Urogynecology Expert Forum
Stress urinary incontinence, physical therapy, now having bladder soren...
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Questions in the Urogynecology forum are answered by Bruce Crawford, MD, J. Kyle Mathews, MD, and other medical professionals and experts. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.

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Stress urinary incontinence, physical therapy, now having bladder soreness

I have been going for physical therapy for 3 weeks so far for pelvic floor muscle strengthening and biofeedback for SUI. Could this cause an aching pain in the bladder area?  I've had this soreness before but it seems more frequent now. I will ask the PT at my appt. next week but just wondered if this is caused by these exercises, which I find hard to believe, or do you have any ideas what it may be? It's not really pain, but more like an aching sensation around my bladder area.  I will come and go and urination does not make any difference in it.  Does this warrant a return visit to my urologist, because depending on the effectiveness of PT, I may or may not return to her?  Thank you so much for your help.
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Some pelvic floor caregivers believe that pelvic muscle trigger points can be felt as bladder pain. Overly energetic pelvic floor exercises for SUI can lead to overtightening of the pelvic floor muscles, leading to development of active trigger points.  You should ask your physical therapist to see if you have any active trigger points in the pelvic floor muscles, and see if release of these trigger points relieve your bladder pain symptoms.

If this does not help your symptoms, you will need to be evaluated by your bladder specialist for further workup of your bladder pain.
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J. Kyle Mathews, MD, DVMBlank
Plano Urogynecology Associates
Plano, TX
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