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Pelvic Floor Physical Therapy for pelvic pain. Pelvic Floor Physical Therapy for pelvic pain.

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Unread 06-20-2008, 04:36 PM
Pelvic Floor Physical Therapy for pelvic pain.

I am putting this here since "alternative therapies" is the forum topic. Hope this is in the right spot.

Anyway... I am 36. We have 3 kids.

Had laparoscopy surgery to investigate pelvic pain and gyn diagnosed me with Stage I Endometriosis. I was never "classic symptoms" of endometriosis. I have crampy periods but no blood gushing... put-me-in-bed painful periods like some of my friends with endo have experienced. I have learned that endo is very mysterious and one person's experience may be completely different from another person.

HOWEVER... the gyn who did my lap surg on 2/29/08 (only surgery I've had) told me that my continued pain after surgery could indicate "endo deeper in pelvic floor". He started me on Seasonique BCP for the endometriosis. That was 5/5/08 and no decrease in pain whatsoever. He also said from my lap he could tell I had adenomyosis. He was talking about possible total hyst. I was thinking... get thee to another gyn for further evaluation!

He referred me to Urogynecologist who specializes in pelvic floor issues and Interstitial Cystitis and bladder incontinence etc. I *just* had pelvic pain. But I sometimes felt like I was getting a bladder infection. Doc did a cystoscopy and I ended up being diagnosed by him to have "urethrotrigonitis". The urethra is the pee-hole and the trigone is the bladder opening where the ureter tubes from the kidneys enter the bladder. Mine were inflamed possibly from an old UTI. That inflammation could cause a person pain.

I did two months of urethral suppositories to treat this. They hurt. They were not pleasant but also not as bad as I feared but I'd not stand in line to get another one. I'm so glad they're finished albeit they were unsuccessful. (I did 21 treatments total.)

I saw a Reproductive Endocrinologist and another gyn specialist and both concur that from looking at my laparoscopy photos, neither are convinced that I ever had endometriosis. (I still don't think the lap surgery was a waste though b/c my pelvic pain needed to be investigated but endo does not seem to be the cause.)

I asked Urogyn for referral to pelvic floor physical therapist. There are not too many PT specialists for the pelvic floor in the nation and I'm fortunate to have found one 30 miles from home.

I saw her for an eval and she said my pelvic muslces were very tight and "flexed" and that I have "Pelvic Floor Dysfunction" or PFD. I start pelvic floor PT next week. (which I'm a bit nervous to do but PRAYERFULLY going thru with it as a means to get well)

I want to share this with you as a possible cause for pelvic pain for you to consider. I know from medical journals and from my friends that endometriosis can be very painful. Sometimes it goes hand in hand with PFD and symptoms can be relived by pelvic floor PT.

Some gals - like myself - seem to fit in the category of unspecified pelvic pain- and then discover that it is a musculoskeletal issue.

Our bodies are so complex.

Anyone ever had pelvic floor PT?

Here is a write up describing it, "Many physical therapists can use myofascial release as adjunctive therapy. This involves using their fingers to find muscle bands and trigger points to stretch out these muscles."

I hope this helps and wasn't too long. If you've had something similar... please share. Thnx.
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Unread 06-20-2008, 09:53 PM
Pelvic Floor Physical Therapy for pelvic pain.

I had pelvic floor PT to help recover from an open myomectomy. It definitely helped my recovery. I was not recovering well and had a lot of pain so was referred for help. It involved first breathing exercises, then external massage (for vertical incision scar and inflamed uterus) and internal massage for pelvic floor pain.

I was anxious about it before I went, but once we got started, it was not a big deal. The therapist had a lot of experience in the area, and it was amazing to realize how tight and sore the pelvic floor muscles were at the start of a session and how much relief there was at the end of a session.

As I progressed, we moved on to exercises that I could do myself, strengthening core muscles and actively relaxing those muscles.

Anyway, I would absolutely recommend pelvic PT as a means to aid recovery and relieve pain. Best wishes to you as you use it to heal.
Unread 06-23-2008, 04:38 PM
Pelvic Floor Physical Therapy for pelvic pain.


I saw your question, and unfortunately I can't help you with your answer, but I wonder if after your sessions with the therapist, I might recommend pilates. I have been do it for years, and it entails many exercises that focus on the core (not just abs) and the pelvic floor. You work on strengthening these muscles that we just don't think about in our daily life. We don't even know they are there for the most part unless they malfunction. Good luck and I'll be interested to hear how the sessions go. Very interesting.

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