Pelvic Floor Dysfunction Lecture

Question 1

SI Joint CPR

Answer 1

1) Perform McKenzie exam for centralization (treat lumbar spine if centralization occurs)
2) If no centralization, 3 or more positive SIJ provocation tests indicate SIJ involvement (post-test probability 77%)

Question 2

Pudendal neuralgia (nantes criteria)

Answer 2

• Pain in the anatomical territory of the pudendal -nerve
• Pain worsened by sitting
• The patient is not woken at night by the pain
• No objective sensory loss on clinical examination
• Positive anesthetic pudendal nerve block