Chronically tight pelvic floor muscles that can't relax. Treatment focuses on releasing trigger points, retraining breathing patterns, and calming the nervous system. This is a systemic issue, so we address the whole body, not just the pelvic floor.

Deep pain during intercourse is often caused by trigger points in the obturator internus, a hip rotator muscle that directly affects the pelvic floor. Dry needling this muscle externally can produce significant relief, especially when combined with levator ani and piriformis treatment.

Tailbone pain that makes sitting difficult. This is often caused by tension in the levator ani and coccygeus muscles, which refer pain to the coccyx even when the coccyx itself isn't injured. We treat the muscles causing the referred pain.

Chronic aching, pressure, or pain in the rectum or coccyx area. The levator ani is the primary muscle of the pelvic floor and one of the most common sources of chronic pelvic pain. Treatment involves dry needling, sacral foramen acupuncture, and breathing retraining.

Generalized tension that doesn't resolve on its own. This calls for a comprehensive approach: levator ani, obturator internus, piriformis, abdominal trigger points, and breathing work.

Nerve pain from compression or irritation of the pudendal nerve. Burning, stabbing, or shooting pain in the genitals, perineum, or rectum. The obturator internus muscle runs along Alcock's canal where the pudendal nerve travels, and releasing this muscle can relieve the entrapment. Pudendal neuralgia is complex and often requires 20+ sessions, usually alongside a pelvic floor PT.

We use Posterior Tibial Nerve Stimulation (PTNS), an evidence-based neuromodulation protocol with a 50-80% success rate for overactive bladder. It involves 12 weekly electroacupuncture sessions using a specific point near the ankle to modulate the nerves that control bladder function.

These are complex conditions that require a long-term, layered approach. Treatment involves fascial work, sacral foramen acupuncture, adductor release, and breathing retraining. They take time (16+ weeks minimum) and typically benefit from concurrent work with a pelvic floor PT.

When the pelvic floor muscles can't relax properly, they can prevent normal bowel function. We focus on releasing the levator ani and anal sphincter, treating abdominal trigger points, and retraining the muscles to let go.

Endometriosis creates trigger points in the abdominal wall and pelvic floor through a process called viscerosomatic convergence. Treating these myofascial trigger points, especially in the rectus abdominis and obliques, can meaningfully reduce pain even alongside systemic treatment for the endometriosis itself.

Pelvic floor dysfunction in men is more common than most people realize. We treat chronic pelvic pain syndrome, post-prostatectomy issues, and conditions like testicular pain or erectile dysfunction related to pelvic floor tension. The anatomy is different but the approach is the same.