Show Notes
Rachel explains why pelvic PT often calms symptoms for a short period, but rarely resolves chronic pelvic pain long term, because most treatment focuses on the physical response rather than the nervous system state driving the patterns.
This episode validates why relief fades, helps you make sense of the gap, and reinforces that healing is still absolutely possible.
In this episode you’ll hear:
Why pelvic PT isn’t trained to address nervous system drivers
Why tight muscles are a response, not the root cause
Why pain isn’t a reliable guide in chronic symptom rehab
How pelvic PT works best when paired with a mind-body approach
Course Discount Podcast listeners receive fifty dollars off the course with code BEYOND50 before December 3rd, 2025.
Learn more and purchase at: https://thepelvicpaincoach.com/course
Links:
Get Your Free Pain Flare Plan (download): https://thepelvicpaincoach/painflareplan
Instagram: @thepelvicpaincoach
Disclaimer: This podcast is for informational and educational purposes only and is not a substitute for medical advice, diagnosis, or treatment.
More from Heal Your Chronic Pelvic Pain
What can you do when a pain flare is loud, uncomfortable, and not something you can make stop in the moment? A building fire alarm kept going off for two weeks, sometimes during coaching calls and sometimes in the middle of the night. The experience reminded me of what it was like to live with chronic pelvic pain: knowing what was happening didn’t make the sensations disappear, and I couldn’t always change the situation right away. In this episode, I share how I supported myself through those moments, from putting in earbuds so I could keep coaching to noticing the comfort of my bed while I waited for the alarm to turn off. We talk about acknowledging discomfort without pretending it isn’t there, choosing what might support you, and considering whether you want to take a values-aligned action or rest. There’s no right or wrong choice. For me, showing up for the things I cared about, even when my symptoms were intense, supported my sense of agency. Your choice may look different. The invitation is to ask what you need and how you want to spend the time while you wait for the flare to pass. In this episode: Why knowing a symptom is a false alarm doesn’t always make the discomfort go away
If you've ever frozen on the exam table, or spent the drive home replaying everything you wish you'd said, this episode is for you. For so many of us with chronic pelvic pain, gynecologist visits are part of the recovery journey. And they can be really hard, both physically and emotionally. Many providers aren't trained in trauma-informed care or familiar with conditions like vaginismus and vulvodynia, which means it often falls on us to speak up for what we need. In this episode, I'm sharing the things I didn't know I could ask for when I was healing, so you can walk into your next appointment feeling more prepared and a little more in control. In this episode: Why telling your provider about pain with penetration out loud matters (even if it's already on your intake form)
When I was living with chronic pelvic pain, I believed that if I had symptoms, I was suffering. It felt impossible to enjoy my life or loosen my urgency to heal while pain was still there. Because I felt like I was always suffering.
Do you have to quit your job, leave your relationship, move, or completely restructure your life in order to heal?
Even though no one can do the healing work for you, that doesn’t mean you have to do it alone.