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Pelvic floor physiotherapy and surgery are not alternatives — Evidence and experience

Medically reviewed by Dr Renaud Bollens — Professor of Urology

Evidence and experience

What the evidence and two decades of surgical experience say about pelvic floor physiotherapy nerve pain.

Well-directed pelvic floor physiotherapy is valuable and, for many patients, sufficient. For a compressed nerve, however, it manages the consequences rather than the cause.

The most effective plans combine both: physiotherapy to address secondary muscle guarding, and a surgical opinion to address a mechanical compression when one is present.

We coordinate with local physiotherapists in the patient's own city, including New York, so care continues between and after appointments.

Dr Bollens is a professor of urology, a proctor in pelvic surgery and a published author on pudendal neuralgia.