SoHo Gynecology -  - Gynecologist

SoHo Gynecology

Gynecologists located in Soho, New York, NY

Pelvic Floor Muscle Spasm Specialist

Recognized as a leader in the treatment of pelvic floor muscle spasm, SoHo Gynecology helps women in the greater New York, NY area understand the issues they're experiencing with their pelvic floor muscles so they can get the most appropriate care for long-term relief.

Pelvic Floor Muscle Spasm Q & A

SoHo Gynecology

What is pelvic floor muscle spasm?

Pelvic floor muscles have two important functions. They provide physical support to the pelvic viscera and a constrictor mechanism to the anal canal, vagina and urethra. Newer imaging and physiological studies strongly suggest that these two functions of the pelvic floor are quite distinct and are likely related to different components of the pelvic floor muscles.

What problems are caused by pelvic floor muscle spasm?

When there is dysfunction or malfunction of the pelvic floor muscles the result can be dysfunction or malfunction of the critical functions provided by the pelvic floor.

  • Vaginal Problems - Namely there can be painful intercourse (dyspareunia) mainly at the entrance to the vagina. This can lead to further problems such as persistent vaginal entrance pain from the resulting neurologic hypersensitivity.
  • Urinary Problems - There can be sensations of need to urinate frequently, urgently or feelings of incomplete bladder emptying. These problems must be distinguished from a problem inside the bladder. This can easily be done with urodynamic testing and a comprehensive exam by an expert in the area. 
  • Defecatory (bowel) Problems - There can be feelings of a constant need to move the bowels and incomplete bowel emptying. There can also be a levator-sphincter dyssynergia. This is when the pelvic floor contracts to move the bowels out but the anal sphincter does not open properly.

What is the cause of pelvic floor muscle spasm?

Pelvic floor muscle spasm can be either primary (there is no underlying cause) or secondary (there is an identifiable underlying cause). When there is primary pelvic floor muscle spasm there is usually a long history of problems such as painful intercourse, urinary problems and constipation. This usually starts in the teen years but certainly may occur in younger girls.

When the pelvic floor muscle spasm is secondary it is usually due to some type of chronic inflammatory problem. The inflammation can come from repeated urinary tract infections (UTI), repeated vaginal infections such as yeast and bacterial vaginosis, or very commonly from underlying endometriosis which is a disease with a high degree of inflammation.

What are the treatment options for pelvic floor muscle spasm?

There are 2 main ways to treat pelvic floor muscle spasm.

First, physical therapy by a trained expert can work over a long period of time. This physical therapy will include internal vaginal manipulation, a well-designed home exercise program, vaginal dilators and a biofeedback program.

Often, it is recommended that patients use diazepam (vaginal suppositories) to decrease the overall muscle spasm when there is daily discomfort and/or urinary symptoms associated with the pelvic floor muscle spasm.

The second main treatment for pelvic floor muscle spasm is the use of botulinum toxin A (botox). This is the same botox that is used for muscle spasm in other parts of the body and for cosmetic purposes, except the pelvic floor muscles are very large muscles relative to the facial muscles so much higher doses are needed. 

The benefits of botox therapy are that it works quickly and lasts for a long time. Typically, fewer than 5% of patients need a repeat injection. Botox works by blocking the communication between the nerve and the muscle. Thus, it gives time for both nerve and muscle to heal from the hyperactivity. After 8-10 months have passed and the muscle tone returns to normal (or even hypertonic) the pain does not return.

Side effects of botox in the pelvic floor are uncommon (<5%), but can be associated with fecal urgency and incontinence.

Our success rate with botox therapy is approximately 95%. That means that 95% of patients will achieve greater than 75% relief.

Testimonials

Words from our patients

  • Vitals

    "It's such a wonderful place to be cared for. You feel comfortable the minute you walk in. Very rare to find a doctor and facility like this where you truly are family."

    B. Rivera
  • Vitals

    "I wish there were more doctors who did this kind of work, with the thoroughness that Dr. Harris displays."

    Rose J.
  • RateMDs

    "Dr Harris is an excellent doctor. If you need a specialist because of pelvic pain or pain with sex, this is who you need to go to."

    Verified Patient
  • RateMDs

    "Dr. Harris spends plenty of time with me and treats me as a person, not just a patient. I never feel rushed at SoHo Gynecology. I can't recommend her more highly."

    Verified Patient
  • Healthgrades

    "Dr. Blume is a phenomenal obstetrician/gynecologist . She's very professional, approachable and down to earth. She's delivered both of my baby girls..."

    Haydee S.
  • RateMDs

    "Dr. Blume is the best of the best. Down to earth, easy to talk to, extremely knowledgeable, and the most thorough Dr. I have ever seen."

    Verified Patient
  • RateMDs

    "She is the best doctor ever. I will be following her. She treat you like family and is always very honest."

    Verified Patient
  • RateMDs

    "She's a great doctor and such a sweet woman. She's always made me feel so comfortable and relaxed. Can't speak highly of her enough!"

    Verified Patient
  • RateMDs

    "She is truly the best doctor. Very caring, client centered, and empathetic. Their are very few doctors like her existing anymore."

    Verified Patient
Location
SoHo Gynecology
430 West Broadway, Second Floor
Soho

New York, NY 10012
Phone: 646-290-9560
Fax: 212-532-4362
Office Hours

Get in touch

646-290-9560

SoHo Gynecology
430 West Broadway
Second Floor
New York, NY 10012