Psychosocial Management of the Overactive Pelvic Floor
Fig. 20.1 The Fear-Avoidance Model of Pain detailing how maladaptive thinking can perpetuate the cycle of pain and lead to avoidance of or hypervigilance for pain with sexual activity According…
Musculoskeletal Conditions Related to Pelvic Floor Muscle Overactivity
Abdominal wall pain Coccyx dysfunction Hip disorders Lumbar spine disorders Pelvic disorders Persistent genital arousal syndrome Piriformis pain/syndrome Postural dysfunction Psoas pain Pubic symphysis disorders Pudendal neuralgia Sacroiliac joint dysfunction…
Complementary and Alternative Therapies for the Overactive Pelvic Floor
Fig. 19.1 Ten most common complementary health approaches among United States Adults in 2007. Source: Barnes PM, Bloom B, Nahin R. CDC National Health Statistics Reports #12. Complementary and Alternative…
Objective Assessment of the Overactive Pelvic Floor
Grade Description 0 Muscle not palpable 1 Muscle palpable but very flaccid, wide hiatus, minimal resistance to distension 2 Hiatus wide but some resistance to distension 3 Hiatus fairly narrow,…
An Alternative Physical Therapy Approach to the Overactive Pelvic Floor
Fig. 17.1 The pelvic floor structures according to DeLancey and Wei begin superiorly at the peritoneum and continue inferiorly throughout the pelvic viscera, endopelvic fascia, levator ani muscles, perineal membrane…
A Tale of Two Pain States: The Integrative Physical Therapy Approach to the Overactive Pelvic Floor
Fig. 18.1 Diagonal diagram. Adapted from CPA Teleconference, April 16, 2009 by Alejandro Elorriaga Clarac 18.8 Treatment Design for Central Pain Mechanisms It is important to target cortical structures…
Electromyography
Fig. 12.1 Recording errors when acquiring EMG data. (a) Raw EMG without recording errors, note the variation in peak amplitudes. (b) Clipping of EMG signals as can be seen by…
Definitions and Basic Etiology of the Overactive Pelvic Floor
In both women and men In women In men Chronic pelvic pain (CPP)a Urethral syndromea Chronic prostatitis/prostatodyniaa Perineal paina Urinary retention Orchialgia (testicular pain)a Perianal paina Overactive bladdera Penile paina…
Female Genital Pain and Penetration Disorders
Fig. 4.1 The Q-tip test. The goal of the Q-tip test is to determine if there are areas that exhibit an abnormal pain response in the genital area. Use a…
The Pelvic Floor and Male Sexual Function
Fig. 3.1 Associations between commonly observed elements of male sexual dysfunction, pelvic floor dysfunction, and pelvic pain 3.2 Anatomy and Physiology of the Male Pelvic Floor Until recently, the terminology…
