What's something we often overlook or miss when it comes to vulvodynia?

Well, first it's important to recognize vulvodynia is just as non-specific as 'low back pain.'  It literally just means 'pain in the vulva.'

We could have gone a few different ways with a missing piece - rectal treatment, looking at the urachus and belly button, lumbar referral patterns, hip referrals, or more.  It's a complex diagnosis.

But a missing piece for vulvodynia is evaluation and treatment of the perineal fascia.

With the presentation of vulvodynia, it's almost impossible for the perineal fascia to not be involved.  Because of this, it's definitely an area we should be evaluating and treating early in our treatment progression with these patients.

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About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped nearly 200 pelvic practices start and grow through the Pelvic PT Rising Mentorship Program (www.pelvicptrising.com/business) and business courses to change the way pelvic health is administered. 

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