Pelvic Floor Hypertonia | Pelvic Rehabilitation Medicine

Dr. Carolyn Chudy discusses pelvic floor hypertonia and how it can be treated.

At Pelvic Rehabilitation Medicine, our pelvic pain specialists provide a functional, rehab approach to pelvic pain. When you visit one of our offices, you spend an hour with your doctor reviewing in detail your medical history and symptoms. Then, we perform an internal exam (no speculum) to evaluate your nerves and muscles. Together, we'll discuss an individual treatment plan that gets to the root cause of your pain and helps you to feel better. The best part: you can begin treatment the same day!

At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms.

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Pelvic floor hypertonia is also known as a hypertonic pelvic floor. When the muscles of the pelvic floor contract to a state that's unnatural for them, it creates spasm in the muscle, it creates pain in the muscle, and it creates a feedback loop for the body that has continuous pain.

When the pelvic floor muscles are contracted in this spastic state, they also cut off a lot of the blood flow to the pelvic floor muscles, and also create irritation and inflammation around the nerves in the pelvic floor. Symptoms of hypertonic pelvic floor can include things like cramping of the pelvic floor, a pressure on either the outside of the pelvic floor or deep inside the pelvis, burning, and even knife-like sensations.

In male patients with a hypertonic pelvic floor, we can see any variety of symptoms that are related, including constipation or diarrhea. We can include things like testicular pain, tip of the penis pain, erectile dysfunction, or even pain with intercourse.

In female patients, a hypertonic pelvic floor can be associated with pain with intercourse, urinary urgency, frequency, or burning with urination, and it can also be associated with chronic constipation, diarrhea, or pain with bowel movements.

Hypertonic pelvic floor can be exacerbated by things like stress, dietary changes, changes in your environment, having a recent surgery, or new medications.

Hypertonic pelvic floor is usually something that's a chronic state, it didn't just happen overnight, and it requires a number of treatments in order to decrease the hypertonicity. To treat this, we can also use trigger point injections and nerve hydrodissection. We have really good success with this.