Education Articles
Optimizing Fertility on Testosterone Therapy: Maintaining Testicular Function, Size and Sperm Production
Testosterone therapy can be life-changing for men with symptomatic testosterone deficiency. It can improve energy, mood, libido, sexual function, body composition, training response, and overall quality of life when used appropriately. However, testosterone therapy also changes the normal hormonal signaling between the brain and the testes.
Innovative Treatment Options for Frequent Urination
Frequent urination is one of the most common urinary symptoms. Some patients notice that they urinate too often during the day. Others are most bothered by waking up at night to urinate. Many patients have both. This can affect sleep, work, exercise, travel, sexual health, and quality of life.
Pudendal Nerve Entrapment Syndrome: A Commonly Missed Cause of Pelvic, Genital, Urinary, Bowel, and Sexual Pain
Pudendal nerve entrapment syndrome is a condition where the pudendal nerve becomes irritated, compressed, or mechanically sensitive as it travels through the deep pelvis. The pudendal nerve is one of the major nerves of the pelvic floor. It carries sensation from the perineum, external genital region, anus, and parts of the pelvic floor, and it also helps control muscles involved in bowel, bladder, and sexual function.
Ischiofemoral Impingement: A Commonly Missed Cause of Hip and Pelvic Pain
Ischiofemoral impingement is a condition where the space between the ischium, which is part of the pelvis, and the lesser trochanter of the femur becomes too narrow. The quadratus femoris muscle sits in this space. When the space becomes compressed, the quadratus femoris can become irritated, painful, swollen, or weakened.
Training the Uninjured Side During Recovery: How Cross-Education Helps Preserve Strength
When an arm or leg is immobilized after an injury, surgery, fracture, tendon repair, or joint problem, the goal is usually to protect healing tissue. Casting, bracing, slings, boots, and surgical restrictions can all be necessary parts of recovery. The problem is that immobilization also creates a rapid loss of strength, muscle size, coordination, and neuromuscular control.
Scientific Guide to Improving Gut Health with Diet and Supplements
Gut health has become one of the most talked-about areas in health and wellness. Patients hear about the microbiome, probiotics, prebiotics, fiber, fermented foods, leaky gut, parasites, food sensitivity testing, and gut detox protocols almost every day. Some of this information is useful, but a lot of it is oversimplified, exaggerated, or marketed in a way that makes patients feel like every symptom must come from a hidden gut problem.
Low Dose Naltrexone (LDN): A Novel Approach to Chronic Pain, Inflammation, and Recovery
Naltrexone is a medication that has been used for decades at higher doses, typically 50 mg, for the treatment of opioid and alcohol use disorders. At these doses, it works by blocking opioid receptors, which reduces the reinforcing effects of addictive substances. Low dose naltrexone, usually defined as doses between 0.5 mg and 4.5 mg, works very differently. Instead of sustained opioid blockade, it produces a brief and partial receptor blockade that appears to trigger downstream regulatory effects in the nervous system and immune system.
Peptides: A Comprehensive Scientific Guide for Patients
Peptides represent an important advance in modern medicine. Some peptide-based drugs have changed clinical care in meaningful ways, including treatments used for diabetes, weight management, osteoporosis, endocrine disease, and other serious conditions.
Tibial Nerve Stimulation for Premature Ejaculation and Erectile Dysfunction
Tibial nerve stimulation is a form of neuromodulation that uses electrical stimulation near the ankle to influence nerve pathways that connect back to the sacral nervous system.
Treating Overactive Bladder, Incontinence, and Pelvic Pain with Tibial Nerve Stimulation
Tibial nerve stimulation is a form of neuromodulation used to influence the bladder and pelvic floor through the nervous system.