Scar Tissue Management: In-Clinic Techniques and At-Home Tips
Kenael Segal Kenael Segal

Scar Tissue Management: In-Clinic Techniques and At-Home Tips

Scars don't just affect the way skin looks — they can affect how tissue moves, how nerves fire, and how surrounding muscles function. A scar from a C-section, abdominal surgery, episiotomy, jaw surgery, or even an old injury can restrict mobility, contribute to pain, and in some cases feed into the same trigger point and referred pain patterns discussed in previous blog posts. The good news is that scar tissue often responds well to targeted treatment, especially when addressed early and consistently.

Read More
How Trigger Points Elsewhere in Your Body Can Affect Your Pelvic Floor
Kenael Segal Kenael Segal

How Trigger Points Elsewhere in Your Body Can Affect Your Pelvic Floor

When someone has pelvic pain, it's natural to assume the problem is located in the pelvis. But pain is often referred — meaning the muscle or tissue causing the pain isn't necessarily where the pain is felt. Trigger points in the hips, low back, abdomen, and even the glutes can refer pain directly into the pelvic floor, and pelvic floor tension can just as easily refer pain outward into the low back, hips, or thighs.

Read More
Dry Needling for Men's Pelvic Health: Pain, Dysfunction, and Prostate-Related Symptoms
Kenael Segal Kenael Segal

Dry Needling for Men's Pelvic Health: Pain, Dysfunction, and Prostate-Related Symptoms

Pelvic floor dysfunction isn't just a women's health issue. Men experience it too, though it's talked about far less. It often leaves men to deal with confusing and uncomfortable symptoms for years before finding the right kind of care. It’s tough out there for women to get the help they need when it comes to pelvic floor and womb-related conditions. This is one area where it’s even tougher for a man to get the help he needs, mostly because of the shame and stigma around it. But the help does exist.

Read More
A pessary for your prolapse
Kenael Segal Kenael Segal

A pessary for your prolapse

In my ebook, Pressure Down There, I dedicated a whole chapter about pessary use. I consider them part of the holistic management for pelvic organ prolapse (POP),considering that they do not require surgery or medication. They used to be considered “old lady” devices. When it comes to POP, I always assess whether a patient would benefit from it. And you know what? Many women would actually benefit. 

Read More
The Surprising Link Between Your Jaw and Your Pelvic Floor
Kenael Segal Kenael Segal

The Surprising Link Between Your Jaw and Your Pelvic Floor

It sounds like an unlikely pairing: the jaw and the pelvic floor. But in clinical practice, it's actually quite common to see the two show up together. Someone with chronic jaw clenching may also be dealing with pelvic tension, or someone in pelvic floor therapy who mentions, almost as an afterthought, that they grind their teeth at night or wake up with tightness in their jaw. This isn't a coincidence. It all comes down to how the nervous system manages tension throughout the body. Also, the jaw and the pelvic floor are connected to the top and bottom of the spine, where the spinal cord (part of the central nervous system) passes in proximity.

Read More
Dry Needling for Headaches and TMJ Pain
Kenael Segal Kenael Segal

Dry Needling for Headaches and TMJ Pain

If you deal with recurring headaches, jaw tightness, or a clicking, aching jaw, the source of the problem may not be where you feel it. Headaches and TMJ (temporomandibular joint) dysfunction are frequently driven by tight, overactive muscles in the jaw, neck, and upper shoulders. Dry needling can be used to address that.

Read More
Dry Needling for Pelvic Floor Dysfunction (PFD): What You Should Know
Kenael Segal Kenael Segal

Dry Needling for Pelvic Floor Dysfunction (PFD): What You Should Know

Pelvic floor dysfunction is common, but it's still something a lot of people feel uncomfortable talking about. Yes, even in 2026, when #pelvicfloor has become a common appearance on social media. Unfortunately, it’s still taboo outside the hashtags and social media doomscroll. This means that many go years without understanding their treatment options, often thinking they have to live with symptoms that have become normalized. Dry needling is one tool that's used by specially trained pelvic health therapists, such as myself, as part of a broader pelvic health treatment plan.

Read More
Can Dry Needling Help Regulate Your Nervous System?
Kenael Segal Kenael Segal

Can Dry Needling Help Regulate Your Nervous System?

Pain and stress aren't just in your head or the muscles; they're deeply tied to the nervous system. When someone is stuck in a chronic stress state, their muscles often stay tense, their breathing pattern changes, and their body has a harder time relaxing, even at rest. Dry needling is increasingly used not just for muscle pain, but as a tool that may support the nervous system in shifting out of that pattern.

Read More
Dry Needling for Chronic Pain: How It Works and What to Expect
Kenael Segal Kenael Segal

Dry Needling for Chronic Pain: How It Works and What to Expect

It’s obvious that chronic pain is physically exhausting. But unfortunately, it’s also mentally exhausting as well. When pain lingers for weeks, months or years, it often means the muscles, nerves, and surrounding tissue have adapted in ways that keep the pain cycle going, even long after the original injury has healed. Dry needling is one tool that physical therapists use to help interrupt that cycle.

Read More
What Is Dry Needling? A Beginner's Guide
Kenael Segal Kenael Segal

What Is Dry Needling? A Beginner's Guide

If you've been dealing with muscle pain, tightness, or nagging discomfort that hasn't responded to stretching or rest, you may have heard of "dry needling” as a potential solution. It's becoming a go-to tool for pain management, but a lot of people aren't sure what it is or how it differs from acupuncture.

Keep reading to find out what dry needling is, how it works, and if you might benefit from it.

Read More
Why I don’t take insurance
Kenael Segal Kenael Segal

Why I don’t take insurance

The simpIe answer is, I work for you, NOT YOUR INSURANCE.

New Jersey is a direct access state, meaning a prescription from your physician, midwife, or other health care provider is not necessary prior to attending physical therapy. 

Lotus Physical Therapy & Wellness, LLC is an "out of network" (OON) provider. This means that you pay upfront for your services and you are responsible for submitting a claim to your insurance. Before you tune out, you should understand a few things.

Read More
How creatine can help with menopause.
Kenael Segal Kenael Segal

How creatine can help with menopause.

I first heard about creatine being used as a supplement last year (2025). My brother-in-law was heavy into working out and optimizing his body. He shared a few podcasts about it and the benefits of exercise in general. I wasn’t impressed, though. There’s something about podcast gym bros that turns me off. I just couldn’t get into the conversations, so I stopped trying. But the creatine seed was planted.

Fast forward a few months, creatine stalked me. It was everywhere! I saw it in vitamin shops and even at department stores. On the occasion, I would scroll past some talk about creatine benefits outside of exercise and recovery. Now, I was interested!

Read More
lotus pt has a new home: verona, NJ
Kenael Segal Kenael Segal

lotus pt has a new home: verona, NJ

If you’ve been with me for a while, you know the struggle I toiled with in 2023. It was May of that year when I finally closed the doors to the Cedar Knolls studio. The pandemic really did a number on my hopes and dreams for that space.

Let’s go back there for a quick min. The studio was minimally decorated with moments of greenery from the house plants, bright and welcoming. I especially loved patient’s first time reaction to seeing the Pilates Caddy that greeted them. It was usually received with a side eye or immediate curiosity. Let’s be honest, it did look like a sex machine. Patients were initially skeptical about using it, but it soon became their favorite exercise apparatus, even more so than the reformers and springboards.

Read More
mental health affects your pelvic health
Kenael Segal Kenael Segal

mental health affects your pelvic health

It’s early March, the sun is shining a bit longer, it air feels warmer than usual, and the occassional rain is feeding the bulbs that are just emerging from the Earth. It’s not quite spring yet but it’s defintely in the air. And as an avid gardener and amateur herbalist, I’m mentally planning for a North New Jersey garden season. And not just my physical garden I’m thinking, but my mental and emotional garden as well.

Read More
an all inclusive retreat for chronic pelvic pain
Kenael Segal Kenael Segal

an all inclusive retreat for chronic pelvic pain

I recall reading an article, a few years ago, about a local doctor who gave up his medical practice to buy a farm right here in New Jersey. The farm, grew organic food and provided a healing space for his patients to heal from their conditions. It turns out that clean food, time in nature, and guidance can be a cure for many of the conditions that plague the citizens of the Western world.

Read More
6 Simple ways to relieve pubic symphysis pain
Kenael Segal Kenael Segal

6 Simple ways to relieve pubic symphysis pain

Small movement, separation or inflammation at your pubic symphysis, located between your pubic bones, can be a big pain in the pelvis. Because you have enough things to deal with during your pregnancy and after birth, here are a few simple things you can do to decrease your pubic symphysis pain.

Read More
So you haven't pooped in a few days. What's normal and what’s not.
Kenael Segal Kenael Segal

So you haven't pooped in a few days. What's normal and what’s not.

Constipation affects everyone sooner or later. It affects women more often than men, and the likelihood also increases with age and pregnancy. Did you know that constipation is the second most common complaint among pregnant women? Whatever the reason, here are some things that can be done to manage and even prevent constipation.

Read More