Talli's blog

It is a bit hilarious to watch the Cross Fit people driving pelvic floor physical therapists crazy. A couple weeks ago, Cross Fit released a video making light of “exercise induced incontinence” by normalizing the phenomenon and joking with women athletes who pee during workouts. This scatelogical video is not for the faint at heart and is a bit, well, gross.


Pelvic pain is understood to be multifactorial, and includes medical musculoskeletal, and psychosocial components. The current model for treating pelvic pain designates medical diagnosis and treatment to physicians, treatment of   psychosocial factors, such as depression, and anxiety, to psychotherapists and musculoskeletal pain and pelvic floor hypertonus to physical therapists.


Pleasure and Pain

Submitted by Talli on Mon, 05/13/2013 - 20:03

A new study looks at how having an orgasm (or not!!) affects genital sensitivity . Genital sensations are pleasurable but also more painful after masturbation. Reaching orgasm decreases genital pleasurable sensitivity and further increases pain sensitivity on the vulvar vestibule only.  This has practical application for physical and sex therapists who counsel  women with genital pain. Being aroused increases pleasurable sensations, but may not decrease pain. Still, focusing on the pleasure is difficult for women experiencing pain. Another reason why mindfulness is such a good intervention. 


Guest blog: Your pelvic floor and sexual health

Submitted by Talli on Mon, 04/08/2013 - 19:55

Your Pelvic Floor and Sexual Health


Why sexual pain is not your fault.

Submitted by Talli on Sat, 01/12/2013 - 22:08


On the interactive promotion of ritual purity and women's health.

Submitted by Talli on Tue, 10/30/2012 - 16:20

Last week I picked up a brochure at the center where I do yoga. It was called "Bishvilaych" which means "For you." Inside the brochure, after introductory letters from both the community Rabbi and the ultra Orthodox Mayor of the town of Bet Shemesh where I live, I found an interesting mix of information and resources. In this brochure, one may find the prayer to say after ritual immersion, as well as a listing of womens health resources including necessary preventative medical tests.


Physical therapists as sexual health professionals

Submitted by Talli on Thu, 10/25/2012 - 19:54

The fall 2012 issue of the newsletter of the IOPTWH (International Organization of Physiotherapists in Womens Health) is dedicated to the topic of the role of physical therapists in sexual health. In this issue, I am interviewed by Saudi Arabian physical therapist (which, as an Israeli, I think is pretty cool) Rafeef Al-Juraifani.


Addressing Sexual Abuse in Physical Therapy Practice

Submitted by Talli on Sun, 10/07/2012 - 12:30

As a women's health physiotherapist who went on to study counseling and receive psychotherapy training, I am currently involved in lecturing on counseling skills to physiotherapists. I teach PTs basic counseling skills such as empathy, active and reflective listening, open ended sexual history taking, and, dealing with sexual abuse disclosure in the clinical setting, amongst many other topics. I am often confronted with anxiety of PTs who believe, often justifiably so, that the training they received in physical therapy school inadequately provided the counseling skills necessary to effectively contain and address issues such as sexual abuse.


These are my thoughts in response to the blogpost in Psychology Today.