Patient: 83-year-old female
Chief Complaint: 4/10 R posterior pelvic pain and rectal pain increasing in the evening, that started after hysterectomy 6 years ago
Past Medical History: surgical revision vaginally, local estrogen; gallbladder removal, irritable bowel syndrome
Physical Therapy Treatment: abdominal bowel massage; review of proper bowel evacuation methods and stool formation; manual therapy to gluteal muscles, pelvic floor, and hip adductors; nerve gliding techniques; TENS unit training for home; HEP
Results: 0 out of 10 pelvic and rectal pain after 13 visits
Connect PT is a fan of Physiological Quieting, a CD for clients and clinicians. It is produced by Janet Hulme, a physical therapist that has been practicing for over 30 years. Breathing, autogenics, and muscle scanning are just a few of the components that have been included to help treat conditions like pelvic pain, bladder irritability, and sleep disturbances. Listening to guided CDs like these can facilitate balance in the autonomic nervous system.
The NVA, or National Vulvodynia Association, has a free tutorial for Women with Vulvodynia. It reviews anatomy, normal and abnormal symptoms, and vulvar self-examination, for starters. Check it out at www.nva.org.
Written by Michelle Dela Rosa, PT.
(Hung HC et al., “Effect of pelvic-floor muscle strengthening on bladder neck mobility: a clinical trial”. Phys Ther. 2011 Jul; 91(7): 1030-8.)