Welcome to Pelvic Therapies Inc.’s Physical Therapist’s Dashboard page. Here you can find exclusive resources that can be helpful for your clients dealing with chronic pelvic pain. Check back often as we continue to add new content. Please feel free to contact us with any questions or feedback.
Self-massage with the Pelviwand empowers the user to control the exact amount and location of pressure applied. The two release-ends make the Pelviwand perfect to gently massage muscles that are tender, tight or have trigger-Points.
Add your clinic information to our PT Locator so that patients in need may easily find you.
The LA-Wand’s 9″ length aids in reachability. It has a thinner diameter of 5/8″. The Release-Ends™ include a gentle curve with a tapered end and a handle end.
Please contact us to receive a discount code for your first purchase.
The V-Wand is 7/8″ diameter at its widest and is 8″ in length. The Release-Ends™ include an opposable-thumb shape and a finger-tip like tapered end.
Please contact us to receive a discount code for your first purchase.
Chronic Pelvic Pain is a debilitating condition, yet it is poorly understood. This is surprising because it’s estimated that 300 million people worldwide [approximately 4% of the world’s population], suffer with or are burdened by Chronic Pelvic Pain and associated dysfunction. Best estimates have the population ratios at one in five women, and one in twelve men.
Often in Chronic Pelvic Pain, the initial physical problem has lessened or even disappeared, but the pain continues because of changes in the nervous system, muscles, fascia, and or other organs and tissue[s] of the body.
The pain is real and can significantly affect a person’s quality of life, limiting their daily physical activities and disturbing their ability to work, concentrate, interact, and sleep. The sufferer’s daily rudimentary functioning and general well-being are affected, in turn causing more concern, stress, anxiety, and fear, which then feeds into fuelling the pain and dysfunction even more.
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Description Of Anatomy And Function [Dysfunction]
The pelvic floor is slung like a hammock at the base of the pelvis. It is a complex area of the human body composed of many nerve and nerve endings [the pudendal nerve is the main nerve in the pelvic region], fascia, soft tissue, cartilage, ligaments, bone, blood vesicles, and various muscle fibers. It forms a muscular partition which separates the pelvic cavity above, to the perineal region below.
The three main structures that make up the pelvic floor are the pelvic diaphragm, the perineal membrane and the deep perineal pouch. The pelvic diaphragm consists of three sets of fibers that make up the levator ani muscle. These muscles sit like a horizontal foundation in the pelvic floor forming its base. The muscles include the left and right pubococcygeus, iliococcygeus, and also the puborectalis which wraps around the anus muscle.
The urogenital hiatus is the gap structure [or lack of it] in these base muscles that allows the passage of the urethra, the rectal canal, the vas deferens [in men], and vaginal canal [in women] through the pelvic floor basin. Thick fascia attaches the levator ani muscles to the left and right obturator internus and piriformis muscles which sit somewhat vertically in the pelvic to form part of the pelvic floor walls. The left and right iliacus muscles, which sit on the internal side of the hip bone, further strengthen the pelvic floor walls.
The pelvic floor sits as the soft tissue foundation to the pelvic structure and is no bigger than a cantaloupe which has been cut in half. If one were to scoop out the fruit of the melon, the remaining structure would resemble the configuration of the pelvic floor basin.
As well as holding up all of the human organs into the abdomen, including the bladder, intestines, the prostate in males [the prostate is a walnut-sized organ below the male bladder that surrounds the urethra and contributes fluid to the semen] and the uterus in females, the pelvic floor muscles, genitalia muscles and various sphincter muscles work in unison with the brain when we urinate, defecate and orgasm [ejaculate].
A complex and timely interaction of muscles and neurological messages occurs in the pelvic floor in a similar way as a multi road intersection and railway crossing would function and operate in peak hour traffic. Everything has its turn and everything gets to where it wants to go.
With urination for example, the bladder and the pelvic floor work in synchrony – when urination starts, the muscles in the pelvic floor are relaxed, and the smooth muscle in the wall of the bladder contracts. When urination stops, the pelvic floor contracts, and the muscles in the bladder relax.
It is acknowledged that a person suffering with Chronic Pelvic Pain will have a pelvic floor muscle profile which is taut like a trampoline, rather than loose like a hammock. The tension in the floor muscles causes the surrounding muscles and anatomy to be compromised in terms of normal position and behavior. The pain and dysfunction is a direct result of the heightened and tightened posture of the pelvic floor muscles and the constricting of the pelvic wall muscles.
The urethral, rectal and vaginal canals can become compromised via the upward compression of the muscles literally strangling [entrapping] their pathway down and through the pelvic floor basin. A more common example of this type of situation is forming a kink in a garden hose to either stop or slow the flow of water without turning the tap as regulator.
The compression caused by the raising of the pelvic floor due to this tension, has a multitude of differing and adverse effects on the sufferer:-
The anxiety developed by the pain and dysfunction subsequently feeds into the cycle of tension, which further promotes the pelvic floor to sit taut and compress the organs. A vicious cycle develops and the sufferer is caught up in the sting, with an on-going presence which does not subside, but rather, continues on unabated if allowed.
A sufferer can also feel that their discretion and dignity becomes compromised as a result of the symptoms and the location of the pain. The sufferer’s self-esteem is eroded. The whole issue can become overwhelming, and this feeling of helplessness and embarrassment is a further anxiety feeder into the impenetrable cycle which keeps the whole manifestation going.
Discussing the pain and dysfunction is not easy. One’s lack of understanding as to what is happening feeds into the taboo of the whole situation. The entire subject becomes a confronting issue and ratification is often unavailable even to those that try desperately to seek it.
There is further indignity in that rudimentary pleasures of life are stripped from a sufferer as if to rub salt into their already heightened torment. Urination, defecation and indeed orgasm [ejaculation] can become so painful and so maligned that these simple pleasures of life are genuinely avoided, at least minimized, to prevent the hideous pain associated with their occurrence compounding the person suffering.
Disorders that cause pelvic discomfort and pain include but are not limited to:
» Pelvic floor muscle dysfunction (i.e. pain, overactivity, shortening)
» Post surgical scar tissue that, even in the hands of the most skilled surgeons, can sometimes entrap nerves and cause pain
» IBS, Chronic Constipation, Crohn’s Disease
» Sexual pain
» Rectal Pain
» Spinal, sacroiliac, and hip joint issues
» Endometriosis, uterine fibroids, ovarian cyst
» Non-bacterial Prostatitis and Chronic Pelvic Pain Syndrome
» Urological disorders such as Interstitial Cystitis
» Tight vaginal opening
» Pelvic Floor trauma from abuse
» Vaginal atrophy from natural aging and early menopause