Vulvodynia – Bladder Pain Syndrome/Interstitial Cystitis


Establishing the Diagnosis of Vulvar Vestibulitis

Gordon White, F.A.C. Ven., M.H.P, M.F.P.H.M., Mare The diagnosis [of vestibulitis] can be confirmed by electromyographic readings in the presence of at least three essential characteristics. OBJECTIVE: To study the pelvic floor electromyographic (EMG) responses of a cohort of patients diagnosed with vulvar vestibulitis. STUDY DESIGN: Following full medical and laboratory workup, patients with vestibulitis were given pelvicb floor EMG. Results were compared with the collated data, termed the “nonmorbid EMG pelvic floor response”, derived from a study control group of 50 symptomless subjects.  » Read more about: Establishing the Diagnosis of Vulvar Vestibulitis  »

Pelvic Floor Rehabilitation

Marek Jantos The pelvic floor muscles (primarily the levator ani muscle group) provide essential support to pelvic organs (bladder, uterus, upper vagina and rectum) and constitute the closing mechanism by which intrauretheral and rectal resistance is maintained at times of increased intra-abdominal pressure(1). Anatomically, the pelvic floor musculature and the internal and external sphincteric mechanisms are of major importance in urinary and faecal continence. Trauma and damage of these structures will contribute to the development of pelvic floor dysfunction.  » Read more about: Pelvic Floor Rehabilitation  »

An Overview of Surface Electromyography and Musculoskeletal Pain

GLENN S. KASMAN, MS, PT Surface electromyography (SEMG) is the recording of muscle action potentials with skin surface electrodes. This article summarizes the rationale for incorporation of SEMG in evaluation and treatment programs for patients with musculoskeletal pain syndromes. Details on instrumentation, recording technique, limitations, and applications for specific clinical disorders can be found elsewhere (Cram and Kasman, 1998; Kasman et al., 1998). Physiologic Rationale and Signal Processing Motor activity is subserved by commands that are generated in the central nervous system and transmitted along alpha motor neurons to the periphery.  » Read more about: An Overview of Surface Electromyography and Musculoskeletal Pain  »

Historical Background to the Study of Vulvodynia

From ancient Egyptian papayri, to the 1st century writings of Soranus of Ephesus, antiquity provides very early accounts of female dyspareunia akin to modern day vulvodynia (McElhiney et al., 2005). In more recent times, the medical literature of the 18th and 19th century again documents the existence of chronic vulvar pain, which was reported to cause great discomfort and distress in some female gynaecology patients. In 1874, T. Gilliard Thomas in his book A Practical Treatise on the Diseases of Women describes hyperesthesia of the vulva with patients experiencing “excessive hypersensibility of the nerves supplying the mucous membrane of some portion of the vulva”  » Read more about: Historical Background to the Study of Vulvodynia  »