Female Pelvic Pain
Pelvic Floor Physical Therapy is a powerful tool for the treatment of pelvic pain.
Pelvic floor dysfunction can also arise in response to other common chronic pain syndromes, such as endometriosis, irritable bowel disease, vulvodynia, and interstitial cystitis. A prospective evaluation of patients with chronic pelvic pain of various etiologies found abnormal musculoskeletal findings in 37%, versus 5% of controls (1).
Pelvic floor musculoskeletal disorders are common in women and often go unrecognized during the evaluation of pelvic pain. It is estimated that 40% of diagnostic laparoscopies and 12% of hysterectomies are performed for pelvic pain. Failure to recognize pelvic floor dysfunction contributes to the 24% to 40% negative laparoscopy rate in patients with chronic pelvic pain (2). Many of these patients have a diagnosis that is not surgically correctable or have multiple musculoskeletal and/or neuromuscular causes for their pain, which then persists despite surgery.
Patients with the following symptoms should be assessed by a Pelvic Floor Physical Therapist:
“Acute or chronic pelvic pain is often due to musculoskeletal disorders, which may go unrecognized during a traditional pelvic examination. Proper evaluation facilitates the diagnosis of spasm or trigger points, and physical therapy often achieves a major improvement in quality of life".
How does Pelvic Floor Physical Therapy Help?
2) Howard, Fred M. "The role of laparoscopy in chronic pelvic pain: promise and pitfalls." Obstetrical & gynecological survey 48.6 (1993): 357-387.
3) Weiss, Patrice M., Jennifer Rich, and Eric Swisher. "Pelvic Floor Spasm: The missing link in chronic pelvic pain." (2012).