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chronic pelvic pain (cpp)
this is defined as non-menstrual or non cyclic - with a duration of at least 6 months, sufficiently intense to interfere with habitual activities and requiring clinical or surgical treatment
neuromuscular, orthopedic, myofascial
when treating pelvic pain the therapist focuses on 3 things that contribute to symptoms - what are they
support, sphinteric, sexual, mechanical (trunk/hip mobility)
what are the four functions of the pelvic floor muscles
sacral spinal nerves
the pudendal nerve branches off the _______ ________ ___________ and branches off to several other nerves
ischiopubic ramus, pubic symphisis, coccyx
the urogenital and anal triangles are framed by the ______ _____, _______ ________, and __________
transverse perineal, bulbospongiosus, ischiaocavernosis
what muscle group is in the urogenital triangle - the muscle group
_______ and ________ are two safe exercises for pt with a history of prolapse - be sure to maintain core tightening and NO VALSALVA (EVER)
identify the one muscle the levator anai group attaches to outside the pelvic floor
ext, int, rotation
the obturator internus action is _____ and ______ _________ - can strain and will be painful
what are the following instructions for - "i want you to contract your muscles as though you are trying not to urinate/pee but don't use your backside/butt muscles" - use appropriate language when instructing
deep breath in, let it out, bring ribs down and together, navel to back, tilt up
what are the instructions for a true pelvic tilt - pt is supine - buttocks should be relaxed
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