Does pelvic floor physiotherapy treat vulvodynia?

Vulvodynia is persistent pain or burning affecting the vulva without one single explanation for everyone. Pain can cause protective tightening in the pelvic floor, which may then make sitting, clothing, examination or sex more uncomfortable. A physiotherapist may use education, breathing, external hands-on techniques, graded movement and relaxation training. The clinician may also discuss pressure from posture, exercise or clothing. Pelvic Floor Physiotherapy is often one part of care; a gynaecological assessment can check for infection, skin conditions, hormonal changes or other causes of vulval pain.

Track activities and products that worsen symptoms, such as prolonged sitting, cycling, fragranced washes or tight clothing. Wash gently, avoid scrubbing and choose breathable clothing. Use pacing rather than repeatedly testing painful touch. At an appointment, describe the exact location, quality and timing of pain; this helps distinguish surface sensitivity from deeper muscle pain and shapes a tolerable plan.

Arrange prompt review for new sores, blisters, marked swelling, unusual discharge, bleeding, fever or rapidly worsening pain. Seek urgent care if severe pain prevents urination, or if vulval swelling develops quickly with fever. New symptoms should not automatically be attributed to vulvodynia because infections and skin conditions can look similar.

Ask whether your symptoms need a vulval examination or swab, whether pelvic floor muscles are guarding, which activities to modify, and whether medication, dermatology or pain support should accompany physiotherapy.