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Related Experiment Video

Updated: Jun 8, 2026

Demonstration of Cutaneous Allodynia in Association with Chronic Pelvic Pain
06:44

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Published on: June 23, 2009

Chronic vulvar pain from a physical therapy perspective.

Dee Hartmann1

  • 1Dee Hartmann Physical Therapy, 400 East Randolph, Chicago IL 60601, USA. healthyexp@gmail.com

Dermatologic Therapy
|September 28, 2010
PubMed
Summary

Physical therapists assess women with chronic vulvar pain (CVP) for mechanical issues. Pelvic floor muscle rehabilitation is key to reducing CVP by normalizing muscle function and treating related physical abnormalities.

Area of Science:

  • Women's Health
  • Physical Therapy
  • Pain Management

Background:

  • Chronic vulvar pain (CVP) affects many women.
  • Identifying contributing mechanical factors is crucial for effective treatment.
  • Pelvic floor hypertonicity is a significant perpetuating factor in CVP.

Purpose of the Study:

  • To outline a comprehensive physical therapy approach for women with chronic vulvar pain.
  • To detail the evaluation and intervention strategies for CVP.
  • To emphasize the role of pelvic floor rehabilitation in managing CVP.

Main Methods:

  • Detailed physical therapy evaluation for CVP.
  • Identification of musculoskeletal, fascial, and visceral components.
  • Assessment of pelvic floor muscle function and trunk/pelvis abnormalities.

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Main Results:

  • Pelvic floor hypertonicity is a primary factor in CVP.
  • Normalization of pelvic floor muscle function aids CVP reduction.
  • Treatment requires addressing co-existing physical abnormalities in the trunk and pelvis.

Conclusions:

  • Comprehensive physical therapy, focusing on pelvic floor rehabilitation, can effectively reduce chronic vulvar pain.
  • Successful CVP management involves treating the whole person, including trunk and pelvic abnormalities.
  • Physical therapy offers a viable treatment pathway for women suffering from chronic vulvar pain.