| Abstract: | Several urogynecologic syndromes are associated with the clinical finding of a short, painful, tender and weak pelvic floor and a variety of connective tissue abnormalities. Techniques for rehabilitation include the avoidance of perpetuating factors, rehabilitation of extrapelvic musculoskeletal abnormalities, the use of manual techniques and needling to promote resolution of connective tissue problems, closure of any diastasis recti, and transvaginal/transrectal manual release of muscular trigger points and contractures. Therapy can be facilitated by pudendal or epidural nerve block. Patients contribute to their success through home maintenance programs.Abbreviations TP Trigger point - PFM Pelvic floor musclesEditorial Comment: The authors nicely describe a syndrome called short pelvic floor syndrome. Healthcare providers who treat and diagnose conditions of the female pelvic floor should be aware of and versed in both the diagnosis and the treatment of conditions that can cause pelvic pain. To date this area has been poorly understood and very poorly studied. Hopefully preliminary data such as these will stimulate more collaboration between clinicians and physical therapy specialists, so that these very difficult patients can be better served. |
