When They Don’t Have Time for Your Pain

Doctors are supposed to treat all patients equally, but sadly, sometimes they don’t. In fact, if you are a woman, you may actually receive worse treatment for your pain than if you are a man. If being in pain isn’t hard enough— add a doctor who won’t listen, and you can end up depressed, frustrated, and distrustful of the entire medical profession. 

What kind of inconsistencies are happening exactly? Let’s take a closer look. 

  • In a study of almost 1000 patients published in the Academic Emergency Medicine journal, it took women with abdominal pain in an urban emergency department 16 minutes longer than men to be treated. Women were also not as likely to be prescribed opiates. The study concluded that “gender bias is a possible explanation for oligoanalgesia in women who present to the ED with acute abdominal pain.” (Oligoanalegesia is just a fancy term for when pain is undertreated.) 
  • A 2022 article in The Washington Post looked at studies that explored the inferior medical treatment received by women experiencing pain compared to men. This included enduring a longer wait time to be seen for a potential heart attack, or being told they have a mental illness when they had heart disease symptoms. “Among middle-aged women,” that study said, “31.3% received a mental health condition as the most certain diagnosis, compared with 15.6% of their male counterparts.” 

And then there are personal accounts of women struggling for years to receive a proper diagnosis.

Broad City actress Ilana Glazer spoke of her battle to be taken seriously by doctors for pelvic pain. She went undiagnosed for two decades! “I remember being 15 years old and my mom and I sitting there and this doctor telling me that my problem was too problematic for him, and just feeling laughed at and so angry,” she said.  

Essayist Carli Cutchin had to wait 11 years to be told she had a compressed pelvic nerve. The reason? Medical professionals simply didn’t believe that her pain existed.  

Cartoonist Aubrey Hirsch created a comic about being told her ear pain was not significant enough to be problematic. However, when the male doctor looked closer, he discovered it was a ruptured eardrum with an infection. “Why didn’t you say you were in this much pain?” the doctor asked her at the end of the session, even though she had!

A few years ago, when Hillary Koplinka was feeling tired and achy, she was told to participate in yoga by her male doctor for what turned out to be Hashimoto’s disease! 

Maybe you’ve heard stories like these from your female friends and family?

So what can you do? Although the onus shouldn’t be on the patient to get her doctor to listen, there are steps you can take to advocate for yourself.

Zocdoc suggests being thorough in keeping notes about “when, where and how” your pain occurs so you can describe it. Having another person validate your story is also important, be they a friend or relative. It can also help to parrot back the information the doctor shares during the visit. 

Finally, don’t stop until you find a doctor with whom you are comfortable. 

 And if you are having pelvic floor dysfunction pain and live in New York or nearby, consider Revitalize Physical Therapy. You will receive top notch medical care from providers who know what you are going through! We will never dismiss your pain because we recognize that having the right team who takes you and your pain seriously can make all the difference.

Could Physical Therapy Be Even Better Than Surgery or Medicine?

One of the most fulfilling aspects of my job as a pelvic floor physical therapist is helping patients realize that treating pelvic floor conditions doesn’t have to mean having surgery or taking medicine. Yes, surgery and medicine can be vital tools when the body is misbehaving, and you should always consult with your doctor when deciding on a treatment, but surgery and medicine are not without their drawbacks. Surgery is risky. Medicine can have side effects. Pelvic floor physical therapy is a less frightening option, and helps with a wide range of pelvic floor conditions.

In fact, according to UC San Diego Health, the majority of pelvic health conditions do not require surgery and can be resolved by more conservative methods, including the pelvic floor physical therapy I regularly administer in my practice as a pelvic floor physical therapist in New York City. Of course this isn’t just limited to the pelvic floor. Patients with other conditions can benefit from physical therapy as well. Harvard has noted how it can be “as good as surgery and less risky” for lumbar spinal stenosis, a form of low back pain.

The New York Times recently published an article entitled “When to Try Physical Therapy Before Surgery.” The article looks at Dr. Lindsey Plass, a physical therapist who was diagnosed with the hip issue femoroacetabular impingement syndrome (F.A.I.). A surgeon told her that she had to have hip arthroscopy if she wanted to have any chance to run in marathons ever again. Despite the recommendation, Plass was unsure it would help. But taking a chance on physical therapy paid off. She was able to get back into marathons and never had to go under the knife thanks to physical therapy.

One drawback to physical therapy? It can require more patience, as it is a process that can take months and sometimes years, but for so many, it is the better option. Still doubt the power of pelvic floor physical therapy? Many of my patients have seen life-changing improvements from the pelvic floor physical therapy they’ve received from Revitalize Physical Therapy. On my Google reviews page, for instance, Anya mentions how we cured (yes, cured!) her prolapsed bladder after childbirth in only a few weeks, while Elka raves about how I helped her diastasis recti, a postpartum abdominal muscle separation.

Do you have a pelvic floor condition that’s getting in the way of you being the best and happiest version of yourself? Or do you just feel weird “down there” and you’re not really sure what’s going on? Have you heard about pelvic floor physical therapy, and are you perhaps curious how or if it might be able to help? It costs nothing to find out if pelvic floor physical therapy can
change your life, and you have everything to gain! Click the button on the upper right corner of this page to schedule a free phone consultation with me to discuss the difference pelvic floor physical therapy can make in your life.