Penrose Physical Therapy

06/04/2026

Start the conversation with your doctor and go prepared to provide evidence that supports your needs.

06/01/2026

Sometimes a strong pelvic floor also means a tight pelvic floor that can’t generate any power against a sneeze because it’s all ratcheted up! Pelvic floor PT can assess strength, length-tension of pelvic floor, and coordination of the muscles plus a whole host of other factors related to the deep core.

05/25/2026

Today we have the freedom to enjoy and spend time with our families, cook out, and officially start summer….
.. all enabled by young men who did not get to enjoy them, so that you and I could.

Ronald Reagan said:

“It is, in a way, an odd thing to honor those who died in defense of our country, in defense of us, in wars far away. The imagination plays a trick. We see these soldiers in our mind as old and wise. We see them as something like the Founding Fathers, grave and gray haired. But most of them were boys when they died, and they gave up two lives—the one they were living and the one they would have lived. When they died, they gave up their chance to be husbands and fathers and grandfathers. They gave up their chance to be revered old men. They gave up everything for our country, for us. And all we can do is remember.”

Thank you to the men and women who have served our country, and laid down their lives, so we can live and enjoy our freedom.

"Greater love has no man than this; that someone lay down his life for his friends."
– John 15:3

05/18/2026

Continuing the discussion on women’s pelvic health and how hormones play a role.More than 50% of the women I treat for pelvic dysfunction have a grade 2 or higher prolapse of either the bladder or the re**um. Unfortunately most women don’t know they have a prolapse until they feel a bulge at the opening ( classified as grade 3) . Pelvic floor physical therapy teaches how to reduce prolapse symptoms through pressure management, core stabilization, and restoration of correct biomechanics in the helps, pelvis, and spine. Catching prolapse early prevents furthering of the falling out. Using free testosterone as a bio marker for risk in peri and early menopause may reduce the need for pessary use and surgery and help keep your organs where they belong.

NEW STUDY: Low testosterone may be linked to pelvic organ prolapse in postmenopausal women.

Pelvic organ prolapse (POP) happens when the muscles and connective tissue supporting the pelvic organs weaken, allowing the bladder, uterus, or re**um to shift downward. It’s common. It’s under-discussed. And now we may be learning more about the hormonal side of it.

In this new study of postmenopausal women:

➡️ Women with prolapse had LOWER free testosterone levels
➡️ More advanced prolapse was linked to EVEN LOWER testosterone
➡️ Estrogen levels were NOT significantly different between groups

We’ve spent decades talking about estrogen and the pelvic floor, while largely ignoring androgens like testosterone.

But testosterone receptors exist in pelvic floor muscles, connective tissue, the bladder, urethra, and va**na. Hormones matter to tissue health. They matter to strength. They matter to function.

This study doesn’t prove testosterone causes or prevents prolapse. But it adds to the growing body of evidence that androgens may play an important role in women’s pelvic health.

And importantly:
free testosterone may someday become a NON-invasive biomarker to help identify women at higher risk for prolapse.

The future of women’s health is not “just estrogen.”
It’s understanding the whole hormonal ecosystem.

Women deserve better research.
Women deserve nuanced conversations.
Women deserve pelvic floor medicine that studies female biology.

Kawasaki M, Nagase K, Yukimoto M, Yamaguchi Y, Maeda A, Kusano S, Kakinoki Y, Kakinoki H, Udo K, Tobu S, Noguchi M. Salivary Free Testosterone as a Potential Biomarker for Pelvic Organ Prolapse in Postmenopausal Women: A Prospective Case-Control Study. Int J Urol. 2026 May;33(5):e70473. doi: 10.1111/iju.70473. PMID: 42138067.r

04/19/2026

Start the conversation with your doctor about the Musculoskeletal Syndrome of Menopause.

04/17/2026

Amazing news!

02/21/2026

02/09/2026

This should not be controversial.
But somehow it still is.

Testosterone is not a “male hormone.”
It’s a human hormone—present and biologically active in women across the lifespan, made in the ovaries and declines with age.

And yet:
➡️ Women have zero FDA-approved testosterone options
➡️ Despite decades of data supporting safety and benefit
➡️ Despite clear roles in libido, energy, mood, bone, muscle, and overall vitality (testosterone receptors are all over the body and brain).

That isn’t neutral.
That isn’t accidental.
That’s a system failure.

When medicine decides women’s symptoms are “too complex,”
or their desire is “optional,”
or their quality of life isn’t worth regulatory effort—
that’s not evidence-based care. That’s neglect.

We don’t moralize insulin.
We don’t shame thyroid hormone.
We don’t debate whether men “deserve” treatment.

So why are women still fighting for this?

This conversation isn’t about enhancement.
It’s about equity, physiology, and informed choice.

Women deserve research.
Women deserve options.
Women deserve better.

Write the FDA.

—Dr. C

01/28/2026

Yes!

01/05/2026

Today is the day friends! Memberships are now available 🥳🥳🥳 Sign up between now and January 15th, to lock in your current pricing structure! Prices will be increasing February 1st so DON'T WAIT😁 STOP BY to sign up OR just call us and sign up over the phone 574-318-4956

https://penrosephysicaltherapy.squarespace.com/memberships