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Vulvodynia
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Vulvodynia:

Vulvodynia means “vulvar pain” or pain of the external female genital region. Symptoms include burning, stinging, and irritation of the tissues in this region. Light touch or pressure can cause severe pain with sitting, walking, riding a bicycle, and sexual intercourse. Vulvodynia is a general term, and there are many subtypes, including vulvar vestibulitis (inflammation of the vulvar vestibule), vestibulodynia (pain in the vulvar vestibule) and clitorodynia (painful clitoris).

PHYSICAL THERAPY TREATMENTS FOR PELVIC PAIN SYNDROMES:

Most pelvic pain syndromes such as vulvodynia are related to overactivity of the pelvic floor muscles.

These muscles may have a high resting tone, shortening of the muscle and exhibiit difficulty with relaxation. When muscles are short, this can also lead to overall muscular weakness. However, strengthening a muscle that is already short will only feed in to the pain cycle, so Kegel exercises (pelvic floor muscle contractions) are typically not indicated in the earlier states of rehabilitation for pelvic pain (including vaginismus, vulvodynnia, vestibulodynia, endometriosis, interstitial cystitis / painful bladder syndrome, and others).

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

Links to more information:

http://www.vulvodynia.com
https://issvd.org/wp-content/uploads/2015/09/concensus-terminology-of-Vulvar-Pain-V5.pdf

Resources:

Sex Without Pain: A Self Treatment Guide to the Sex Life You Deserve for immediate PDF download (helpful for painful intercourse and generalized vulvar pain)

Dilators - Sex Without Pain book and Dilators from Soul Source.

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  • Testimonials

    • Testimonial by M.N., age 28

      A personal journey and testimonial from one of my patients: I was diagnosed with vaginismus 4 years ago. I never heard of such medical condition until after I got married. At first my husband and I didn't know what to do, we didn't know what the issues were or how to overcome it. Being born and raised in Armenia and being Christian I wasn't that open about talking to sex with others and so it wasn't easy to seek help. But eventually I went to an Ob-Gyn and luckily she knew about the medical...

      Read more Testimonial by M.N., age 28

  • Testimonials

    • Testimonial by Ann V.

      I wish i could give this place 10 stars!! 
I have been suffering from vaginismus for 5 years and never found the cure to it. I had seen an ob/gyn and he diagnosed me with vaginismus and told me i needed a surgery to cure my condition,  which i refused to do. He also referred me to a PT that he works with, i had given them multiple calls and they never responded back to me, so i started searching yelp for another PT. I am SO HAPPY I found Heather's office! I was working with Laureen, and with her...

      Read more Testimonial by Ann V.

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