Vulvodynia is as non-specific as ‘low back pain.’ So why are we treating it like one condition?

In this Missing Piece episode from the Rising Vault, we’re diving into one of the most overlooked areas when it comes to vulvodynia treatment:

💡 The perineal fascia.

Vulvodynia can be complex and multi-factorial, with contributing factors like:
 👉 Rectal dysfunction
 👉 Urachus and belly button involvement
 👉 Lumbar referral patterns
 👉 Hip referrals

But one consistent missing piece? The perineal fascia.

With nearly every presentation of vulvodynia, it’s almost impossible for the perineal fascia not to be involved—so why aren’t we evaluating and treating it earlier in the process?

In this episode, we break down:
 ✅ Why vulvodynia isn’t a single diagnosis—it’s a symptom.
✅ How perineal fascia dysfunction contributes to pain.
✅ Why this should be a priority in your initial evaluation.

If you’re working with vulvodynia patients and not assessing the perineal fascia, you’re missing a key component of their treatment.

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 (www.pelvicsanity.com) 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 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!