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Chronic Pelvic Pain

We Care About Your Flare!

By Riva Preil

With only two sessions remaining to the “semester,†have YOU taken advantage of your opportunity to learn at The School of Pelvic Health yet? If the answer is no, bear in mind it’s never to late to educate– we hope to see you at the next class on Tuesday, November 11, at 7:00 PM.

At the next class, Stephanie Stamas will discuss My Symptoms Keep Flaring, Is That Normal? Unfortunately, as many patients can attest, flare ups are often part and parcel of the therapeutic process. In fact, I try to educate patients at their initial evaluation about the potential for a “flare-up†(i.e., feeling worse immediately following physical therapy prior to feeling better). When patients know what to expect, they are less fearful and worried when flare-ups occur as a result of treatment.

The way I explain a flare up to my patients is that it is the body’s way of telling us that this work is necessary and beneficial. The muscles, fascia, and connective tissue have become accustomed to a faulty shortened position. What feels “normal†to them is actually pathologic and tight. Therefore, after manual therapy that involves stretching and manipulation of the shortened tissue, the body is adjusting this new healthier state. Even though the adjustment phase may be uncomfortable and sore, it is EXTREMELY GOOD in the long run and it is a part of the healing process.

An analogy I give to explain the concept relates to when I educate patients about proper posture. After teaching correct sitting and standing posture, patients often report that it feels “weird†or “unnatural†even though it is BETTER for their body than the previous poor habits. Creating new habits feels strange and awkward, even if the changes are improvements.

The same applies to the pelvic floor muscles and connective tissue- the changes made in physical therapy are beneficial and healing, despite feeling initially painful and uncomfortable. To learn more about flare-ups and how to manage them (HINT: Think “Ice Ice Baby…â€), be sure to attend Stephanie’s class on Tuesday! We look forward to seeing you there!

—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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