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[Ms_london76]

Has anyone does this and has it helped.

I will my dr on Monday and pharamsicts suggested the compound option? But will also ask about pT therapy, also ask her to test for bv or thrush.

Someone mentioned to that maybe I have to tight pelvic floor muscles, between all my workout, running, kickboxing, weights, yoga and Pilates.

I do a lot of core in my classes that I teach and I wonder if that is what is happening. Like an insane amount of lower core exercises. Never really dawned on me that could cause downstairs issues.

Has anyone tried and has it helped?

[Dierdre]

I had physiotherapy for the pelvic floor but it was for a prolapse caused by loss of estrogen and weak muscles. The physio help me do specific exercises to tighten and strengthen the muscles avoiding surgery.
What sort of issues are you having?

[VioletAquarius]

I've had pf therapy twice (nhs & private), and had no success.

What is the compound option?

[Minusminnie]

A women’s health physio will do an internal assessment of your pelvic floor.
If you have tight muscles certain physios do Myofascial release but you have to pick the right physio.

We have the Chartered Society of Physiotherapists here where on their website you can find a registered physio you may have similar in Canada.

I think given all your excercise it might be worth having your pelvic floor assessed even if it just rules that possible aspect out.

The weight training especially can affect the pudendal nerve that runs through the perineum.

[Ms_london76]

Yes that nerve has been bugging me quite sometime.

Started out with dryness and having a hard time sitting. I would often sit with my knees tucked up. Still do.

Have had no kids and not any sex for quite some time. It was already painful and I stopped a couple years ago. But would like to maybe why I became so obsessed with working out.

I would run 3x a week plus so cardio based class (2x week) lots of bouncing and jumping. Plus weight training heavier weights twice a week) ontop of Pilates 4 x week, walking when I can and yoga.

[Minusminnie]

If you look up pudendal neuralgia you can get pain from an overstretched/worked pudendal nerve.
At its worst the nerve can become trapped.

[Ms_london76]

I wondered about this.

I was feeling actually fine all day no real pain dryness or anything. Had a little yes gel at 5am cuz I was so uncomfortable. (Burning but now I wonder if it is this nerve) i noticed a few days ago that even in my bed I am uncomfortable (brand new bed so it’s harder) it seems to press me in a weird way and I can’t get comfortable. So been sleeping on my old couch. But still having the same issue.

Than I sat weirdly for dinner on a chair. I was in a chair earlier but it didn’t bother me than. I have been sorting if sitting on my right hip if I sit down at all.

This time I felt the pain right away and now on my back with a bolster under my knees. And the crazy burning is actually gone….

I have been complaining about not being to sit for a long time. That is really how all this started, a little dryness/not being able to sit. 

With my excessive workouts of running jumping jacks burpees, plus 5 times a weeks teaching and doing Pilates. (Lots of core) I have done some damage to the nerve or the floor is super tight!

Someone said in my earlier posts very early on. I can’t recall who it was I wonder if it all your working out.

Cotton undies have been a godsend ordered a bunch from amazing game changer in general. I have taught two classes in the hot room with cotton undies and tights and have had zero pain.

Depending on the angle and what I sit on. Lately if I sit on my side hip I can tolerate sitting. Now I wonder if this burning I have been having all along was not really caused by vagifem or Premarin but the nerve.

I wonder if this is why I am having a hard time sleeping and why it’s bothers me the most at night time. Also why I could not sit properly at the drs office. At least not on a hard chair. 

Oddly enough of my students works at a pelvic physio place and she just texted me a name of a pelvic physio person.

[Peach8]

If you have Instagram, you might find thelaurenohayon useful. https://www.instagram.com/thelaurenohayon?igsh=NzEwMm53Z2VmdXE5

[Ms_london76]

I was at my drs office again today. She is very determined to figure out what is going on with me.

We discussed the pudendal nerve and she said that it looks irritated but no real dryness. She gave me a script for nerve pain to use as a trial to see if it helps.

I tend to sit heavily on my right side cuz when I sit straight or on the left side I have pain. This all could be related to the fall on my tailbone years ago and glute injury. Who knows

She was excited I was seeing a pelvic floor therapist as she said they know more about all the nerves and muscles down there. Also excited I was seeing a naturopath as she is open to alternative medicine as well.

I emailed the pelvic floor therapist about what the dr said and she has already suspected the same issue.

She also reordered the tests for uti, Thrush and bv

She is ordering a mri and gyneo will take maybe 4 weeks. Also she may send me to a nerve blocking clinic.

Last night I was up every two hours to pee (no burning) thought for sure I had uti. Last night I had bought cheez it crackers. I plowed thru half a box. This morning something told me to look at the box closely, it contains paprika. Which not only is a spice but I tested positive for an allergy too in the past.

Will be switching my lactose free milk for unsweetened almond milk which contains less sugar.

If this is the nerve causing the bladder issues makes sense when I sleep with a bolster I don’t have any pain. She notes that as before I would wake up screaming in pain. Since using the bolster though awkward I don’t have that pain in the middle of the night.

Also very possible the cream and vagifem irritated that nerve and I am only 1.5 weeks post using the Premarin. Also possible that this nerve was the issue all along and not vagifem not sure.

She wants me to not use anything for awhile still.

So we will see what the pelvic floor therapist has to say and what she can find down there.

I do find child’s pose helps and the bolster under the knees do help. Will start to modify my workouts with no jumping or hoping or running.

As I started this journey I was complaining of issues of sitting. Post workouts especially a run pain. I thought it was vaginal dryness. I am 100% the nerves and muscles in that area are super tight due to Pilates (heavy core workouts plus too much sitting down)

[Minusminnie]

Hope the pelvic physio can give you some answers.

A nerve block is a LAST resort better to see a physio who does myofascial release first that involves release of any tight muscles at trigger points.

Nerve block injections are better done guided. Suggest you do your research first on who might be doing it should it come to that.

Hoping for you in some way that you can rule all this out & the pain it is all down to VA.

The fall on your tailbone doesn’t sound good though. Your GP sounds pretty thorough.