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Vulvodynia: A Missing Piece

What's something we often overlook or miss when it comes to vulvodynia?

Well, first it's important to recognize vulvodynia is just as non-specific as 'low back pain.' It literally just means 'pain in the vulva.'

We could have gone a few different ways with a missing piece - rectal treatment, looking at the urachus and belly button, lumbar referral patterns, hip referrals, or more. It's a complex diagnosis.

But a missing piece for vulvodynia is evaluation and treatment of the perineal fascia.

With the presentation of vulvodynia, it's almost impossible for the perineal fascia to not be…

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