A woman in her 30s came to our clinic with a long-standing history—10 years of frequent urination and a persistent feeling of incomplete emptying.

She had already tried almost all available medications for overactive bladder, antidepressants, and even underwent bladder hydrodistension. Unfortunately, none of these provided relief.

During the evaluation at our clinic, we discovered tenderness in her obturator internus muscle, a deep pelvic muscle that’s not commonly recognized as a source of urinary symptoms.

We started pelvic floor rehabilitation and performed a hydrorelease (injecting saline, local anesthetic, and neurotropic agents into the muscle fascia). Remarkably, she experienced immediate relief from her symptoms right after the procedure.

Of course, much of this relief comes from the temporary effects of the local anesthetic, but the fact that her symptoms disappeared helped her clearly recognize that the pelvic muscle itself was the key contributor.

We explained that symptoms may return as the anesthetic wears off, but the saline helps soften muscle fibers, and neurotropin may help reduce inflammation. She is continuing pelvic floor rehab to learn self-care techniques.

She told us that she’s “feeling a bit better than before”—a small but meaningful step forward.

We’ve also started Storz Magnetic Stimulation (StarFormer), which seems promising. The neuromuscular stimulation it provides might help release chronic muscle tension even further.

Being part of a patient’s journey to find answers after many years of suffering is deeply rewarding. We hope our work can offer hope to others who have been told “nothing is wrong” despite very real symptoms.

#PelvicFloorDysfunction

#ChronicPelvicPain

#FrequentUrination

#ObturatorInternus

#Hydrorelease

#PelvicFloorTherapy

#StarFormer

#NeurogenicBladder

#PelvicHealth

#WomenHealth

#Urology

#PelvicPainSyndrome

#MPPS

#InterstitialCystitis

#HopeForHealing