Vulvodynia: A Missing Piece

Vulvodynia is as non-specific as ‘low back pain.’ So why are we treating it like one condition?

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In this Missing Piece episode from the Rising Vault, we’re diving into one of the most overlooked areas when it comes to vulvodynia treatment:

💡 The perineal fascia.

Vulvodynia can be complex and multi-factorial, with contributing factors like: 

👉 Rectal dysfunction 

👉 Urachus and belly button involvement 

👉 Lumbar referral patterns 

👉 Hip referrals

But one consistent missing piece? The perineal fascia.

With nearly every presentation of vulvodynia, it’s almost impossible for the perineal fascia not to be involved—so why aren’t we evaluating and treating it earlier in the process?

In this episode, we break down: 

✅ Why vulvodynia isn’t a single diagnosis—it’s a symptom.

✅ How perineal fascia dysfunction contributes to pain.

✅ Why this should be a priority in your initial evaluation.

If you’re working with vulvodynia patients and not assessing the perineal fascia, you’re missing a key component of their treatment.

🎧 Click here to listen now!

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Nicole Cozean, PT, DPT, WCS

Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.

Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.

Jesse Cozean, MBA

Co-founder of the Pelvic PT Rising and the Rising Podcast.

Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.