AMA Dr. Ally | Why PRM Does Not Use Botox for Pelvic Floor Pain & Dysfunction

Dr. Ally explains why we do not use Botox to treat pelvic floor pain and dysfunction at Pelvic Rehabilitation Medicine.
Dr. Allyson Shrikhande is a board certified Physical Medicine and Rehabilitation specialist, Chief Medical Officer of Pelvic Rehabilitation Medicine, and an expert in women’s and men’s health and sexual health. A leading expert on pelvic health and a respected researcher, author and lecturer, Dr. Shrikhande is a recognized authority on female and male pelvic pain diagnosis and treatment.
At Pelvic Rehabilitation Medicine™, we believe that the millions of women and men who suffer from pelvic pain should have access to care that provides relief. We don’t believe “a glass of wine will fix it” or that “it’s all in your head”. We will never abandon you - and from leadership to the front office to every pelvic pain specialist you meet, so much of our team has been in your shoes and believes the pelvic pain patient deserves better. This belief is what unifies us all at PRM.
Since 2017, PRM has provided an innovative solution to a health crisis that affects 15% of women and 10% of men. Persistent pelvic pain is often overlooked, untreated, and misguided. At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms.
We offer a proprietary, simple, office-based procedure to treat the symptoms of chronic pelvic pain. The PRM Protocol™ consists of a series of pelvic nerve and muscle treatments to directly target inflammation in the pelvis and nerve pain. Depending on the condition causing your pelvic pain, other modalities may be needed in addition to our treatment.
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So at PRM, we do not use Botox into the pelvic floor. because when Botox is placed in the muscle, it becomes frozen and stuck, and essentially short, spastic, and weaker. And the pelvic floor, as it is your core, it is extremely important not to weaken it, but to keep it long, lean, contracting optimally, and supporting your spine, and your hips, and the rest of your pelvis.
So, we don't believe in Botox because we don't want to weaken such an important area of the body and such a key support system, to the rest of your body.