Dr. Sarah Kaderka

When people hear “pelvic floor,” they often think only of strength — Kegels, contractions, and building a supportive base. But for many individuals the problem isn’t weakness; it’s too much tension. A hypertonic (high-tone) pelvic floor means the pelvic floor muscles are chronically tightened and have trouble relaxing. That state can cause pelvic pain, urinary and bowel symptoms, painful sex, and decreased quality of life — and it requires an approach that prioritizes relaxation as much as,...

Running is one of the most popular and accessible forms of exercise. It strengthens the heart, boosts mood, and builds endurance. But for many runners—especially women—the miles come with an unwelcome side effect: pelvic floor issues. Whether it’s bladder leaks during a sprint, pelvic heaviness after a long run, or hip and low back discomfort that won’t go away, the pelvic floor often plays a bigger role in running performance than people realize. Pelvic floor therapy isn’t just for new moms...

Endometriosis is a complex and often misunderstood condition. Characterized by the presence of endometrial-like tissue outside the...