Physical Therapy Interventions for Musculoskeletal Impairments in Pelvic Pain

doi:10.1017/9781108877084.021

Chapter 20 - Physical Therapy Interventions for Musculoskeletal Impairments in Pelvic Pain

Published online by Cambridge University Press: 08 March 2021

Lauren Hill

Edited by

Michael Hibner

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Michael Hibner: Affiliation:
St Joseph’s Hospital & Medical Center, Phoenix, AZ

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Summary

Pelvic floor muscle spasm is one of the most common reason for pelvic pain, and it often coexists with other pelvic pain conditions. Oral muscle relaxants do not seem to be helpful in these patients and vaginal suppositories seem to relax muscles much better. A combination of diazepam 5 milligrams placed vaginally, baclofen 4 milligrams, and ketamine 15 milligrams used before bedtime works well on pelvic muscle spasm. The mainstay of treatment of pelvic floor muscle spasm is pelvic floor physical therapy. It is best done by Women’s Health physical therapists who are specifically trained in pelvic floor dysfunction. Patients who fail physical therapy may be candidates for injections of botulinum toxin into pelvic floor muscles.

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Type: Chapter
Information: Management of Chronic Pelvic Pain
A Practical Manual
, pp. 207 - 222

DOI: https://doi.org/10.1017/9781108877084.021 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2021

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