Pelvic Floor Exercises for Pain Management + Q&A

Name: Pelvic Floor Exercises for Pain Management + Q&A
Brand: Lake City Physical Therapy
Price: 39.00 USD
Availability: InStock

Sound Familiar?

Pelvic Pain Is Exhausting — And You Deserve Answers

If you've been dismissed, misdiagnosed, or told to "just relax" — you're not alone. Here's what living with chronic pelvic pain actually looks like:

"Everything looks normal"

Your imaging is clean, your labs are fine — but you're still in pain every day. You know something is wrong, and you need someone who understands musculoskeletal and neuropathic pain patterns.

The fear avoidance cycle

Pain makes you afraid to move. Not moving makes the pain worse. The fear avoidance cycle digs deeper grooves in your brain and keeps you stuck in chronic pain.

Activities you used to enjoy

Sitting, exercising, intimacy, even walking — things that used to be effortless now bring dread. You've started organizing your life around avoiding pain.

It doesn't go away on its own

Chronic pelvic pain rewires your nervous system. Without targeted intervention — calming the nerves, restoring mobility, retraining pain patterns — the pain deepens over time.

A Different Approach — And It Works

Pelvic pain is not just a muscle problem. It's a nervous system problem, a mobility problem, and a pain science problem. This class teaches you how to down-regulate your fight-or-flight response, restore nerve and fascial mobility, and retrain the chronic pain patterns that keep your body stuck.

The clinical approach: Down-regulate the autonomic nervous system, restore nerve mobility within fascial sheaths, stretch and release tight pelvic floor muscles, and give your brain new, non-painful movement experiences to break the chronic pain cycle.

What's Inside

The Complete Pelvic Pain Management Class

From understanding pain science to hands-on exercises and tools — plus a live Q&A covering pain during sex, neuropathic patterns, and when to seek further evaluation.

Understanding Pelvic Pain

Learn what pelvic pain actually is — pain within the underwear line, pudendal nerve involvement, and how pain radiates from the spine, hips, and abdomen into the pelvic floor.

Pudendal nerve
Pain referral patterns
Spinal connection

The Autonomic Nervous System

Understand how fight-or-flight upregulates pain, why stress tightens your pelvic floor first, and the EMG research showing your floor contracts before your upper traps in a fear response.

Fight or flight
Rest and digest
Stress response

Pain Science Education

Pain is sensory, emotional, and experiential. Learn how chronic pain creates deep grooves in the brain, the fear avoidance cycle, and the research showing how existing pain patterns absorb new noxious stimuli.

Fear avoidance
Brain retraining
Pain pathways

Nerve Mobility & Fascial Health

Nerves must slide freely inside fascial sheaths. Scar tissue, adhesions, and surgical changes restrict mobility. Learn the visceral container concept and why organs must be pliable and mobile.

Fascial sheaths
Scar tissue
Visceral mobility

Breathing & Nervous System Reset

Master diaphragmatic breathing (inhale 5 / hold 5 / exhale 7), rib expansion techniques, the oximeter self-test for autonomic regulation, and the 2-minute nervous system reset.

Diaphragmatic breathing
Rib expansion
2-minute reset

Spine Mobility Exercises

Flexion, extension, rotation, press-ups, and side bending — the spine mobility exercises that decompress nerves in the lumbosacral and thoracic regions feeding the pelvic floor.

Nerve decompression
Lumbosacral spine
Thoracic mobility

Pelvic Floor Stretching Program

A complete stretching sequence: propped position stretches, adductor butterfly, knee to chest with nerve mobilization, hamstring/sciatic stretch, piriformis crossover, double knee rotation, wide leg stretch, and QL sidewall release.

Adductor stretch
Piriformis release
QL sidewall

Tools for Pain Management

Hands-on instruction for electrical stimulation (TENS), vibration therapy, heating pad use, towel/ball trigger point work, M-Pelvic device, and red light therapy for tissue healing.

TENS / E-stim
Red light therapy
Trigger point tools

Q&A

Pain During Sex & When to Seek Help

Live Q&A covering initial vs. deep penetration pain, muscle tightness vs. nerve vs. spinal causes, dilator therapy, topical treatments (lidocaine, CBD), neuropathic pain patterns, and when imaging looks normal but musculoskeletal issues exist.

Dilator therapy
Topical treatments
Neuropathic patterns

What You'll Learn

The Tools to Manage Pelvic Pain

Down-Regulate Your Nervous System

The diaphragmatic breathing pattern (inhale 5 / hold 5 / exhale 7) and 2-minute reset that shifts your body from fight-or-flight to rest-and-digest.

Understand Your Pain

Pain science education that explains why chronic pain deepens over time, how fear avoidance feeds the cycle, and how to retrain your brain's pain patterns.

Restore Nerve Mobility

Spine mobility exercises and nerve gliding techniques that decompress the nerves feeding your pelvic floor and restore sliding within fascial sheaths.

A Complete Stretching Program

Eight targeted stretches for the pelvic floor, adductors, hamstrings, piriformis, and QL — a daily routine you can do at home in a propped position.

Hands-On Pain Tools

When and how to use TENS, vibration therapy, heating pads, trigger point balls, red light therapy, and M-Pelvic devices to complement your exercise program.

Expert Answers to Your Questions

The live Q&A covers pain during sex, dilator therapy, topical treatments, neuropathic patterns, and when to seek further medical evaluation.

Ready to Start Managing Your Pain?

Get lifetime access to the class and Q&A — the same clinical approach Sheree uses with her pelvic pain patients every day.

Enroll Now — $39

One-time payment • Lifetime access • Watch on any device

Is This For You?

This Class Was Made For You If…

You have chronic pelvic pain — within the underwear line, around the pudendal nerve, or radiating from your spine, hips, or abdomen

You've had pelvic or abdominal surgery and deal with adhesions, scar tissue, or post-surgical pain that hasn't resolved

You experience pain during sex — whether at initial penetration or deeper — and want to understand the causes and treatment options

You have endometriosis-related pelvic pain and want exercises and tools to manage the musculoskeletal and neural components

You're dealing with postpartum pelvic pain that hasn't resolved — tightness, burning, aching, or nerve-related symptoms that linger

Your imaging looks normal but you're still in pain — and you need someone who understands that musculoskeletal and neuropathic pain won't show on an MRI

Your Instructor

Learn From One of the Country's Leading Specialists

Sheree DiBiase, PT, PRPC, ICLM

Pelvic Floor Specialist — 40+ Years Clinical Experience

Sheree is the founder of Lake City Physical Therapy with locations across the Pacific Northwest, creator of the Pelvic Floor Pro medical app, and a former professor at Loma Linda University. Over four decades, she has helped thousands of patients overcome chronic pelvic pain, restore mobility, and return to the activities they love.

This class distills the exact approach she uses in her clinic — the same pain science education, nervous system regulation techniques, stretching programs, and management tools she walks her patients through every day.

PRPC Certified ICLM Certified 40+ Years Experience Former Professor, Loma Linda University Pelvic Floor Pro Creator

Questions

Frequently Asked Questions

You get lifetime access to a recorded video class + live Q&A covering: pain science education, autonomic nervous system regulation, nerve mobility and fascial health, diaphragmatic breathing techniques, spine mobility exercises, a complete pelvic floor stretching program, tools for pain management (TENS, vibration, heat, red light therapy), plus a Q&A covering pain during sex, dilator therapy, and when to seek further evaluation. All taught by Sheree DiBiase, PT, a specialist with 40+ years of clinical experience.

Not at all. This class is for anyone experiencing pelvic pain — whether you have a diagnosis like endometriosis, pudendal neuralgia, or interstitial cystitis, or whether your imaging looks normal but you still hurt. The approach addresses the musculoskeletal, neural, and nervous system components that drive most pelvic pain, regardless of the specific diagnosis.

Most pelvic floor classes focus on strengthening. This class focuses on down-regulation, mobility, and pain science — because pelvic pain is fundamentally different from pelvic weakness. You'll learn how to calm an overactive nervous system, restore nerve mobility within fascial sheaths, stretch tight pelvic floor muscles, and retrain chronic pain patterns in the brain.

Lifetime access. Once you enroll, the recorded class and Q&A are yours to watch and re-watch forever, from any device. Many students revisit the stretching and breathing sections regularly as part of their pain management routine.

For the stretching program, you'll need a pillow to prop under your hips and a wall or floor space. The class also discusses optional tools like a TENS unit, heating pad, vibration device, and a small ball for trigger point work — but these are supplementary and not required to benefit from the core exercises and education.

Yes. The Q&A portion specifically addresses pain during sex — including the difference between initial penetration pain and deep penetration pain, muscle tightness versus nerve versus spinal causes, dilator therapy, and topical treatments like lidocaine and CBD. Sheree walks through the clinical reasoning for each type of pain.

Enroll Today

Get the Complete Pain Management Class

Everything you need to understand, manage, and find relief from chronic pelvic pain — from a 40-year specialist.