A musculoskeletal physiotherapist has the expertise to understand the complex nature of pelvic girlde pain. While they excel in diagnosing and treating these conditions, there are times when patients may not experience the expected relief despite their best efforts. In such cases, considering the pelvic floor muscles and obturator internus as potential contributors to their pain can be crucial in providing comprehensive care.
Pelvic health physiotherapy offers a unique perspective that complements traditional musculoskeletal approaches. The pelvic floor muscles and obturator internus, located deep within the pelvis, can play a significant role in pelvic stability and function. Dysfunction or tension in these muscles can manifest as various musculoskeletal symptoms, including back pain, tailbone pain, hip pathologies, and groin pain.
One essential aspect of pelvic health physiotherapy is the assessment and mapping of the pelvic floor muscles. While this may initially seem unconventional for musculoskeletal physiotherapists, it provides invaluable insights into potential contributors to patients' pain. Vaginal exams, conducted with patient consent and sensitivity, allow for a thorough assessment of pelvic floor muscle function and tension. This assessment can uncover underlying issues that may have been overlooked through traditional musculoskeletal evaluations.
Identifying tension or dysfunction in the pelvic floor muscles opens the door to targeted interventions aimed at addressing these issues. Strategies such as pelvic floor exercises, stretching, and manual therapy techniques can help alleviate tension and restore balance to the pelvic floor. Additionally, patient education on proper techniques and the use of tools such as dilators and wands can empower individuals to take an active role in their pelvic health journey.
Collaboration between musculoskeletal physiotherapists and pelvic health specialists holds immense potential for optimising patient outcomes. By referring patients for pelvic health assessments, we can ensure a comprehensive approach to their care, addressing not only the symptoms but also the underlying contributors to their pain.
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