Pelvic health leaders, are your clinicians unintentionally overwhelming patients with manual and orthopedic care before addressing their fear-based symptom loops?

In this conversation, Becky and her guest Paige Genova unpack why so many chronic pelvic pain cases plateau, and how neuroplasticity explains the missing link. Paige also introduces her six-step “pelvicology” framework, showing clinicians exactly how to apply neuro reprocessing therapy alongside manual work, orthopedic interventions, and emotional pattern recognition.

Paige Genova is an occupational therapist and founder of Vital Pelvic Health & Wellness in Ohio. She specializes in complex pelvic pain and created Pelvicology, a neuro-informed clinical framework for treating chronic symptoms at the root.

What you’ll learn in this episode:

(02:40) Why neuropsychology and sensory interpretation form the foundation of chronic pelvic pain.

(06:52) Why symptom improvement before an appointment often reveals neuroplastic mechanisms rather than structural change.

(09:10) Why traditional pain neuroscience education falls short.

(14:37) How to determine whether a patient is primarily neuroplastic, primarily musculoskeletal, or a blend.

(16:50) How manual therapy, exercises, and neuro reprocessing work together to create corrective experiences that retrain the brain.

(33:12) How guided imagery and emotional identification can help patients break long-standing symptom cycles.

Thanks to Paige Genova for coming on the show! Learn more about Paige and her six-step pelvicology framework: https://www.instagram.com/paige_thepelvic_ot/

Join the waitlist for Paige’s upcoming pelvicology course launching in 2026: https://vph.kit.com/pelvicology_waitlist

Download Paige’s free clinical guide and chart for identifying neuroplastic components in pelvic cases: https://vph.kit.com/pg

If you’re in Ohio, be sure to visit Paige at Vital Pelvic Health and Wellness: https://www.vitalpelvichealth.com/

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Join the waitlist for the next cohort of Becky’s course: How to Treat the Pelvic Floor Without Kegels: https://www.thepelvicpowerhouse.com/treatingthepelvicfloor. In this course, you’ll learn how to identify the root cause of pelvic floor dysfunction and confidently treat your patients without relying on Kegels. Becky runs this course only twice a year, so be sure to join the waitlist!

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

Subscribe to "From the Ground Up with Dr. Becky Allen”:

* Apple Podcasts: https://apple.co/47eQP84

* Spotify: https://open.spotify.com/show/4QMmH0LDL0CrCEvVpJaOzd

* YouTube: https://www.youtube.com/@FromTheGroundUp-u4n/

Pelvic health professionals, if you want to grow your practice, provide great patient care, and create the life and business you love, then visit The Pelvic Powerhouse: https://www.thepelvicpowerhouse.com/

"From the Ground Up with Dr. Becky Allen” is the podcast for pelvic health pros who are done playing small in the clinic or in business. Your host is Dr. Becky Allen, a physical therapist and the founder and visionary of Genesis PT & Wellness. As your coach, Becky will share with you what it really takes to lead a mission-driven, team-powered, game-changing pelvic health practice.

This episode was produced by Story On Media: https://www.storyon.co/