Transvaginal pelvic floor physical therapy, an important treatment approach for sacroiliac joint dysfunction

Objectives: There is a growing evidence that Transvaginal Pelvic Floor Physical Therapy reduced the severity of Sacro-iliac joint dysfunction (1). However, attention is to be paid to pelvic floor muscle training with functional integration. This study responds to a greater contribution in the area of clinical practice (2). The Sacroiliac joint dysfunction (SJID) has been found to be the primary culprit for Lower Back Pain (LBP), but it is still over worked and treated as LBP. Often, we find that many patients with SI joint dysfunction (particularly sacroiliac joint pain hyper mobility) will manifest with pelvic floor with hypertonic muscular dysfunction, as this is a compensatory strategy used to stabilize the SI joint. Hence, pelvic floor physical Therapy is an important treatment approach which can be used for sacroiliac joint dysfunction. We hypothesized that pelvic floor transvaginal physical therapy can improve sacroiliac joint dysfunction. Methods: 15 patients with sacroiliac joint dysfunction participated in this pilot study. The outcome measures used were the Oswestry Disability Index (ODI), Visual analog scale (VAS) , pain assessment short form 36 (SF-36) and Manual Pelvic floor assessment through Modified Oxford Grading System. The study findings revealed a statistical improvement in post intervention values for sacroiliac joint dysfunction and a statistically significant decrease in hypertonicity of pelvic floor muscle’s and also a significant decrease of pain in the sacro-iliac joint. Conclusion: Transvaginal Pelvic Floor physical Therapy is an important treatment approach tool for Sacroiliac Joint Dysfunction.