Pelvic floor physiotherapy can help muscles which have become tight and sore just like anywhere else in the body. Dysfunction can lead to difficulties with having intercourse, difficulties emptying bladder or bowel or just debilitating pain in the area around bladder, bowel/back passage (anus), vagina, scrotum or penis.
- Sexual/perineal pain in both men and women such as
- Female sexual pain (vulvodynia and vestibulodynia): The latter 2 terms were used in the past and you will still hear them being used. Nevertheless, it is now recommended that we just refer to the term “female sexual pain”. All these words refer to pain in the area outside vagina entrance and just inside. The pain is often burning in nature and difficult to pinpoint when present. The pain may be on penetration or with orgasm or it may be there all the time and make clothes uncomfortable. The important thing is that whatever the term used to name your pain, you see someone trained and up to date with current practice to help you find a way out of this pain. No-one should have to put up with pain during sexual intercourse.
- vaginismus: this is a term referring to pelvic floor muscles that become tight and therefore make penetration difficult. We often refer to tight muscles as “overactive pelvic floor”. Muscles may tighten but be slow to relax and let go. If your muscles are “overactive” you may have difficulty contracting the muscles when you need then and this can sometimes explain why women might have bladder leakage problems, especially in those who have never had children. (But remember, there are other more common reasons why women experience leakage of urine so do not presume that you have “overactive pelvic floor” if you are experiencing leakage of urinar).(/li>
- prostatitis: This term covers a lot of problems in men. Only men have a prostate gland which sits beneath the bladder and wraps around the bladder exit tube known as the “urethra”. The gland can become infected and cause pain in the pelvic region. A lot of times though, pelvic pain can be there for different reasons such as “overactive pelvic floor”. It has become a term often used to describe any pain in the pelvis in men.
- pudendal nerve neuralgia/entrapment: This is a problem in men and womens whereby a particular nerve in the pelvis, called the “pudendal nerve become irritated for all sorts or reasons resulting in pain when sitting, eased by lying or standing.