Riczo Health Education

Riczo Health Education Riczo Health Education is dedicated to empowering women and health care professionals with education Deborah B.

Riczo is an author, speaker, continuing education developer, and doctor of physical therapy who is dedicated to women's health. She is an expert in pelvic girdle pain, which includes sacroiliac pain, pregnancy & postpartum issues, and does physical therapy on a cash basis in Ohio and offers personal coaching through her books. See links below for more info

https://linktr.ee/riczohealtheducation

05/15/2026

If you have one sided buttock pain you may find these stretches helpful.

They address the piriformis muscle and other small rotators in your hip that when tight can contribute to buttock aching and pain.

So often I hear that patients are being taught good strengthening, but are missing out on the flexibility component which of these exercise address.

KEY POINTS
😊 do not do if the movements are increasing radiating (traveling) pain
😊 Breathe evenly and think about relaxing all the muscles in your body
😊 Hold each position 20 to 30 seconds. It is fine to pulse if that feels better.
😊It is best to repeat the exercise again so you are performing approximately 2 sets of 30 seconds on each side.
😊The second rep does not have to be done right after the first rep. It is up to you. You may only want to do the second rep on your tight side. That is fine.
😊 you don’t need to do both versions, but you can!

More exercises in my books 📚 as well as the which gives you a step by step approach to balancing your pelvic muscles.

Remember I AM NOT YOUR THERAPIST, but if you need help, DM me or schedule a DISCOVERY CALL, link in bio or on my website: www.RiczoHealthEducation.com

Comment “book” and I will send you the link!
SAVE for future reference!

05/13/2026

Still struggling to confidently assess and treat sacroiliac & pelvic girdle dysfunction?

This hybrid course was designed to give clinicians a practical, evidence-informed framework they can immediately apply in the clinic.

✔️ 7.5 Contact Hours
✔️ Hybrid format: 4.0 hrs on-demand + 3.5 hrs live webinar
✔️ Practical special tests & interventions
✔️ Screening tools and step-by-step clinical approach
✔️ Applicable across the lifespan—including pregnancy & postpartum populations

📅 June 16, 2026
⏳ Early-bird registration ends May 16
⚠️ Limited spots available

If you’re ready to simplify your approach and feel more confident treating pelvic girdle dysfunction, this course is for you.

🔗 Registration link in bio

05/07/2026

Do you have ?

Does one of your hip bones, p***c bones or sacral bone hurt when you touch it? All on the same side as your pain?

Bony pain can be a sign of inflammation. Excessive pulling of muscles and tendons on bone and ligaments can cause pain and inflammation. Balancing the muscles in the pelvis can address this.

Many people have found relief using the method found in my books that works on balancing the muscles in the pelvis, the PGM Method (Pelvic Girdle Musculoskeletal Method).

If you would like support while doing this method, contact me for virtual coaching.

LINKS IN BIO!

Does the SIJ move? Have you been told you are out of alignment? There is a ton of research that has shown WITHOUT A DOUB...
05/06/2026

Does the SIJ move? Have you been told you are out of alignment?

There is a ton of research that has shown WITHOUT A DOUBT that the sacroiliac joint (SIJ) moves only a miniscule amount due to is actual anatomy. (Cohen, et al 2005, Goode et al 2008). Please note that this research has been around for awhile!

KEY POINTS
▶️the sacrum is held tightly between the innominate bones (hip bones) or wedged
▶️the sacrum is held tightly by dense ligaments that hold it from the front and back, top and bottom to the innominate bones and coccyx (tailbone)
▶️the minimal movement that is available at the SIJ (3 degrees) is found in people with and without SIJ problems
▶️this minimal movement is not discernable by the naked eye or through palpation as a reliable method

The Pelvic Girdle Musculoskeletal Method, or PGM Method is based on not “moving the sacrum” but reducing the “positional strain” caused by an imbalance of the muscles, ligaments, tendons and fascia of the pelvic girdle.

You can find this method and get a step-by-step approach, simple and straightforward in both of my books.

GET YOUR COPY TODAY AND GET STARTED! ! I offer coaching services to go along with my books.

Comment “book” and I will send you the link!
Comment “Coach” and I will message you to get started!
All links in bio or
on my website, www.RiczoHealthEducation.com

References:
Cohen, S. P. (2005). Sacroiliac joint pain: A comprehensive review of anatomy, diagnosis, and treatment. Anesthesia and Analgesia, 101(5), 1440–1453. https://doi.org/10.1213/01.ANE.0000180831.60169.EA

Goode, A., Hegedus, E. J., Sizer, P., Brismee, J.-M., Linberg, A., & Cook, C. E. (2008). Three-Dimensional Movements of the Sacroiliac Joint: A Systematic Review of the Literature and Assessment of Clinical Utility. The Journal of Manual & Manipulative Therapy, 16(1), 25–38.


Are you gripping your buttock when standing? If you aren’t sure, follow the steps below whether you are having buttock p...
05/05/2026

Are you gripping your buttock when standing?

If you aren’t sure, follow the steps below whether you are having buttock pain or not.

HOW TO CHECK:

➡️ check this by putting your hands on your buttock and check out how tense the muscles feel
➡️ then tighten your buttock as much as you can, then relax it totally
➡️ see if this relaxed state is the same as before you tightened it.
➡️ your buttock should not feel hard and contracted, try to let the extra tension GO!
➡️ check also that you are not standing with your hips shifted forward, that can result from buttock gripping
➡️ if so, bring your hips directly under your shoulders

If you are dealing with you will want to become aware if you are doing this as it can make your pain worse.

When a muscle is always contracted it doesn’t work like it is supposed to, and circulation to the area is slowed down.

Any questions, comment below!

SAVE for reminders and SHARE with someone who may benefit from these TIPS!

More tips & exercises in my books, link in bio and on my website www.RiczoHealthEducation.com

Comment “book” and I will send you the link!


05/04/2026

If you said the pelvis has 5 joints you were right!

Did you know the pelvis isn’t just one solid bone—it’s a sophisticated network of joints crucial for stability and movement. Here’s a breakdown:
🔹 P***c Symphysis: This joint connects the left and right p***c bones at the front of the pelvis, providing flexibility during activities like walking and childbirth.
🔹 Sacroiliac Joints (2): Found where the sacrum meets the ilium bones of the pelvis, these joints bear the weight of the upper body and help transfer forces between the spine and legs.
🔹 L5-S1 Joint: Located between the fifth lumbar vertebra and the first sacral vertebra, this joint facilitates bending and twisting motions of the lower back.
🔹 Coccygeal Joint: Situated at the base of the spine, this joint supports the coccyx (tailbone) and allows for slight movements when sitting or leaning back.

More anatomy in both my books.

Links to my books in bio and on my website: www.RiczoHealthEducation.com

Comment “book” and I will send you the link!

Please ask me any questions below⬇️ ⬇️ ⬇️


Where is the sacroiliac joint? A great deal of people have never heard of the sacroiliac joint or SIJ until they have be...
05/03/2026

Where is the sacroiliac joint?

A great deal of people have never heard of the sacroiliac joint or SIJ until they have been told that their pain is coming from it! This is more common in women, especially during and , but definitely can occur in men.

The sacroiliac joint is at the bottom of the spine, NESTLED in between the hip bones (innominate bones).

The joint connects the sacrum to the hip or innominate bone. The top portion of this bone is called the ilium, hence sacroiliac (Latin derivative).

The joint space itself is rather large, and L shaped, as you can see on the figure in the post.

So this joint can have problems like any other joint. . . Arthritis/degeneration/inflammation/disease processes, and the bones themselves of course are subject to bony problems like osteoporosis and fractures.

Not all pain, however that is LABELLED “SACROILIAC JOINT” OR “SIJ” pain, is ACTUALLY coming FROM THE JOINT, even if the joint has some issues. . . And that is where the problem lies.

The joint is supported by ligaments, muscles and tendons and other connective tissues which can as we very well know, cause pain. And there are plenty of nerves that run through these tissues that can become irritated and also cause pain.

That is why it is always good to try conservative approaches using a biopsychosocial philosophy before invasive ones, like surgery.

Let me know if you have any questions or if this was helpful information ⬇️⬇️⬇️

More info in my books and an approach to treat sacroiliac pain using the Pelvic Girdle Musculoskeletal Method. Link to books in bio and on my website, www.RiczoHealthEducation.com

Did you notice that you started having leaking urine or gas after you started having , or ?It is NOT a coincidence...
04/30/2026

Did you notice that you started having leaking urine or gas after you started having , or ?

It is NOT a coincidence.

Lets take a look at the functions of the pelvic floor muscles.

KEY POINTS:
The pelvic floor muscles are important in
✅ controlling urine & bowels
✅ supporting everything inside of you including your organs
✅ key in sexual satisfaction and in*******se
✅ key in contributing to the blood/fluid circulation in the area to prevent congestion
✅ Part of DEEP INNER CORE muscles that contribute to your overall core strength and spinal/hip stability.

When you have a back or hip pain/injuries muscles in the area are often weak, inflamed, possibly tight or in spasm which easily can affect the functioning of the pelvic floor muscles —resulting in incontinence or other urinary/bowel issues.

This is not to alarm you, but to help you see there is an anatomical reason, and that by having the right rehab exercises, especially ones incorporating breath and pelvic floor muscles you can have success in treating both your pain and leaking issues.

The which both my books are based on incorporates this approach.
Link to books in bio or on my website: www.RiczoHealthEducation.com or comment “book” and I will send you the link!

Virtual coaching with me available. DM me for details.

04/29/2026

This is a common question. Nerve pain is not fun. It can be sharp, shooting, tingling, numb. It sometimes is difficult to know whether it is coming from compression at the spinal cord level or after the nerve leaves the spinal cord and then compressed (by muscles, tendons, etc.)
Sometimes nerve compression can happen at both the spinal cord level or peripherally, and this makes the nerve even more sensitive.
In this particular case, this woman’s medical workup did not show compression at the spinal cord level. .
Exercises that are low level, remedial and utilize the breath and that work on improving the tone of the muscles can be very helpful.
You can find these pelvic balancing exercises in both of my books that are based on the PGM method, or the Pelvic Girdle Musculoskeletal Method.

Do you think you have nerve pain? Comment +
If you comment “book” I will send you the link!

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Cleveland, OH

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Wednesday 9am - 5pm
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Friday 9am - 5pm

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