Sore after physio ... to be expected? (TMI)

[theyusedtocalltheblues]

I’m having physio on my pelvic floor muscles for chronic pain and voiding dysfunction . Therapist called it myofasical release and said it’s kind of like a back massage. Basically she palpated the muscles down there for about 30 mins varying pressure and holding pressure if it was a sore spot . It’s all done via NHS in a hospital .

I felt a bit odd after like I couldn’t quite put my legs together (not sure why , could be hip pain from mainting that position for so long) ... but that went within an hour . However , 36 hours on I am really quite sore - as if I’ve fallen and landed on my bum and bruised my tale bone ... muscles are all very tender and I can’t use the loo or sit without some discomfort. It’s not very pleasant ... I’m guessing it’s likely just because of the physio ? Absolute worse muscles (during and after) are the ones right at the back towards my bottom /perineum ... I’m lying on my side to avoid hurting it any more. I genuinely can’t think of anything it could be other than the physio to be honest . I don’t want to phone them whining , so wondering if there’s anything I could/should do to try and ease it all a bit ...

I see a specialist womens physio for similar OP and have done for in excess of a year. Was this your first appointment with your physio?
Firstly I do think if the pain is that bad you are adjusting your positions you do need to call and speak to your physio- pain is the opposite of the end goal and when we are in pain we tense up and create a bigger problem. I'm sure you already have but do take some paracetamol or try an epsom salts bath to try and relax your muscles until you can get some advice from a medical professional. You don't say exactly where the pain is or what type of pain it is but i would be wanting to rule out things like a UTI or an injury if the pain were this bad i think. It's definitely not 'whining' and the physio would be more than happy to take the call, mine always encourages me to ring between appts if i have a problem or a question.

I don't know your circumstances but 30 minutes muscular massage on sensitive points is quite a while (particularly if this was internal) so I'm not surprised that it does hurt, these are not parts of the body that are usually tampered with and it's an area with a great deal of nerve endings and sensitive tissue, especially when you say you already suffer with chronic pain. I know from experience that the physio presses down on 'pressure points' pretty firmly!

It's tricky for me to give a clear picture as I have muscular issues so 30 mins on the table holding my hip apart the way they want it causes me no end of issues for a few days afterwards, and i am always sore after an appointment as I have vulvodynia and the contact exacerbates this, but I do have general health issues relating to nerve pain and muscle weakness, so without the info, only you really know what is within the realm of normal for you after a period of contact 'down there' or that sort of movement, but i would have thought for someone not in ill health you'd have eased off by 36 hours.

Sorry for rambling, it is 1am and i almost never get to discuss this issue with anyone so it's a novelty! DO call the physio if this is not improving asap, and if the pain going to the loo you describe actually means when you are urinating, rather than the physical pain involved with sitting on the toilet then do see a GP in case that's a UTI. Otherwise, epsom salt baths, paracetamol/ibuprofen, try an ice pack (don't put ice on bare skin) on the area if the pain is a burning pain, or try heat otherwise- heat pack etc.

Hope it resolves itself quickly!