Physiotherapy Treatment of Sexual Pain Disorders. Journal of Sex and Marital Therapy 2004, 31(4)

Talli Rosenbaum

Physiotherapists provide treatment to restore function, improve
mobility, relieve pain, and prevent or limit permanent physical
disabilities of patients suffering from injuries or disease.

Women with vulvar pain, dyspareunia, or vaginismus have limited ability
to function sexually and often present with musculoskeletal and
neurological findings appropriately addressed by a trained phys-
iotherapist. Although pelvic floor surface electromyography (sEMG)
biofeedback has been studied, the inclusion of physiotherapy in the
team approach to treating women with sexual pain disorders is
arelatively recent advancement, and its exact role is not widely
understood by doctors, mental health professionals, or laypersons.
This article will examine the supportive and often primary role of
the physiotherapist in the overlapping conditions of vaginismus and