Welcome to The Trauma Safe Lab! In this episode, host Jennifer Nanda sits down with physical therapist Dr. Neeraja Suryawanshi for a powerful conversation about breaking the silence around pelvic floor health. Together, they explore the essentials of trauma-informed pelvic floor therapy, a holistic approach that addresses not only physical pain, but also the emotional and psychological aspects intertwined with chronic issues like incontinence, constipation, sexual dysfunction, and post-surgical complications. Dr. Neeraja Suryawanshi shares her journey from orthopedic physical therapy to establishing her own practice focused on pelvic and chronic pain, as well as her passion for making this type of care accessible and empowering for all people, regardless of gender, age, or trauma history.
Listen in as they discuss the interconnectedness of mind and body, the importance of patient-centered care, the misconceptions around pelvic floor therapy, and how anyone with a pelvis can benefit. Whether you or a loved one struggle with pelvic floor dysfunction, or you’re curious about how trauma and the body are related, this episode will offer validation, practical information, and inspiration for healing.
Timestamps:
00:00 Pelvic floor health discussion
05:38 Discovering pelvic floor therapy
07:17 Pelvic floor therapy discussion
12:27 Discovering pelvic floor therapy benefits
16:32 Discussing patient assessment process
18:50 Discussing pelvic health appointments
22:46 Personal and clinical trauma experience
24:41 Supporting patients' emotional well-being
29:21 Telehealth in pelvic physical therapy
30:14 Supporting early postpartum moms
33:54 Educating patients on recovery
38:08 Pelvic pain management strategies
40:25 Discussing personal comfort with language
44:25 Kegel exercise techniques and tips
47:38 Reassuring words about pelvic therapy
50:08 Contact info and consultation options
Breaking the Silence: Trauma-Informed Pelvic Floor Therapy Insights from The Trauma Safe Lab Podcast
Are you curious about trauma-informed pelvic floor therapy and how it can empower healing for people of all ages and genders? The Trauma Safe Lab podcast recently featured a compelling conversation between physical therapist Dr. Neeraja Suryawanshi and host Jennifer Nanda, shedding light on this often misunderstood aspect of wellness. Here are the key takeaways and expert insights from their discussion.
What is Pelvic Floor Therapy and Who Needs It?
Dr. Neeraja Suryawanshi began her career as an orthopedic physical therapist and soon noticed a recurring pattern in patients with chronic pain, especially lower back issues or post-surgical symptoms. Many cases had unresolved symptoms that seemed tied to pelvic floor dysfunction. Contrary to popular belief, pelvic floor therapy is not just for postpartum women or those who have given birth; it is for anyone with a pelvis, regardless of gender or age.
The pelvic floor consists of muscles at the base of the pelvis supporting vital organs such as the bladder, bowels, and reproductive organs. If these muscles become too weak, too tight, or uncoordinated, issues like incontinence, constipation, pain during intimacy, and even chronic lower back pain can arise. As Dr. Neeraja emphasized, pelvic floor therapy is relevant to everyone, including children facing constipation or bedwetting.
A Holistic, Trauma-Informed Approach
One of the most eye-opening parts of the podcast was how Dr. Neeraja described a truly holistic and trauma-informed approach to pelvic health. She explained that every new patient’s evaluation includes a detailed history, covering not only medical complaints but also lifestyle, diet, stress levels, sleep quality, and past traumas. She believes in treating the whole person by considering the biopsychosocial aspect of health, recognizing that emotional and physical traumas are often deeply intertwined with pelvic floor dysfunction.
During assessments, Dr. Neeraja educates patients about their anatomy using models, then discusses and offers both external and internal muscle assessments, always with full patient consent. She stresses the importance of building trust and empowering patients to participate in every step of their care.
Myths and Misconceptions About Pelvic Floor Therapy
Many people believe pelvic floor therapy is just about doing kegels exercises, but as Dr. Neeraja explained, it is much more comprehensive. Kegels are not suitable for everyone; sometimes, strengthening is needed, while for others, the focus should be on relaxation, breathing, or muscle coordination.
Another common misconception is that pelvic floor therapy is only for postpartum women. In reality, everyone can benefit, including men and children. The therapy can address constipation, bladder issues, pain during intimacy, post-surgical recovery, and much more.
The Role of Manual Therapy and Lifestyle Modifications
Beyond traditional exercises, Dr. Neeraja uses manual therapy techniques such as soft tissue and visceral mobilization. For example, after surgeries like C-sections or hysterectomies, scar tissue may restrict the movement of organs in the pelvic region, and specific manual techniques can help release these restrictions and improve overall function.
She also empowers patients with education and lifestyle modifications. Simple changes like better hydration, proper toileting posture, mindfulness, and basic exercises can lead to significant improvements. Progress is measured by patient-reported outcomes, such as sleeping through the night without needing to urinate or experiencing pain-free bowel movements.
Breaking the Stigma Around Pelvic Health
Jennifer Nanda shared her own journey, highlighting the vulnerability and stigma many feel in discussing pelvic health, especially for those with a history of trauma. Dr. Neeraja reassured listeners that feeling nervous or hesitant is normal, and that pelvic floor therapy is conducted gently, respectfully, and at the patient’s comfort level.
Healing and a good quality of life are possible for anyone experiencing pelvic symptoms, no matter how long they have suffered. Dr. Neeraja encourages patients to listen to their bodies, seek help early, and know that they are not alone.
Final Thoughts and Resources
Pelvic floor therapy is an accessible, holistic resource for healing and empowerment. If you have symptoms like incontinence, constipation, or pelvic discomfort, or you are recovering from trauma or surgery, consider reaching out to a trauma-informed pelvic health professional.
For more tips, Dr. Neeraja advises incorporating mindful breathing, staying active, and prioritizing self-care. Education and advocacy are key to breaking the silence and stigma around pelvic health.
To connect with Dr. Neeraja Suryawanshi or learn more, visit her Instagram page, Pelvic Floor Rehab, or look for her new website soon.
By sharing stories and spreading awareness, we can help make trauma-informed pelvic care accessible to all. Listen to the full episode of The Trauma Safe Lab for a deeper dive into these vital topics.
Show Website - https://traumasafelab.com/
Jennifer Nanda - LinkedIn - https://www.linkedin.com/in/evansjen/
Media Partner - TopHealth - https://tophealth.care/
“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”