So my doctor figures out my problem.... My pelvic floor is bruised and I'm having spasms. So Pt and Valium is my needy challenge. I'm wondering if anyone had had vagina PT and what to expect? He says the Valium suppository will help the all to relax. But I don't even take pain Meds, so any clue on what to expect???
If it's a suppository, it should help you relax also, and maybe stop the spasms to allow you to do pelvic floor excersices.
PT will help you to define and use the correct muscles to strengthen your pelvic floor.
Hope it helps you.
Valium (Diazepam) suppositories are used frequently in hospital diana because this is more common than you realise and I should have thought this could be your problem. The medication will make you relax a little as well but not as much as if you took it orally. Hopefully it will help. How many did he prescribe you?
Whats PT?
Physio in the US
Sorry. PT means physical therapy.
Good day Matron. He prescribed 40. Do you know anything about the physical therapy part? Am not comfy with someone massaging my pelvic wall vaginally! 😞😡😖😷😧
I can't say I blame you to be honest. It's not something that's done very often in the UK so I don't know much about it at all just what I've read. From what I recall the therapist massages the thighs to begin with then inserts a speculum to allow them to insert a finger to find the trigger points but it's not something I'd recommend soon after prolapse surgery because there will be sutures possibly not dissolved. Have you been recommended to have this diana?
Yes my Doctor insisted. But its just weird! ! Not sure I'm going to do it!! Smh. Just awkward😧😷😖😡😞
If I'm honest I don't think I would either, just because like you I think it's weird and I don't want someone poking around. It's bad enough having an internal examination. I wonder if it's popular in the USA? I've never heard a doctor recommending it to a patient here in the UK but no doubt there'll be ladies going to see private therapists in places like London.
Hi Diana,
If your muscles lock up, they get tight. Blood does not flow in or out and you get intense pain. The pelvic floor becomes dysfunctional so it could be problematic for bladder and bowel control and incontinence set in. Your Doctor wants to get the pelvic floor muscles to relax, that way the muscles will be able to start to work properly, that will mean it kicks into action when you sneeze to stop you wetting yourself, but also it will stop the pain and discomfort. Myofascial release massage is a way of targeting the trigger points of pain in muscles, those knotted bits. This is having great results both in the US and here in the UK. Get assessed by your PT if you need to do any myofascial release you can do it yourself with a Therawand after your PT has shown you the areas when the pain is being generated (usually not where you think it is!).
Do go to your PT, there are some real pioneers out there like Amy Stein who specialise in pelvic pain, and they will save you years of pain and unnecessary meds. Don't be shy, find out what you need and then decide on your treatment, you won't regret it I am sure.
I would urge you to try and get this sorted, because if your pelvic floor remains untreated you will start to get deferred pain, this could manifest itself in your back or core muscles (because the pelvic floor does not act in isolation, it works with other groups of muscles)
Good luck, let us know how you get on, it will help other women in a similar situation.
Thanks. Again
I have been to pelvic floor physical therapy for a tight pelvic floor and it was fine. it really helped. Would you like me to describe it?
Also, no speculum was ever used. There is an internal component but it was a finger in a gloved hand.
I have read that most therapists prefer to use a speculum and I have spoken to a friend who is a research urogynaecology nurse (in the UK) and she described the procedure to me and again mentioned the speculum. Apparently to to check inside the vagina and look at the cervix. It's also a safeguard to ensure there's no reason as to why the procedure shouldn't be performed for example if there was an abnormality or any sign of prolapse for instance.
I wouldnt want a speculum used right after surgery either. It's possible that it is different in the US or that they used a speculum once and I don't remember it. I had PT pre-op so I wasn't as speculum shy.
For me, most of the PT was gentle massage both internally and on my abdomen. Trigger point massage like Stephanie said. We also spent a fair amount of time working on breathing exercises.
my PT was very gentle and professional. It wasn't embarrassing or uncomfortable and it helped a great deal.
The speculum is removed before the procedure takes place, it's only used as an aid to help in an examination. It's recommended apparently because some women have a prolapse for instance and aren't aware they have. There are other disorders of the vagina or pelvic floor area that need to be ruled out as well. I know to a lot of us who have had or have a prolapse that may sound strange but I know it happens quite often. As I said to diana I had very little knowledge of this procedure and that's why I sought advice from a friend.
Thank you Stephanie you have helped immensely. My doc did tell me a speculym will be used. I appreciate your time. I will keep you updated 💖
Yes please elaborate. I am aware all docs and therapist are different. My doctor did mention his Put figures use a speculym for proper fiber placement. Either way I'm scared. Thank you love 👍
Thank you Matron. I appreciate everyone input no one is wrong here BC every doctor and therapist is different. My doctor did Not give me a binder, I knwe about it from a friend and bought myself one! Honestly I have no idea his women recover without one!! My doc did inform me that the Put will be using a speculym did proper finger placement, I just dont know if it stays . I truly appreciate every person trying to help me figure things out. What a God send you all are👼💋👼💋 Its very scary process!
Hello diana. The speculum would be used to check internally and I've been told that it may have to be used if the vagina is "tight" for instance to allow access