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;Aparna Rajagopal, PT, MHS is the lead therapist at Henry Ford Macomb Hospital's pelvic dysfunction program, where she treats pelvic rehab patients and consults with the sports therapy team. Her interests in treating peripartum patients and athletes allowed her to recognize the role that breathing plays in pelvic dysfunction. She has co-authored the course, "Breathing and the Diaphragm: Pelvic and Orthopedic Therapists", which helps clinicians understand breathing mechanics and their relationship to the pelvic floor.

A few months ago a young woman with a diagnosis of dyspareunia was referred to me. She had been a gymnast through her teens and now worked out regularly. She reported being unable to use tampons throughout her life, experiencing difficulty with undergoing pelvic examinations, and inability to have intercourse with her partner all through her married years. She also had a history of long-standing constipation and urinary symptoms including increased voiding frequency and the feeling of incomplete emptying.

Her examination included significant overactivity of her abdominals. A very chest dominant pattern of breathing with very limited lower lateral costal expansion, limitations in thoracic mobility, a fairly rigid rib cage with a very narrow infra sternal angle, connective tissue restrictions of the abdominal, pelvic areas, decreased flexibility of her hamstrings, and weakness of her Glut Max muscles. There was significant guarding and an internal assessment of pelvic floor muscles was not performed initially due to associated discomfort.

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Aparna Rajagopal, PT, MHS is the lead therapist at Henry Ford Macomb Hospital's pelvic dysfunction program, where she treats pelvic rehab patients and consults with the sports therapy team. Her interests in treating peripartum patients and athletes allowed her to recognize the role that breathing plays in pelvic dysfunction. She has just joined the Herman & Wallace faculty and co-authored the new course, "Breathing and the Diaphragm: Pelvic and Orthopedic Therapists", which helps clinicians understand breathing mechanics and their relationship to the pelvic floor.
Aparna was kind enough to introduce herself to us here on The Pelvic Rehab Report.

Thank you for your time Aparna! To start, tell us a little bit about yourself.
My name is Aparna. I’ve been a physical therapist for 22 years. About 16 years ago I switched focus from orthopedics to treating pregnancy and postpartum patients and that’s where my initial interest in pelvic care started. In 2006 following my pregnancy and birth of my daughter, my interest in pelvic care grew with my special interest becoming pelvic pain.

I teach and mentor the pelvic health therapists within the fairly large hospital system that I work at and collaborate with our spine center team and our sports team.

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Upcoming Continuing Education Courses

Nutrition Perspectives for the Pelvic Rehab Therapist - Remote Course

Oct 23, 2021 - Oct 24, 2021
Location: Replacement Remote Course

Pelvic Floor Capstone - Self-Hosted (SOLD OUT)

Oct 23, 2021 - Oct 24, 2021
Location: Self-Hosted Course

Pelvic Floor Capstone - Fort Smith, AR Satellite Location (CANCELLED)

Oct 23, 2021 - Oct 24, 2021
Location: Arkansas Colleges of Heatlh Education

Pelvic Floor Capstone - Torrance, CA Satellite Location

Oct 23, 2021 - Oct 24, 2021
Location: Women's Advantage Inc

Pelvic Floor Capstone - Grand Haven, MI Satellite Location

Oct 23, 2021 - Oct 24, 2021
Location: Ivy Rehab Physical Therapy

Pelvic Floor Capstone - Lisle, IL Satellite Location

Oct 23, 2021 - Oct 24, 2021
Location: Ivy Rehab Physical Therapy

Pelvic Floor Capstone - Little Rock, AR Satellite Location

Oct 23, 2021 - Oct 24, 2021
Location: Core Pelvic Physical Therapy

Pelvic Floor Capstone - Madison Heights, MI Satellite Location

Oct 23, 2021 - Oct 24, 2021
Location: Team Rehabilitation Physical Therapy

Pelvic Floor Capstone - Richmond, VA Satellite Location

Oct 23, 2021 - Oct 24, 2021
Location: Pivot Physical Therapy

Acupressure for Optimal Pelvic Health - Remote Course

Oct 23, 2021 - Oct 24, 2021
Location: Replacement Remote Course

Pelvic Floor Capstone - Smyrna, TN Satellite Location

Oct 23, 2021 - Oct 24, 2021
Location: Benchmark Physical Therapy - Smyrna, TN

Pelvic Floor Level 1 - Self-Hosted (SOLD OUT)

Oct 23, 2021 - Oct 24, 2021
Location: Self-Hosted Course

Pelvic Floor Capstone - Niles, IL Satellite Location

Oct 23, 2021 - Oct 24, 2021
Location: Advocate Lutheran General Rehabilitation

Pelvic Floor Capstone - Laredo, TX Satellite Location (CANCELED)

Oct 23, 2021 - Oct 24, 2021
Location: Ruth B Cowl

Pelvic Floor Capstone - New York City, NY Satellite Location

Oct 23, 2021 - Oct 24, 2021
Location: KNOSIS Center for Physiotherapy & Wellness

Pelvic Floor Capstone - Bedford, TX Satellite Location

Oct 23, 2021 - Oct 24, 2021
Location: Beyond Therapy and Wellness PLLC

Breathing and the Diaphragm: Orthopedic Therapists - Remote Course

Oct 23, 2021 - Oct 24, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Laguna Niguel, CA Satellite Location (SOLD OUT)

Oct 23, 2021 - Oct 24, 2021
Location: Rausch Physical Therapy

Pelvic Floor Level 1 - Virginia Beach, VA Satellite Location (SOLD OUT)

Oct 23, 2021 - Oct 24, 2021
Location: Southeastern Physical Therapy

Pelvic Floor Level 1 - Troy, NY Satellite Location

Oct 23, 2021 - Oct 24, 2021
Location: The Green Room Physical Therapy

Pelvic Floor Level 1 - Elkhorn, NE Satellite Location (SOLD OUT)

Oct 23, 2021 - Oct 24, 2021
Location: Midwest Movement

Pelvic Floor Level 1 - Sandy, OR Satellite Location (SOLD OUT)

Oct 23, 2021 - Oct 24, 2021
Location: Ascent Physical Therapy

Pelvic Floor Capstone - Self-Hosted

Oct 23, 2021 - Oct 24, 2021
Location: Self-Hosted Course

Pelvic Floor Level 1 - Birmingham, AL Satellite Location (SOLD OUT)

Oct 23, 2021 - Oct 24, 2021
Location: TherapySouth

Pelvic Floor Level 1 - Self-Hosted

Oct 23, 2021 - Oct 24, 2021
Location: Self-Hosted Course

Pelvic Floor Level 2B - Marietta, GA Satellite Course

Nov 6, 2021 - Nov 7, 2021
Location: Southern Pelvic Health

Pelvic Floor Level 2B - Self-Hosted

Nov 6, 2021 - Nov 7, 2021
Location: Self-Hosted Course

Pelvic Floor Level 2B - West Hills, CA Satellite Course (SOLD OUT)

Nov 6, 2021 - Nov 7, 2021
Location: Touch of Life PT

Osteoporosis Management - Remote Course

Nov 6, 2021 - Nov 7, 2021
Location: Replacement Remote Course