How Pelvic Pain Should Be Treated

What to Expect As a PRM Patient

Pelvic pain sufferers are used to not receiving proper care. The burden our patients carry includes not finding relief for symptoms, having consulted multiple doctors over many years, and receiving incorrect diagnoses for their pain. We’re ending this cycle by validating, advocating, and approaching treatment in a multidisciplinary way. Our team wants to hear your story, learn about your symptoms, and provide a treatment plan that aligns with your health and life goals.

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What to Expect at Your New Patient Visit

How it Works

What we offer at PRM is our innovative, first-of-its-kind treatment protocol. This new patient evaluation, or consult, is an explanation of what our treatment is but unlike healthcare experiences you may have had in the past for your pelvic pain – our goal is for you to leave with treatment. We’re not going to bring you back repeatedly with no results.

Our goal is to get you started on your journey to healing and feeling better today. We know from our data that time is what makes this more difficult for our patients and so our goal is to get you started right away.

Step One: You’ll meet with one of our pelvic pain specialists, who focuses solely on pelvic pain. We’ll start by reviewing your full health history, including a discussion of your symptoms. This will help us to understand what you’ve been experiencing, so we can work to identify the source of your pain.
Step Two: Next, we’ll conduct a full pelvic exam. Externally, we will examine your hips, abdomen, and posterior sacrum. Internally, we will evaluate the nerves and the muscles within the pelvic area. This full exam is necessary, as it will help our pelvic pain specialists understand the connection between your symptoms, and your nerve and muscle pain and dysfunction. There is no speculum, so the exam is gentle and more comfortable than that of, for example, gynecological exams you may have experienced in the past.
Step Three: We will discuss our findings with you and come up with a comprehensive treatment plan TOGETHER. We want you to know that your pain is validated and that we are here to work with you on getting you back to the life you deserve

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Step One: This takes place before treatment. Know that your preparation is minimal. Your specialist will have provided you with an anti-inflammatory medication beforehand, a NASID, which you can take 2-3 hours before.

Step Two: The treatment appointment is 30 minutes and it is office-based – it takes about 15 minutes for treatment. Your pelvic pain specialist will use an ultrasound to perform the treatment.

Step Three: After your first treatment, our team will follow up in 24-48 hours to see how you are feeling and if you need any assistance from us.

Step Four: Patients should be aware that the PRM Protocol™ is a series 6 of ultrasound-guided treatments.

What to Expect at Your PRM Protocol™ Treatment Visit

How It Works

At PRM, we want patients to know that pain is never normal. You deserve to be heard and you deserve your pain to be taken seriously and to be healed. Our treatment, The PRM Protocol™, was developed specifically with that in mind. This treatment consists of a series of pelvic nerve and muscle treatments to directly target inflammation in the pelvis and nerve pain.

At your treatment appointment with us (which may even be at your new patient visit!), you can expect to see one of our Pelvic Pain Specialists who focus solely on pelvic pain.

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What to Expect at Your Endometriosis Consult

How It Works

Patients suffering from endometriosis deserve better. It can take up to ten or more years for patients to be diagnosed properly with endometriosis due to a lack of education from healthcare providers, dismissal of symptoms, and receiving incorrect diagnoses and treatments.

Many of the women we treat have endometriosis, so we’re experts in diagnosing and treating the disease through the PRM Protocol™, and the stigma ends with us.

Meet with our Endometriosis Excision Specialist: We start with reviewing your full health history, including a discussion of your symptoms. This is where we go over your medical history and story. This will help us understand what you’ve been experiencing and truly get to know your story.
The Pelvic Exam: Externally, we will look at your hips, abdomen, and posterior sacrum. Internally, we will evaluate the nerves and the muscles within the pelvic area. This full exam is necessary, as it will help us to understand the connection between your symptoms and your nerve and muscle pain and dysfunction. There is no speculum, so the exam is gentle and more comfortable than that of, for example, gynecological exams you may have experienced in the past.
Treatment Planning: We will discuss our findings with you and come up with a comprehensive treatment plan, which may include surgery and non-operative approaches, TOGETHER. We want you to know that your pain is validated and that we are here to work with you on getting you back to the life you deserve.
Surgery: If you are a candidate for excision surgery, our surgical coordinator will be in touch within 48 hours. If you opt for our PRM Protocol™, or prehab before surgery, we will coordinate your care with one of our pelvic pain specialists.

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Endometriosis Excision Surgery with PRM

How It Works

At Pelvic Rehabilitation Medicine, we consider ourselves on the front lines of endometriosis, with 70% of our patient population being female most of whom come to us with symptoms of endometriosis.

We are proud to have world-renowned endometriosis excision surgeons on our team, should endometriosis patients want to have expert excision as part of their care. Once the disease has been excised, management of the disease usually entails the PRM Protocol™, medication therapies, such as medications directed at the nervous system, and lifestyle modifications.

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Step One: Call with Our Surgical Coordinator

We will discuss available surgery dates, physician fees, facility fees, anesthesiologists, and coordinating any other surgeons or members of your care team that are deemed necessary based on your evaluation. This is where we will also schedule your pre-op and post-op appointments. During this phone call, you will also learn more about our complimentary online self-guided courses for endometriosis patients, such as Thriving with Endo and Eating with Endo.

Step Two: Pre-Op

This is typically a week prior to surgery. This is a complimentary visit (no charge). In this appointment, we will review your health history and complete a physical. This is where your surgeon will discuss the surgery in detail with you – when, where, and what to expect. You will also receive a packet at this appointment that gives you insight into post-op steps and what to expect so you can prepare.

Step Three: Surgery Day

Our surgical coordinator will go over when to arrive, where to go, and specifics on how your surgeon would like you to prepare. In general, plan to get a good night’s sleep and let us handle everything.

Step Four: Post-Op

For the first 3 days post-op you will receive calls from your surgeon to check in and see how you feel. We believe at PRM that our patients deserve a white-glove level of care. Six to eight weeks after your surgery, all patients of PRM excision surgeons will follow up with our pelvic pain specialists. We truly believe that endo patients benefit from our unique, office-based approach to pelvic pain and this visit is a step in that journey to ensure patients know their options when it comes to post-hab and ensuring there is no pain post excision.

Pain After Excision Surgery

PRM Treats That Pain

Inflammation and nerve dysfunction typically persist despite Endo Excision of the Endometriosis lesions as it is ingrained in the neuromuscular system of the body. Treating the nerves and muscles themselves directly is the only way to treat it.

At PRM, Our goal is to break the pain cycle that patients are experiencing. We do this by programming the nervous system to return to a non-sensitized state, creating space around the nerves and reducing inflammation. PRM uses a multi-modal approach to treatment that includes treating myofascial pain, neurogenic inflammation, and central sensitization, essentially breaking the pain cycle. Our treatment protocol is an approach aimed at the multiple facets that contribute to pelvic pain.

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How Pelvic Pain Should Be Treated

What to Expect As a PRM Patient

What to Expect at Your New Patient Visit

How it Works

Step One: This takes place before treatment. Know that your preparation is minimal. Your specialist will have provided you with an anti-inflammatory medication beforehand, a NASID, which you can take 2-3 hours before.

Step Two: The treatment appointment is 30 minutes and it is office-based – it takes about 15 minutes for treatment. Your pelvic pain specialist will use an ultrasound to perform the treatment.

Step Three: After your first treatment, our team will follow up in 24-48 hours to see how you are feeling and if you need any assistance from us.

Step Four: Patients should be aware that the PRM Protocol™ is a series 6 of ultrasound-guided treatments.

What to Expect at Your PRM Protocol™ Treatment Visit

How It Works

What to Expect at Your Endometriosis Consult

How It Works

Endometriosis Excision Surgery with PRM

How It Works

PRM Protocol™

Treatment With PRM

Pain After Excision Surgery

PRM Treats That Pain

Access to Care for Pelvic Pain Patients

We Provide In-Network & Out-of-Network Options for Patients

The Only Way to Treat Pelvic Pain is Here