Patient: 24-year-old female, 12 weeks postpartum after second degree perineal tear, nursing.
Chief Complaint: Painful vaginal entry 6 weeks postpartum, bleeding with bowel movements.
Past Medical History: Crohn’s disease, low thyroid, irritable bowel syndrome.
Physical Therapy Treatment: education on bowel health, manual pelvic floor and abdominal tissue release, perineal scar mobilization, pelvic alignment, vaginal dilators, hip stretches, core strengthening, postural education.
Results: Pain-free intercourse in 15 visits, 0 bleeding with bowel movements after the first 2 visits!