Pelvic pain is a challenging issue for many women - one that can be hard to speak about, and hard to find effective treatment for. It can involve pain in the pelvic musculature or genitals, or pain with intercourse. Flare-ups can cause discomfort with sitting and exercising as well.
I've worked with a small number of women with this condition and have found that multiple modalities are usually called for. I've gotten good results from Rolfing® techniques to balance the pelvic fascias and musculature, especially combined with nerve release techniques (another form of manual therapy). Sometimes visceral work to release strain patterns around the pelvic organs has helped, sometimes craniosacral balancing to the sacrum and SI joints. I usually get a sense of which techniques to start with through a postural assessment and good medical/injury history. For example, falls onto the tailbone can cause imbalances in musculature and fascia that travel through the pelvic floor.
Given that the matter is complex, and requires different approaches, one may need to see multiple practitioners. I also recommend osteopathic treatment, and physical therapy - particularly if one can find a PT specializing in this syndrome.
What is important to note is that manual therapy techniques can make a difference in reducing pain and improving quality of life.
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