Pelvic Floor Therapy

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Just wondering if others have tried pelvic floor therapy and if so what have been the results?  Has it helped or caused pain?  Did it cause pain at first and then get better?

aboros5's picture
aboros5

i have had pelvic floor therapy for years and it has helped me immeasurably. in fact, it got me virtually pain free for about 4 years. but, after getting a few back to back yeast/bacterial infections 6 years ago and leaving them untreated because i didn't realize that's what i had, my body basically fell apart and i've been dealing with nerve/connective tissue issues since then. i of course went back into regular PT after that happened and while it has DEFINITELY helped, it hasn't helped to the degree it did before, and ultimately, my body began increasingly showing signs that something  more systemic might be impeding my progress. i still go to PT about 1x per month. matia ok'd it because i had already been doing it for so long and it had been helpful to me. i continue to think it is a really valuable tool in the fight against vv and have heard that it is very helpful for bladder issues as well. does it hurt? absolutely. in fact, i tend to believe that if your PT is not causing you pain on the table, they are doing you a disservice and you will end up feeling worse later. i've learned that PTs that are too gentle end up waking up your nerve endings big time rather than desensitizing them. also, if they are not firm enough, they stimulate your trigger points, but don't release them, causing you to walk away with a big old flare. so, the key to pt is finding someone who really, really knows what they are doing. usually, if done right, PT hurts during, but you feel better afterwards. that being said, "feeling better" is kind of relative - cause you do tend to feel sore, but it's different from the usual kidn of pain and ultimately your muscles/tissues will be the better for it. but, i should say that since starting with matia, there is less work to be done with my pelvic floor - the muscles are looser, the tissues seem to have less fibrous bands and i don't have to concentrate on relaxing my muscles all the time - they just kind of stay pretty loose. so, i guess i look at diet/herbs, etc. as a critical precursor to help facilitate the work of the PT. i think by including pt in your regimen you are kind of attacking things from all sides - internal and external. and i have learned to do "work" on myself (e.g. releasing trigger points, etc), which can be really helpful. i just think it helps you be more in tune with that part of your body. BUT, PT is definitely intense in that location and i'm not suprised that many people say it "stirs things up." i just think it is a valuable tool to consider with matia's approval.

Kriste's picture
Kriste

Thank you Aboros for your feedback.  I have gone twice.  The first time was just external work but this last time was internal.  Last week I did see improvements but this week my frequency went up because I feel irritated where the work was done.  I feel so confused about whether this is good or not.  When she evaluated me she did find a lot of scar tissue and lack of movemnt on the left side of vaginal area.   This therapy is all new to me so still trying to figure out if it is a good thing or not.

aboros5's picture
aboros5

if you feel good about your therapist, i think you should continue to give it a try. even when i got so much better through pt, you should know that it took YEARS to get there. i went every week and it was grueling. even if i felt better after sessions, the impact would be short-lived in the beginning. the muscles/tissues have "memory" so if they are used to being in a shortened state (for example, if you are in a constant state of protective guarding/holding, etc.), just releasing them/lengthening them a few times is not enough to keep them that way. they almost need to be retrained. and the same for scar tissue. the skin is adhered to the tissue and won't let it move properly and it takes awhile to release those adhesions and get them to a place where they don't just cling back as they were. and you've also got a lot of nerve endings in that area which are probably sensitized. in essence, it takes a while to break that pain cycle. so, for what it's worth, if you saw some improvement already (however short lived it may have been), i think you should keep going. but, believe me, i know how hard it can be and how terribly scary to do things that make you feel even a little worse. that is honestly how i feel all the time in treatment right now. but, at least in my experience with pt, while its not easy and caused me to shed my share of tears through the years, the payoff is worth it. and because you are treating your insides at the same time, i think you could see a good deal of benefit sooner than i did.

veryhappymom's picture
veryhappymom

I had physical therapy and it helped relax the muscles in the vagina.  I have had two separate twelve week sessions.  My hip often gets out of line which in turn affects my pelvic floor muscles.  The results of these sessions last for about a year.  Then the pain comes back and I go for another round.  I would only have PT from a lisensed physical therapist and avoid using the electric probe therapy that is offered at the urologist's office.