Author

Sara K. Sauder PT, DPT
Sara K. Sauder PT, DPT

Sara K. Sauder PT, DPT is a pelvic floor physical therapist from Sullivan Physical Therapy in Austin, Texas. She received her Bachelor’s degree in Biology from the University of Texas in Austin and her Masters and Doctorate degrees from Texas Woman’s University in Houston. She is a member of the International Pelvic Pain Society (IPPS), the International Society for the Study of Sexual Women’s Health (ISSWSH), the American Physical Therapy Association (APTA) and Health Volunteers Overseas (HVO).  Sara has a background in orthopedics which initially made her aware of the impact of pelvic floor dysfunction on orthopedic function and quality of life.

Sara’s primary interest is pelvic pain. She is consistently learning about new treatment techniques, reading about complex pain treatment approaches and pursues opportunities to learn from pelvic pain specialists across the country. Her goal is to help people living with chronic pain learn how to manage, improve and abolish their symptoms. She feels patient education is vital to recovery and she works to have open communication with each patient’s medical team.  Sara believes that the mind and the body work together to both create and eliminate pelvic pain.

Fun facts:  Sara was a contestant in the 2013 O’Henry Pun Off.  She did not win.  In fact, she got a mediocre score.  She can hula hoop for over an hour.  Her guilty pleasure is watching The Bachelor while eating Doritos and plain yogurt with salt – but not too much salt.  In junior high she was voted “Most Likely to Become President of the United States”, however she has never served as President of the United States of America.

32 thoughts on “Author”

  1. Hi,
    I have always had painful intercourse and in the last 8 years I have been dealing with other chronic pelvic pain. I am looking for websites, opinions, treatment options etc. In Calgary there is a pain centre but my experience was one of being very scared and treated like I was stupid. I just want help

    1. Hi Raffi,

      Thank you for the compliment.

      The subscriber list is at the second to the bottom on the tabs on the yellow part of the screen. There is another subscriber list if you scroll allllllll the way to the bottom. It’s teeny tiny.

      Have a great day,

      Sara

  2. Heya Sara — happy to find your blog.

    I’m curious if you have any thoughts on vaginal adhesions. I had a Holistic Pelvic Floor Therapist diagnose me with these (and attribute my pain during sex to them), but was then told by a sexological bodyworker that this is commonly over- or mis-diagnosed.

    What are your thoughts? Are they real, or mythological? And if real, how can I treat them?

    Thanks!

    1. Hi Angela,

      Thanks for writing.

      So, honestly, what is a vaginal adhesion? Did you ask your therapist or bodyworker that? I just think that might be a semantics thing. I never tell my patients they have a vaginal adhesion. I tell them they have scar tissue if they have scar tissue, I say they have trigger points if they have trigger points and I say they have a contracture (really shortened, tight muscle that needs to be manually lengthened) if I think they have a contracture. Those are my honest thoughts. I don’t think a vaginal adhesion is mythological like a unicorn, but I do think it’s just a semantics issue. Of the things above that I listed, I think that internal vaginal pelvic floor physical therapy with a therapist’s finger doing the work is probably the best option – knowing what little I know about your specific case.

      Does that help?

      Sara

  3. Sara I am so impressed with this Web site and the effort you have put in to helping people with pelvic floor and pain issues. I know how much time and effort it must take and I am very impressed by your comment mentioned and willing to spend extra time to helping people with this dissorder. I am an emergency doc at a level one trauma center for 29 yrs now, president of our 60 member corporation, and 6 mths ago took an extended medical leave due to debilitating pain in the pelvic area just lateral to the sacrococcyx joint. Can’t sit, drive for over 30 min. Board meetings are excruciating without narcotics and as a physician of course I have been to numerous specialists and PT’S in the area without relief. Just wanted how informitive and helpful your Web site has been. I live in Wichita,Ks and if Austin was closer I’d be there in a flash. Thanks again for your mission and may God Bless your journey.

    1. Hi Dr. Staats,

      I am so sorry to hear your story. I have actually treated a male ER physician with sitting pain and he improved tremendously. He got to return to all his exercise and all his work activities. Level one trauma ER – that’s top of the line stress. (I used to do wound care at a level one trauma center in Austin.)

      If you have seen specialists and PT’s without relief, it is worth considering how you can fly or lie down in a car to get to a specialist or physical therapist that really, really knows male pelvic pain. You can telephone vet them beforehand. I hate to think of you suffering without the right care. If you have a partner or friend that can learn some techniques, a week trip to an experienced therapist (and there are many across the nation) might be an incredible investment.

      Sara

  4. Dear Sara, Thank you for permission to share your website blog. The information you present is clear, concise and very helpful for the men and women I work with. Please let me know if you will be attending CSM next month, I would love to meet you.

    My Facebook page (where I posted your blog) is:

    Pelvicology:treating urological,gynecological and intimacy function

    Sincerely,

    Marilyn Freedman PT,DPT

    1. Hi Marilyn,

      I’m so glad you like the information and the way I present it. I’ve really enjoyed writing for the blog. I would love to meet you as well! I am teaching my course the weekend of CSM this year, but I plan to go next year. I will be at ISSWSH in South Carolina this year – will you?

      Sara

  5. Dear Sara,

    I wanted to thank you for the information you have provided on your blog. I have already had my evaluation and will be starting therapy today. I was freaking out a little, but your description of what to expect helped me to calm down. My PT provided an information booklet at my evaluation and mentioned some of the therapies she uses, but the information wasn’t quite as clear as what you set forth. Thank you again. I am happy that people like you exist to help people like me get better 🙂

    1. Hi Crystal W,

      Thank you for the nice note. I’m glad that you are seeing a pelvic floor physical therapist. Hopefully she is able to help you a lot.

      Sara

  6. Loved your article on treating male pelvic pain.
    I wonder if you would forward your best mailing address I would like to send you a copy of my book on male pelvic pain written from a sufferers perspective.
    Thank you in anticipation.
    Regards
    Carl

  7. Hi Sara!
    I have had three pregnancies and have had SPD with all three. I no have clitoral nerve pain and am seeing a pelvic floor therapist for my pelvic floor muscles and am taking compound cream gabepentin. I still get flares during my period and the nerve pain stays for a good week and is very uncomfortable. I would like to have another baby but am scared on how the pregnancy and birth will make my condition worse. I was wondering if you have had any patients with similar symptoms that became pregnant and their outcome during and after pregnancy or your thoughts on whether pregnancy will make my condition worse off after.
    Thank you!

    1. Hi Elizabeth,

      Ooof, clitoral pain is so unpleasant. Sorry to hear this. Is your therapist aligning your pelvis? Pregnancy is tricky because sometimes it makes symptoms better, sometimes it makes symptoms worse. I have tons of patients with pelvic pain who do better and some do worse with pregnancy and delivery. Everyone is different.

      Sara

      1. Thanks for your response Sara! I go to a chiropractor and will ask him about aligning my pelvis. I don’t have any pelvic pain or vaginal pain other than my clitoral pain. Was hoping the nerve pain would disappear but it’s been a year already!

  8. Hello doctor ,
    I have a pelvic misalignment . I don’t experience any pain as such. My left pelvis is downwards compared to right . As a result my body is slightly tilted. How can i solve this problem?

    1. Hi Amit,

      Do you have access to a physical therapist? I would call before the appointment and make sure they can correct pelvic alignment. Not all therapists do this.

      Sara

  9. Hi Sarah, Thank yo for your wonderful articles. I have only pelvic pain. It started 16 years ago, immediately after a bad reaction to the clean out preparation, & then unfortunately I had the colonoscopy. No one ever heard of Pudendsl nueralgia, then. I went to numerous doctors, & was told I have lavator syndrome. Now I have rectal pain. They put me on a Phentynal patch, which made my life live able, but just barely. I tried physical therapy for 7 weeks, & so no improvement. Liz can’t see me because I have Medicare. The Phentynal no longer works, & I can no longer sit for the past year. My pain doctor is moving me from 1 medicine to another, but nothing allows me to sit. I now have developed SIBO, small intestinal bacterial overgrowth, & am on my 2nd dose of Xifaxin, & a special diet. Recently I’ve noticed my ribs are very painful under my breast. Can you connect any of these dots. I truely feel like I’m falling apart.

  10. Hi Sara

    Really interesting blog. Im a male with cpps, and lots of pain associated with it, especially penile pains. Recently i have found a nurse that performs a prostate massage which has given me improvements in pain, but it leads me to believe that perhaps someone with your skills would help even more. Wondering if you know an equivalent of you who is based in New Zealand, christchurch would be ideal.

    Thanks

  11. To make my 10 yr story short, after seeing a specialist for pudendal neuralgia (which I forced my Ob to send me to) I was told I do not have PA. They sent me back home to find a pelvic floor therapist, she reviewed my mri with me and determined I have a VERY tight pelvic floor. I am currently seeing her weekly, and while I have not quite found relief, remain hopeful, albeit, sometimes lost. I came across your blog today, and I LOVE IT. I have never read such entertaining, understanding articles from any medical site. I appreciate your honesty and education and the small bit of profanity reminds me, laugh a little because you’ll be fine.

  12. Hi Sara,

    This blog is so helpful. I am only 21 I feel like I’m quite young to be getting pelvic floor physiotherapy, do you see many young adults?
    I am reading from Australia, going for my first pelvic floor physiotherapy session next week. I am feeling nervous but your guidance on this blog has helped a lot.

    Thank you.

    -Alice

  13. Hi Dr Sara,

    Just stumbled upon your blog after weeks of trolling the internet. Over the past three months I’ve have a persistent pain/tingling/arousal centered right on my clitoris. It is so sensitive to walk or sit and I can’t concentrate because of it! I have been to see five doctors, all have exhausted their medical expertise and don’t know what to tell me.

    Before this I had been seeing a chiropractor for alignment of my back… I was wondering if maybe I need to go back and check my alignment? Could this be a cause? The thought of having PGAD makes me burst into tears. Could it simply be clitoral pain that presents some symptoms of PGAD due to the increased blood flow/agitation of the area?
    Thank you

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