Advanced treatments for pelvic pain and sexual health - when standard approaches aren't enough.

For many women, addressing the root cause of pelvic pain or sexual dysfunction requires more than medication alone. Shockwave therapy and Botox pelvic floor injections are evidence-supported, minimally invasive options that target specific physiologic mechanisms - improving blood flow, breaking the pain-tension cycle, and creating the conditions for deeper recovery.

Low-Intensity Shockwave Therapy

Shockwave therapy uses low-intensity acoustic waves to stimulate tissue healing from within. The waves trigger the release of growth factors, promote new blood vessel formation, reduce local inflammation, and activate the body's own regenerative mechanisms - without surgery or downtime.

Botox (Botulinum Toxin) Pelvic Floor Injections

When pelvic floor muscles are chronically overactive - causing pain with sex, pelvic pressure, urinary urgency, or vaginismus - physical therapy is first-line. But when PT alone hasn't achieved adequate muscle relaxation, Botox injections into the pelvic floor muscles provide targeted, temporary neuromuscular relaxation.

Botulinum toxin temporarily blocks the nerve-muscle signaling that sustains chronic contraction. The muscles relax - typically for 3-6 months - breaking the pain-tension cycle and allowing PT to make deeper, more lasting progress. For many women, one to three treatment cycles is sufficient to achieve durable improvement.

Conditions treated with pelvic floor Botox include vaginismus, hypertonic pelvic floor dysfunction, persistent vestibulodynia with significant muscle component, and chronic pelvic pain with documented pelvic floor hypertonicity.

Frequently asked questions