What's something we often overlook or miss when it comes to vulvodynia?
Well, first it's important to recognize vulvodynia is just as non-specific as 'low back pain.' It literally just means 'pain in the vulva.'
We could have gone a few different ways with a missing piece - rectal treatment, looking at the urachus and belly button, lumbar referral patterns, hip referrals, or more. It's a complex diagnosis.
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The missing piece for treating vulvodynia is evaluation and treatment of the perineal fascia.
As Nicole said in the full 'sode of the podcast on this topic...
"It's almost impossible to have persistent pain in the vulva and not have perineal fascia restriction or pain there". -Nicole Cozean, Pelvic PT Rising Podcast
With the presentation of vulvodynia, it's almost impossible for the perineal fascia to not be involved. Because of this, it's definitely an area we should be evaluating and treating early in our treatment progression with these patients. Enjoying 'A Missing Piece' series? Leave us a review - it makes our day!
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Nicole Cozean, PT, DPT, WCS
Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.
Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.
Jesse Cozean, MBA
Co-founder of the Pelvic PT Rising and the Rising Podcast.
Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.