Pain is a Loop

Just a short thought that I knew from books and have then been able to demonstrate in my own life: pain is a loop. Meaning, if there are many areas that aren't working right in your body or mind that cause pain, reducing one area may help the other areas improve. Easier said than done, right? But this may be something you want to "inventory" for yourself: "So, if I can't get the vestibulitis under control, is there another area that I can address?" Examples are:

• Allergies
• Hypothyroidism
• Mood problems (in my case, Bipolare 2 disorder)
• Nerve problems (see posts on nerve injections)
• Bladder problems
• Uterine problems
• Constipation (see post on my technique)
• Fibromyalgia
• Stress
• Unhappiness
• PTSD
• Mechanical problems with your body
• Fear of sex

For me, the most surprising thing that has helped the vestibulitis is staying on a diet that avoids my food allergies. One food I am sadly allergic to is chocolate. Chocolate cake will make the burning more intense the next day. Has this cured the vestibulitis? No. But any action I can take is worth it. Interestingly, the allergist said that my allergies are low-level. But avoiding problem foods seems to avoid additional inflammation. UPDATE 7/1/2015: After one year not eating chocolate without significant improvement, I am eating it again.

I take Allegra (Costco sells it least expensively) twice a day. I am also on Singulair to help my asthma, but it looks like it also may push back on allergies in general. Other allergy pills and preventive measures are out there.

Physical Therapy Continued...

I have been in PT for 3 weeks now. An overview:

Week 1 (2 sessions) --
I didn't go in with this mind set, but the therapist focused on my bathroom habits. I had a chart to fill out of what I ate, drank, how much, how large my pee was, how often I pooped, etc.  to reduce "JICCING" meaning "just in case-ing" going to the bathroom. I learned that my "how to poop" back-up is called "splintting" medically (see my poop blog). Her point was that people with pelvic pain have weird bladder/bowel function.

Then the Q-tip test and looking at the balance of my hips and working on that. Also pressing around to find "trigger points" and tight fascia (fascia is the stuff that is white when you are pulling apart a chicken). I hurt later that day and for another day.

Week 2 (1 session) --
She introduced me to working on my transverse abdominus and Kegels. Transverse abdominus is a muscle that is shaped like a smile from one hip bone, scooping down to the pubis, and then scooping up. You activate it by breathing in and then making a hissing sound while trying to contract this muscle. Kegels are more vague to me. I tried. Both of these were incorporated into my normal P.T., meaning I did the same exercises, but tried to do the breathing/contracting. Oh!  I was in pain - worse pain than I have been in for a while going down my outer and inner legs and on my butt. Sitting became difficult again. I had the full-out sob-cry at home after it was still bad 5 days later. I cut doing the Kegels and transverse abdominus contractions and the pain slowly resolved.

Week 3 (1 session) --
I take charge of what I will and will not do. I had asked her her goals for me the week before and she had rattled off 18. That overwhelmed me. I talked to my therapist and then told my P.T. that the list was going to go down to two goals: getting my ankle working in the context of my pelvis and calming my nerve pain. Anything else is a bonus. I also told my P.T. I would no longer rank my pain on a numerical 1-10 scale and I would no longer participate in the pee/poop efforts. So there.

Something I had thought to ask for and had not yet done, was to do biofeedback. No previous therapist has done that and it seems like a very good idea for me. And it turned out that that was her plan for the day. She put the stickies on different pelvic floor muscles (externally, no in my vagina) and it measured electrical conductivity which is a measure of muscle contraction. "Wow, you are tight." No duh. But she had me watch the number while trying to relax. She put me in several different positions to see in what position I am the least tight (cross-legged for me) using the biofeedback machine. Then she had me try to Kegel. This time, there were two numbers. One for the Kegel and one for my overall muscle tightness. Up the Kegel number while maintaining the overall muscle number as low as possible. Didn't work out so well. My homework was to try to do a few Kegels and stop if I couldn't do it without involving my butt.

Finally, she taped my butt cheeks together to make my pelvis more stable and give some muscles support (this is in addition to the Serola sacral belt I always wear). The tape is 9" high and the lowest part of it is an 1 1/2" above the anus up to an 1" below the beginning of the butt crack. Guess what? No (or almost no) leg pain. So there is something magical about this taping for me. My husband has asked me how many days I am going to wear this bandage and the answer is as long as possible. It doesn't feel great, but is much better than burning pain. She used a special kind of P.T. tape and I will find out the name of it.

My ankle started behaving itself day-3 of wearing the bandage on my butt. I have been able to exercise everyday since I got the butt bandage.

As an aside, my psycho-therapist has asked me not to do web-research on vestibulitis when I am in pain. I get despondent, obsessive, and hopeless. No good can come of it she says. I say that this is when I am most motivated!