Many of you who follow me on Instagram have asked recently if I could share my pelvic floor physical therapy experience and what I do at my appointments. PT is a very common treatment for endometriosis and interstitial cystitis, so I am happy to share my journey with you for my last blog post of the year!
Backstory:
My pelvic floor physical therapy experience started before I was even diagnosed with endometriosis when I was only 14. At that point, I had seen many doctors that could not find anything wrong with me, so PT was pretty much my last hope. My PT, who I still go to today, was the first medical professional to validate my pain and ensure me it was, in fact, real. This was huge for me as someone who was constantly told I was making my pain up and just being a dramatic teenager. When I first started going to PT, I was diagnosed with pelvic floor dysfunction. Since I was (and still am) constantly in pain, I was always clenching my pelvic floor muscles, making them extremely tight. I actually learned this week at PT that when you have chronic pain, it doesn't just affect the muscles directly where the pain is; it affects all the muscles in the body if you've been in pain as long as I have. This has caused me to have hypersensitivity to touch to the point where I'm in terrible pain if someone simply pokes me in the arm, but that's a whole other topic.
The first time I went to PT, I didn't go for that long because I thought that since I got a diagnosis, I didn't need to anymore, but I was very wrong. When I had an appointment when my endometriosis specialist this past January, he suggested I go back to PT. I knew it would help me and my pain, but I didn't know if I was ready to do that yet. A part of my PT is using vaginal dilators because my pelvic floor muscles are so tight to the point where I can't even use a tampon without incredible pain. Using the dilators before I found out I had a septate hymen (the skin over the vaginal opening that normally breaks when you're a baby, but it never broke for me) was extremely painful. I didn't think I would be able to put myself through that pain again. However, I knew it would be different this time because I had surgery to take care of my septate hymen over three years ago, so it should be all healed.
Over the summer, my whole mindset changed when I started reading many books about endometriosis and how it affects so many different aspects of the body. PT was the missing part of the puzzle that I needed to complete to continue helping myself heal. I decided that I needed to go back to PT if I ever wanted to have a semi-normal life in the future. I was too young to understand its benefit the first time, but now I understand it is essential to my future. Well, it's safe to say that I'm very happy with my decision! I started back up in August, and I'm very motivated to get my body working the way I want it to.
What do you do in pelvic floor physical therapy?
Obviously, everyone is different, so I'm only here to share my experience. Everything I do in PT is about loosening up the muscles in my body, specifically my pelvic floor muscles, abdominal muscles, thighs, and lower back muscles, as well as keeping my body aligned.
Like I said before, I use vaginal dilators to loosen my pelvic floor muscles. This is hard for me to talk about because it honestly embarrasses me that my body can't just work like everyone else's. It is hard for me to post this on the internet, but I decided that it's important before so many people with endo also experience pelvic floor dysfunction, and I don't want to be ashamed of it. All I want is to help at least one person like me and show them that they are not alone. The dilators are the most important part of PT to me because, like I said before, I really want a chance of living as much of a normal life as possible in the future. The pelvic floor muscles have three layers. I use the dilators to stretch the first two layers and a curved wand to stretch the deep third layer. And that's all I'm going to say about that because it's getting to the point of too much information, lol.
To loosen my abdominal muscles, I do a couple different things. When I'm actually in PT, my PT will lightly massage my stomach to start loosening up the muscles. When I'm at home or at college, I use a tennis ball to massage those muscles myself, which is super easy.
To loosen my thighs, I do a series of simple stretches at home a few times a day that I'm going to put pictures of below. These stretches are very simple ways to keep those muscles loose. I also use a tennis ball to massage these muscles.
To loosen my lower back muscles, my physical therapist does the same thing she does with my lower abdomen and lightly massages it. I keep saying lightly because it is very important to not do a harsh massage because it can actually cause those muscles to kick in and make them tighter, which is not what we want.
Finally, to keep my body aligned, I do simple self-correction stretches throughout the day that I will show pictures of below. Staying aligned is something my body has trouble with at times, but it's so important that everything is in its place, or it's going to mess everything else up.
Conclusion:
I would be lying if I said that having to do all these extra things wasn't exhausting because it is, but I'm happy to do it because I know that I'm doing everything I can to help my body. Like I said in a recent Instagram post (@endoisnottheendblog), everything I do with my body is intentional. The way I sit, the way I stand, the way I get in and out of bed, what I eat, what I drink, how I turn my body, and so much more has to be intentional, or it can throw something out of whack. Basically, my number one goal every day is keeping my body aligned.
I would be happy to dive deeper into any of the things I talked about in this post, but this is a general overview of what I have to do every day as a part of my pelvic floor physical therapy. Right now, I have appointments twice a week while I'm home for winter break so I can get some of my interstitial cystitis symptoms to calm down before I go back to school (I plan on doing a different post about what I do in PT to help my IC symptoms).
I know this was a lot of information at once, but I hope it helped if you have pelvic floor dysfunction like me or just want to learn more. Pelvic floor dysfunction is a very real thing that affects so many people, and it can be embarrassing to talk about, but I want to work on not being ashamed about it and sharing my truth.
