Iwalani Crush, PT, DPT, PRPC, HPC, AASECT CSC, GGS-CWC
Iwalani Crush, PT, DPT, PRPC, HPC, AASECT CSC, GGS-CWC
Iwalani Crush – Endometriosis Physical Therapist
Summary: Iwalani Crush, PT, DPT, PRPC, is a compassionate endometriosis physical therapist based at Pelvic Guide at Continuity Wellness in Springfield, PA. Iwalani Crush takes a holistic and trauma-informed approach to pelvic health, focusing on treating the whole person—mind, body, and lifestyle. A Hawaii-born, BIPOC, non-binary, non-neurotypical breast and cervical cancer survivor, and a Herman & Wallace certified pelvic rehabilitation practitioner, AASECT sex counselor, and Girls Gone Strong women’s health coach, Dr. Crush seeks to guide clients toward bodily autonomy through pelvic education and strengthening mind-body communication. She advocates for equity, access, and education in pelvic wellness across all populations and life stages. Health is holistic, and she believes in seeing and treating the whole person—Physical, Mental, and Relational—recognizing the integral relationship between the three in pelvic floor health and sexual wellness.
Using advanced techniques like myofascial release, biofeedback, neuromodulation, and rehabilitative ultrasound imaging, Iwalani Crush creates personalized treatment plans that promote healing and empower patients. Her expertise includes modalities such as acupressure, electrical stimulation, functional movement screening, and aquatic therapy. Beyond physical treatment, she incorporates breathwork, yoga, and Pilates to support long-term wellness. She also emphasizes developing interoception—the ability to become aware of, identify, and self-manage mental, emotional, and physical states—as a vital component of the healing process. Combining 15 years of expertise in pelvic floor physical therapy, AASECT sex counseling
Visit types: outpatient office/clinic, virtual, and in home
Spoken languages: English
Interpreting services for other languages: No
What you should know about me: ALOHA! I’m Dr. Crush. As a Hawaii-born, BIPOC, non-binary, non-neurotypical, breast & cervical cancer survivor as well as a Herman & Wallace certified pelvic rehabilitation practitioner, AASECT sex counselor and Girls Gone Strong women’s health coach, I seek to guide clients toward bodily autonomy via pelvic education and mind-body communication strengthening. Health is holistic, and I believe in seeing and treating the whole person — Physical, Mental, and Relational. The integral relationship between the three is essential to my understanding and clinical approach regarding the pelvic floor health and sexual wellness of all persons. I strive to assist in my clients’ skills of interoception — the ability to become aware of, identify and self-manage their mental, emotional and physical states — and its vital role in helping or hindering their healing process. Combining my 15 years of expertise in pelvic floor physical therapy, AASECT sex counseling certification, GGS women’s health coaching certification, and holistic/non-oppressive/trauma-informed medical methodology, I am able to offer clients a comprehensive and empowering solution toward healing and embodiment.
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
Beverly Lopez, PT, DPT
Beverly Lopez – Endometriosis Physial Therapist
Summary: Beverly Lopez is a dedicated endometriosis physical therapist based in Austin, Texas, committed to providing compassionate, patient-centered care. At Origin Physical Therapy, Beverly Lopez focuses on pelvic health, helping women understand their symptoms and regain control over their bodies through tailored therapy plans.
With a doctorate in physical therapy from the University of St. Augustine and a background in community development from UC Davis, Beverly Lopez combines clinical expertise with a genuine passion for patient education. Her interest in pelvic health grew during graduate school and clinical rotations, inspiring her to empower patients with knowledge and support throughout their healing journey. Whether managing endometriosis symptoms or addressing pelvic floor dysfunction, Beverly Lopez prioritizes helping patients achieve their goals with confidence and comfort in a warm, supportive environment.
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
Jessica Duke, PT, DPT
Jessica Duke – Endometriosis Physical Therapist
Summary: Jessica Duke is a compassionate and knowledgeable endometriosis physical therapist based in Round Rock, TX. With a strong foundation in Kinesiology and a doctorate of Physical Therapy from Baylor University, Jessica Duke combines evidence-based techniques with a personalized, whole-person approach. Her passion for pelvic health began in outpatient orthopedics and grew as she saw the deep physical and emotional impact of pregnancy, postpartum recovery, and pelvic conditions. Jessica Duke is especially committed to helping patients return to sport, daily life, and confidence through thoughtful care and open communication. She believes in empowering patients with education and support to improve not just physical function but also mental well-being. Now back in the Austin area with her family, Jessica enjoys food trucks, history, and being outdoors. She looks forward to walking alongside you in your healing journey with compassion and expertise.
Visit types: Office
Spoken languages: English
Interpreting services for other languages: No
What you should know about me: Jessica received her Bachelor 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
McKenzie Becker, PT, DPT
McKenzie Becker—Endometriosis Physical Therapist
Summary: McKenzie Becker, PT, DPT, is a compassionate endometriosis physical therapist dedicated to helping patients restore function and improve quality of life. At Origin Physical Therapy in Austin, McKenzie Becker specializes in pelvic health and takes a whole-person approach to care, guiding patients through their healing journey with empathy and expertise. McKenzie understands firsthand the transformative power of physical therapy and channels that passion into supporting individuals with endometriosis and pelvic floor dysfunction.
McKenzie is especially committed to educating patients and equipping them with the tools they need to take an active role in their recovery. Whether helping someone navigate postpartum recovery or manage chronic pelvic pain, she builds a safe, supportive environment for healing. Outside the clinic, she enjoys staying active, spending time outdoors, and exploring wellness practices that enhance both body and mind.
Visit types: Office
Spoken languages: English
Interpreting services for other languages: No
What you should know about me: McKenzie Becker earned her Bachelor of Science in Human Physiology from the University of Oregon and her Doctorate in Physical Therapy from the University of St. Augustine for Health Sciences.
She began her career in a rural outpatient clinic in Washington, treating a variety of orthopedic, neurological, and vestibular conditions. During this time, she developed a strong foundation in patient education and exercise prescription to help individuals reach their full therapeutic potential. Driven by a whole-person approach, McKenzie considers each patient’s unique goals, environment, and barriers when shaping treatment plans. Her passion for pelvic health grew from a desire to offer specialized care and help destigmatize pelvic floor conditions. She finds fulfillment in empowering patients with the knowledge and tools they need to manage musculoskeletal issues confidently.
McKenzie is a member of the American Physical Therapy Association and is committed to lifelong learning. Her clinical interests include Pain Neuroscience Education, the FITT principle for exercise prescription, return-to-sport guidance, and integrating Barbell Rehab methods for patients of all abilities.
Based in Austin, Texas, McKenzie enjoys life with her partner and two dogs. In her free time, she loves hiking, camping, kayaking, visiting breweries and parks, and sharing laughs with friends.
Angela Dobinsky, PT, DPT
Angela Dobinsky, PT, DPT
Angela Dobinsky—Endometriosis Physical Therapist
Summary: Angela Dobinsky, PT, DPT, is a compassionate and dedicated endometriosis physical therapist at Origin Physical Therapy in Austin, TX. Angela Dobinsky believes in creating a safe, supportive space where patients feel comfortable discussing sensitive pelvic health concerns. With a warm and collaborative approach, she works closely with each patient to develop personalized, sustainable plans that promote long-term well-being. Angela Dobinsky takes a whole-body approach to care, focusing on restoring function and improving quality of life through education, movement, and mindful healing. She is deeply committed to helping individuals with endometriosis and other pelvic floor disorders feel empowered and understood in their healthcare journey. Her professional yet caring demeanor makes her a trusted resource for those seeking relief and better physical health. Whether you’re beginning or continuing your healing path, Angela provides thoughtful, evidence-based care that meets you where you are.
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
Amethyst Guerrero, PT, DPT
Amethyst Guerrero – Endometriosis Physical Therapist
Summary: Amethyst Guerrero, PT, DPT, is a dedicated endometriosis physical therapist based at Origin Physical Therapy in Austin, Texas. With a Bachelor of Science in Kinesiology from Texas A&M University and a Doctorate in Physical Therapy from the University of Texas Medical Branch, Amethyst Guerrero combines strong academic credentials with compassionate care. Named Best of the Best Physical Therapist by the Austin American-Statesman in 2020, Amethyst Guerrero specializes in pelvic health, drawing inspiration from her supportive family background to help women find the care they need. She completed an internship focused on pelvic floor conditions and continually advances her expertise through specialized education. At Origin Physical Therapy, Amethyst Guerrero prioritizes open communication and evidence-based treatments tailored to each patient’s values, empowering women to regain confidence and improve quality of life. She is an active member of the American Physical Therapy Association, committed to providing patient-centered care for those experiencing pelvic health challenges.
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 the 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-Statesman 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
Bre Stuhlmuller, PT, DPT
Bre Stuhlmuller – Endometriosis Physical Therapist
Summary: Bre Stuhlmuller is an experienced endometriosis physical therapist at Origin Physical Therapy in Texas, passionate about supporting women through all stages of life. With a background in psychology and communication from UC Santa Barbara and a Doctorate in Physical Therapy from Azusa Pacific University, Bre Stuhlmuller brings both empathy and clinical expertise to her care. She discovered her calling in pelvic health during her final year of training and has since dedicated her career to empowering women through education and personalized therapy.
Bre takes a holistic approach to treatment, blending evidence-based pelvic floor physical therapy with overall wellness practices. She has a special interest in pregnancy and postpartum care, informed by her own motherhood journey. Bre is committed to helping patients better understand their bodies and actively engage in their healing process, fostering long-term confidence and well-being.
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
Andrea Levkowitz, PT, DPT
Andrea Levkowitz – Endometriosis Physical Therapist
Summary: Andrea Levkowitz is a compassionate and highly experienced endometriosis physical therapist at Origin Physical Therapy. With a doctorate in Physical Therapy from AT Still University and a background in Kinesiology, Andrea Levkowitz brings a deep understanding of women’s health to her practice. She has worked closely with Urogynecologists and Women’s Health Nurse Practitioners to treat pelvic floor conditions, including pelvic pain, urinary incontinence, and recovery from vaginal reconstructive surgery. Andrea is committed to empowering women through education and helping them feel confident in their care. Her approach is warm, patient-centered, and rooted in evidence-based care tailored to each individual. Whether you’re navigating chronic pelvic pain or preparing for postpartum recovery, Andrea provides the guidance and expertise needed to support your healing journey. Outside of work, she enjoys time with her twin daughters, staying active, and cheering on the Packers.
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 multidisciplinary 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.
Cindy Okpegbue, PT, DPT
Cindy Okpegbue, PT, DPT
Cindy Okpegbue – Endometriosis Physical Therapist
Summary: Cindy Okpegbue, PT, DPT, is a passionate endometriosis physical therapist based in Texas with a strong commitment to women’s health. At Origin Physical Therapy, Cindy Okpegbue brings expertise in pelvic floor dysfunction and a deep dedication to empowering patients through education and compassionate care. With a background in sports medicine and a doctorate in Physical Therapy from the New York Institute of Technology, she combines clinical skill with a patient-first approach. Cindy stays current with the latest pelvic health research to provide effective, evidence-based treatments. Her holistic care style reflects her active lifestyle and background in collegiate volleyball. Whether helping patients manage pelvic pain or supporting recovery after childbirth, Cindy is devoted to helping each individual reach their full potential with confidence and comfort.
Visit types: Virtual
Spoken languages: English
Interpreting services for other languages: No
What you should know about me: My name is Dr. Cindy Okpegbue. I graduated with my bachelor’s degree in sports medicine in 2016 at Coppin State University. I then went on to receive my Doctorate in Physical Therapy from the New York Institute of Technology in 2020. Over the last two years of being a physical therapist, women’s health and empowerment have been my passion. I have taken additional courses in this area of study to ensure I stay up to date with the latest clinical information. What I love about being a pelvic floor physical therapist is the ability to educate and advocate for individuals experiencing pelvic floor dysfunction.
My hobbies include running, lifting weights, listening to a podcast, traveling, and spending quality time with my friends and family. I have participated in a variety of sports throughout my life, including playing collegiate volleyball at a D1 university. I enjoy meeting new people and assisting individuals in reaching their full potential.
Ashley Rawlins, PT, DPT
Ashley Rawlins, PT, DPT
Ashley Rawlins—Endometriosis Physical Therapist
Summary: Ashley Rawlins is a highly experienced endometriosis physical therapist dedicated to helping patients feel stronger, more confident, and pain-free. With advanced certifications in pelvic and obstetric health, Ashley Rawlins specializes in treating pelvic floor dysfunction, sexual pain, pregnancy-related discomfort, postpartum recovery, and bladder and bowel issues. As a physical therapist at Origin Physical Therapy in Texas, she blends clinical expertise with deep compassion to support patients at every stage of life. In addition to her hands-on care, Ashley is also an educator and published author in women’s health physiotherapy. She regularly teaches physical therapy students, healthcare professionals, and community groups, helping to raise awareness and improve standards of care. Ashley Rawlins is passionate about movement and wellness in both her personal and professional life, and she is committed to empowering her patients with education, support, and evidence-based treatment.
Visit types: Virtual
Spoken languages: English
Interpreting services for other languages: No
What you should know about me: Ashley is a doctor of physical therapy. She has advanced certification in the treatment of Pelvic Health and Obstetric Health (CAPP-Pelvic, CAPP-OB). She specializes in the treatment of pelvic floor muscle dysfunctions, including pelvic pain, sexual dysfunction, pregnancy-related pain, postpartum recovery, and bowel and bladder dysfunction. She is a practicing clinician, educator, and author in the field of women’s health physiotherapy.
She has taught courses on women’s health physical therapy to physical therapy students in Dallas, has provided education to groups throughout the community, as well as assisted in teaching continued education courses to physical therapists and other healthcare professionals. Her most important job is being a wife and mother to her silly, active little boy and sassy, precious daughter. She enjoys running, yoga, hiking, dancing, or anything that gets her moving and is always up for trying the newest fitness or wellness trends.
