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Struggling with Chronic Pelvic Pain? Physical Therapy Can Help

Most women have learned to live with the monthly aches and pains that come with menstruation. But when those familiar complaints cross the line and become your constant companions, it’s no longer just a grin-and-bear-it situation. When over-the-counter pain medications or a little rest and relaxation don’t seem to help any more, you may have developed chronic pelvic pain (CPP).

Unfortunately, many women who suffer from CPP struggle to find a healthcare professional who can validate their symptoms and develop a treatment plan. The Chronic Pelvic Pain Center of Northern Virginia is different. Our very name lets you know that our practice focuses on the persistent, indescribable, often mysterious pain you’re in day in and day out. 

Led by Dr. Melissa Delagado, our team of pelvic pain experts identifies the source of your pelvic pain and tailors your treatment plan to your unique set of symptoms and the root cause of your condition. We find that physical therapy offers significant relief from CPP symptoms for many of our patients. Here are some of the effective modalities of physical therapy and how they impact CPP.

What to expect when working with a pelvic floor physical therapist

We recommend working with a physical therapist who specializes in the treatment of pelvic floor disorders. Dr. Kathy Pesavento currently works with patients at our Tyson’s Corner location.

You work in private sessions with a doctor of physical therapy, who can treat pelvic floor disorders using a combination of modalities that include pelvic floor re-education, myofascial release, manual therapy, biofeedback, trigger point dry needling, and a therapeutic exercise regimen.

Prolozone Injections

In addition to working with a well-trained pelvic floor physical therapist, we also recommend joint and/or trigger point injections using Prolozone™. These are performed in-office and involve injecting combinations of procaine, anti-inflammatory medications, vitamin B12, and oxygen/ozone gas into the injured or inflamed joints and other painful areas.

Trauma causes inflammation, tissue swelling, and decreased tissue oxygenation, which then become propagators of chronic pain, causing a vicious cycle . Prolozone, however, allows the cells and tissues to regenerate and heal. You can expect an almost immediate reduction in pain — 50-80% — and soreness for up to two weeks. Next, mobility increases, pain diminishes further, and joints start to regenerate. The number of sessions vary by person and by diagnosis, and booster injections may be required throughout the treatment period.

Personally, I have had low back pain, hip pain, and pelvic floor dysfunction exacerbated by the birth of my twins almost five years ago. Unfortunately, I did not take my own advice about working with a pelvic floor physical therapist during and shortly after the delivery of our twins. I delivered via a C-section, which meant not only could I not engage my abdominal muscles, I had a scar that was itchy, and a burning sensation that would occur randomly.

The scar remained sensitive for several years. Enter: scar mobilization. Yes, physical therapy can also help with a technique called scar mobilization or scar tissue massage. I finally did seek pelvic floor PT, which helped tremendously. I was able to engage my core a bit better; I was able to sit and stand without low back pain and hip pain; and most importantly, I was able to continue to hold and carry my babies. 

More recently, I wasn’t able to bend over and touch my toes, sit on the floor to play with my kids, or take a beginners yoga class. Basic exercise had become a struggle. Although myofascial release was great, I wanted something to help decrease inflammation, heal the tissues and trigger points and address pain quickly. I turned to Prolozone injections, which I loved. 

I experienced immediate pain relief. I was able to bend over and touch my toes within 20-30 min of injections, and I remained pain free for several weeks at a time. I did experience soreness for a few days after each time I had a prolozone injection, but years of tightness, decreased mobility, and pain-related trigger points were immediately released. 

The good news is that you have a team of professionals who believe you and can help you begin a journey toward a pain-free pelvis. Call today at 571-261-8069 or request an appointment online.

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