The Pelvic floor is a very complex system of muscles, tendons, nerves and blood vessels. When any one of these parts become injured, damaged or overused a hypersensitive tight region may be created by the body to “protect or guard the region”. In effect, this makes you stop what you're doing and pay attention! If these “hot spots “ go untreated, the region of pain and inflammation will worsen and eventually spread into a “myofascial pain syndrome”. Traditional trigger point treatments focus on placing sustained pressure on the hottest or most painful point of the trigger point. This is generally the spot that refers pain to other areas. For instance, the piriformis trigger point may refer pain to the posterior thigh. This sustained pressure should be maintained for at least 90 seconds or until the tone relaxes. Physical therapists who are skilled in manual therapy techniques know that you can’t just treat the “hot spot” or trigger point. The entire region of muscles and fascia surrounding the Trigger Point needs to be released in order to eventually prevent recurrence of the trigger point. It is unlikely that a painful trigger point will be resolved with a one time treatment. Effective treatment will most likely require multiple treatment sessions and a home program of stretching and self release with a Therawand. When using a self release tool you will follow the same principles that your therapist does. You will hold the wand on a hot trigger point for at least 90 seconds and then move to the next region that has pain or discomfort. Along the way you should sustain pressure wherever it is uncomfortable - until it is not uncomfortable. When releasing pelvic floor “trigger points” and the surrounding regions it is helpful to think of the pelvic floor as a clock. Place the 12 on the clock towards your front and the 6 on the clock towards your backside. Now imagine this clock placement in any position. If you're using the therawand on your back then the 12 oclock is toward your pubic bones and 6 o’clock is towards your tailbone. You can then release these “hot spots” in sequence as if going around the face of the clock or in the order you and your therapist determine is most effective. Generally the PT will direct you to release in the regions from 2 o’clock to 10 o’clock depending on your specific needs. Your therapist will also help you determine the correct style release wand for your body size, shape and needs. For instance, Therawand makes a special V (vaginal) wand with a gentle more rounded end for really sensitive pelvic floors. It also has a tapered end if and when that works better. The Therawand LA (Long Anal) Wand is thinner and longer with a handle like end. This is ideal for some vaginal release depending on your body's size, shape and tissue sensitivity. The LA wand is also better suited for rectal release for men. And/or when the women’s tightness is more focused around the anus and coccyx. The Therawand release tool that was designed solely for male anal use is the TriggerWand. Rectal release with the Trigger Wand can be intimidating and does have a learning curve to it, but when used properly, this makes an effective anal release tool.
Therawand also has a Pocket Wand. The Pocket Wand is similar to the other wands in that it has a very good angle and curve to release trigger points but it is unique in that it is small enough to carry with you and for inflight baggage. This is especially useful when you are just starting to get your pelvic pain managed. The more often you release your pelvic floor muscles the sooner your body can be retrained.
For specific instructions for each wand, go to Therawand’s website. www.Therawand.com