Is your vagina often tight, urinating frequently, or uncomfortable? Is "perineal pain" at fault?
Perineal pain is not just pain down there? The three most common symptoms
“Down there” is always uncomfortable and tight, and you even always feel like there is something in the anus. You have gone to various departments to register but can’t find the cause? Pain specialist Dr. Yang Zhuoqi said in an interview that the area from the pubic symphysis to the coccyx and between the thighs on both sides belongs to the “perineum”.
Dr. Yang Zhuoqi said that many diseases can cause perineal pain and discomfort, such as hemorrhoids, anal fistulas, urinary tract inflammation, vaginitis, etc. It is necessary to undergo diagnostic examinations by respective specialists to confirm whether there are “clear” signs of the aforementioned diseases.
“Perineal pain”, which is ideally used as a diagnostic name, is pain that occurs between the pubic bone and the coccyx, excluding structural problems of the urinary tract system, obstetrics and gynecology system, and colorectal system.
The discomfort of perineal pain may have more obvious symptoms in a certain system. Dr. Yang noticed that when the patient’s symptoms include burning of the urinary tract and frequent urination, the male patient may be classified as chronic during the long medical process. Prostatitis; and if women are mainly bothered by vaginal discomfort, they may be diagnosed with vestibular neuritis.
In addition, perineal pain may also manifest near the anus, causing a pinprick sensation, a pain like a broken skin, or the urge to defecate but the inability to pass stool. Some people have mainly neurological symptoms and are consistent with the diagnosis of “perineal neuralgia”.
Doctors have found that perineal discomfort among patients is not necessarily manifested by simple “pain”. Instead, many people will mention perineal swelling, burning, tightness, spasm, swelling, etc. as symptoms. No matter what the symptoms are, long-term discomfort in the perineal area will cause serious troubles in life.
Which groups are prone to perineal pain? Be careful if you don’t do sedentary activities for long periods of time
There is no single single factor that is universally recognized as what causes perineal pain. Dr. Yang Zhuoqi said that there are clues related to perineal pain mentioned in many research documents, but there is currently no quantitative detection standard in medicine. But based on these clues, the cause of pain can be viewed in terms of the two systems of “partial” or “whole”.
The local system refers to the abnormal tension of the muscles and fascia in the perineal area. Since many nerves pass through the fascia, tight fascia is often accompanied by neurological symptoms. The overall system may be related to hormonal imbalances, including stress hormones, neurotransmitter hormones, and sex hormones; psychological factors such as traumatic experiences are also related to perineal pain.
Dr. Yang pointed out that perineal pain is clinically found to be more common in women, the elderly and people who sit for long periods of time. Many patients work as clerks, engineers, etc., and their lifestyles tend to be in a sitting position with less physical activity. Perineal pain in the elderly is related to prolonged sitting, low mobility and sarcopenia.
Dr. Yang Zhuoqi said that according to research, people with perineal pain seem to have a specific tendency in muscle use. Compared with people who are not troubled by pain, the use of deep hip stabilizing muscles and core stabilizing muscles in these patients is less ideal. . It can be understood that the dysfunction of the system from the hip joint to the lumbar spine affects the stability of the pelvis, thus contributing to perineal pain.
How to improve perineal pain? Will it be okay if I take injections and take medicine?
Patients with perineal pain may require the joint assistance of different professionals at different points in time. Dr. Yang mentioned that one of the cases initially presented with interstitial cystitis, then turned into vestibular neuritis, and then turned into vestibular neuritis after a while. Discomfort in the rectal area. During this process, patients will still need to be examined by individual specialists to rule out structural factors, and then pain specialists will be involved in joint care.
Dr. Yang Zhuoqi believes that although there are many possible causes of perineal pain, there is one method that has a high probability of clinical success: strengthening the stabilizing ability of the muscles around the pelvis, through the guidance of experienced movement education teachers and sports physical therapists With guidance, this method has successfully helped many patients improve their perineal pain.
Dr. Yang said that there are two main directions for pain doctors to deal with “perineal pain”. One is to provide detailed health education knowledge to help patients understand the cause of pain and analyze pain from local and global factors. The second is joint care. In addition to the drugs and injection treatments provided by the pain department outpatient clinic, sports physiotherapists, movement education experts and even psychologists will also be added to assist to further improve the source of perineal pain.
Dr. Yang Zhuoqi suggested that simple drug treatment is not a complete cure for this type of perineal pain symptoms. It is best to use joint care to avoid recurrence of symptoms and the need to seek medical treatment again. People with perineal pain are reminded to consult a pain specialist first and receive appropriate care and treatment. They should also maintain good living habits and exercise regularly to reduce the recurrence of pain.
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