The role of physiotherapy in the management of vulvodynia

Although physiotherapists are often the first point of contact for a woman with vulvodynia, it is important to also get a medical assessment because there are several conditions that can present as, or alongside, vulvodynia. Differential or co-existing diagnoses include dermatological conditions, both benign and malignant, vulvovaginal infections, and pudendal neuralgia. Where coexisting diagnoses have been excluded or effectively managed, physiotherapy can be effective in reducing pain and improving quality of life in women with vulvodynia (for example, Bergeron et al (2002), Goldfinger et al (2009), Hartmann et al (2007)). Due to the complex nature of vulvodynia, physiotherapists treating women with this condition should have advanced education in the field of women's health. Here we outline the evidence-based recommendations for the physiotherapy management of women presenting with vulvodynia.