WOMENS-HEALTH Messages for January, 2009: Re: GYNECOLOGIC: PT for pelvic muscle atrophy??

Re: GYNECOLOGIC: PT for pelvic muscle atrophy??

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Fri, 23 Jan 2009 09:29:03 -0600 (CST)

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In reply to: 24 with issues : "GYNECOLOGIC: PT for pelvic muscle atrophy??"

It involves the therapist having you identify the muscles to work in order to strengthen them and possibly improve the prolapse. It will involve touching the muscles, often via a pelvic exam. It is the same idea as for vaginismus, but instead of teaching you to relax the muscles, this will teach you to strengthen them...Dr. von Almen

At Thu, 22 Jan 2009, 24 with issues wrote: >
>I saw a gyn today about my concerns, and I was right. I have a
>rectocele and prolapse... at 24... and I've never even been pregnant.
>:( She said the only definitive treatment is surgery, and because of the
>nature of my problem, she didn't suspect that pessaries would be of much
>use (but we're going to try anyway). She ordered some MRIs, and she
>also strongly recommended I go to physical therapy for pelvic muscle
>atrophy.
>
>Um.... what exactly would that entail??
>
>I'm a little squeamish about bearing my privates to strangers, and I'm
>even more squeamish about what might occur at these sessions. Most of
>the pelvic PT information I'm finding online is for IC or painful
>intercourse... basically spasms, which is the opposite of my problem.
>
>Please explain pelvic PT for me. What would they do or have me do to
>counter the fact that I'm all atrophied down there? I'll do it if I can
>understand it and if I'm sure it will help. Otherwise... um.. no
>thanks.
>
>Thanks for your help. :P

-- Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

William F. von Almen, II, MD, FACOG Private Practice New Orleans, La.

Next message: So Sad: "GENERAL: Can there be something wrong with an ovary that's not visible?"
Previous message: William F. von Almen, II, MD, FACOG: "Re: ULTRASOUND: both ovaries missing"
In reply to: 24 with issues : "GYNECOLOGIC: PT for pelvic muscle atrophy??"

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