May I ask where specifically (what area of pelvic floor) do they give the botox injections. What type of doctor gives you the botox. I have had some success with physio, but I am thinking maybe the addition of botox would help me. I appreciate your help!!
Hi the botox goes into the pubirectalis muscle, the gynea will press on various areas between rectum and vagina, the area that gives pain and is "locked" in spasm is where the injections go.
I also see my specialist physio who performs trigger point manipulation, this combination of treatment helps with painful spasms. Doesn't eradict symptoms but does alleviate pain and spasms
Injections have to be three months apart. I was due mine before covid isolation but got cancelled, my pain and spasms has got much worse, here's hoping we see an end to this soon and get back to normal life!!!!
Thank you, Skye22! Please excuse my stupidity, and I do know what the puborectalis muscle is, but when your gynocologist administers the botox, is it done internally or externally? I currently see a phyiotherapist who does the trigger point manipulation both internally & externally). My physio can't do botox, so should I look for a gynocologist ? My pain is so much more manageable than it used to be, and if I get the botox, I am hoping I can feel even better! I live in Jacksonville FL area, so I will begin researching Stay well and thanks so much for your help!!!!
Your welcome, hope the treatment works, oh and the injections are external mainly I got a couple just inside vaginal opening sounds awful but for me it works really well.
Hi there I stay West Coast scotland, I attend the new hospital in Glasgow for botox treatment, Dr Tiaggi (not sure of spelling) gynaecology. Attend greater Glasgow and Clyde for physio. I definitely benefit from combined treatment. There is a 3mth waiting list for gynaecology and physio.
Sounds like treatment better in Scotland than England!
I've heard of a physio in Edinburgh called Bill Taylor who's supposed to be good. Still a long way from Glasgow though. Am thinking of making journey to see him when we're allowed to.
Do you have any metal hardware inside of you from a previous operation? Parts can migrate into the rectum and bladder. I’d get an X-ray done if you have.
Urinalysis would be a good idea and all the tests should be done to rule out vulvodynia.
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