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This review examines the overlapping mechanisms of vulvar pain syndromes and evaluates the role of pelvic health physical therapy in treatment.

(033) Pelvic Health Physical Therapy at the Dermatology Interface: A Review of Overlapping Mechanisms and Management of Vulvar Pain

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Review highlights shared mechanisms of vulvar pain syndromes, emphasizing pelvic health physical therapy's role in multidisciplinary care.

This review examines the overlapping mechanisms of vulvar pain syndromes and evaluates the role of pelvic health physical therapy in treatment.
Conducted a narrative review using PubMed, Scopus, and Web of Science databases.
Included studies focusing on inflammatory, neural, or musculoskeletal pathways in vulvar pain.
Synthesized data thematically to explore mechanistic overlap, PHPT outcomes, and the role of multidisciplinary care.
Vulvar pain syndromes involve inflammatory, neurologic, and musculoskeletal mechanisms.
Common findings include elevated proinflammatory cytokines and pelvic floor muscle overactivity.
PHPT resulted in significant improvements in pain and quality of life when combined with dermatologic and psychological therapies.

Orestes et al. (2026) studied this question.

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Review highlights shared mechanisms of vulvar pain syndromes, emphasizing pelvic health physical therapy's role in multidisciplinary care.