His and Her Health

Hi

Recently started Pt for vestibulodynia and am experiencing alot of rectal pains and throbbing - is this normal?

It is normal for women with this diagnosis to have rectal pain as a symptom, but should not be a new symptom from PT. You should dicuss with your PT. Are the symptoms after your treatment and then decrease or becoming a daily symptom?

They have become a new symptom-rectal throbbing now since Pt

It is a daily symptom now along with the vestibule burning. This does not seem ok with me and I talked with a very good pt thru the internet who unfortunately is in Chicago and she told me that one should feel better after pt not worse

I've had glute pain in the muscle, but not rectal pain. Sometimes when the PT presses on the lower muscle internally I can feel it radiate through into the glute area.

It is common to be sore for a little after PT, but not more than 1-2 days. Again. not being as a new symptom.
Lotus, what you are describing sounds normal.

Hi DanielleBan,

I was wondering if the rectal pain you had dissipated? Did you continue going to therapy? did you ever try Botox or similar injections? I'm curious since I've had the same symptoms develop since starting PT.

Thanks!

Hi I am new to this forum and had a question for the doctor or the pt. I have experienced rectal symptoms too since going to pt for pelvic floor dysfunction (vestibule pain). I am wondering if you could please explain to me the process of what happens when your vestibule hurts because of pfd. Is it the pudendal nerve being compressed that is under the skin there or what is causing all the burning pain when the outside area is pressed if its just the muscles that are spasming?

I hope this makes sense I will post to the doctor too- just a followup as well, when I press the skin (vestibule) and it burns so bad, if I urinate right after the burn is incredible- why is this?? Also right after pt, if I urinate- awful burning, I think on skin. Is this nerves?
Please help

Some of the muscles, especially the superficial layers, insert into the perineum (central tendon of perineum)and are in the viscinity of the vestibule. when these muscles are tight or when there are restrictions in the surrounding fascia, pain in the vestibule is common.

Pudendal nerve is divided into 3 branches and can lead to irritation in one of these areas. So, yes your muscles can be tight where they are irritating a nerve.
I think, based on another one of your posts, you are reading about "entrapment" which is common in deeper areas such as Alcock's Canal or in the ligaments.

Hey Niva

What are the names of the muscles that you are referring to in the above post? So the pudendal nerve has nothing to do with vestibule pain?

thanks I am thinking of doing the botox thing and was wondering which muscles would be most effective at alleviating the pain I am experiencing

thanks!

Branches of the pudendal nerve can be affected.

<small>[ 07-06-2009, 11:16 PM: Message edited by: Moderator ]</small>

Niva

When the obturator muscle area is pressed and the pn nerve= BURNY, how does one determinine if its the muscles causing the compression of the nerve or if there is a problem - dysfunction of the nerve causing the muscles to spasm? Is there a way to determine this for certain?

thanks!

Most people with PN will jump or report high pain when you touch the nerve. Nerve issues are considered through a Tinel sign (lightly tapping over the nerve), nerve conduction tests (not always reliable) and some people will have nerve blocks which are considered diagnostic and treatment.
If you are concerned about PN there are specialists (MD) throughout the US.

If there is a lot of tone and tension or scar tissue leading to fascial restrictions, I would guess that the muscles are pressing on the nerve.

Niva,

It was all burny when the nerve area was pressed. It was also noted that my muscles were in spasm. So my question is this- How do you know which is the issue- Wouldn't a problem with the nerve cause muscles to spasm? Im just concerned that pt will further aggravate a nerve that is not functioning properly?

thank you

my above comment referred to how do you know question:
Most people with PN will jump or report high pain when you touch the nerve. Nerve issues are considered through a Tinel sign (lightly tapping over the nerve), nerve conduction tests (not always reliable) and some people will have nerve blocks which are considered diagnostic and treatment.
If you are concerned about PN there are specialists (MD) throughout the US.

I doubt PT is causing worse function of a nerve. But if you are in such doubt, as it sounds, go get a 2nd opinion.