Restore Pelvic Therapy

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San Diego, CA
Restore Pelvic Therapy

Pelvic floor PT treating men & women with bowel, bladder, sexual dysfunction and pain.

09/10/2026

I almost never ever ever think kegels are appropriate during pregnancy.

Raaaarely are straight “kegels” someone’s homework- for any symptom or diagnosis.

Even more rarely are they helpful during pregnancy I’ve had two patients EVER- doing “kegels” while pregnant (and they were profoundly weak with complete incontinence).

Most of the time, it’s quite the opposite. MOST people’s pelvic floor is tight and overactive during pregnancy.

Often, people will call to start pelvic therapy while pregnant, and their goal is to “strengthen the pelvic floor for birth”…

The job of the pelvic floor during labor and birth is to relax and ~get out of the way~. Kegels make the pelvic floor tighter. They make the pelvic floor less mobile and therefore make it harder for the pelvic floor muscles, especially posteriorly, to relax and lengthen to help get that head out.

So PLEASE, stop doing kegels during pregnancy✨

AND have a pelvic PT assess your pelvic floor multiple times throughout your pregnancy- as things are constantly changing😘

09/09/2026

I’m hosting another endometriosis support group for San Diego. All are welcome!

💛Come for community.

✨Chat with people that get it.

🌼Meet people that are going through what you are.

🔅Join if you want tips from someone who has been there.

⭐️Or to just know other people that are doing life with endo.

We’ll make this group together. To be what YOU want and need💛

{I’m bringing craft supplies and snacks- so please rsvp😁}

09/08/2026

Endometriosis doesn’t always show up as the stereotypical “horrible period cramps.” Sometimes, it looks a lot like a gut problem🫠

Honestly, if I have a female patient present with ANY unexplained bowel issues- I’m questioning endo, almost immediately.

OFTEN I am able to recognize endometriosis in people when they present with IBS like symptoms, including:

💛Chronic constipation- not going for 3-5 business days, struggling to go, feeling backed up, or never feeling fully empty.

💛The constipation to diarrhea rollercoaster- sometimes people will experience BOTH, and go back & forth between each.

💛Bloating- can often be a side effect of endo. Possibly from the inflammation, GI/systemic sensitivity, constipation & back up, pressure change in the bowels, MCAS, SIBO (there’s also research on potential “seizure like activity in the intestines”). All of these things can make endometriosis look a lot like simply ~bloating~.

If your “IBS” symptoms are UNEXPLAINED, cyclical, worsen around ovulation or your period, come with significant abdomen/ pelvic/ bu****le pain, you have painful bowel movements (in the abdomen or bu****le), or just never seem to fully make sense, it may be worth bringing up endometriosis.
 Maybe it’s IBS, but sometimes it’s endometriosis 🫶

08/27/2026

This is the least common presentation that I see in my clinic. It happens, but I think most of the time this is caught after the person is diagnosed based on other more common symptoms. Once the person starts investigating everything else they’re struggling with, they may find this.
**from my experience

08/25/2026

Ok no one actually calls it “reproductive organ endo” but I HAVE to talk about this presentation.

People with these symptoms are the most likely to get diagnosed by a gynecologist. These are the “classic” symptoms.

Often people with this type of presentation WILL HAVE endo on other areas but they won’t even have made the correlation that those symptoms are their endo as well.

Often patients with this, will be out on birth control EaRlY (like first few periods) so they may not know they have endo until later in life (often when they get off birth control).

Questions? Did I miss anything?

08/28/2025

I mean, I had to✨🤍

06/19/2025

✨Stage does NOT always equal the severity of symptoms.✨

And THIS MATTERS!!!!

This is true for MANY things in pelvic therapy. Endometriosis. Prolapse. Strength and diastasis.

However, today I’m talking about endometriosis…

So why does it matter?

Because some people may say their symptoms aren’t that bad and putt of treatments or surgeries. They may brush off managing their endometriosis because it’s “not that bad”. But the thing is it may not FEEL that bad but be extensive. It may not feel “that bad” but is still growing and affecting your fertility. If you think you may ever want to get pregnant, this matters.

The other thing is, I don’t want people to feel like they aren’t justified in having surgery, just because it isn’t the latest stage of endo. You prevented it from worsening and brought down symptoms, pain, and inflammation. That matters. It sets you up for success in the future.

Do you have questions? Reach out!💌

06/17/2025

There are 4️⃣ stages of endometriosis.

Endo stages are given by assigning points according to characteristics of the disease, given during surgery.

The Stages:
💥Stage 1 or minimal (5 points or less). There are a few small adhesions with minimal to no scar tissue.

💥Stage 2 or mild (6 to 15 points). There are more and deeper adhesions than in stage 1. Possible scar tissue but not active inflammation.

💥Stage 3 or moderate (16 to 40 points). There are many deep implants, with cysts in at least one o***y, and filmy adhesions.

💥Stage 4 or severe (41 points and higher). This is the most widespread with many deep implants, many dense adhesions, and large cysts on one or both ovaries.

🔥 BUT here’s the plot twist: your stage does NOT always match the severity of symptoms. Stage 1 can feel like Stage 4 and vice versa. Any stage can affect fertility. Pain is pain, and you deserve care no matter your stage. Staging = surgical findings, NOT symptom severity.

06/13/2025

According to the WHO (World Health Organization), endometriosis occurs in 10% of women and people with a uterus, of reproductive age. This is referring to people that are DIAGNOSED with endometriosis. However, we KNOW a large percent of the population lives with it and goes undiagnosed. I expect this statistic would be much larger if it were accurate. A very large portion of my patients have endo and I’m seeing it in younger people, than what we typically see represented in research.

Endometriosis is so often misdiagnosed. People are often simply told they “have bad periods and should get on birth control”. Many people with endo are given GI diagnoses (like IBS, SIBO, or slow transit), bladder diagnoses (IC or just recurrent UTIs), and some people are given slightly more accurate pelvic pain diagnoses (like vestibuladynia or vulvadynia). Sure, they may have these things, but they may also have endometriosis OR they may just be presenting with these diagnoses due to the global inflammation.

If you feel like you aren’t being heard, or are given diagnoses that just don’t ~feel right~, keep searching! Find a doctor that will listen and investigate.

06/11/2025

Endometriosis is more than just “bad periods”. This belief is one of MANY reasons it goes undiagnosed (or even misdiagnosed) for so long. It’s a chronic inflammatory condition which responds to estrogen. Due to where it can occur in the body and this inflammation, it can affect many body “systems” and cause various symptoms.

MANY doctors think of it as “painful periods”. Some more informed, may think of it when someone has fertility issues- but it is SO much more than those things.

THESE ARE TYPICAL SYMPTOMS I SEE IN THE CLINIC:
-Chronic internal pelvic or abdominal pain
-Chronic constipation
-Painful periods or heavy cramping (some people say “like you’re missing school or work” but not everyone has that privilege or ability despite the pain)
-Pain during intimacy
-Painful pap smears or inability to insert a tampon
-Painful bowel movements or urination
-Pain with the ~urge~ to go p*e or p**p
-Difficulty emptying p**p
-GI symptoms: Bloating, diarrhea, constipation, nausea, or abdominal discomfort
-Infertility
-Irregular menstrual cycles
-Low back or leg pain (can present with sciatic nerve pain)
-Abdominal pain with exercise or physical activity
-Painful bladder syndrome/interstitial cystitis (IC)
-Fatigue or brain fog

**ALL of these should say MAY be worse around ovulation or menstruation- because it often STARTS cyclical but eventually if left untreated becomes constant

It’s important to note that endometriosis symptoms vary widely among people, and most people have some cOmBiNaTiOn of them. Some people may have silent endo, and not notice ANY of these symptoms. If you suspect you may have endometriosis or are experiencing any of these symptoms, it’s important to consult with a qualified healthcare provider for an accurate diagnosis and appropriate management✨🤍

Address

2667 Camino Del Rio South, STE 313
San Diego, CA
92108

Website

https://www.restoretherapysd.com/

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