Pelvic Pain and Dysfunction

The Pelvic Floor is a multi-layered sling or hammock of muscles spanning the area underneath the pelvis. It plays an important role in bladder and bowel health, sexual functioning, and general pelvic stability. When pelvic muscles are tight, they can lead to one or more of the following symptoms or types of pain:

  • Pelvic pain including vulvar, vaginal, clitoral, perineal or rectal pain

  • Pain during or after sex (dyspareunia)

  • Pain with sitting

  • Pain wearing a tampon

  • Discomfort/irritation wearing pants, jeans and/or underwear

  • Urinary urgency (the sudden, compelling urge to urinate even when bladder is not full)

  • Urinary hesitancy (difficulty starting flow of urine)

  • Sacroiliac joint pain

  • Nocturia (waking up more than once or twice at night to urinate)

  • Coccyx pain, or Coccydynia, which is pain in the coccyx or tailbone area

  • Vulvodynia, or vulvar discomfort, most often described as burning pain

  • Vulvar vestibulitis syndrome (VVS), vestibulodynia, or simply vulvar vestibulitis, is vulvodynia localized to the vulvar region. It tends to be associated with a highly localized "burning" or "cutting" type of pain. The pain of vulvodynia may extend into the clitoris, which is referred to as clitorodynia. Vulvar Vestibulitis Syndrome is the most common subtype of vulvodynia affecting premenopausal women. The syndrome has been cited as affecting about 10% to 15% of women seeking gynecological care.

  • Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, bowel or the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond your pelvic region.

  • Interstitial cystitis — also called painful bladder syndrome — is a chronic condition in which you experience bladder pressure, bladder pain and sometimes pelvic pain, ranging from mild discomfort to severe pain.

PT – A Non-Invasive Approach

Physical therapy can be an effective first-line treatment for managing and resolving many pelvic conditions. As a non-invasive approach, PT uses various manual and a variety of hands-on techniques to return the patient back to full function.

What To Expect

During your first appointment, Tanya will take your medical history, and then provide a thorough musculoskeletal exam of your pelvic region, evaluating posture, joint alignment, muscle restrictions or “trigger points,” connective tissue health, muscular strength, and typically an internal examination. The internal exam is performed in a relaxed, comfortable setting, and provides important information to the physical therapist about your condition. After the exam, she will explain all of her findings and provide a treatment plan to get you better. Treatment typically consist of 6-12 follow up visits, with patients usually feeling better after the first visit, and showing significant improvement over the course of full treatment.

 

Tanya is accepting new patients at her practice in Belmont, CA.

To schedule an appointment, please email tanya@healthypelvis.com or fill out the form below. Please note any information you provide is entirely confidential.

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Tanya Goodrich has a doctorate in physical therapy and is a caring, amazing professional. She is extremely knowledgeable about the body and began doing trigger point release therapy on the internal and external muscles right away. She also showed me how to enhance her work myself at home. Within a month or two my husband and I were able to have intercourse.
— GB, San Francisco