In pelvic physical therapy you’re dealing with dysfunctional tissue, reduced blood flow, increased inflammation and in an area the body is wired to pay close attention to.
But pelvic physical therapy should never hurt. We can’t treat pain with more pain. And the idea of ‘no pain, no gain’ not only isn’t true, it’s actively harmful.
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Now, it can be uncomfortable, but there’s a major distinction. You shouldn’t be trying to ‘bear’ treatment.
The discomfort should ease during the session as the PT works on the tissue.
And your pelvic PT should be checking in to see how you’re doing if they’re working on a tender area.
In this ‘sode we discuss how to communicate with your pelvic physical therapist if things are hurting or if you need to seek a second (or third) opinion. Because there is a lot your physical therapist should be able to do if you are having pain in one area.
They can just work somewhere else (there’s plenty to do!).
They can relax your nervous system first.
They can use a different technique.
They can postpone working on that area until a different day.
They can help you find medical management to decrease pain before working there.
You should never be in pain during pelvic floor physical therapy. It’s counterproductive and harmful to the overall process. If you are, make sure you say something to your pelvic PT. And be prepared to get a second opinion if necessary!
As Nicole said in the full 'sode of the podcast on this topic...
"Pelvic physical therapy should never hurt. We can’t treat pain with more pain. And the idea of ‘no pain, no gain’ not only isn’t true, it’s actively harmful." -Nicole Cozean, Pelvic Sanity
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