Loni Harris, PD, DPT, PCES
Visit types:Office/Hospital;At home;Virtual
Spoken languages: English
Interpreting services for other languages: No
What you should know about me:
I believe in an individualized treatment plan for people with endometriosis and I utilize a whole-body treatment approach in looking outside the pelvis and addressing your whole system. In my practice, I provide myofascial release, visceral mobilizations, vagus nerve stimulation, pelvic floor trigger point release, breath-work, yoga/mobility activities, exercises, and self-management/home techniques. I also provide scar tissue mobilization to improve pain and reduce scar tissue adhesions. I have additional training in visceral mobilization and manual therapy for fertility.
Alicia Jeffrey-Thomas, PT, DPT
Visit types: Office/Hospital
Spoken languages: English
Interpreting services for other languages: No
What you should know about me:
I believe in an individualized treatment plan for people with endometriosis which includes a whole body assessment. I incorporate yoga/stretching, mindfulness/breathing strategies, and pelvic wands/dilators for self management strategies and home exercise programs. In the clinic, I focus on visceral and myofascial work to the abdomen, glutes, inner thighs, pelvic floor, etc as appropriate.
Iwalani Crush, PT, DPT, PRPC
Visit types: Office/Hospital;At home;Virtual
Spoken languages: English
Interpreting services for other languages: Yes
What you should know about me:
I believe in seeing and treating the whole person-mind, body, lifestyle. I am an advocate for equity, access and education/awareness in pelvic health and wellness across populations throughout the lifespan. My holistic and trauma-informed treatment approaches include but are not limited to:
Myofascial Release, Acupressure
Electrical Stimulation (NMES, TENS, Neuromodulation)
Ultrasound
Cold Laser/Low Level Light Therapy
Biofeedback: Surface, Intravaginal, Intrarectal
Active Release Technique
Graston
Cupping
Strain Counterstrain/Positional Release
Kinesio/Rock Taping
Neuro-Developmental Technique
Treadmill Running Analysis
Selective Functional Movement Assessment
Functional Movement Screening
PRI/Postural Restoration Techniques
Proprioceptive Neuromuscular Facilitation
Visceral Mobilization (Gastrointestinal/Colorectal, Respiratory, Reproductive, Urinary)
Blood Flow Restriction Therapy
Nasal Release Technique
Somatic Experiencing Techniques
Rehabilitative Ultrasound Imaging for Lumbopelvic Region (TransAbdominal, TransPerineal)
Yoga, Pilates
Breathwork + Sympathetic Downregulation
Low Pressure Fitness
Resistive Strengthening + Conditioning
Aqua/Pool Based Exercise
Sexual Ergonomics
Dr. Paul Tyan
Dr. Paul Tyan, M.D.
Dr Paul Tyan – Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon
Summary: Dr Paul Tyan is a leading endometriosis specialist and minimally invasive gynecologic surgeon based in Arlington, VA. Known for his patient-centered approach and deep expertise, Dr. Tyan brings clarity and compassion to those navigating the complexities of endometriosis. Patients searching for experienced care often turn to Paul Tyan, or Dr Paul Tyan, for his commitment to evidence-based, individualized treatment plans. With a strong foundation in the latest research, including genetic and epigenetic insights, Dr Tyan endometriosis care emphasizes early intervention and holistic pain management.
He specializes in excision surgery and integrates hormonal therapies, physical therapy, and medication tailored to each patient’s needs. Whether you’re exploring treatment for deeply infiltrative endometriosis or managing persistent pain after surgery, Dr. Paul Tyan offers thoughtful, comprehensive support. With Dr Tyan endometriosis care, patients receive both advanced clinical knowledge and the compassionate guidance they deserve.
City: Arlington, VA, USA
Philosophy: In its most basic definition, endometriosis is the presence of endometrial cells (that form the inner lining of the uterus) outside the uterus. In some patients, those ectopic cells can produce an inflammatory response that is at the origin of various cascades that can lead to pain or scarring. There are multiple proposed theories about the origin of endometriosis. The only certainty is that the origin of endometriosis is multifactorial.
The retrograde menstruation or implantation theory is one of the initial principles of the pathogenesis of endometriosis;however, it has been challenged as the single cause for several years, as evidenced by the occurrence of symptomatic endometriosis in premenarchal and postmenopausal women. Also, by the fact that nearly all patients will have retrograde menstruation, but not everyone has endometriosis.
Most recently, we have had significant advances in the genetic and epigenetic theory of endometriosis. The clonality of endometriosis lesions and the cancer-driver genes that have been identified in deeply infiltrative endometriosis lesions shed light on the genetic component of the disease. Recent work on the epigenetic factors linked to external conditions affecting pluripotent cell behavior in the setting of endometriosis is a promising field set to unveil exciting information.
Keeping up to date with the intricacies of the pathogenesis of endometriosis is crucial to my clinical practice. Many patients will be counseled over the years that surgery is unnecessary at that blocking the menstrual cycle or hormonal suppression is sufficient for “curing” endometriosis. Explaining to patients the complex nature of the disease and the necessity of early intervention, especially in the deeply infiltrative endometriosis subtype, could be a crucial factor in decreasing morbidity and improving the quality of life of my patients.
What type of surgery do you perform for endometriosis?:
Excision
Medication: I recommend a combination hormonal contraceptive (birth control) for post-surgical suppression. In cases where a combination option is contraindicated, I recommend a progesterone-only option.
I recommend treatment with an SSRI, SNRI, or GABA-Analog for patients with central sensitization due to chronic pain secondary to endometriosis.
For patients with pelvic floor tension myalgia, I recommend physical therapy, various muscle relaxers, and trigger point injections or nerve blocks in warranted conditions.
Treatment plans tend to be individualized based on the patients’ presenting symptoms, surgical management, and postoperative course.
Approach to Persistent Pain After Surgery: For some patients, endometriosis excision is sufficient for complete symptomatic relief. However, some patients will still have symptoms after surgery. It is crucial to counsel patients before surgery that endometriosis excision is only one aspect of a comprehensive management plan that should involve central and peripheral pain management, pelvic floor physical therapy, and dietary modification.
Dr. Miguel Luna Russo
Dr. Miguel Luna Russo, Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon
City: Cleveland, Ohio, United States
Beverly Lopez, PT, DPT
Visit types: Office
Spoken languages: English
Interpreting services for other languages: No
What you should know about me:
Beverly received her Bachelor of Science degree in Community and Regional Development from the University of California, Davis and her Doctorate in Physical Therapy from the University of St. Augustine.
Beverly gained interest in pelvic health while in graduate school after observing at Sullivan Physical Therapy. She continued her passion with a clinical rotation at Sullivan and has been aspiring to gain more knowledge in the field. Beverly strives to empower her patients with the knowledge to understand their diagnosis and symptoms to reach their goals.
Jessica Duke, PT, DPT
Visit types: Office
Spoken languages: English
Interpreting services for other languages: No
What you should know about me:
Jessica received her Bachelors of Science degree in Kinesiology Motor Behavior and a minor in Psychology from Texas A&M University and her Doctorate of Physical Therapy from Baylor University. Jessica became interested in Pelvic Health while treating in outpatient orthopedics. She enjoys treating pregnancy and postpartum health and return to sport. She also enjoys the mental benefits to pelvic health and wants to share that passion with her patients. Jessica and her husband, Aaron, recently moved back to the Austin area after living in the greater Philadelphia area for the last two years where their daughter, Olivia, was born. She enjoys history, food trucks, working out, and fishing.
McKenzie Becker, PT, DPT
Visit types: Office
Spoken languages: English
Interpreting services for other languages: No
What you should know about me:
Sabrina knew she wanted to be a physical therapist from a young age. She grew up playing sports and dancing, which allowed her to experience the importance of physical therapy for herself as well as see how it benefited other people in her life. She earned her B.S. in Kinesiology – Exercise Science at Fresno State where she began teaching group fitness classes and discovered her love for Pilates. She then moved to SoCal and graduated from CSUN with her Doctorate of Physical Therapy. Sabrina found her passion for women’s health after seeing the lack of postpartum care provided for her relatives after they gave birth. She knew something was missing from their treatment and as she learned more about pelvic floor rehabilitation, she realized she wanted to be a part of helping bridge that gap. Sabrina enjoys treating a variety of both pelvic and orthopedic conditions. Her passion is to assist patients through their rehab journey by providing them the education and tools they need to meet their personal goals. In her spare time, Sabrina enjoys teaching/ taking fitness classes, trying new coffee shops and spending time at the beach.
Angela Dobinsky, PT, DPT
Visit types: Office
Spoken languages: English
Interpreting services for other languages: No
What you should know about me:
Angela strives to create an environment in which her patients feel comfortable discussing diagnoses that are often sensitive in nature. She is passionate about working with patients to create realistic and sustainable health changes. Angela is committed to providing her patients with the best care possible through taking a whole-body approach in order to achieve their goals.
Amethyst Guerrero, PT, DPT
Visit types: Office
Spoken languages: English
Interpreting services for other languages: No
What you should know about me:
Amethyst received her Bachelor of Science degree in Kinesiology from Texas A&M University and her Doctorate in Physical Therapy from University of Texas Medical Branch in Galveston. While in school, she received the Outstanding Physical Therapy Student of the Year Award. In 2020, the Austin American Stateman named Amethyst the Best of the Best Physical Therapist.
Amethyst became interested in pelvic health from growing up in an openly communicative and matriarchal family; she realized many women needed help and didn’t know where to find it. She completed a 3 month internship with Sullivan Physical Therapy where she gained inspiration and knowledge to treat pelvic floor conditions. She is eager to build an open line of communication, provide evidence based practice, and make treatment sessions directly relatable to patient values.
Amethyst is a member of the American Physical Therapy Association. She has taken continuing education classes to expand her knowledge of pelvic floor anatomy, diagnoses and treatments.
Bre Stuhlmuller, PT, DPT
Visit types: Virtual
Spoken languages: English
Interpreting services for other languages: No
What you should know about me:
Bre is a California native and grew up in the Bay Area. She worked her way down the coast, first studying psychology and communication at UC Santa Barbara, and then getting her Doctorate in Physical Therapy from Azusa Pacific University. She was first introduced to women’s health and pelvic floor PT during her last year of school where she quickly realized how beneficial and necessary this line of work was. She decided she wanted to work with and educate women about their bodies so that she could help improve their quality of life. She has become especially interested in helping women through their pregnancy/postpartum journey after having recently gone through that herself.
Bre takes a holistic approach to treating her patients and often incorporates general wellness practices into her treatment sessions. She also strives to help her patients understand the purpose behind the therapy they are receiving so they can begin to relate to their bodies differently and take an active role in their rehabilitation process.
Andrea Levkowitz, PT, DPT
Visit types: Virtual
Spoken languages: English
Interpreting services for other languages: No
What you should know about me:
Andrea was raised in Minnesota. She traded the snow for sunshine and moved to Arizona for undergrad. After graduating with her BS in Kinesiology from Arizona State University, she went on to earn her Doctorate of Physical Therapy from AT Still University in Mesa, Arizona. She started her career in acute care before finding her passion in Women’s Health. She joined a multi-disciplinary team working alongside Urogynecologists and Women’s Health Nurse Practitioners to treat patients with pelvic floor disorders. Andrea has extensive experience treating patients with pelvic pain, urinary incontinence, urinary retention, fecal incontinence and pre/post vaginal reconstructive surgery. She believes in empowering women with education to understand their anatomy and physiology through every stage of life. Outside of the clinic, you can find Andrea spending time with her twin girls, running, cycling or cheering on the Green Bay Packers.
