Pelvic Floor Muscle Botox Specialist

Maiden Lane Medical

Multi-Specialty Group Practice located in New York, NY

Our team of top gynecologists in New York City, Maiden Lane Medical, offers Botox® (botulinum toxin injections) to address chronic pelvic pain and other symptoms caused by pelvic muscle dysfunction and spasm.

They often combine Botox injections with pelvic physical therapy and other medications to manage your pelvic pain, urinary dysfunction, and other disruptive symptoms and restore your health and quality of life.

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“My doctor was very pleasant and easy to talk to. She was extremely knowledgeable and addressed all my issues and concerns. Very positive experience!”
Janice A.

What are pelvic floor muscle spasms?

Pelvic floor muscle spasms are spasms or contractions that occur in the pelvic floor muscles, the strong muscles that help control bladder and bowel function and support the uterus and vagina. Spasms can be primary, with no identifiable cause. Secondary spasms are caused by an underlying condition like chronic inflammation.

While women are more likely to develop pelvic floor spasms, men can also experience this painful and disruptive problem.

What causes pelvic muscle spasms?

Many factors can cause muscle spasms in your pelvic floor. In women, some of the most common causes include:

  • Vaginal childbirth
  • Episiotomy (perineal cut) during childbirth
  • High-impact exercise or activity
  • Surgery
  • Endometriosis
  • Vulvodynia
  • Vaginismus
Doctors hands holding a botox injection. - Maiden Lane Medical I New York, NY

Men may develop pelvic floor muscle spasms as a complication of prostatitis, injury to the muscles and connective tissue, or problems with pelvic organs such as the bladder, prostate, or bowel.

What symptoms do pelvic floor muscle spasms cause?

Symptoms can vary from one woman to another and may include:

  • Chronic pelvic pain
  • Painful intercourse (dyspareunia)
  • Frequent urge to urinate
  • A sensation that the bladder isn’t completely empty after urinating
  • Bowel incontinence, increased urge to move the bowels, or incomplete emptying of the bowels

Pelvic floor muscle spasms can occur at any age, including the teen and preteen years.

If you have any of these symptoms, make an appointment at Maiden Lane Medical. The physicians offer comprehensive exams to identify the condition causing your discomfort, as well as personalized treatment programs to heal your body and relieve your pain.

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How is Botox® used to treat pelvic muscle spasms?

Although Botox® is commonly associated with the treatment of facial wrinkles, in fact, it’s used in many other conditions as well. Botox® is a neuromuscular agent which works by blocking the nerve signals between the brain and specific muscles – in this case, the pelvic floor muscles. 

When these signals are blocked, triggers that usually “tell” the muscles to contract can no longer reach the brain, so spasm doesn’t occur. In addition, Botox® provides relief to the hyperactive muscles, enabling them to recover over time, so spasms no longer occur.

What should I expect during a Botox® treatment for pelvic muscle spasms?

You will have a mild sedative during the procedure, so you need to arrange for a friend or family member to drive you to and from your appointment. You also need to avoid eating for at least six hours before your appointment. 

When you arrive at Maiden Lane Medical and check-in, a clinical team member escorts you to a treatment room, takes your vital signs, and provides instructions on getting ready. 

 You change into a gown and rest on a treatment table, with your feet in stirrups, much like when you have your pelvic exam and Pap smear. 

After you are comfortably sedated, your physician makes four or five injections into your pelvic muscles. The whole procedure takes approximately a half-hour, but the injections only take around five minutes. 

Depending on your needs, your physician may combine Botox® injections with massage or dilators.

How quickly does Botox® take effect on pelvic muscle spasms?

Botox® is a neurotoxin that affects your nerve activity. It takes a few days, and in some cases, up to a week to take effect. While pelvic floor Botox® injections are “off-label,” the team at Maiden Lane Medical has seen its positive impact on many patients, providing relief from painful pelvic muscle spasms and other related symptoms.

How long do the effects of Botox® last?

The duration of Botox’s effects varies between patients as your body may metabolize the injection faster or slower than others. In our experience, very few patients (less than 5%) require a repeat injection to treat pelvic floor muscle spasms. 

Your physician explains what to expect from your treatment and what signs indicate that it’s time to schedule your subsequent treatment.

How can I tell if Botox® is right for me?

Before any treatment is administered, you’ll undergo a complete physical exam, and your medical history and symptoms will be carefully reviewed. Our office is equipped with the technology needed to perform an array of diagnostic exams. 

In addition, our physicians are trained in treating many types of pelvic pain, including pain caused by pelvic floor muscle spasms, endometriosis, and other underlying issues you can feel confident in your care.

Can men have Botox® injections for pelvic muscle spasms?

Yes, men can benefit from Botox® injections for pelvic dysfunction. The treatment process is different, but the injections can be just as effective at relieving pain and other symptoms.

What are my options if Botox® injections aren’t suitable for me?

The team at Maiden Lane Medical also offers personalized pelvic floor physical therapy to address pelvic muscle spasm and dysfunction. The expert physical therapists work with you and your physician to create a customized program to relieve muscle spasms and pain. 

This physical therapy will include internal vaginal manipulation, a well-designed home exercise program, vaginal dilators, and a biofeedback program.

Have more questions?

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Use our webchat in the lower right hand of your screen

Our doctors who provide this service

Thumbnail Photo of Dr. Rachel Barr

Rachel Barr, MD

Board Certified Gynecologist

Emily Blanton, MD

Board Certified Gynecologist

Focused Practice Designation in Minimally Invasive Gynecologic Surgery

Profile Photo of Dr. Shoma Datta-Thomas

Shoma Datta-Thomas, MD

Board Certified Gynecologist

Profile Photo of Dr. Janette Davison

Janette Davison, MD

Board Certified Gynecologist

Focused Practice Designation in Minimally Invasive Gynecologic Surgery

Armina Eana, DO MPH

Board Certified OB/GYN

Profile Photo fo Dr. Dena Harris

Dena Harris, MD

Board Certified Gynecologist

Annie Kim, MD

Board Certified Gynecologist

Kenneth A. Levey, MD MPH FACOG FACS

Board Certified Gynecologist & CEO and Managing Partner of Maiden Lane Medical

Focused Practice Designation in Minimally Invasive Gynecologic Surgery

Kate Zhang, DPT

Board Certified Pelvic Physical Therapist

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