The Missing Gap in Endometriosis Care: Why Surgery Isn’t the End of the Story with Jessica Doto

Innovative Endometriosis Care: The Healing Hands of Chiropractic with Dr. Katie Pacinelli

If you have endometriosis, you already know that the pain is rarely just in your pelvis. But have you ever wondered why your hips feel permanently tight, your shoulders are constantly up by your ears, or why your body feels stuck in a perpetual state of fight-or-flight? In this episode of the Elysara Endometriosis Series, we are sitting down with Dr. Katie, DC, a Board Certified New York Doctor of Chiropractic who is changing the narrative around chiropractic care and chronic pelvic pain. Dr. Katie practices a little differently: She specializes in different techniques from multiple modalities in order to create truly holistic, personalized care for her patients. We dive deep into how chronic pain patterns trap endo patients in a defensive "protective posture," why common comorbidities like hypermobility require a completely different approach to adjustments, and how techniques like Active Release Technique (ART) [https://activerelease.com/] can help unglue scar tissue to give your pelvis room to breathe again. From head to toe, everything is connected, and this episode proves it. IN THIS EPISODE, WE DISCUSS: * Healing With Her Hands: What chiropractic medicine truly is, and how Dr. Katie's integrated approach at Elysara sets a new standard for collaborative endo care. * The "Protective Posture": How chronic pelvic pain triggers a neurological "fetal tuck" that reshapes your posture, locks your hips, and stresses your upper body. * The Nervous System Balance: Why a dysregulated nervous system keeps endo patients in chronic stress, and how structural decompression brings the body back to equilibrium. * Active Release Technique (ART): [https://activerelease.com/] How working on the body's soft tissue can renew circulation and movement. Connect with Dr. Katie & Elysara Medical: * Website: https://elysarawellness.com/ [https://elysarawellness.com/] * Instagram: https://www.instagram.com/elysaramedical/ [https://www.instagram.com/elysaramedical/] * Find a provider who does Active Release Technique: https://activerelease.com/patients/find-a-provider/ [https://activerelease.com/patients/find-a-provider/] About This Series: This is part four of our collaborative series with Elysara Medical & Wellness [https://elysarawellness.com/]. We are dedicated to bringing you the experts who are filling the gaps in endometriosis care and helping you move out of survival mode for a healthier, happier life. Listen to the Nicoletta's episode [https://thcsdpod.riverside.com/e/beyond-surgery-a-whole-body-approach-to-endometriosis-nicoletta-rasizzi] Listen to Dr. George's episode [https://thcsdpod.riverside.com/e/what-does-cardiology-have-to-do-with-endometriosis] Listen to Jessica's episode [https://thcsdpod.riverside.com/e/the-missing-gap-in-endometriosis-care-why-surgery-isn-t-the-end-of-the-story-with-jessica-doto]

Endometriosis Updates, Life Updates, & the Future of THCSD

It's been a while since we had a solo chat! I'm sharing personal updates on my life, endometriosis journey, and future plans for the pod! Plus some new products that I love <3 EMAIL ME! autumn@thehealthclassshedeserves.com From the episode: * Try Relivaid from Trelli: https://www.trelli.health/GIRLINPAIN [https://www.trelli.health/GIRLINPAIN] * I earn commissions * Try Endoca Raw Hemp Oil: [endoca.com/girlinpain]endoca.com/girlinpain [http://endoca.com/girlinpain] * I earn commissions * Pilates ball [https://www.amazon.com/kisnbld-Small-Pilates-Therapy-Workout/dp/B0CPDDKRW5?th=1] * KT Tape [https://www.kttape.com/?srsltid=AfmBOop-nvawjtuQ66MOoHECc592-jZieQ1ObOP4NwgneQvTOrLjGJ7P] * Subscribe to the pod through the Riverside site: https://thcsdpod.riverside.com/ [https://thcsdpod.riverside.com/]

Chronic Illness & Eating Disorders: How Sick Is "Sick Enough" with Tamie Gangloff

In today’s episode, I am joined by therapist, author, and educator Tamie Gangloff to blow the lid off a massive blind spot in women's healthcare: the intersection of chronic illness and disordered eating. When you live with chronic pain, inflammation, or conditions like endometriosis, adenomyosis, or hEDS, your relationship with food automatically gets complicated. We try so hard to control our symptoms through what we eat that we can easily slide into disordered patterns without even realizing it. Tamie opens up about her own journey, from hearing the word "deformity" and it shaping her experience throughout life to her recent hysterectomy where Ehlers-Danlos Syndrome (EDS) made recovery much longer and harder than expected, triggering intense post-surgical anxiety. We dive deep into why the "sick enough" mentality is keeping you from getting the help you deserve and how to actually rebuild body trust when healing isn’t linear. In This Episode, We Discuss: * The Intersection of Chronic Illness & Disordered Eating: Why living with a chronic condition automatically complicates your relationship with food and movement. * Eating Disorders vs. Disordered Eating: Unpacking the crucial nuance between a clinical diagnosis and the survival-driven food anxieties that develop around chronic pain. * The "Sick Enough" Trap: How internal gatekeeping and medical dismissal convince women their pain isn’t severe enough to warrant deeper lab investigations or specialist care. * The Control Fallacy: How to use food as a supportive tool for your health without slipping down the slope of self-blame when a diet doesn’t "cure" your chronic illness. * Weight Bias in Medicine: The dangerous assumption that thin equals healthy and heavy equals unhealthy, and how this bias delays care. Connect with Tamie: * Website: https://www.tamiegangloff.com/ [https://www.tamiegangloff.com/] * Book: Chronic Illness and Eating Disorders: Assessment, Clinical Skills, and Lived Experiences [https://www.amazon.com/dp/1032812265?ref=cm_sw_r_ffobk_cp_ud_dp_587EG7SRDHAFPQXGE0WR&ref_=cm_sw_r_ffobk_cp_ud_dp_587EG7SRDHAFPQXGE0WR&social_share=cm_sw_r_ffobk_cp_ud_dp_587EG7SRDHAFPQXGE0WR&bestFormat=true&previewDoh=1] As mentioned in class: * National Association of Anorexia Nervosa and Associated Disorders [https://anad.org/] * Free Medical Appt Pre-Planning Guide [https://www.tamiegangloff.com/resourcelibrary/p/medical-appointment-pre-planning-guide] * Insight Timer [https://insighttimer.com/] * EDS Conference at University of Virginia [https://www.youtube.com/watch?v=OphdtQRNxoo&list=PLlf42T0Kv6Sr4FS-ReUGotYgSLAo2k3js]

Cycle Syncing: Your Guide to a Cyclical Life with Amy Dave

If you’ve ever been told that heavy bleeding, debilitating cramps, and "zombie-level" fatigue are just part of being a woman, you’ve been lied to. This week, we’re joined by Amy Dave, a Physician Assistant of 25 years turned Women’s Wellness Coach. After decades in the medical field and a personal battle with severe PMS, Amy discovered that "normal" symptoms are often just signs of a body out of sync. We’re adopting Amy's "Phoenix" mindset in this episode: burning down the old habits that drain you and rise stronger by working with your biology, not against it. What we cover: * Amy's Extended Education: Why 25 years in medicine still wasn't enough to solve her own hormonal crisis. * Cycle Syncing 101: How to flexibly eat, move, and schedule your life around your four hormonal seasons. * The Phoenix Metaphor: Learning to cycle with your internal seasons and rise stronger each time. Connect with Amy: * Podcast: This Incredible Mom Life [https://podcasts.apple.com/us/podcast/this-incredible-mom-life/id1789854849] * Website: https://thewealthofwellness.com/ [https://thewealthofwellness.com/] * Instagram: https://www.instagram.com/thewealthofwellnessllc/ [https://www.instagram.com/thewealthofwellnessllc/]

The Missing Gap in Endometriosis Care: Why Surgery Isn’t the End of the Story with Jessica Doto

This conversation with Jessica Doto, APRN, ANP-C, BSN, MSN is a masterclass in what total care for endometriosis should actually look like. As the Medical Director at Elysara, Jessica brings her high-intensity background in ER and ICU medicine to the world of functional health, and the result is a no-nonsense, deeply compassionate look at how we untangle this complex disease. We’re moving past the "what next?" gap that so many of us feel after surgery. We’re talking about the science of why your body feels the way it does and how to advocate for yourself in a system that often relies on outdated data. In this episode, we dive into... * The Post-Surgical Gap: Why surgery is just one piece of the puzzle and how Elysara builds a post-op roadmap for multidisciplinary treatment. * The BHRT & Estrogen Myth: Breaking down the fear-based narrative around estrogen and why bioidentical hormone replacement is a game-changer for long-term health. * Progesterone Resistance: Why so many endo patients feel "crazy" on synthetic birth control and why our blood tests show normal hormone levels. * IVs: The science behind IV infusions for endometriosis and how they can be better for absorption. CHEAT SHEET: DECODING THE TERMINOLOGY During our chat, we used some heavy-hitting clinical terms. Here is a quick breakdown of what they mean: * BHRT (Bioidentical Hormone Replacement Therapy): Hormones that are chemically identical to those your body produces naturally, used to restore balance without the side effects of synthetics. * Neurosteroid: Steroids produced in the nervous system that act rapidly to regulate the brain. These play a huge role in mood, anxiety, and how you perceive pain. * Mast Cells: Type of white blood cells in your immune system that releases chemicals (like histamine) during an inflammatory response. In endo patients, these are often overactive. * Angiogenesis: The creation of new blood vessels. Endo lesions use this to "feed" themselves and grow. * Prostaglandins: Hormone-like substances that are over-produced in endometriosis patients. They can sensitize nerve endings to signal pain. * N-acetylcysteine (NAC): A powerful antioxidant that helps the body produce glutathione. Research shows it can help reduce the size of endo cysts and lower systemic oxidative stress. Connect with Jessica & Elysara Medical: * Website: https://elysarawellness.com/ [https://elysarawellness.com/] * Instagram: https://www.instagram.com/elysaramedical/ [https://www.instagram.com/elysaramedical/] About This Series: This is part three of our collaborative series with Elysara Medical & Wellness [https://elysarawellness.com/]. We are dedicated to bringing you the experts who are filling the gaps in endometriosis care and helping you move out of survival mode for a healthier, happier life. Listen to the Nicoletta's episode [https://thcsdpod.riverside.com/e/beyond-surgery-a-whole-body-approach-to-endometriosis-nicoletta-rasizzi] Listen to Dr. George's episode [https://thcsdpod.riverside.com/e/what-does-cardiology-have-to-do-with-endometriosis]