Today, around 40 years woman consulted our clinic because she is suffering from bladder pain and frequent urination since August.

She had already visited both gynecology and urology departments, and had been prescribed painkillers and overactive bladder medications, but they were ineffective. Due to the severity of her pain, she even visited an emergency center.

Specialists at various facilities could not identify the cause of her pain. She mentioned that the symptoms varied depending on the day and time, with some days so severe that she couldn’t leave the bathroom.

An ultrasound only revealed a Bartholin gland cyst. During the pelvic exam, trigger points pain was observed in both obturator internus muscles, particularly on the right side, which also caused radiating pain to the lower abdomen. Given that she had urinary retention symptoms, it is possible that she was unable to relax her pelvic floor muscles.

Despite performing myofascial release, the tense fascia and muscles did not relax easily, so pelvic floor rehabilitation was introduced. Considering that the pelvic blood vessels were slightly engorged, it might be beneficial to prescribe herbal medicine (to treat blood stasis) or, if opting for Western medicine, a drug with muscle relaxant properties.

In any case, the main focus will be on approaches targeting the pelvic floor muscles.