Login / Create an Account

Phone646.355.8777


 

A recent blog post discussed the importance of looking for skin dysfunctions near the vulva during pelvic muscle examinations. The logical question might be, "what would it look like if the tissue was unhealthy?" I was able to locate a very helpful article for illustrating some variances in tissues. Catherine Drummond, Australian dermatologist, has written a succinct article that includes excellent images to help the reader understand the various clinical presentations of vulvar skin disorders. (The article can be found by clicking here.) Specifically the article discusses inflammatory vulval dermatoses that present as rashes.

 

Presentations of vulvar dermatoses discussed include those that are erythematous, those with pallor, and those presenting as erosions or ulcers. Hopefully we are not the first person to notice an ulceration or disease process, yet many patients are referred for "pelvic pain" without having a thorough assessment or pelvic examination. In this article there is a chart listing common vulval irritants such as detergents, urinary or fecal discharge, hair removal, lubricants or condoms, pads, tight clothing (including thong underwear), cycling, and swimming. You will also find a list of common corticosteroids used for vulvar care. I found this list helpful as I had a patient last week asking me if she should be applying hydrocortisone cream to her vulvar area. (I deferred the question to her provider.) Keep in mind that unless you ask, you might not know what a patient is applying to the tissues. This same patient found another topical recommended "on the internet" that she started using, without first checking with her medical care providers.

 

Although some of the article is most relevant for the practicing gynecologist or dermatologist, much of the information is very helpful to us in our role of pelvic rehabilitation provider. The bottom line is that if we do not look, we won't see it. And if we do see something of concern, the more information that we can document, or provide to the provider and to the patient, the more we can be of value when working as part of a team.

 


Comments (1)Add Comment
0
good idea!!!
written by blancpain replica, March 09, 2012

Write comment

busy

Upcoming Continuing Education Courses

Pelvic Floor Level 1 - Minneapolis, MN (SOLD OUT!)
Jul 25, 2014 - Jul 27, 2014
Location: Abbott Northwestern Hospital

Athlete and the Pelvic Floor - Columbus, OH
Aug 02, 2014 - Aug 03, 2014
Location: OhioHealth Neighborhood Care Rehabilitation

Pudendal Neuralgia - San Diego, CA
Aug 09, 2014 - Aug 10, 2014
Location: Comprehensive Therapy Services

Biomechanical Assessment - Arlington, VA
Aug 16, 2014 - Aug 17, 2014
Location: Virginia Hospital Center

Yoga as Medicine for Labor and Delivery and Postpartum - Seattle, WA
Aug 16, 2014 - Aug 17, 2014
Location: Pilates Seattle International

Pediatric Incontinence - Greenville, SC
Aug 23, 2014 - Aug 24, 2014
Location: Proaxis Therapy

Pelvic Floor Level 1 - St. Louis, MO (SOLD OUT!)
Sep 05, 2014 - Sep 07, 2014
Location: Washington University School of Medicine

Meditation and Pain Neuroscience - Winfield, IL
Sep 06, 2014 - Sep 07, 2014
Location: Central DuPage Hospital Conference Room

Visceral Mobilization Level Two - Boston, MA
Sep 12, 2014 - Sep 14, 2014
Location: Marathon Physical Therapy

Coccyx Pain - Nashua, NH
Sep 13, 2014 - Sep 14, 2014
Location: St. Joseph Hospital Rehabilitative Services

Visceral Mobilization of the Urologic System - Scottsdale, AZ
Sep 19, 2014 - Sep 21, 2014
Location: Womens Center for Wellness and Rehabilitation

Care of the Postpartum Patient - Maywood, IL
Sep 20, 2014 - Sep 21, 2014
Location: Loyola University Stritch School of Medicine

Pelvic Floor/ Pelvic Girdle - Atlanta, GA
Sep 27, 2014 - Sep 28, 2014
Location: One on One Physical Therapy

Assessing and Treating Vulvodynia - Waterford, CT
Sep 27, 2014 - Sep 28, 2014
Location: Visiting Nurses Association - Southeastern

Pelvic Floor Level 2B - Durham, NC
Oct 03, 2014 - Oct 05, 2014
Location: Duke University Medical Center