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There are two case studies that show reduction of pain and dysfunction with conservative chiropractic care. [8] Physical therapists—especially those specializing in pelvic floor physical therapy—can assist with pain relief techniques, provide manual therapy to alleviate related muscle spasms, and manage exercise protocols.
Pelvic girdle pain (abbreviated PGP) can be described as a pregnancy discomfort for some women and a severe disability for others. PGP can cause pain , instability and limitation of mobility and functioning in any of the three pelvic joints.
The study found that there were most likely four different subgroups of pelvic girdle pain. Furthermore, the different groups have different incidences, and there are different clinical characteristics, pain patterns, and prognosis. The study also found that 5% of the pregnant women fell into the most important subgroup of Pelvic Girdle Syndrome.
Pelvic floor physical therapy (PFPT) is a specialty area within physical therapy focusing on the rehabilitation of muscles in the pelvic floor after injury or dysfunction. It can be used to address issues such as muscle weakness or tightness post childbirth, dyspareunia, vaginismus, vulvodynia, constipation, fecal or urinary incontinence, pelvic organ prolapse, and sexual dysfunction.
There is some research about the use of physical therapy in chronic pelvic pain syndrome. [14] As such, the expert consensus panel recommended physical therapy for pudendal nerve entrapment when it is associated with myofascial syndromes affecting levator ani, or the piriformis or obturator inturnus muscles. [14]
Symptoms can include pelvic pain, pressure, pain during sex, urinary incontinence (UI), overactive bladder, bowel incontinence, incomplete emptying of feces, constipation, myofascial pelvic pain and pelvic organ prolapse. [4] [5] When pelvic organ prolapse occurs, there may be visible organ protrusion or a lump felt in the vagina or anus.
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