Anal sphincter surgery, weakness, and pelvic floor muscle strengthening program
Ruth (the doctor) Ruth came to me after being seen at another clinic for pelvic rehabilitation. She had suffered from fecal incontinence after undergoing anal sphincter repair surgery. Her surgery was complicated by an infection of the surgical site and scar tissue. I evaluated her and noted that her pelvic floor strength deep layer (III) was weak on the left side > right and she had trace (barely there) contraction of the anal sphincter. Layer II was also weak but she had a contraction present. She had been performing internal electrical stimulation with her daily pelvic floor muscles...
Read MoreVestibulodynia with pelvic floor muscle dysfunction
Nina Nina was such a great success story! She was one of my younger patients, age 19, with celiac disease and social anxiety disorder. She was in a long-term relationship and in college. She had complained of having pain during her first attempt at intercourse and any subsequent attempts with pain at the vaginal entrance. Digital stimulation was painful but she still participated to have some sort of sexual experience with her boyfriend. She was orgasmic with clitoral stimulation. She was very bright, very quiet but determined to fix her problem. Her physical therapy evaluation revealed...
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