and thorough exam. One of the greatest challenges she faced prior to coming to PRM was the emotional toll that being misdiagnosed and mistreated had on her. However, her persistence in seeking care led her to a team that listened to her, validated her concerns, and treated her with expertise and compassion. When talking about how she felt her treatment at PRM was she said:
“Finding PRM was life-changing. From the very first visit, I finally felt hopeful. The respect, knowledge, and immediate relief I experienced showed me that I wasn’t alone and that healing was possible.”

Condition: chronic pelvic pain syndrome, pain with sitting

Patient Described:34 year old male with 16 year history of pain with sitting, rectal spasms, straining with BMs, and difficulty maintaining erection, pain with ejaculation. Has a labor intensive job that requires prolonged standing and history of repetitive riding of ATV and tractors with repetitive trauma to the lower back/pelvic floor.

Patient Journey:Patient was seen by ortho who did S1 nerve injection with minimal relief to his symptoms. We discussed that although S1 nerve was compressed on imaging, his symptoms are likely attributed to pudendal nerve involvement leading to an upregulated nervous system and sensitization with chronic pain.

Conditions/Complaint: Pudendal Neuralgia Pain with Sitting, Rectal Spasms, Straining with bowel movements, Difficulty Maintaining Erections/Ejaculation

PRM treatment approach: We discussed that chronic pain was leading to his muscles and nerves remaining tense which in turn was causing an upregulated and sensitized nervous system. Muscle tightness and pelvic nerve inflammation and irritation contribute to chronic pain even after multiple treatments.

Treatment Result: He was sent to pelvic floor PT and underwent our protocol with rectal suppositories, magnesium citrate, and hydrodissection injections.After treatment, he has improvement in standing and sitting tolerance and notes he sustains his erections for a longer period of time. His rectal spasms have subsided and he is able to pass bowel movements without straining or pain.

Condition: Chronic pelvic pain syndrome and PGAD

Patient Described: 41 year old female presented with uncontrolled clitoral hyperarousal, inability to orgasm with intercourse, uncontrolled orgasms when not engaging in sexual activity, vaginal pain.

Patient Journey: Her quality of life was impaired due to uncontrolled sexual arousal, vaginal throbbing and inability to sit for prolonged periods of time. We discussed her diagnosis of PGAD and PFM hypertonia, which was causing her muscles to remain tense and her nervous system upregulated and hypersensitized.

Conditions/complaint: PGAD, Clitoral Hyperarousal/Swelling Inability to Orgasm, Vaginal Pain with Penetration, Pain/Clitoral Arousal with Sitting

PRM Treatment Approach: We discussed that chronic pain and her diagnosis was leading to her vaginal muscles remaining tense which in turn was causing an upregulated and sensitized nervous system. Muscle tightness and pelvic nerve inflammation and irritation contribute to chronic pain even after multiple treatments.

Treatment Result: She was referred to PFPT and started on a vaginal suppository & Duloxetine to help with muscular relaxation and nervous system desensitization. She underwent our injection protocol and the retrain your brain course as well and after several months, she was no longer having clitoral arousal. She was able to have painless penetrative intercourse and began to have small orgasms during intercourse which were enjoyable for her. She no longer felt fear of being in social environments as her clitoral hyperarousal had subsided and her nervous system was in a relaxed state with controlled pain.

Condition: Chronic Pelvic Pain Syndrome

Patient described: A 22-year old female presented with chronic vaginal and pelvic pain over 1 year despite several visits to the emergency room, laboratory and imaging testing being non-diagnostic.

Patient Journey: This patient was experiencing symptoms for years. She reported a history of recurrent bacterial vaginosis and yeast infections that had been treated. Constant pelvic pain and heightened sense of arousal were impairing her ability to sleep and work.

Conditions/Complaint: Benign hypermobility syndrome, Ilioinguinal Neuralgia, Pain and increased genital arousal after intercourse, Chronic, Urinary Frequency, without infection

PRM Treatment Approach: We discussed that chronic pain was leading to her vaginal muscles to remain tense which in turn was causing an upregulated and sensitized nervous system. Muscle tightness and pelvic nerve inflammation and irritation contribute to chronic pain even after multiple treatments.

Treatment Result: She underwent the injection series in combination with pelvic physical therapy, non-opioid pharmacological therapies, and nutrition changes with near complete resolution of symptoms.She no longer was experiencing constant pelvic pain or urinary symptoms.

Condition: pain with sitting, chronic pelvic pain syndrome

Patient Described: A 55- year old female with sitting pain, urinary urgency/frequency and lower abdominal pain x 2 years. Sitting pain was interfering with her ability to participate in professional and social activities.

Patient Journey:This patient was experiencing symptoms for years prior to coming to PRM. She worked with a pelvic floor physical therapist with some improvement; however still was unable to sit for more than 15 minutes intervals.

Conditions/Complaint: pain with sitting and chronic pelvic pain syndrome

PRM treatment approach: We discussed that chronic pain was leading to her pelvic muscles remaining tense which in turn was causing an upregulated and sensitized nervous system. Muscle tightness and pelvic nerve inflammation and irritation contribute to chronic pain even after multiple treatments.

Treatment Result: We started her on suppository medications and our injection protocol along with pelvic floor PT. We believe in a multi-modal approach to healing faster.She noted resolution of urinary symptoms and abdominal pain. Sitting pain improved significantly and was able to participate in activities with minimal pain.

Condition:Chronic pelvic pain syndrome, dyspareunia

Patient Described: 17 year old female presents with pain upon penetration – unable to tolerate tampon, internal exam, etc.

Patient Journey: Initially, this patient wanted to take it slow. She prescribed PFPT, dilator therapy, and muscle relaxation suppository. At three month follow up appointment patient exhibited more urgency as she was non compliant with treatment protocol and made no improvements. She just tried doing dilator therapy alone, with no therapist and had no success but was now ready to be compliant.

Conditions/Complaint:Chronic Pelvic Pain Syndrome, Dyspareunia, Painful Penetration

PRM Treatment Approach: We discussed that chronic pain was leading to her vaginal muscles remaining tense which in turn was causing an upregulated and sensitized nervous system. Muscle tightness and pelvic nerve inflammation and irritation contribute to chronic pain even after multiple treatments.

Treatment Result: She was treated with our injection protocol, along with pelvic floor physical therapy, suppositories to relax the muscles, and dilator therapy.therapy. Each week following our treatment protocol, she would see improvements and after six injections, with Pelvic PT, suppositories and she moved up five dilator sizes – reporting pain free penetration.

Condition:chronic pelvic pain syndrome, interstitial cystitis

Patient Described: 51- year old patient with symptoms for 4-years and diagnosed interstitial cystitis after cystoscopy showed bladder wall scarring.

Patient Journey: This patient was experiencing symptoms for years prior to diagnosis. She has tried PRP injections to the bladder without relief. Her main exacerbating factor was anxiety and concern about a new treatment protocol.

Conditions/Complaint: Interstitial Cystitis Urinary Urgency, Urinary Frequency, Nocturia, Sensation of Retention, Dysuria, Dyschezia

PRM Treatment Approach: We discussed that postpartum pain and chronic pain was leading to her vaginal muscles remaining tense which in turn was causing an upregulated and sensitized nervous system. Muscle tightness and pelvic nerve inflammation and irritation contribute to chronic pain even after multiple treatments.

Treatment Result: She was treated with our injection protocol, along with pelvic floor physical therapy,suppositories to relax the muscles and calm nerves for a 3mo, Myrbetriq for 3 months, and avoiding trigger foods. At 3 month post-injection follow-up all her symptoms have resolved and she felt like “a brand new woman.”

Patient Described: 31 year old female high level athlete presented 8 months postpartum, after vaginal delivery that was complicated by shoulder dystocia.

Patient Journey: She was experiencing pelvic pain and pain during intercourse with her main goal to have a second baby.

Conditions/Complaint: Dyspareunia Chronic Pelvic Pain Syndrome, Postpartum Pelvic Pain, Pain with Intercourse

PRM Treatment Approach: We discussed that postpartum pain and chronic pain was leading to her vaginal muscles remaining tense which in turn was causing an upregulated and sensitized nervous system. Muscle tightness and pelvic nerve inflammation and irritation contribute to chronic pain even after multiple treatments.

Treatment Result: After working on relaxing and lengthening her pelvic floor with a pelvic floor therapist and undergoing our hydrodissection peripheral nerve blocks and trigger point injections to treat the inflammation of her pelvic nerves and spastic pelvic floor muscles. Several months later, she is now pain free and back to high interval running and looking to expand her family even more.

Condition: Endometriosis

Patient Described: 40-year old woman presents with history of painful periods since age 11. Prescribed OCP, Birth control, history of painful intercourse, At 25 years old diagnosed with endo and laparoscopy ablation performed to remove endo.

Patient Journey: Following first surgery, prescribed Lupron, helped with pain but had many unpleasant side effects. Second surgery 10 years later, and was now struggling with infertility, underwent multiple fertility treatments, failed pregnancy, miscarriages, etc. Referred to PRM seeking pain relief and expert excision.

Conditions/Complaint: Dyspareunia, Endometriosis, Infertility, chronic pelvic pain

PRM Treatment Approach: We discussed that though endometriosis surgery had been performed, her pain was related to persistent spasms of her muscles and inflammation of her nerves, and that her nervous system remained upregulated and sensitized to pain as her “normal state”. Muscle tightness and pelvic nerve inflammation and irritation contribute to chronic pain even after surgery.

Treatment Result: PT was prescribed suppositories, muscle relaxers, topical pain relief. She was also referred to Dr. Lora Liu for consult/excision surgery.Prior to surgery, treatment protocol consisted of injections coupled with medications. Pain level went down from 8 to 5 by third injection and by injection 6, a 3 out of 10.Dr Liu performed excision surgery and at, 6 week follow up. Patient pain significantly reduced and feels like the beginning of a new life.

Condition: Chronic pelvic pain syndrome, vulvodynia, pain with intercourse

Patient Described: 26 year old female presented with 8-year history of pain with penetrative intercourse, inability to tolerate intercourse, urinary urgency, and dysmenorrhea. On exam, she displayed vulvodynia with positive Qtip test.

Patient Journey:Recent flare up of these symptoms in last 1 year. Pain was further exacerbated after placement of IUD per patient, leading to burning and tearing during penetrative intercourse.

Conditions/Complaint: Dyspareunia, Chronic Pelvic Pain Syndrome, Vulvodynia, Pain with Intercourse, Urinary Frequency,Persistent Pelvic Pain, Urinary Urgency, Inability to Tolerate Intercourse

PRM Treatment Approach: We discussed that vulvodynia and chronic pain was leading to her vaginal muscles remaining tense which in turn was causing an upregulated and sensitized nervous system. Muscle tightness and pelvic nerve inflammation and irritation contribute to chronic pain even after multiple treatments.

Treatment Result: She was sent to PFPT where we recommended dilator use, myofascial release, and neuromuscular reeducation. She underwent PRM treatment protocol with suppositories and injections as well. By the end of the series of six injections, she was having painless penetrative intercourse. Her urinary symptoms had resolved and on repeat exam, her qtip test for vulvodynia was negative.