AMA Dr. Ally | How can an endo patient best prepare for surgery?

Published: 25 April 2024
on channel: Pelvic Rehabilitation Medicine™
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Dr. Ally explains how endometriosis patients can best prepare for their endo excision surgery, including desensitizing the pelvic floor and working to reduce overall stress on the body.

Dr. Allyson Shrikhande is a board certified Physical Medicine and Rehabilitation specialist, Chief Medical Officer of Pelvic Rehabilitation Medicine, and an expert in women’s and men’s health and sexual health. A leading expert on pelvic health and a respected researcher, author and lecturer, Dr. Shrikhande is a recognized authority on female and male pelvic pain diagnosis and treatment.

At Pelvic Rehabilitation Medicine™, we believe that the millions of women and men who suffer from pelvic pain should have access to care that provides relief. We don’t believe “a glass of wine will fix it” or that “it’s all in your head”. We will never abandon you – and from leadership to the front office to every pelvic pain specialist you meet, so much of our team has been in your shoes and believes the pelvic pain patient deserves better. This belief is what unifies us all at PRM.

Since 2017, PRM has provided an innovative solution to a health crisis that affects 15% of women and 10% of men. Persistent pelvic pain is often overlooked, untreated, and misguided. At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms.

We offer a proprietary, simple, office-based procedure to treat the symptoms of chronic pelvic pain. The PRM Protocol™ consists of a series of pelvic nerve and muscle treatments to directly target inflammation in the pelvis and nerve pain. Depending on the condition causing your pelvic pain, other modalities may be needed in addition to our treatment.

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So, to best prepare for your endometriosis surgery one I would start with desensitizing the pelvic nerves and the central nervous system and doing PRM's Protocol™ or prehab before surgery. Essentially we say we want to wrap patients up in a nice bow so they're, have less inflammation, less pain, and they'll respond better to their surgery.

and recover faster. Step two is find yourself an endometriosis excision surgeon, someone who is trained in excision surgery. And step three would be, some holistic approaches really with adapting the anti inflammatory diet, getting good sleep, doing mindfulness meditation, as well as working with a pelvic floor physical therapist, pre and post surgery.

And then after surgery, coming into PRM, as well for a post operative check and evaluation of any residual potential pelvic floor issues, pelvic nerve issues, or comorbidity issues such as bowel and bladder.


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