Post Partum Physical Therapy Performed Head to Toe Today
Our post partum patient came in today with several complaints: painful breastfeeding, diastasis recti, and dyspareunia (painful intercourse). After careful evaluation we found her left breast to have 2 areas of clogged ducts, 1.5 fingers width diastasis recti at the umbilicus (belly button), and moderate pain of the pubococcygeus muscles (part of the pelvic floor muscles). The pubococcygeus is the first deep pelvic floor muscle on either side of the vagina. The pubococcygeus muscles are the most stretched and undergo the greatest strain during vaginal delivery as proven via 3-D computer...
Read MoreInternational Society for the Study of Vulvovaginal Diseases World Congress Meeting
Next week Dr. Pamela Morrison is excited to be speaking at the International Society for the Study of Vulvovaginal Diseases World Congress Meeting, being held in New York City, on the topic of physical therapy evaluation of vulvar pain! #vulvodynia To read more click here
Read MoreFemale and Male Pelvic Congestion Syndrome (PCS)
Pelvic congestion syndrome is a chronic condition that affects women and men and can be a cause of chronic pelvic pain. Typical age effected is between 20 and 45 years old. Patients with pelvic congestion syndrome complain of a severe dull ache or pain in the abdomen, pelvis, groin, and/or genitalia. This can be a result of pelvic varicosities- varicose veins present similar to varicose veins of the legs. Because of vein wall weakness and inability of the vein to return the blood effectively, pressure in the vein increases as blood pools or remains in the pelvic vein. This causes pressure...
Read MorePersistent Genital Arousal Disorder (PGAD)
Recurring unwelcomed, spontaneous sexual arousal unaccompanied by sexual desire is a disorder known as Persistent Genital Arousal Disorder (PGAD). Usually characterized by persistent genital engorgement and erection of the clitoris (in women) or penis (in men), symptoms persist over an extended time and can include a sense of genital fullness or congestion, and genital swelling, tingling, throbbing and/or sensitivity, as well as painful intercourse (known as dyspareunia) and nipple sensitivity. Historically more common in women, men increasingly are reporting the condition. Orgasm or...
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