Heal Your Chronic Pelvic Pain

Rachel Gofman, DPT

The Heal Your Chronic Pelvic Pain Podcast helps you heal chronic pelvic pain through a proven mind-body approach. Hosted by Rachel Gofman, DPT – a pelvic pain coach and physical therapist who overcame years of her own pain — each episode gives you science-based tools and compassionate guidance to partner with your nervous system to heal symptoms and reclaim your life.

  1. 8h ago

    How to Advocate for Yourself at Your Next Pelvic Exam

    If you've ever frozen on the exam table, or spent the drive home replaying everything you wish you'd said, this episode is for you. For so many of us with chronic pelvic pain, gynecologist visits are part of the recovery journey. And they can be really hard, both physically and emotionally. Many providers aren't trained in trauma-informed care or familiar with conditions like vaginismus and vulvodynia, which means it often falls on us to speak up for what we need. In this episode, I'm sharing the things I didn't know I could ask for when I was healing, so you can walk into your next appointment feeling more prepared and a little more in control. In this episode: Why telling your provider about pain with penetration out loud matters (even if it's already on your intake form) How to let your provider know you need extra care without disclosing anything you don't want to share Why freezing on the table is a protective response, and not a personal failure What to do if your provider declines a referral you've asked for Why poor care is a reflection of the provider and the system, not of you Free resource: Grab my free Pain Flare Plan workbook, with simple steps to help you navigate flares with less fear and more ease Get Your Free Pain Flare Plan Connect with me: Instagram@thepelvicpaincoach Work with Me:  Join BCPP Get Join The Waitlist for Private Coaching  This podcast is for informational and educational purposes only and is not a substitute for medical advice, diagnosis, or treatment.

  2. Sep 21

    FAQ: Do I Have to Change Myself or My Life to Heal?

    Do you have to quit your job, leave your relationship, move, or completely restructure your life in order to heal? And do you have to change who you are? Do you have to stop being a perfectionist or people pleaser, become more emotional, set boundaries, or make yourself less ambitious? These are two questions that come up all the time in mind-body healing. And the honest answer to both is: I don’t know. Sometimes something in your external life does need to change. Other times, the circumstances may not be the primary problem, but the enormous amount of internal pressure your nervous system is experiencing within them. Sometimes, it’s a combination of both. In this episode, I’m sharing how to explore where your nervous system may be perceiving threat without turning healing into a massive project of trying to identify and fix everything about yourself or your life. I talk about: The difference between external sources of threat and the internal experience you’re having within your circumstances Why quitting the job or leaving the relationship may not resolve the patterns that are creating chronic threat The one part of healing from neuroplastic symptoms that I believe is non-negotiable Why reducing the fear of your symptoms may be enough for some people How perfectionism, people pleasing, self-criticism, emotional suppression, and overriding your needs can create internal pressure Why these protective patterns aren’t your identity or all of who you are My experience with “symptom whack-a-mole” and why new symptoms continued to appear Why digging for the one missing piece can keep you stuck in fear and fix-it mode How to become a curious observer of the patterns that naturally show up in your daily life Why healing isn’t about creating perfect circumstances or becoming a different person How building safety and self-trust gives you more awareness, agency, and choice For the first time in quite a while, I’m opening applications for two private 1:1 coaching spots. This is the most individualized and tailored level of support I offer. Learn more about 1:1 coaching  Apply To Become A 1:1 Coaching Client If you’d like to be considered for one of these openings, you can learn more and submit your application below. Applications are due Friday, September 25th. Resources: Learn more about 1:1 coaching  Apply To Become A 1:1 Coaching Client Learn more about Beyond Chronic Pelvic Pain Get Your Free Pain Flare Plan Follow me on Instagram: @thepelvicpaincoach

  3. Sep 14

    The Power of Support (You Don’t Have to Do This Alone)

    Even though no one can do the healing work for you, that doesn’t mean you have to do it alone. For most of my own healing journey, I struggled to ask for help. Shame kept me from talking about what I was experiencing. Financial fears made support feel inaccessible. And because I knew no one else could heal me, I convinced myself there was no point in letting anyone support me. Looking back, I wish I had understood just how much easier it can be to navigate something hard, heavy, and uncertain when you have someone there who can guide and support you along the way.  In this episode, I’m sharing why support has become one of the most valuable parts of my life, what it means to be supported without expecting someone else to fix you, and what individualized support can make possible along the chronic pelvic pain healing journey. I talk about: The shame, financial fears, and hyper-independence that kept me from asking for help Why understanding the mind-body approach intellectually isn’t always enough to help you implement it How co-regulation can support your nervous system when symptoms are loud or fear takes over What I help my 1:1 clients do when they feel scared, stuck, frustrated, or uncertain How individualized coaching helps us explore your specific symptoms, nervous system patterns, and life patterns How I help clients stay in the process without turning healing into another thing to fix Why many of my clients continue this work even after their chronic symptoms have resolved My 1:1 coaching practice will have a very limited number of openings soon. If you feel like individualized support may be the right next step for you, you can learn more about 1:1 coaching and join the waitlist below. Join the 1:1 coaching waitlist  Joining the waitlist isn’t a commitment to coaching. It simply means you’ll be the first to know when consultation calls become available. Resources: Learn more about 1:1 coaching Join the 1:1 coaching waitlist Get Your Free Pain Flare Plan Follow me on Instagram: @thepelvicpaincoach

  4. Sep 7

    From Bracing for Pain to Feeling Safe in Your Body Again (with Jessie Hoffer)

    In this episode, I’m joined by Jessie Hoffer, an associate clinical social worker at the Pain Psychology Center.  In this episode, Jessie shares her own experience with pelvic pain and pain during intimacy as well as her experience working with her clients. We explore how the cycle of fear, bracing, and pain can become a learned pattern and how healing involves supporting both the physical components and the fear response within the nervous system. We also talk about creating safety during intimacy, learning to advocate for your needs, and recognizing when relational or emotional factors may be contributing to a very real sense of unsafety. Jessie offers a compassionate look at how past experiences can shape our expectations in the present, even when our current circumstances are different. Together, we discuss: How anticipating pain can create a cycle of fear, bracing, and increased symptoms The role of safety in pain reprocessing and pelvic pain recovery Creating safety with your body, with a partner, and within yourself Learning to pause, recognize what’s happening, and choose a different response Why outcome independence is an ongoing practice Shifting from fixing and fighting your pain toward curiosity and compassion The stories pelvic pain can create about your future How to make space for grief while also offering your brain new possibilities Integrating pelvic floor physical therapy and other physical treatments with mind-body work Most importantly, this conversation is a reminder that even if you’ve been living with pain for months or years, your relationship with your body, your symptoms, and your future doesn’t have to keep looking the way it does today. Change is always possible.  You can connect with Jessie through the Pain Psychology Center, on Instagram at @jesstalkaboutit, or by emailing jhoffer.therapy@gmail.com Connect with Rachel:  Get Your Free Pain Flare Plan Join BCPP  Instagram: thepelvicpaincoach Disclaimer:This podcast is intended for informational and educational purposes only and is not a substitute for medical advice, diagnosis, or treatment.

  5. Aug 24

    The Missing Piece in Healing: Why More Information (Likely) Isn’t the Answer

    Have you ever felt like you’re just one podcast episode, one success story, one book, or one explanation away from finally healing your chronic pelvic pain? Maybe you keep searching for someone whose symptoms sound exactly like yours. Someone with the same diagnosis, the same symptoms, the same timeline, who fully recovered. Because if you can just find that person, maybe you’ll finally have the proof you need that healing is possible for you too. And not only that, the EXACT steps for you to take to get there. Oh, just me? In this episode, I’m talking about what I call the “missing piece fallacy”: the belief that if you’re still having symptoms, there must be something you haven’t learned yet. That there’s some magic missing piece of information that will be the key to healing. And while learning absolutely has a place in healing, there can come a point where constantly acquiring more information actually becomes a protective strategy from your nervous system. It feels productive. It feels like you’re taking action. But it can actually keep you spinning in inaction. At some point, your nervous system doesn’t need another explanation. It needs new lived experiences. In this episode, we talk about: Why constantly searching for more information can keep you stuck How learning can become a protective stalling strategy Why believing you’re “missing something” can become a danger signal in itself The difference between intellectually understanding safety and actually experiencing safety Why healing requires moving toward the things you’ve been avoiding because of symptoms What a corrective experience actually looks like (hint: it doesn’t necessarily mean doing something without symptoms) How to start taking small, tolerable steps toward the life you want to be living Why you are the safety you’ve been looking for You don’t have to wait until you’re pain-free to start living your life again. In fact, expanding your life while you heal can be a huge part of how you heal. If you’ve learned the pain science, listened to the podcasts, read the books, and you’re thinking, “Okay, I understand this... so why am I still stuck?” this episode is for you. Want support implementing this work?  That’s exactly what I help you do inside Beyond Chronic Pelvic Pain. Inside the program, I help you move beyond simply understanding neuroplastic pain and start applying this work to your actual symptoms, nervous system, and life. Through the self-paced curriculum, weekly live group coaching, and private Q&A podcast, you’ll learn how to build safety with your body, with yourself, and within your life while you start moving back toward the things pain has taken from you, while rewiring your nervous system out of chronic pelvic pain.  Learn more about Beyond Chronic Pelvic Pain here Connect with Rachel:  Get Your Free Pain Flare Plan Instagram: thepelvicpaincoach Disclaimer: This podcast is intended for informational and educational purposes only and is not a substitute for medical advice, diagnosis, or treatment.

  6. Aug 10

    The #1 Thing Holding You Back From Doing What You Want (Hint: It’s Not Symptoms)

    Have you ever found yourself wondering if you should postpone a vacation, skip an event, put off dating, or wait to make a big life decision until your symptoms are better? When you're living with chronic pelvic pain, it can feel like your symptoms are the thing keeping you from doing what you want. But often, there’s something else happening too: you’re waiting for a guarantee that you’ll feel good enough to enjoy the experience. And when you can’t get that guarantee, it can feel safer to wait. But in the waiting… we can miss out on our lives. In this episode, we’re talking about what it means to allow for imperfect experiences while healing. I share why it’s so important to reconnect with what you actually WANT, how to shift from “what if?” to “even if,” and how learning to support yourself through uncertainty can help you expand your life without waiting for your symptoms to disappear first. Because healing doesn’t have to mean putting your life on hold until you can guarantee you’ll feel good. Sometimes, the work is learning that an experience can be hard, imperfect, AND still incredibly worth having. In this episode, you'll learn: Why the desire for certainty can keep you from doing the things you really want to do How to reconnect with and amplify your desire instead of only listening to all the reasons your brain gives you not to do something Why allowing an experience to be imperfect is different from pushing through or forcing yourself to tolerate discomfort How all-or-nothing expectations can make an experience feel like it “wasn't worth it” unless you felt good the entire time How to shift from “What if…” to “Even if… Five questions to help you move toward experiences you want while making room for uncertainty How expanding your capacity for imperfect experiences can help you expand your life while healing Why this work can still feel really hard even when you know exactly “how” to do it, and why that doesn't mean you're doing it wrong Connect with Rachel:  Get Your Free Pain Flare Plan Join BCPP  Book A Pelvic Pain Strategy Session Instagram: thepelvicpaincoach Disclaimer: This podcast is intended for informational and educational purposes only and is not a substitute for medical advice, diagnosis, or treatment.

5
out of 5
15 Ratings

About

The Heal Your Chronic Pelvic Pain Podcast helps you heal chronic pelvic pain through a proven mind-body approach. Hosted by Rachel Gofman, DPT – a pelvic pain coach and physical therapist who overcame years of her own pain — each episode gives you science-based tools and compassionate guidance to partner with your nervous system to heal symptoms and reclaim your life.

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