Dr. Jordan Klebanoff
Dr. Jordan Klebanoff, M.D.
Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon
City: Philadelphia, PA, USA
Philosophy: I believe that we have an incomplete understanding of the origins of endometriosis, however, that the theory of retrograde menstruation as the sole explanation falls well short of describing this complex disease. My belief is that there are likely many factors to explain this disease embryologic, genetic, environmental, etc. The theory that I believe most completely and rationally explains this disease process is an issue during embryologic development. This is why I believe excision surgery most thoroughly improves quality of life. Wide excision surgery will remove microscopic disease whereas localized excisions or ablation can fall short.
Medication: For patients not immediately, or ever, interested in surgery I will utilize non-narcotic pain medications and hormonal regulation where appropriate. Whether or not I recommend hormonal suppression, most often with an oral progestin, following excision surgery is based on individual patient preference and expectation. My typical counseling for patients is that whether it be medical management or surgical management my mission will always be to continue to improve quality of life in any way that I can.
Approach to Persistent Pain After Surgery: My approach to persistent symptoms following surgery is consistent to my approach before surgery. Because pain from endometriosis is often multifactorial I work closely with pelvic floor physical therapists, pain management specialists, sexual medicine providers, and gastroenterologists both before and after surgery. My counseling of patients for any symptoms after an excision surgery patients can depend on the specific symptom or what therapies have previously been tried and failed.
Dr. Tayyaba Ahmed
Dr. Tayyaba Ahmed, DO.. Physiatrist, Pelvic Pain Specialist
City: New York City, New York
Areas of Expertise: Pelvic Pain
Dr. Allyson Shrikhande
Dr. Allyson Shrikhande, M.D.. Pelvic Pain Specialist
City: New York City, New York
Areas of Expertise: pelvic pain and pelvic floor muscle dysfunction
Dr. Sonia Bahlani
Dr. Sonia Bahlani, M.D.. Pelvic Pain Specialist
City: New York City, New York
Areas of Expertise: Vulvodynia, Interstitial Cystitis, Vulvar Itching, Clitoral Pain, Chronic Pelvic Pain, Hypoactive Sexual Desire Disorder, Pudendal Neuralgia, Hypertonic Pelvic Floor Muscle Dysfunction
Dr. Yaniv Larish
Dr. Yaniv Larish, M.D.. Urologist With Expertise in Endometriosis
City: New York City, New York
Areas of Expertise: Interstitial Cystitis, Overactive Bladder, Bladder Botox, Axonics, and InterStim Therapy.
Dr. Jeffrey G. Proctor
Dr. Jeffrey G. Proctor, M.D.. Urologist With Expertise in Endometriosis
City: Cartersville, Georgia
Areas of Expertise: Interstitial Cystitis, Overactive Bladder, Bladder Botox, Axonics, and InterStim Therapy.
Dr. Froylan Gonzalez
Dr. Froylan Gonzalez, M.D.. Urologist With Expertise in Endometriosis
City: Atlanta, Georgia
Amanda Peled PT, DPT
Visit types: Office/Hospital
Spoken languages: English
Interpreting services for other languages: Yes
Philosophy of care and typical treatment strategies: My goal is to improve patients’ quality of life and to provide individualized treatment techniques. My care plan involves educating and empowering patients, providing them with the tools they need to succeed.
When treating patients with endometriosis, I incorporate manual therapy techniques, gentle movement, yoga, diaphragmatic breathing, education on the condition, and resources for an anti-inflammatory diet.
Pauline Hannan PT, DPT
Visit types: Office/Hospital
Spoken languages: English
Interpreting services for other languages: Yes
Philosophy of care and typical treatment strategies: Each patient, their medical and surgical history, including patient’s preferences after education on treatment options and approaches, are considered in their plan of care. I offer dry needling, visceral mobilization, myofascial release, internal and external pelvic floor assessment and manual therapy treatments, assessment of movement patterns, joint mobility, alignment, and stability- with associated manual therapy approaches, therapeutic exercise will consist of varying methods to include tai chi, yoga, pilates, exercise prescription based on past, current levels of exercise, with home programming that patient gives input as to what feels possible/achievable for them, with access to me between appointments so that their home program is changing based on their needs, flares, pain levels, and other changes in symptoms.
Sarah Shout PT, DPT
Visit types: Office/Hospital
Spoken languages: English
Interpreting services for other languages: Yes
Philosophy of care and typical treatment strategies: I enjoy meeting patients where they are with their symptoms, the season of life they are in, and their needs and wants with their course of recovery and management. Patients are expert in their own bodies, and learning from each patient how to help them is one of my favorite approaches to care. I use a variety of techniques and modalities, including visceral mobilization, joint mobilization, soft tissue mobilization, ultrasound, electrical stimulation, strengthening and endurance training, stretching, body mechanics and posture, diet and lifestyle modifications, stress management, polyvagal strategies, functional mobility training, and collaborative care with other involved providers. I am continuing to learn and add skills and knowledge to the body of strategies I have to treat each person individually.
Suzanne Coffey PT, DPT
Visit types: Office/Hospital
Spoken languages: English
Interpreting services for other languages: No
Philosophy of care and typical treatment strategies: At Empowered Pelvic Health, we treat each patient with an individualized and holistic approach that encompasses the entire movement system. We are dedicated to providing an inclusive and comfortable environment for each patient to begin or continue their healing journey. During a physical therapy session, we utilize many different treatment strategies to help desensitize the nervous system, including visceral mobilization, myofascial release, breath training, mindfulness, postural reeducation, neuromuscular reeducation, and therapeutic exercise. At Empowered Pelvic Health, we are passionate about empowering our patients through education and physical therapy.
Jennifer Patterson, PT, DPT
Visit types: Office/Hospital
Spoken languages: English
Interpreting services for other languages: Yes
Philosophy of care and typical treatment strategies: My philosophy of care for patients with endometriosis is to care for the whole person. I listen. I ask questions. I care. I learn. I research. I collaborate. I teach. I work closely with each patient to achieve their goals. I aim to help patients from beginning to discharge and beyond.
Treatment strategies that I utilize are many. I believe that there is no one way to treat everybody. I will utilize manual techniques and modalities. I will use therapeutic exercises and neuromuscular reeducation activities. I will encourage other alternative treatments including massage therapy, acupuncture, and psychotherapy. We will work together and collaborate with other professionals as needed to achieve goals.
