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Vulvar Vestibulitis (Vestibulodynia)
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Vulvar Vestibulitis/Vestibulodynia:

Vulvar Vestibulitis/Vestibulodynia is a form of vulvodynia with tenderness specific to the vulvar vestibule. This occurs with pressure to the site causing pain at the vaginal opening with touch or attempted penetration (provoked vestibulodynia) or can also present as constant or frequent pain, irritation, or itching of the vulvar vestibule (unprovoked vestibulodynia). Tissues may also be red or swollen at times.

PHYSICAL THERAPY TREATMENTS FOR PELVIC PAIN SYNDROMES:

Many of the pelvic pain syndromes as described are related to over activity of the pelvic floor muscles. These muscles typically have a high resting tone and have difficulty in relaxation. Increased muscle tone can also lead to overall muscular weakness. 

Trigger points are commonly found when palpating these muscles. They contribute to the urologic and gynecological pain syndromes listed above, preventing pain free sexual intercourse and other pain free activities of daily living.

Physical therapy treatments play an integral part in restoring optimal muscle function with manual therapy interventions, stretching/strengthening exercises, pain management strategies, patient education, and home program instruction. Biofeedback is often utilized when appropriate to restore the normal functioning of painful muscles.

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  • Testimonials

    • Testimonial by J.B.

      My husband and I were having problems with painful intercourse. My therapist recommended that I go and get a pelvic floor evaluation from a physical therapist. Having never been treated by a physical therapist, I wondered how this really was going to help me. My husband who is a physician was very supportive and agreed that a PT evaluation would be a great idea. So i made the appointment and was blown away by what i learned. I had no idea that pelvic floor muscles could get tight and have...

      Read more Testimonial by J.B.

  • Testimonials

    • Testimonial by M.M.

      My husband and I were married for 5 years and unable to have intercourse, but I never knew why. After numerous awful experiences at doctor’s offices (where many doctors told me I “just needed to relax”), a surgery that didn’t fix the problem, and a year of owning dilators that didn’t get me anywhere, someone finally referred me to Heather for Physical Therapy. I finally had answers and information from someone who knew exactly what I was dealing with!

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