Scoliosis can play a huge factor in chronic pelvic pain. Notice how high her right iliac crest is compared to the left. There is even an indent on the left side on top of the iliac crest and not the other. There is an obvious curvature. Imagine the superior shearing forces placed on the right sacroiliac joint, sacrotuberous ligament, sacral plexus, pelvic floor muscles, and other attaching structures. This posturing can cause pelvic floor muscle dysfunction, vulvar pain, low back pain, and pubic pain. Those are all of this postpartum patients symptoms. During treatment we must address the scoliosis along with the pelvic floor for full resolution of symptoms. She also has perineal scarring from 2 tears during vaginal labor and delivery. Scar tissue mobilization will also be provided and taught as a home program. Pain free intercourse is a goal for her. Remember to screen for scoliosis before pregnancy and work with an expert physical therapist like those here at Pamela Morrison, PT!
