PRM Transforms Pelvic Pain Care through a Patented, Office-Based Protocol

The pelvic pain patient journey has long been defined by dismissal, misdiagnosis, and ineffective treatment. Women and men suffering from chronic pelvic pain often see up to twelve doctors before being referred to a specialist, with 70 percent receiving incorrect diagnoses. The standard responses opioids, hormones, surgery, or the dismissive suggestion that "a glass of wine will fix it" have failed millions. PRM was founded to break this cycle, positioning itself as a transformative force in pelvic pain care.

Founded in 2017 by Dr. Allyson Shrikhande and Dr. Gautam Shrikhande, PRM has grown into a national network with 14 locations across 10 states, treating approximately 15,000 patients annually. The company's proprietary PRM Protocol™ is a patented, office-based procedure that treats inflamed pelvic nerves and spastic pelvic muscles the root cause of symptoms for many patients. Unlike traditional approaches that rely on surgery or long-term medication, PRM's ultrasound-guided treatment takes less than 30 minutes with no downtime, offering patients a path to relief without opioids or invasive procedures.

As one of the leading pelvic floor physical therapy practices in the United States for 2026, PRM has demonstrated exceptional outcomes: 75 percent of patients experience statistically significant improvement in pain and function, 96 percent report no need for emergency room visits for pelvic pain, and 88 percent missed zero days of work due to their pain in the last three months. These results reflect a model that validates patient experiences and treats the source of pain rather than managing symptoms.

The Proprietary PRM Protocol™ as a Revenue Engine

PRM's most distinctive competitive advantage is its patented PRM Protocol™, a proprietary treatment that directly targets inflamed pelvic nerves and spastic pelvic muscles through ultrasound-guided injections. The protocol addresses the underlying causes of chronic pelvic pain rather than managing symptoms, offering a conservative, office-based alternative to surgery. For patients, this means safe, effective treatment with no downtime and a risk of adverse events below 0.001 percent. For PRM, the patented protocol creates a defensible market position that competitors cannot replicate, supporting premium pricing and patient loyalty.

The Endometriosis Excision Surgery Center of Excellence

PRM has established a Center of Excellence for endometriosis excision surgery, offering a comprehensive three-step approach: pre-habilitation, excision surgery, and post-habilitation. This model reduces the total number of surgeries endometriosis patients must undergo in their lifetime, addressing a critical gap in women's health. For patients, this means fewer surgeries and better long-term outcomes. For PRM, the Center of Excellence generates revenue across the full care continuum, from pre-surgical preparation through post-surgical rehabilitation.

The Multimodal Care Model

PRM integrates cognitive behavioral health and nutrition counseling with its physical treatments, recognizing that pelvic pain is not just physical but emotional and psychological. This multimodal approach addresses the nervous system component of pelvic pain, offering patients a comprehensive path to recovery. For patients, this means care that validates their full experience. For PRM, it creates multiple revenue streams per patient and positions the practice as a comprehensive pelvic pain solution.

The National Network as a Scalability Lever

PRM has expanded to 14 locations across 10 states, with more locations planned. This national footprint gives patients coast-to-coast access to the PRM Protocol™ and creates economies of scale in operations, marketing, and physician recruitment. For patients, this means access to specialized care close to home. For PRM, the network model generates predictable revenue and builds brand recognition.

The Patient-Centric Revenue Model

PRM operates with a commitment to transparency in cost, accepting major insurance plans and offering self-pay options. The practice provides significantly reduced self-pay rates and CareCredit financing to enhance patient access to care. This model accommodates patients across economic circumstances while maintaining predictable revenue through a mix of insurance reimbursements and self-pay patients.

The Founder-Led Mission Culture

PRM was founded by a patient Dr. Allyson Shrikhande who demanded a better way after her own pelvic pain was dismissed. This founder-led, mission-driven culture permeates the organization, from leadership to front office to every pelvic pain specialist. For patients, this means care from a team that believes their pain is real. For PRM, the mission culture drives employee engagement and patient satisfaction.

Gautam Shrikhande, MD, Co-Founder and Chief Executive Officer

"Patients demanded a better way, so we created one. PRM exists because pelvic pain patients deserve care that validates their experience, treats the source of their pain, and never abandons them and because the standard of care for pelvic pain must change."