Find Happiness For Your Genitals

Burning, stabbing, itching, and ongoing pain in your genitals can feel like literal torture. Whether you have vulvodynia, vestibulodynia, or some other form of vulvovaginal pain, it can be incredibly devastating.

We know that your persistent vulvar pain is affecting your concentration, work performance, intimate relationships, social activities, mood… your entire life!

We also know that you have suffered in silence, spent hours googling DIY solutions, and eventually sought help from multiple healthcare professionals – some of whom misunderstood, minimized, or dismissed your pain.

If you have been living with vulvodynia and have not yet worked with a pelvic floor physiotherapist, you really need to.

And we’re not just saying that. In fact, it is what experts in the world of vulvar pain research recommend as an essential part of the recovery process.

So if you’ll trust us, we are confident that we can help your vulva feel and function much better .

I’m Ready For Some Normalcy

Vulvar Pain is pain in the vulvar region (the external female genitalia) that has been caused by something specific and identifiable such as: an infection, nerve injury, lesions, an inflammatory condition, medical treatment such as chemotherapy, hormonal changes, or perineal/pelvic trauma

Vulvodynia is pain the the vulva region that has been present for 3 months or more and has no known specific cause. Up to 25% of women have experienced vulvodynia at some point in their life. For some it is a persistent condition which has significant impact on daily living. Vulvodynia It is most often associated with symptoms of burning, itching, stabbing, or stinging pain.

Vulvodynia may be:

  • provoked (due to touch) or spontaneous (pain present regardless of touch),
  • general (non specific area) or localized (specific points of irritation)
  • primary (has always been present) or secondary (came on after a specific event)

Vestibulodynia is pain specific to the area of the vestibule, which is essentially the “entry way” region just outside of the vaginal opening. Sometimes vestibulodynia is referred to as “vulvar vestibulitis”.

Clitorodynia is pain in the clitoral area.

Women who have vulvodynia often also experience dyspareunia (painful sex). Vulvodynia can also co-exist with other persistent pain conditions such as vaginismus, endometriosis, interstitial cystitis, or TMJ.

Vulvodynia is a diagnosis of exclusion. This means that the diagnosis of vulvodynia is given only after all other possible causes of vulvar pain have been ruled out. Although no one knows exactly what causes vulvodynia, there are a number of factors that are associated with it:

  • Hormonal factors
  • Inflammatory factors
  • Nutritional factors
  • Genetic factors
  • Nervous system factors
  • Orthopaedic factors
  • Nervous system factors
  • Psychological and social factors
  • Pelvic floor muscle overactivity
  • Presence of other pain syndromes

In reality, vulvodynia is likely due to multiple factors listed above; and it also has an impact of multiple areas of your life. This is why the ideal approach to treatment often requires an interdisciplinary team.

Vulvodynia can be complex. And because of that we recommend that you tackle treatment from different angles – medically, psychologically, and through pelvic floor rehab.

Pelvic floor physiotherapy is a very important piece of the treatment puzzle and a necessary part of your healing team. Our goal is to help you understand why you have pain and what you can do about it.

We treat your vulva, your pelvic floor, and your pain system. We provide you with various tools and strategies to manage, reduce, and overcome your pain.

Most importantly we adopt a biopsychosocial approach to care. This means we look at you as a whole person, not just one part. We consider the physical, emotional, psychological, and spiritual factors that may be impacting your health, wellness, and experience with pain. We understand the psycho-somatic nature of pain – that the body impacts the brain and the brain impacts the body.

Our Vulvar Pain Programs

We start by getting to know you and understanding your experiences. We want to know how vulvodynia is affecting your life, what you have tried, and what your goals are. We’ll ask questions about your pelvic health and look at your bigger health picture as well.

After this, we check out how your unique body is working and let you know what we find. Our programs include custom recommendations, hands on strategies, practical advice, step by step home exercise protocols, email support, accountability, educational resources, product recommendations, letters to your healthcare team, and more.

All that we offer is designed to help you get back to a life without pain.

Our vulvar pain programs can help you, but only if…

  • You’re willing to consider the impact of your whole health on your symptoms (eg. sleep, nutrition, stress, etc.)

  • You’re open to approaching your healing from a biopsychosocial perspective and ultimately retrain your brain pathways

  • You are not looking for quick instantaneous fixes, but are committed to doing the gentle, progressive work of healing

I sought out Mama’s Physio to help me with my vulvodynia pain.  I was very lucky to get Carla.  She was a joy to work with and made me feel at ease.  She taught me how to relax my pelvic floor muscles through education, exercise and mindfulness.  I don’t know how to thank her.  She has helped me so much.  I’m happy to say I am pain free from my vulvodynia now.  I also had a lot of problems with IBS and after some great tips and tools from Carla, it hardly affects my life anymore.  Anyone dealing with IBS knows how it can negatively affect your life so it’s a very freeing experience to have it under control.  Carla has assured me that she will be there if I need her again in the future which is a great comfort.


How Would You Like To Begin Your Healing Journey?