Thank you. I was scheduled for an exam but I on the day of my exam I didn't show up. I was so afraid of the unknown. No one would explain to me what to expect. They just kept saying you should have a pelvis floor exam. After watching this video I feel more prepared mentally for this exam. I'll have to reschedule my appointment. Thank you so much.
I’m so glad you found this helpful! Please let me know if you have any other topics you’d like me to cover. I want to try to normalize pelvic floor physical therapy so everyone feels comfortable getting the help they need!
I’m getting ready to see someone for pelvic physiotherapy and I’m assuming this will be something that I’ll be going through… I’m not sure why I haven’t thought of doing some research in regards to this sooner. Thank you thank you thank you for these videos. I REALLY hope that my physical therapist is as knowledgeable and kind as you seem to be. Right now, I’m getting passed back and forth between various OBGYNs and I was thinking that no one was going to be able to help.. your videos make me see that there might be help yet… Thank you so much…..
Liane, Wow! Thank you so much for your kind words. I'm so glad you have found these videos helpful. My goal is provide education and hope for treatment because these are things people don't talk about enough! Best of luck on your health journey!
Thank you for presenting such an easy to understand explanation of these exams. I’m just beginning therapy and although I had no idea what to expect, I now kind of can relax about it.
Thank you for this very detailed walk through. This would have been very helpful to calm my nerves before my first visit. It ended up being no big deal but as a guy I was suuuper nervous and nearly shaking like a leaf. I think she noticed and was able to calm me right down. My PT said my strength was 2/5 and I’m quite dis-coordinated. I’ve been working diligently to improve.
Kremer, Thank you for your comment! I am glad you were able to go to pelvic floor PT and it was a good experience for you. Hope you will continue to see improvements! Keep up the good work. Please let me know if you have any suggestions on videos that would be helpful.
@@Renewptnwa: I’d love to hear if you have experiences with hypermobility or Ehlers-Danlos syndrome related issues in patients and anything helpful you may have found in those cases (PF or just in general). EDS related muscle discombobulation is what I’m working to improve.
@@DougKremer EDS can be tricky since there are many different presentations! Some things I work on in general is strengthening exercise to help build joint stability, core stabilization exercises, and taping techniques to either help facilitate the muscles to work to give the patient a reminder to not hyperextend! Those with EDS are more prone to pelvic floor issues such as prolapse so working their muscles in a variety of positions and teaching them how to manage the pressure inside their bodies with moving/lifting is something I always focus on. The trick is finding what is right for you! Best of luck!
@@Renewptnwa: About moving/lifting…. She noticed and also mentioned that I hold my breath to brace my core about every time I do something like that, even just in leaning over. That it is not something most persons do. Good PTs can change lives in one on one time. You all have my respect.
@@DougKremer Thanks for taking the time to comment an update. Glad your physical therapy treatment is going well! I appreciate you kind words. Thanks so much for your support!
I saw a pelvic floor PT several years ago. She wasnt very personable and I didn't feel comfortable. I know i need it. Maybe I will get the courage again.
It is similar to how doctors perform prostate exams on men. Thank you for sharing because other than a pap smear the average woman is not aware of this. That is scary!
Thank you for your comment! My goal is to raise awareness! It is an important part of healthcare. Many women do not know there is treatment for common conditions they may experience.
Thank you for the simple and easy to understand what to exactly expect during exam. I want to know if anal exam can u detect a rectocele and rectal prolapse?
Dr. sending me to place that does orthopedic PT and pelvic PT, but they weren't even going to have me in a private room - just behind a curtain. This doesn't seem appropriate given the level of internal exam required for that. They also don't list the therapists credentials. So, any advice on how to go about finding someone professional like you? In North Carolina.
Hi April, thanks for your question! I would recommend checking out one of these directories where you can locate pelvic floor PTs. Then you will know for sure they are qualified. Www.pelvicrehab.com Www.aptapelvichealth.org I would be weary of an internal exam with no private room as well. You should be given full privacy! Sometimes therapists may say they work with the pelvic floor but aren’t specifically trained - so it’s smart that you are doing you due diligence! Please let me know if you need any help finding someone and I would be happy to assist.
Hi! Thinking about asking my Dr if i should get a pelvic floor exam and therapy done. TMI AHEAD!!! I had a complete hysterectomy done 6 years ago. I'm 40 years old now and still a virgin. My Dr tried to do a pap smear in my 20's more than once and she couldn't do it even with me on Ativants cause it hurts too much. I'm scared of anything going in. When i went to see a gynecologist she wanted to put a finger in my vagina to check stuff but i was too anxious. Come to find out that in surgery i had a blockage in my vagina so they had a close it and i was told a don't have a vagina. How would a therapist do about this with me and this information. The internal exam is scary just to think about it. Thank you and great video!
Thank you for presenting this information about the pelvic therapy .can this pain be caused only by the muscles around the pelvis or bladder infections, kidney etc. Thank you..
Thanks for watching! There can be many different causes of pelvic pain. It is always important to rule out a medical diagnosis first and foremost. If there is no active infection, then we can look at pelvic floor function. I have seen cases where a kidney/bladder infection prompts pain, then the infection clears up, and there is still pain. This can sometimes be successfully treated by relaxing the pelvic floor muscles. Hope that helps!
This might be a weird question - but is there some simple exercises that you would suggest people do in, say, weekly intervals? Kind of like how we'll go the gym for the rest of our muscles - should we be working out the pelvic muscles too? And what would those exercises look like?
Hey! Great question! We will actually have a video coming up soon about a simple pelvic floor strengthening program. You can turn any exercise into a “pelvic floor exercise” as long as you are mindful of your breathing and exhaling on the exertion. For example, when you do a squat, you should inhale on the way down, then exhale as you push the weight back up. Hope that helps!
Hi Dominique, We definitely take extra care if we know someone has a history of sexual trauma. If we do an internal pelvic floor exam, I will make sure to have continued informed consent throughout the entire exam. I will also give other options to the patient besides an internal exam (like an external palpation of the pelvic floor, or having them sit on a ball or towel roll so they can have some feedback about what’s going on in those muscles). This can be helpful to still give us information during our time together, but allow for the individual to go home, process the information, and then decide if the internal exam is something they would like to participate in. I reassure all patients that there is always an alternative, and in some cases, we defer the exam or take it out entirely.
@@Renewptnwa, Thank you for responding. I have PT next month, and I'm terrified. Knowing it can be opted out is a game changer. I was going to cancel and just suffer the consequences.
Thank you for asking this question. I was literally thinking "If they're doing this to me, I'm not going. I'll just wear depends for the rest of my life." It's good to know that I have options to refuse.
Yes absolutely. We make sure the client is completely comfortable and consents to the exam. We can play music or whatever the person needs. We don’t always do an internal exam! We can get a lot of info without it, if it is too triggering to the patient
Hi Jannette, an OBGYN is a medical doctor who specializes in women’s health. A pelvic floor physical therapist is a rehab specialist who works to restore function of the muscles
What are the options for someone who refuses these tests? I absolutely DO NOT want and WILL NOT consent to an internal exam, nor do I want my pelvic floor muscles touched by a stranger.
Absolutely. There are always options. If someone does not consent to an internal exam, there are many things worthwhile things we can do. Sometimes an internal is not even indicated. I rely a lot of the patient’s feedback as to what they are feeling in their pelvic floor. I may have someone do movements such as squatting or jumping and report back what they feel. Sometimes getting a good history from the patient gives us an idea on which direction to go for treatment. Keep in mind that an internal exam is a very small piece of the overall picture for pelvic floor dysfunction. I have also given people written instructions on what to look for at home if they are interested in testing themselves. As PTs we are here to help our patients feel empowered and educated. Informed consent is a must, and we never want you to leave feeling like you weren’t listened to. Please let me know if you have anymore questions and thank you for watching my videos!
Why oh why do they have to waste time telling us what a speculum is and what it’s used for. Just say we don’t use one. But I appreciate the information that tells what to expect.
If anyone thinks a pelvic floor physical therapist can inactivate a myofascial trigger point with their fingers you are being fooled. Get a licensed dry needler and get your life back.
@@Renewptnwa Myofascial pain syndrome is the MOST COMMON manifestation of chronic pain. Myofascial pain syndrome is characterized by active myofascial trigger points,. Myofascial trigger points cause both peripheral and Central sensitization ie allodynia and hyperalgesia. Dry needling is the most effective way to treat active myofascial trigger points. There is always an underlying cause why the formation of myofascial trigger points form. But let's really get into the science. Moseley, himself wrote the excellent chapter on pain in the equally excellent 4th edition of the text Clinical Sport Medicine(2012). Here are some Moseley excerpts: “Trigger points are present in all patients with chronic pain and are thought to reflect sensitization of nociceptive processing in the central nervous system… Patients with active trigger points present with persistent regional pain… These patterns clearly reflect central convergence of peripheral inputs, which further implicates the central nervous system in their generation and contribution to a pain state.” Moseley GL. Pain: why and how does it hurt? Brukner & Kahn’s Clinical Sports Medicine. North Ryde, NSW: McGraw-Hill Australia Pty Ltd; 2012 "elimination of myofascial trigger points is an important component of the management of chronic musculoskeletal pain” and “we have found ischemic compression and dry needling to be the most effective" According to Dommerholt, all treatments fall into one of these two categories or both: a pain-control phase and a deep conditioning phase. During the pain-control phase, trigger points are deactivated, improving circulation, decreasing pathological nociceptive activity, and eliminating the abnormal biomechanical force patterns. During the deep conditioning phase, the intra- and inter- tissue mobility of the functional unit is improved, which may include specific muscle stretches, neurodynamic mobilizations, joint mobilizations, orthotics, and strengthening muscle pubmed.ncbi.nlm.nih.gov/7850884/ Myofascial pain J R Fricton. Baillieres Clin Rheumatol. 1994 Nov. MFP is a regional muscle pain disorder characterized by localized muscle tenderness and pain and is the most common cause of persistent regional pain. The affected muscles may also display an increased fatiguability, stiffness, subjective weakness, pain on movement and slightly restricted range of motion that is unrelated to joint restriction. MFP is frequently overlooked as a diagnosis because it is often accompanied by signs and symptoms in addition to pain, coincidental pathological conditions, and behavioural and psychosocial problems The difficulty in managing MFP lies in the critical need to match the level of complexity of the management programme with the complexity of the patient's situation. Failure to address the entire problem, through a team approach if needed, may lead to failure to resolve the pain and perpetuation of a chronic pain syndrome. pubmed.ncbi.nlm.nih.gov/16259310/ A review of myofascial pain and fibromyalgia--factors that promote their persistence Robert D Gerwin. Acupunct Med. 2005 Sep Chronic muscle pain (myalgia) is a common problem throughout the world. Seemingly simple, it is actually a difficult problem for the clinician interested in determining the aetiology of the pain, as well as in managing the pain. The two common muscle pain conditions are fibromyalgia and myofascial pain syndrome. The problem these syndromes pose lies not in making the diagnosis of muscle pain. Rather, it is the need to identify the underlying cause(s) of persistent or chronic muscle pain in order to develop a specific treatment plan. Chronic in myalgia may not improve until the underlying precipitating or perpetuating factor(s) are themselves managed. Precipitating or perpetuating causes of chronic myalgia include structural or mechanical causes like scoliosis, localised joint hypomobility, or generalised or local joint laxity; and metabolic factors like depleted tissue iron stores, hypothyroidism or Vitamin D deficiency. Sometimes, correction of an underlying cause of myalgia is all that is needed to resolve the condition. www.sciencedirect.com/topics/nursing-and-health-professions/myofascial-painMyofascial Pain Syndrome Andrea L. Nicol MD, MSc, ... F. Michael Ferrante MD, in Essentials of Pain Medicine (Fourth Edition), 2018 Myofascia l pain or regional musculoskeletal pain is one of the most common pain syndromes encountered in clinical practice. Myofascial pain represents the most common cause of chronic pain, including neck and shoulder pain, tension headaches, and lower back pain
Oh wow I thought you were going to say you do this to men to. I was going to say no friggin way. I dont even know why a woman would do this unnecessary exam.
I do not believe this is unnecessary as a woman.. if it gives doctors better insight and help heal you, I do not think this would be unnecessary at all especially if you have troubles using the bathroom or have pelvic floor pain
Thank you. I was scheduled for an exam but I on the day of my exam I didn't show up. I was so afraid of the unknown. No one would explain to me what to expect. They just kept saying you should have a pelvis floor exam. After watching this video I feel more prepared mentally for this exam. I'll have to reschedule my appointment.
Thank you so much.
Thank you for making this video, as a person who has extreme anxiety, I appreciate knowing what’s going to happen when I go in.
Same here, I’m so glad I know this may be a thing before going into my appointment
I’m so glad you found this helpful! Please let me know if you have any other topics you’d like me to cover. I want to try to normalize pelvic floor physical therapy so everyone feels comfortable getting the help they need!
I’m getting ready to see someone for pelvic physiotherapy and I’m assuming this will be something that I’ll be going through… I’m not sure why I haven’t thought of doing some research in regards to this sooner. Thank you thank you thank you for these videos. I REALLY hope that my physical therapist is as knowledgeable and kind as you seem to be. Right now, I’m getting passed back and forth between various OBGYNs and I was thinking that no one was going to be able to help.. your videos make me see that there might be help yet…
Thank you so much…..
Liane,
Wow! Thank you so much for your kind words. I'm so glad you have found these videos helpful. My goal is provide education and hope for treatment because these are things people don't talk about enough! Best of luck on your health journey!
Thank you for presenting such an easy to understand explanation of these exams. I’m just beginning therapy and although I had no idea what to expect, I now kind of can relax about it.
I am so glad you found this video helpful and that it was able to help you relax for your physical therapy. Hope your treatment goes well!
@@Renewptnwa Thank you very much for your reply.
Not to mention the visit to the urologists
Exam!!! Holy what!!
My 1st appt is tomorrow and I’m really nervous, so this helps. Thanks
Best of luck! You got this!
Excellent video!
Thank you very much!
Thank you for this very detailed walk through. This would have been very helpful to calm my nerves before my first visit. It ended up being no big deal but as a guy I was suuuper nervous and nearly shaking like a leaf. I think she noticed and was able to calm me right down. My PT said my strength was 2/5 and I’m quite dis-coordinated. I’ve been working diligently to improve.
Kremer,
Thank you for your comment! I am glad you were able to go to pelvic floor PT and it was a good experience for you. Hope you will continue to see improvements! Keep up the good work. Please let me know if you have any suggestions on videos that would be helpful.
@@Renewptnwa: I’d love to hear if you have experiences with hypermobility or Ehlers-Danlos syndrome related issues in patients and anything helpful you may have found in those cases (PF or just in general). EDS related muscle discombobulation is what I’m working to improve.
@@DougKremer EDS can be tricky since there are many different presentations! Some things I work on in general is strengthening exercise to help build joint stability, core stabilization exercises, and taping techniques to either help facilitate the muscles to work to give the patient a reminder to not hyperextend! Those with EDS are more prone to pelvic floor issues such as prolapse so working their muscles in a variety of positions and teaching them how to manage the pressure inside their bodies with moving/lifting is something I always focus on. The trick is finding what is right for you! Best of luck!
@@Renewptnwa: About moving/lifting…. She noticed and also mentioned that I hold my breath to brace my core about every time I do something like that, even just in leaning over. That it is not something most persons do. Good PTs can change lives in one on one time. You all have my respect.
@@DougKremer Thanks for taking the time to comment an update. Glad your physical therapy treatment is going well!
I appreciate you kind words. Thanks so much for your support!
Thanks for answering all the questions, your amazing
I saw a pelvic floor PT several years ago. She wasnt very personable and I didn't feel comfortable. I know i need it. Maybe I will get the courage again.
Me too! My therapist was awful
Thank you for the new information.
Exactly what I was looking for. Thank you 😊
It is similar to how doctors perform prostate exams on men. Thank you for sharing because other than a pap smear the average woman is not aware of this. That is scary!
Thank you for your comment! My goal is to raise awareness! It is an important part of healthcare. Many women do not know there is treatment for common conditions they may experience.
Good information. Thanks.
Thank you for your kind comment! Glad you found it helpful.
Thank you for the simple and easy to understand what to exactly expect during exam. I want to know if anal exam can u detect a rectocele and rectal prolapse?
Dr. sending me to place that does orthopedic PT and pelvic PT, but they weren't even going to have me in a private room - just behind a curtain. This doesn't seem appropriate given the level of internal exam required for that. They also don't list the therapists credentials. So, any advice on how to go about finding someone professional like you? In North Carolina.
Hi April, thanks for your question!
I would recommend checking out one of these directories where you can locate pelvic floor PTs. Then you will know for sure they are qualified.
Www.pelvicrehab.com
Www.aptapelvichealth.org
I would be weary of an internal exam with no private room as well. You should be given full privacy! Sometimes therapists may say they work with the pelvic floor but aren’t specifically trained - so it’s smart that you are doing you due diligence!
Please let me know if you need any help finding someone and I would be happy to assist.
Hi! Thinking about asking my Dr if i should get a pelvic floor exam and therapy done. TMI AHEAD!!! I had a complete hysterectomy done 6 years ago. I'm 40 years old now and still a virgin. My Dr tried to do a pap smear in my 20's more than once and she couldn't do it even with me on Ativants cause it hurts too much. I'm scared of anything going in. When i went to see a gynecologist she wanted to put a finger in my vagina to check stuff but i was too anxious. Come to find out that in surgery i had a blockage in my vagina so they had a close it and i was told a don't have a vagina. How would a therapist do about this with me and this information. The internal exam is scary just to think about it. Thank you and great video!
Thank you for presenting this information about the pelvic therapy .can this pain be caused only by the muscles around the pelvis or bladder infections, kidney etc. Thank you..
Thanks for watching! There can be many different causes of pelvic pain. It is always important to rule out a medical diagnosis first and foremost. If there is no active infection, then we can look at pelvic floor function. I have seen cases where a kidney/bladder infection prompts pain, then the infection clears up, and there is still pain. This can sometimes be successfully treated by relaxing the pelvic floor muscles. Hope that helps!
Sooo helpful...thank you!!!
Glad it was helpful!
If symptoms are present while standing, will you do a standing examination?
So this is basically like the chiropractor. They examine your back then help it.
PTs and chiropractors have different training, but treat similar issues!
This might be a weird question - but is there some simple exercises that you would suggest people do in, say, weekly intervals?
Kind of like how we'll go the gym for the rest of our muscles - should we be working out the pelvic muscles too?
And what would those exercises look like?
Hey! Great question! We will actually have a video coming up soon about a simple pelvic floor strengthening program.
You can turn any exercise into a “pelvic floor exercise” as long as you are mindful of your breathing and exhaling on the exertion. For example, when you do a squat, you should inhale on the way down, then exhale as you push the weight back up.
Hope that helps!
How would you help reassure sexual trauma patients?
Hi Dominique,
We definitely take extra care if we know someone has a history of sexual trauma. If we do an internal pelvic floor exam, I will make sure to have continued informed consent throughout the entire exam. I will also give other options to the patient besides an internal exam (like an external palpation of the pelvic floor, or having them sit on a ball or towel roll so they can have some feedback about what’s going on in those muscles). This can be helpful to still give us information during our time together, but allow for the individual to go home, process the information, and then decide if the internal exam is something they would like to participate in. I reassure all patients that there is always an alternative, and in some cases, we defer the exam or take it out entirely.
@@Renewptnwa, Thank you for responding. I have PT next month, and I'm terrified. Knowing it can be opted out is a game changer. I was going to cancel and just suffer the consequences.
Thank you for asking this question. I was literally thinking "If they're doing this to me, I'm not going. I'll just wear depends for the rest of my life." It's good to know that I have options to refuse.
If you have an issue with Sexual Abuse can one have something to relax them before this exam
Yes absolutely. We make sure the client is completely comfortable and consents to the exam. We can play music or whatever the person needs. We don’t always do an internal exam! We can get a lot of info without it, if it is too triggering to the patient
What is the difference between OBYN & Pelvic Floor Physiotherapist
Hi Jannette, an OBGYN is a medical doctor who specializes in women’s health. A pelvic floor physical therapist is a rehab specialist who works to restore function of the muscles
What are the options for someone who refuses these tests?
I absolutely DO NOT want and WILL NOT consent to an internal exam, nor do I want my pelvic floor muscles touched by a stranger.
Absolutely. There are always options. If someone does not consent to an internal exam, there are many things worthwhile things we can do. Sometimes an internal is not even indicated.
I rely a lot of the patient’s feedback as to what they are feeling in their pelvic floor. I may have someone do movements such as squatting or jumping and report back what they feel. Sometimes getting a good history from the patient gives us an idea on which direction to go for treatment.
Keep in mind that an internal exam is a very small piece of the overall picture for pelvic floor dysfunction. I have also given people written instructions on what to look for at home if they are interested in testing themselves.
As PTs we are here to help our patients feel empowered and educated. Informed consent is a must, and we never want you to leave feeling like you weren’t listened to. Please let me know if you have anymore questions and thank you for watching my videos!
Why oh why do they have to waste time telling us what a speculum is and what it’s used for. Just say we don’t use one. But I appreciate the information that tells what to expect.
Because maybe someone doesn’t know what it is?
If anyone thinks a pelvic floor physical therapist can inactivate a myofascial trigger point with their fingers you are being fooled.
Get a licensed dry needler and get your life back.
Dry needling is a great option!
@@Renewptnwa Myofascial pain syndrome is the MOST COMMON manifestation of chronic pain. Myofascial pain syndrome is characterized by active myofascial trigger points,. Myofascial trigger points cause both peripheral and Central sensitization ie allodynia and hyperalgesia. Dry needling is the most effective way to treat active myofascial trigger points. There is always an underlying cause why the formation of myofascial trigger points form.
But let's really get into the science.
Moseley, himself wrote the excellent chapter on pain in the equally excellent 4th edition of the text Clinical Sport Medicine(2012). Here are some Moseley excerpts: “Trigger points are present in all patients with chronic pain and are thought to reflect sensitization of nociceptive processing in the central nervous system… Patients with active trigger points present with persistent regional pain… These patterns clearly reflect central convergence of peripheral inputs, which further implicates the central nervous system in their generation and contribution to a pain state.”
Moseley GL. Pain: why and how does it hurt? Brukner & Kahn’s Clinical Sports Medicine. North Ryde, NSW: McGraw-Hill Australia Pty Ltd; 2012
"elimination of myofascial trigger points is an important component of the management of chronic musculoskeletal pain” and “we have found ischemic compression and dry needling to be the most effective"
According to Dommerholt, all treatments fall into one of these two categories or both: a pain-control phase and a deep conditioning phase. During the pain-control phase, trigger points are deactivated, improving circulation, decreasing pathological nociceptive activity, and eliminating the abnormal biomechanical force patterns. During the deep conditioning phase, the intra- and inter- tissue mobility of the functional unit is improved, which may include specific muscle stretches, neurodynamic mobilizations, joint mobilizations, orthotics, and strengthening muscle
pubmed.ncbi.nlm.nih.gov/7850884/
Myofascial pain
J R Fricton. Baillieres Clin Rheumatol. 1994 Nov.
MFP is a regional muscle pain disorder characterized by localized muscle tenderness and pain and is the most common cause of persistent regional pain. The affected muscles may also display an increased fatiguability, stiffness, subjective weakness, pain on movement and slightly restricted range of motion that is unrelated to joint restriction. MFP is frequently overlooked as a diagnosis because it is often accompanied by signs and symptoms in addition to pain, coincidental pathological conditions, and behavioural and psychosocial problems
The difficulty in managing MFP lies in the critical need to match the level of complexity of the management programme with the complexity of the patient's situation. Failure to address the entire problem, through a team approach if needed, may lead to failure to resolve the pain and perpetuation of a chronic pain syndrome.
pubmed.ncbi.nlm.nih.gov/16259310/
A review of myofascial pain and fibromyalgia--factors that promote their persistence
Robert D Gerwin. Acupunct Med. 2005 Sep
Chronic muscle pain (myalgia) is a common problem throughout the world. Seemingly simple, it is actually a difficult problem for the clinician interested in determining the aetiology of the pain, as well as in managing the pain. The two common muscle pain conditions are fibromyalgia and myofascial pain syndrome.
The problem these syndromes pose lies not in making the diagnosis of muscle pain. Rather, it is the need to identify the underlying cause(s) of persistent or chronic muscle pain in order to develop a specific treatment plan. Chronic in myalgia may not improve until the underlying precipitating or perpetuating factor(s) are themselves managed. Precipitating or perpetuating causes of chronic myalgia include structural or mechanical causes like scoliosis, localised joint hypomobility, or generalised or local joint laxity; and metabolic factors like depleted tissue iron stores, hypothyroidism or Vitamin D deficiency. Sometimes, correction of an underlying cause of myalgia is all that is needed to resolve the condition.
www.sciencedirect.com/topics/nursing-and-health-professions/myofascial-painMyofascial Pain Syndrome
Andrea L. Nicol MD, MSc, ... F. Michael Ferrante MD, in Essentials of Pain Medicine (Fourth Edition), 2018
Myofascia l pain or regional musculoskeletal pain is one of the most common pain syndromes encountered in clinical practice. Myofascial pain represents the most common cause of chronic pain, including neck and shoulder pain, tension headaches, and lower back pain
Oh wow I thought you were going to say you do this to men to. I was going to say no friggin way. I dont even know why a woman would do this unnecessary exam.
I do not believe this is unnecessary as a woman.. if it gives doctors better insight and help heal you, I do not think this would be unnecessary at all especially if you have troubles using the bathroom or have pelvic floor pain
@@MahaylaJoy Yes women
@@MahaylaJoyUltrasound.