Akasha Physiotherapy

05/04/2026

If your muscle tension keeps coming back no matter what you try—massage, stretching, yoga—you’re not doing anything wrong.
You might just be missing the why.
Tension is often your nervous system’s way of protecting you. And unless that response changes, the relief won’t last.
In this post, I walk through what’s actually happening in your body—and where to start if you want more lasting change.
Read more at the link in bio.
https://www.akashapt.com/blog/why-does-tension-come-back

04/09/2026

If s*x has been painful, you’re not alone—and it’s not something you just have to push through.

A lot of the time, it comes down to two things:
your muscles and your nervous system.

Your body might be tightening to protect you.
And your nervous system might be turning up the volume on pain based on past experiences.

The good news? Both of those things can change.

I wrote a blog post breaking this down in a way that actually makes sense (and doesn’t make you feel broken).

👉 Link in bio if you want to read more.
*x

03/28/2026

First trimester = your body is already changing more than you think 🤍

As your ribs expand and your chest and belly grow, the bras that used to feel fine can start to feel restrictive fast. Choosing something without underwire — like a racerback or criss-cross style — can give you more room to breathe, move, and adapt as things shift.

Bonus: those styles can also gently cue your shoulders back, which helps counter that forward pull so many people feel early in pregnancy.

And let’s be honest…
no bra completely replaces that end-of-day relief 😅

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03/11/2026

Curious about vaginal dilators?

They’re a helpful tool alongside pelvic floor therapy for people experiencing penetrative pain, vaginismus, or pelvic floor tension. Dilators are used gradually to help the body relax and build comfort with insertion over time.

Two popular silicone options are Soul Source and Intimate Rose. They’re both great choices, but we noticed a couple differences when comparing them side by side:

• Soul Source: slightly larger diameter overall (with some exceptions) with more gradual size progression
• Intimate Rose: slightly longer in length

For many people, it simply comes down to personal comfort and preference as these differences are quite small.

Which would you choose?

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03/04/2026

Did you know we offer SoftWave therapy for ED?

Erectile dysfunction is incredibly common, but a lot of men don’t realize there are treatment options that are safe, non-invasive, and medication-free.

SoftWave therapy uses acoustic wave technology to help stimulate blood flow and support the body’s natural healing processes. For many men, improved blood flow can mean better function and improved confidence.

No surgery.
No injections.
No downtime.

If you’ve been dealing with ED, know that you’re not alone—and there are options available.

If you’re curious whether SoftWave therapy could be right for you, we’re happy to answer questions.

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08/26/2025

Join us for the 3rd Annual Long Beach Women & Girls Fair!
A celebration of women, femmes, girls, and community
-Recreation Park - South Entrance, Long Beach
-3pm – 7pm
-Community • Resources • Art • Celebration
✨ Don’t miss the Fierce Women Awards at 6pm!
Hosted by &
# LongBeach

04/04/2024

Taking a break this week from my series on why we do what we do to enjoy Spring Break. I took this photo today on a walk with my kids. We are both taking some time with family and enjoying the beauty and peace of nature this week. What do you do to recharge? When is the last time you’ve done something to care for yourself - something that really fills your soul? That might be art, music, nature, or whatever your unique passion is. This week, take time for you.

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04/10/2023

Great simple video on how to calm daily anxieties and have them work for us instead of against us. Of course, simple isn’t the same thing as easy. But these are still great tools that work - it just takes time to apply them in your life.

Spoiler alert / tldr / tldw: through breath and movement, you can calm your anxieties and start to notice what these feelings are trying to tell you so you can respond calmly and also notice these emotions in others to respond with empathy.

What if you could transform your anxiety into something you can actually use during your work day? Neuroscientist Wendy Suzuki shares two evidence-based activities -- breathing and movement -- that can soothe your nervous system and fuel creativity and connection.

11/06/2022

Sherine and Sarah would like to welcome you to Akasha Physiotherapy, our physical therapy clinic specializing in pelvic, abdominal, and breast physical therapy. We are so excited to be serving individuals in the greater Long Beach community!

09/06/2022

New guidelines from AUA are good news for IC patients, with better guidelines recognizing the contributions of the pelvic floor, and referring patients to pelvic PT. This is a great step forward for treatment of IC!

IC Awareness Daily Fact #3 - New AUA Guidelines state that IC/BPS is NO LONGER considered a bladder disease but rather a pelvic pain syndrome with a clear neuromuscular connection in many patients.

The 2022 new guidelines acknowledge that there are (at least) three distinct patient groups, each with their own treatment priorities, including:

(1) Bladder Centric – Patients who have Hunner’s lesions, pain as the bladder fills with urine or smaller bladder capacity. This can also include patients who have estrogen atrophy (genitourinary syndrome of menopause) and chemo cystitis.

(2)Pelvic Floor Centric – Patients with tight, sensitive pelvic floor muscles.

(3) Chronic Overlapping Pain Conditions – These patients have multiple pain conditions, including: IC, IBS, vulvodynia, fibromyalgia, TMJ and others.

The treatments are no longer listed in six, ordered steps to give doctors the flexibility to provide specific treatments more promptly. For example, they recommend that all patients with tight, sensitive pelvic floor muscles be immediately referred to a pelvic floor physical therapist. Similarly, if Hunner’s lesions are found, they too should be treated immediately rather than waiting several months.

Should you expect your doctor to know about these treatment guidelines? No. Many doctors are unaware of this national standard and/or may be treating IC out of old text books. Please bring a copy of these guidelines with you for your doctor!

Treatment Approach
No single treatment works over time for the majority of patients. Treatment should be tailored to the specific symptoms (phenotype/ subtype) of each patient.

Pain Management is an integral part of IC therapy and should be assessed at every appointment and treated with a variety of therapies.

If a patient is not responding to multiple treatments, the diagnosis of IC/BPS should be reconsidered. If bladder therapies are not effective and/or a patient is getting worse rather than better, the AUA strongly recommends reconsidering the diagnosis. Was something missed? Is another condition present that could be producing pelvic and/or urinary symptoms, such as: endometriosis, fibroid tumors, pelvic congestion syndrome, tarlov cyst, pudendal neuralgia or coccyx injury?

Read more diagnostic and treatment info here. https://tinyurl.com/58tk8h4j