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I’m joined by Dr. Sally Sarrel to discuss the hidden layers of pelvic pain that often get dismissed, misdiagnosed, or misunderstood.

Dr Sallie Sarrel is a pelvic physical therapist and person with endometriosis. After diagnosis took 23 years of sheer frustration with the medical system, Sallie created a practice to be a safe haven for all with endometriosis and its associated disorders.

Together with Dr Andrea Vidali, she founded The Endometriosis Summit to unite surgeons, patients, practitioners and caregivers to drive endometriosis forward.

She has a passion for treating people with endometriosis with leg, bladder, and groin pain , Sallie gives voice to all who struggle with endometriosis and adenomyosis. Reminding the endometriosis community that you are worthy and together we can ignite change

We dig into:

• What an occult (aka hidden) hernia is, and why it’s often missed on imaging
• Why so many people with groin pain or endometriosis are told "it's your ovary"... when it’s not
• The role of the ilioinguinal and genitofemoral nerves in chronic pelvic pain
• How what we think are yeast infections, are nerve compression causing itching
• Why your feet, fascia, and diaphragm might be contributing to your symptoms
• How misused medical language can tank a person’s healing and hope
• The role of thoracic mobility, gait, lymph, and nervous system regulation in long-term recovery
• How as pelvic floor physical therapists we have much more skillsets to help our patients besides internal treatments.

Whether you're a patient, a provider, or both, this episode brings truth, education, and advocacy in a way the pelvic health world desperately needs.

00:00 Introduction to TMI Talk with Dr. Mary

00:13 Meet Dr. Sally Rell: Pelvic Floor Specialist

01:06 Episode Overview: Topics on Pelvic Pain

03:14 Welcome to the Show, Dr. Sally Rell

03:42 Understanding Occult Hernias

07:24 Diagnosing Hidden Hernias

08:52 Physical Therapy Approaches for Pelvic Pain

14:35 The Role of the Diaphragm and Thoracic Mobility

18:11 Challenges in the Medical System

23:44 The Importance of Holistic Treatment

28:08 Hydration and Heart Rate Management

28:24 Empowering vs. Traumatic Diagnoses

28:55 Personal Experiences with POTS and Endometriosis

32:03 The Role of Fascia in Health

33:17 Endometriosis: A Surgical Disease

36:17 Diaphragmatic and Lung Endometriosis

41:33 Educating Healthcare Practitioners and Patients

47:29 The Future of AI in Medical Diagnosis

50:57 Conclusion and Contact Information

You can learn more about Sallie at https://salliesarrel.com

If you are interested in the endometrosis summit, you can learn more here

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I’ll see you in a week!