Wellsprings Health
  • Home
  • Get To Know Us
  • Physical Therapy
    • Pelvic Health Physical Therapy >
      • Bladder and Bowel Concerns
      • Pregnancy
      • Postpartum
      • Pelvic Organ Prolapse
      • Pain with Sex
      • Vaginal and Rectal Pain
      • Pelvic Pain
      • Coccyx Care
      • Pelvic Floor Dysfunction
      • Post Surgical
      • Scar Tissue >
        • How We Treat It
        • Hysterectomy
        • Post Mastectomy and Augmentation
        • C-section and Episiotomy
        • Other Scarring
    • Self Treatment Aides >
      • Coccydynia Self-Help
      • Sacroiliac Pain Self-Help
      • Pelvic Floor Dysfunction Self-Help
      • Sore or Stiff Muscles Self-Help
    • FAQ
    • Telehealth
    • Yoga
    • Massage
  • Contact
  • Blog
  • Podcast

Blog

Research Review: Vaginal Valium

13/5/2019

3 Comments

 
I had a patient ask recently about the use of valium suppositories for pelvic pain due to tight muscles.  Specifically they were concerned about whether or not the medication would be felt in the rest of the body.  
At the moment I didn't have a good answer, but I promised to look into it. Fortunately I found an excellent study that addressed this exact question.   I was so interested in the result that I wanted to share with the rest of my patients!

The study is:  Vaginal Diazepam for Nonrelaxing Pelvic Floor Dysfunction: The Pharmacokinetic Profile, and it was published by Larish, Dickson, Kudgus, McGovern,  Reid, Hooten, Nicholson, Vaughan, Burnett, Laughlin-Tommaso, Faubion, and Green in the Journal of Sexual Medicine in 2019.

The take-home points are:
 
  • "Vaginal [valium] is frequently used to treat pelvic floor tension myalgia and pelvic pain despite limited knowledge of systemic absorption."
  • Vaginal administration of valium results in lower levels of the medication in the rest of the body than does taking it orally, but it stays in your system longer.
  • With daily use "accumulating levels would occur ... and steady-state levels would not be reached for up to 1 week "
  • Intermittent use is suggested for participation in physical therapy and intimacy.
 
Here is the study abstract if you want to check it out yourself-
https://www.jsm.jsexmed.org/article/S1743-6095(19)30427-8/fulltext
 
I hope that this was of interest to you!  f you would like to discuss this further, don't hesitate to reach out.

 ​
3 Comments
Grace Stallworth-Papino link
14/10/2019 10:32:15 am

This was very enlightening, as a Breast Cancer survivor, the issues came after treatment and hormonal therapy medications. It's been 10 Years. I was JUST TO EMBARRASSED to talk about my issues. I'm seeing Leslie Wakefield now. I'm so happy I'm no longer ⁶embarrassed

Reply
Grace Stallworth-Papino link
16/11/2019 06:27:12 pm

I had a session today with Tanya on my scar. I learned so much since I've been coming to Leslie and Tanya. Who knew that scar tissue could cause issues in the body. I'm more open about my issues since I started therapy with Wellsprings Health. I learning exercises that has alleviated pain I've had for years but didn't know why. Pelvic pain, painful intercourse has all been issues since my Breast Cancer. It's a whole new world for me since my Physical Therapy treatment started. I am being renewed through the body.
Thank you so much.

Reply
Grace Stallworth-Papino link
12/12/2019 07:11:21 pm

First I'd like to thank you both Dr. Leslie and Tanya for all your help. I think even as I get older, I still want intimacy to be a part of my life and marriage. Before coming to you I felt that my life wasn't meaningful as it should be.
After starting my physical therapy with you both, I'm a lot more happier. Breast Cancer caused a lot of issues I nor my husband couldn't have imagined. I thank you for explaining to him that my issues were real even though I couldn't explain as I needed to. MY PELVIC PAIN WAS REAL. I'm more relaxed since my therapy. I've even learned more about what was going on with my body and scar tissue and the issues it also caused. I not only see a difference, I FEEL A DIFFERENCE. I don't feel like I'm alone in my issues. I've been reading the comments on this blog and I so admire the patients who left comments. You are all my heroes in so many ways as December 2018 made 10 years since my diagnosis. It's taken me this long to reach out , I kept quiet, so I am so happy I was referred to these two Brilliant Dr.'s My life is so much more ENRICHED because of Dr. Leslie and Tanya. I am still being treated and every time I leave my appointments , every time I read a new comment I am so much more happier. I'm not defective anymore. I am a normal woman with issue brought on by an illness. To Dr. Leslie and Tanya, I am still and will continue to learn with my therapy. I AM TRULY GRATEFUL.
G. Stallworth-Papino

Reply

Your comment will be posted after it is approved.


Leave a Reply.

    Author

    Dr. Leslie Wakefield, PT

    Archives

    November 2022
    October 2022
    May 2022
    May 2021
    May 2019
    December 2017
    February 2016
    September 2015
    June 2015
    September 2014
    July 2014
    March 2014
    February 2014

    Categories

    All
    Coccydynia
    Sexual Pain

    RSS Feed

Proudly powered by Weebly
  • Home
  • Get To Know Us
  • Physical Therapy
    • Pelvic Health Physical Therapy >
      • Bladder and Bowel Concerns
      • Pregnancy
      • Postpartum
      • Pelvic Organ Prolapse
      • Pain with Sex
      • Vaginal and Rectal Pain
      • Pelvic Pain
      • Coccyx Care
      • Pelvic Floor Dysfunction
      • Post Surgical
      • Scar Tissue >
        • How We Treat It
        • Hysterectomy
        • Post Mastectomy and Augmentation
        • C-section and Episiotomy
        • Other Scarring
    • Self Treatment Aides >
      • Coccydynia Self-Help
      • Sacroiliac Pain Self-Help
      • Pelvic Floor Dysfunction Self-Help
      • Sore or Stiff Muscles Self-Help
    • FAQ
    • Telehealth
    • Yoga
    • Massage
  • Contact
  • Blog
  • Podcast