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Physical Therapy and Biofeedback

Physical therapy is increasingly acknowledged as an important component in the treatment for chronic pelvic pain (CPP). The International Pelvic Pain Society suggests that this therapy is of most benefit to women whose pain is localized to either the right or left side of the pelvis or very low in the abdomen.

Physical therapy can help strengthen muscles that have been damaged during pregnancy and birth or by injury to the back or pelvis. There is more and more evidence that it may also help with referred pain, that is, pain which originates somewhere else but is felt in the muscles of the pelvis.

Physiotherapists are specialists who help people regain physical function after an injury or illness. Their work focuses primarily on the muscles. They use massage and exercise techniques to strengthen muscles and reduce pain. Some of the exercise techniques used to treat CPP are passive, which means you relax your body while the therapist moves your legs and lower body through a series of movements. In other cases, the physiotherapist will teach you exercises that you can do both in your therapy sessions and at home. The physiotherapist will assess your condition to help decide which exercises are right for you.

Biofeedback Techniques

Sometimes physiotherapists use a device called a biofeedback machine to direct exercise. Biofeedback electronically measures the strength of your muscle contractions and gives you constant feedback on how exercises are affecting your muscles. It teaches you to control your body’s muscles and their responses. Several studies have been published which suggest that biofeedback is useful for women with vulvodynia and it may also prove useful for treating CPP. The biofeedback machine connects to the body with electrodes, which are placed on the skin, and uses sounds or lights to guide your exercise.


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Chronic Pelvic Pain

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Nerve Impulse Modification

Physical Therapy and Biofeedback

Relaxation Techniques


Trigger Point Injections


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