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Mental Health, Yoga, Acupuncture, and Pelvic Pain

By Stephanie Stamas Pelvic floor dysfunction is complicated. If you have pelvic pain or dysfunction, you know this. You know that it takes a long time to figure out what is going on and rarely is it straight forward. It’s often a more of a journey to recovery than a quick fix. As a physical therapist specializing in pelvic floor dysfunction I’ve found that what makes that journey faster is having a multi-disciplinary team of specialized practitioners addressing every aspect of the dysfunction. At the next Pelvic Health 101 lecture, you will get the unique opportunity to hear from three healthcare providers who work closely with patients at Beyond Basic PT discuss how mental health, yoga and acupuncture can be excellent adjunct therapies to help you on your healing journey. The mind-body relationship is starting to become a hot topic in research and never in the history of pain management has there been more exciting news. Until a little over a decade ago it was thought that the brain was solid and fixed by age 5, and from there the brain deteriorated. Now it is understood that the brain changes constantly based on environment, behavior, thoughts and feelings. This can be good or bad news. The experience of anxiety and pain is the bad news. The good news is that through “retraining” the brain you can reduce/eliminate pain! This is why mental health counseling can be so important on your healing journey. Yoga as it is practiced in the U.S. can take on many forms and selecting a class/teacher can be overwhelming for those seeking to practice yoga as a therapeutic modality. For individuals with pelvic pain, it is recommended that they practice yoga that allows for a balance between slow, conscious movement to engage and gentle stretching along with an emphasis on the breath. Engaging in a simple customized yoga practice can be beneficial for those seeking to redefine their relationship with their body, specifically allowing them to move beyond their identity as a patient. Come and take some time to pause for breath and simple movement practices that can promote greater ease and comfort for the body and mind. Acupuncture has always been at the center of pain management. Several problems that manifest as pelvic dysfunction are regularly treated by acupuncture, including incontinence, pelvic pain, IBS and constipation. In some patients, problems in the musculoskeletal system can be the underlying origin of their complaint. When the trigger point is “dry needled†by acupuncture, this mechanically disrupts the nervous system and results in mechanical and physiological changes. In Traditional Chinese Meridian Theory, the genitalia are traversed by a number of channels, thus pain can be accessed from reflex points along these channels. A treatment regime consisting of regular acupuncture in combination with physical therapy is the ideal approach for chronic pelvic floor problems. Come join us at Beyond Basic Physical Therapy next Tuesday, April 28th at 6:30 for the final seminar in the Pelvic Health 101 Seminar Series. Don’t miss this last opportunity to find the missing link in your step towards recovery. Sign up here.

—FAQ

Frequently Asked Questions

Pelvic Floor Disorders and Treatment

What is pelvic floor dysfunction and why does it happen?

Pelvic floor dysfunction is extremely common and occurs when the muscles, tissues, or nerves of the pelvic floor are weakened, tightened, or injured by trauma, chronic strain, or overuse. Pelvic floor disorders can result from traumatic injury such as a fall, from sporting activity, surgery, or childbirth. They can also happen from more chronic issues, such as infection or chronic inflammation such as endometriosis. Pelvic floor disorders can be a consequence of poor alignment or posture, overuse, or improper movement. The pelvic floor muscles surround the urethra, rectum, vagina and prostate; therefore, if there is a dysfunction in these muscles it can result in urinary, bowel, or sexual dysfunction in people of all ages.

Who should I see to get a proper diagnosis?

Many healthcare providers don’t assess – or don’t know how to assess – the pelvic floor muscles and nerves, so it’s important to get a proper diagnosis from a practitioner who specializes in pelvic floor dysfunction and pelvic pain. Too often patients tell us that they’ve been to 10 different doctors and healthcare providers and their symptoms have not improved, or have worsened. Find a specialist right away and get on the path to healing as quickly as possible.

Why do healthcare providers miss (or misdiagnose) pelvic floor dysfunction?

Long story short, the medical practice is divided into areas of the body: Urology. Orthopedics. Gynecology. But the body itself doesn’t have walls; every system interacts with everything else. Sometimes providers are so laser-focused on what they treat that they miss the whole picture. 

As more and more research emphasizes the importance of physical therapy as part of a complete treatment regimen, more and more physicians are learning how to recognize and treat pelvic floor disorder. In the meantime, if you’re not getting relief from your current treatment, make an appointment with a pelvic floor specialist to learn more.

How does pelvic floor dysfunction affect sex?

Pelvic floor muscles have a huge impact on sex. Muscles that are shortened or tight and are unable to elongate will not allow for good blood flow into the genitals. This can result in pain, weaker erections, diminished sensation, inability to orgasm, and even decreased lubrication. Pelvic floor PT can help with these issues by enhancing blood flow and improving muscle function. 

How can pelvic floor dysfunction cause bloating?

Pelvic floor dysfunction, a condition characterized by the inability to correctly relax and coordinate pelvic floor muscles, can significantly contribute to bloating due to its impact on gastrointestinal functions. When these muscles are not functioning properly, it can impact the ease of emptying and make it difficult for your body to pass stool and gas through the intestines. This obstruction leads to an accumulation of waste and gas in the gastrointestinal tract, causing bloating and abdominal discomfort.

Is it true there’s internal massage?

There can be. We do perform internal soft tissue mobilization of the pelvic muscles that are inside your pelvis and are accessible only through the vagina or rectum. We never do internal treatment without your consent and understanding.

What makes someone a pelvic floor PT vs a regular PT?

All pelvic PTs get additional training in pelvic floor internal treatment through continuing education and at our clinic. 

We pride ourselves on the level of training we provide, not just at the beginning but throughout the time our therapists spend at Beyond Basics. We know that learning is a life-long process.  We also provide additional training in physiology of the GI system and urinary system as well as sexual health and function and nutritional training. Most PT programs and schools do not provide the depth and breadth of knowledge that we provide all our PTs at Beyond Basics.

Get help now from a pelvic floor therapist.

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