Symptoms

  • Pelvic pain generally refers to burning, itching, aching or other types of pain in the vulva, vagina, perineal, and/or anal area
  • Women with pelvic pain often suffer from pain with intercourse, may experience hypersensitivity when wearing pants and/or underwear, and may have pain with sitting
  • Exercise may provoke or exacerbate symptoms
  • In addition to pelvic pain, women can also experience urinary urgency, frequency, pain with urinating, and/or urinary leakage
  • Women may suffer from abdominal bloating, gastrointestinal distress, and constipation
  • Symptoms can be provoked, meaning with penetrative intercourse or tampon insertion, or unprovoked and spontaneous
  • Symptoms can be intermittent or constant

Symptoms

  • Pelvic pain generally refers to burning, itching, aching or other types of pain in the vulva, vagina, perineal, and/or anal area
  • Women with pelvic pain often suffer from pain with intercourse, may experience hypersensitivity when wearing pants and/or underwear, and may have pain with sitting
  • Exercise may provoke or exacerbate symptoms
  • In addition to pelvic pain, women can also experience urinary urgency, frequency, pain with urinating, and/or urinary leakage
  • Women may suffer from abdominal bloating, gastrointestinal distress, and constipation
  • Symptoms can be provoked, meaning with penetrative intercourse or tampon insertion, or unprovoked and spontaneous
  • Symptoms can be intermittent or constant

Associated Diagnoses

Diagnoses such as Endometriosis, Vulvodynia, Interstitial Cystitis/Painful Bladder Syndrome, Pudendal Neuralgia, Lichen Sclerosus, Lichen Planus, and Irritable Bowel Syndrome are associated with pelvic pain and pelvic floor dysfunction.

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Associated Diagnoses

Diagnoses such as Endometriosis, Vulvodynia, Interstitial Cystitis/Painful Bladder Syndrome, Pudendal Neuralgia, Lichen Sclerosus, Lichen Planus, and Irritable Bowel Syndrome are associated with pelvic pain and pelvic floor dysfunction.

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Causes of Pelvic Pain

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  • Repetitive vaginal and/or bladder infections and/or gynecologic, urologic, dermatologic or gastrointestinal conditions
  • The majority of women with pelvic pain have pelvic floor dysfunction
  • Prescription medications such as oral contraceptives, acne medications, and hormonal suppressive therapies for diseases such as Endometriosis and Polycystic Ovarian Syndrome (PCOS)
  • Surgical trauma (childbirth, pelvic organ prolapse repair, hysterectomy)
  • Orthopedic injuries or traumas
  • Biomechanical or structural dysfunction (hip dysfunction, sacro-iliac joint dysfunction, piriformis syndrome, scoliosis, leg length discrepancy)
  • Vaginal childbirth
  • Menopause
  • Genital cutting or genital mutilation

Symptoms

  • Repetitive vaginal and/or bladder infections and/or gynecologic, urologic, dermatologic or gastrointestinal conditions
  • The majority of women with pelvic pain have pelvic floor dysfunction
  • Prescription medications such as oral contraceptives, acne medications, and hormonal suppressive therapies for diseases such as Endometriosis and Polycystic Ovarian Syndrome (PCOS)
  • Surgical trauma (childbirth, pelvic organ prolapse repair, hysterectomy)
  • Orthopedic injuries or traumas
  • Biomechanical or structural dysfunction (hip dysfunction, sacro-iliac joint dysfunction, piriformis syndrome, scoliosis, leg length discrepancy)
  • Vaginal childbirth
  • Menopause
  • Genital cutting or genital mutilation
IMAGE_femalepelvicfloor

Diagnostic Challenges

Research shows that it can take up to five years for women with pelvic pain to get a proper diagnosis and up to 11 years for a woman with Endometriosis. This is because the symptoms of pelvic pain can mimic conditions such as urinary tract, yeast, bladder and sexually transmitted infections. When the pelvic floor is the culprit, the diagnostic tests for these infections are negative, leading to confusion for both the medical provider and the patient. Many medical providers are not aware that pelvic floor dysfunction can cause pelvic pain and it certainly does not occur to women to go to physical therapy when these symptoms arise. The majority of our patients tell us they did not know they even had a pelvic floor until things started to go wrong!

Diagnostic Challenges

Research shows that it can take up to five years for women with pelvic pain to get a proper diagnosis and up to 11 years for a woman with Endometriosis. This is because the symptoms of pelvic pain can mimic conditions such as urinary tract, yeast, bladder and sexually transmitted infections. When the pelvic floor is the culprit, the diagnostic tests for these infections are negative, leading to confusion for both the medical provider and the patient. Many medical providers are not aware that pelvic floor dysfunction can cause pelvic pain and it certainly does not occur to women to go to physical therapy when these symptoms arise. The majority of our patients tell us they did not know they even had a pelvic floor until things started to go wrong!

Treatment:

How We Can Help You

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Women experiencing pelvic pain can benefit from an evaluation with a pelvic floor physical therapist specializing in pelvic pain. During the evaluation, the physical therapist reviews your history and symptoms with you, what you have been diagnosed with in the past, the treatments you have undergone and how effective or not effective these treatments have been. Importantly, we understand what you have been going through and that most women are frustrated by the time they get to see us. During the physical examination the physical therapist examines muscles, tissues, joints, nerves, and movement patterns. Once your physical therapist completes the examination they review your findings with you. The physical therapist creates an assessment which explains how you developed pain and creates short and long-term goals for your treatment plan. Typically, the frequency of physical therapy treatment is one to two times per week for roughly 12 weeks. You are given a home exercise program to compliment your in-person sessions, and your physical therapist will help to coordinate your recovery with the other members of your treatment team. We are here to help you recover and live your best life!

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Treatment:

How We Can Help You

32 Daniel Webster Hwy Ste 16, Merrimack, NH 03054

Phone:    (603) 589-9184
Fax:         (603) 417-7135
Hours:     Mon, Tues, Thurs 9am – 4:30pm
Email:      info@pelvicpainrehab.com
Staff:       Elizabeth Akincilar, Erika Toronto

Liz moved to the east coast in 2015 to open PHRC’s first East Coast location in Lexington, Massachusetts. In 2018 she opened PHRC’s second east coast location in New Hampshire to provide services to those in northern New England. Our New Hampshire

location is conveniently located minutes from route 101 and easily accessible from northeast Massachusetts as well as northern New Hampshire and southern Maine. There is free abundant parking available.

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32 Daniel Webster Hwy Ste 16, Merrimack, NH 03054

Phone:    (603) 589-9184
Fax:         (603) 417-7135
Hours:     Mon, Tues, Thurs 9am – 4:30pm
Email:      info@pelvicpainrehab.com
Staff:       Elizabeth Akincilar, Erika Toronto

Liz moved to the east coast in 2015 to open PHRC’s first East Coast location in Lexington, Massachusetts. In 2018 she opened PHRC’s second east coast location in New Hampshire to provide services to those in northern New England. Our New Hampshire location is conveniently located minutes from route 101 and easily accessible from northeast Massachusetts as well as northern New Hampshire and southern Maine. There is free abundant parking available.

IMG_5203