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Pilates: How It Can Be Affecting Your Pelvic Floor
Pilates is often praised as one of the “best” forms of exercise for core strength, posture, and body awareness. For many people, it can be incredibly beneficial. And yet, at Auria Pelvic Health, we’re seeing a growing number of patients whose pelvic floor symptoms are being driven—or worsened—by how they’re doing Pilates. This doesn’t mean Pilates is bad. It means that without proper pelvic floor coordination and pressure management, even well-intentioned exercise can create
Dr. Sasha Speer, PT, DPT
17 hours ago3 min read


Online Exercises vs. Real Care: What Your Pelvic Floor Really Needs
In a world of endless online workouts, reels, and “do this one exercise” solutions, it’s understandable to wonder: Can I really fix my pelvic floor on my own ? Online exercises can be helpful for awareness and education—but when it comes to pelvic floor health, they are not the same as individualized, skilled care. And in some cases, they can actually reinforce the very patterns causing pain, leaking, or dysfunction in the first place. At Auria Pelvic Health, we often see peo
Dr. Sasha Speer, PT, DPT
Apr 93 min read


The Foot–Pelvis Connection: Treating Plantar Fasciitis Differently
Plantar fasciitis is one of the most common—and most stubborn—causes of foot pain. Many people are told the solution lives entirely in the foot: stretch more, strengthen the arch, wear orthotics, get injections, or consider surgery. And yet, for many, the pain keeps coming back. That’s because plantar fasciitis isn’t always a local foot issue. In many cases, it’s the end point of a problem that starts much higher up—often in the pelvis and nervous system. At Auria Pelvic Heal
Dr. Sasha Speer, PT, DPT
Apr 23 min read


Finding Relief: How Pelvic PT Can Help Complex Back Pain
Back pain is one of the most common reasons people seek physical therapy—and for many, it’s also one of the most frustrating. You may have tried traditional orthopedic physical therapy, chiropractic care, massage, injections, or exercise programs, only to find that relief is partial, temporary, or nonexistent. This is often because complex back pain isn’t just a “back” problem. At Auria Pelvic Health, we specialize in identifying and treating the missing pieces of back pain—e
Dr. Sasha Speer, PT, DPT
Mar 263 min read


Recurrent UTI but Always Negative? It Could Be a Tight Pelvic Floor
Burning. Urgency. Pressure. That constant feeling that you need to pee—again. You get tested for a UTI. The test comes back negative. Still, the symptoms feel exactly the same. So you’re told, “Let’s just treat it to be safe.” Another round of antibiotics. Temporary relief—or none at all. And the cycle continues. If this sounds familiar, you’re not alone—and you’re not imagining it. This is far more common than people realize, and one of the most overlooked causes is a tight
Dr. Sasha Speer, PT, DPT
Mar 193 min read


Sensory Triggers, the Nervous System, and Your Pelvic Floor
Your nervous system is your body’s control center, always scanning your environment for signals of safety or danger. When it senses stress, trauma, pain, or tension, it quickly shifts your body into a state of high alert. This “fight, flight, or freeze” response can be life-saving in true emergencies—but in everyday life, it may lead to patterns of chronic stress. One of the most common areas affected? Your pelvic floor. How the Nervous System Affects the Pelvic Floor The pe
Romina Lynn Reyes, MOST, OTR/L
Mar 53 min read


Supporting Your Body for Birth: Pelvic Floor Therapy Benefits Every Mom-to-Be
Pregnancy is a season of incredible change. While some discomfort can be part of that journey, the goal isn’t to “survive” pregnancy—it’s to only feel pregnant - not also in pain, leaking, or limited in your daily life. Pelvic floor physical therapy offers proactive, evidence-based support to help expecting mothers feel stronger, more comfortable, and more confident throughout pregnancy and into birth. At Auria Pelvic Health, we view prenatal care as an opportunity to optimiz
Dr. Sasha Speer, PT, DPT
Feb 263 min read


Pain with Intimacy? Let’s Talk About the Kiwi
You’re Not Alone—And You’re Not Broken If intimacy has ever been uncomfortable, painful, or filled with tension—you’re not alone. At Auria Pelvic Health, we work with countless women and individuals who experience pain with penetration, burning sensations, or a sense of “tightness” that makes intimacy stressful instead of enjoyable. The truth? Pain with intimacy isn’t “in your head.” It’s your body’s way of saying: “I don’t feel safe yet.” And that’s where gentle, guided pelv
Dr. Sasha Speer, PT, DPT
Feb 193 min read


Proprioception: Your “Sixth Sense” and the Pelvic Floor
You may have heard of the five senses—sight, hearing, taste, touch, and smell. But did you know your body has another important sense that often goes unnoticed? It’s called proprioception , and it plays a vital role in how you move, balance, and connect with your body every single day. What Is Proprioception? Often called the sixth sense, proprioception is your body’s ability to know where it is in space. Thanks to proprioceptors—tiny sensors in your muscles, joints, ligament
Romina Lynn Reyes, MOST, OTR/L
Feb 123 min read


Trainer Tips: Spotting Signs Your Client May Need Pelvic PT
Why Pelvic Health Matters in the Fitness Space As a coach or trainer, you’re not just helping clients get stronger—you’re helping them move with confidence, safety, and body awareness. The pelvic floor is a foundational part of core stability, breathing mechanics, and movement efficiency. When it’s not functioning properly, everything from squats to breathing patterns can be affected—and your client may be silently struggling with symptoms they don’t know are connected. Tha
Dr. Sasha Speer, PT, DPT
Feb 53 min read


Let’s Talk Pelvic Dilators: A Key Tool for Recovery
Breaking the Stigma Around Pelvic Dilators Let’s face it—pelvic dilators are one of the most misunderstood tools in women’s health. Many people associate them with pain or discomfort, when in reality, they’re a gentle, effective way to restore comfort, confidence, and mobility in your pelvic floor. At Auria Pelvic Health, we see dilators as just one piece of a larger healing puzzle—helping patients reconnect with their bodies and release tension after pain, trauma, surgery, o
Dr. Sasha Speer, PT, DPT
Jan 223 min read


Neurodivergence and Pelvic Pain
At Auria Pelvic Health, we believe that every body deserves compassionate, personalized care. For individuals who are neurodivergent—including those with ADHD, autism, learning differences, or other neurological variations—pelvic pain and related health challenges are unfortunately very common, yet too often overlooked. This blog explores what neurodivergence is, why it may be linked with pelvic pain, and how supportive, sensory-safe care can make a difference. What Is Neurod
Romina Lynn Reyes, MOST, OTR/L
Jan 153 min read


Healing From the Core: How Pelvic Floor Therapy Supports Gut Health & SIBO Recovery
Your Gut Health Starts at the Core If you’ve struggled with bloating, constipation, or SIBO (Small Intestinal Bacterial Overgrowth), you’ve probably tried diet changes, supplements, or antibiotics. But have you ever considered your pelvic floor as part of the problem—or the solution? At Auria Pelvic Health , we specialize in helping patients heal from the inside out. The pelvic floor isn’t just about bladder control or postpartum recovery—it’s a vital part of your gut-brai
Dr. Sasha Speer, PT, DPT
Jan 82 min read


Emotional Regulation as a Mother
What Is Emotional Regulation? Emotional regulation is the ability to manage and respond to your feelings in a healthy way. Think of it as your internal control system for emotions. For new mothers, this “emotional thermostat” can sometimes go haywire—especially with the demands of caring for a newborn, juggling errands, sleep deprivation, and sheer exhaustion. When we face stress, our nervous system often shifts into a fight-or-flight response. While helpful in moments of dan
Romina Lynn Reyes, MOST, OTR/L
Nov 27, 20252 min read


Self-Care as a New Mom
Becoming a mother is a beautiful, life-changing experience—but it can also be one of the most exhausting and overwhelming transitions you’ll ever go through. Between sleepless nights, feeding schedules, and adjusting to your baby’s needs, it can feel like there’s hardly any time left for yourself. Many new mothers find the return to their “previous routines” nearly impossible. Balancing personal responsibilities with the demands of caring for a newborn can lead to stress, fru
Romina Lynn Reyes, MOST, OTR/L
Oct 23, 20252 min read


Low Back Pain & Pelvic Floor Dysfunction: What’s the Connection?
Low back pain is one of the most common issues people face—and it’s no surprise why. Long hours sitting, lifting children, strenuous workouts, or the physical changes of pregnancy and postpartum can all strain the spine. But did you know your pelvic floor might be a hidden contributor to your low back pain? In this post, we’ll explain the link between low back pain and pelvic floor dysfunction, why traditional treatments often miss the root cause, and how specialized pelvic h
Dr. Sasha Speer, PT, DPT
Oct 16, 20252 min read


Calming the Nervous System Through Pelvic Floor Physical Therapy
At Auria Pelvic Health, we often talk about something called neurological up-regulation —but what does that really mean, and why should you care? Let’s break it down. Your Nervous System: The Body’s Control Center Your nervous system is constantly working behind the scenes, scanning for signs of safety or danger. When it senses stress—whether from physical pain, emotional trauma, or chronic tension—it can switch into a “high alert” mode. This is known as up-regulation . When
Dr. Sasha Speer, PT, DPT
Oct 9, 20252 min read


Returning to Exercise Postpartum: How to Do It Safely and Confidently
Bringing new life into the world is one of the most powerful things your body can do. But when it comes time to return to exercise after giving birth, many people aren’t sure where to begin—or how to do it safely. At Auria Pelvic Health, our mission is to help you rebuild strength from the inside out , so you can move with confidence, avoid injury, and feel like yourself again. Whether you’re weeks or months postpartum, here’s what you need to know before jumping back into w
Dr. Sasha Speer, PT, DPT
Sep 25, 20253 min read


How Prolapse Relates to Hip, Back, or Tailbone Pain
If you’ve ever been told you have prolapse—or you’re wondering if that pressure, heaviness, or “falling out” feeling could be related—there’s something you should know: Pelvic organ prolapse doesn’t just affect the pelvic floor. It can also show up as hip, low back, or tailbone pain. We often hear patients say, “I thought my back pain was just from posture or lifting my toddler funny. I had no idea it could be connected to my prolapse.” Let’s break it down so you can understa
Dr. Sasha Speer, PT, DPT
Sep 18, 20254 min read


Why Even Elite Athletes Leak: The Hidden Weakness in Strong Bodies
You can deadlift twice your body weight, crush a HIIT class, or run marathons—and still find yourself leaking when you sneeze, jump, or laugh. Sound familiar? You’re not alone. Urinary leakage doesn’t just affect postpartum moms or older adults. At Auria, we work with elite and high-performing athletes—people who train hard, eat clean, and live in strong, capable bodies—who are baffled (and often embarrassed) by pelvic floor symptoms. Here’s the truth: leaking isn’t about we
Dr. Sasha Speer, PT, DPT
Sep 11, 20253 min read
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