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Relief for Pelvic Pain, Urinary Issues & Sexual Discomfort

Pelvic Floor Dysfunction Treatment in Roaring Fork Valley, CO

Mishe Skenderova, acupuncturist at Zelena Medicine in Basalt, Colorado providing a pelvic floor demonstration.

The pelvic floor supports bladder, bowel, and sexual function, but when these muscles become tight, weak, or injured, symptoms can alter our daily life. Pelvic floor acupuncture and dry needling help reduce pain, improve function, and restore confidence in the body. Pelvic floor dysfunction can show up in many ways:

  • Urinary frequency, urgency, or leakage

  • Constipation or bowel irregularities

  • Painful intercourse or pelvic pressure

  • Tailbone, hip, or low back pain

  • Muscle tension, weakness, or spasm

  • Postpartum or other scars and adhesions

  • Genital pain, numbness, or burning sensations

A woman with blonde hair smiling and enjoying outdoors with arms outstretched in a park in Aspen, CO.

Beyond Kegels

Kegels have their place, but they’re not a cure-all. For some people, strengthening tight pelvic muscles can make symptoms worse. Pelvic floor health is more than “squeeze and release.” It’s about restoring coordination, tone, and communication between connective tissue and the nervous system. When scars, tension, trauma, or medical treatments disrupt that communication, acupuncture and dry needling can help restore balance so that pelvic floor exercises, yoga, or physical therapy can work more effectively.

A Connected System

The pelvic floor muscles are not an isolated group. They’re part of a complex web that connects to your breath, posture, nervous system, and even your jaw. Did you know that jaw tension can mirror pelvic floor tension? Releasing one can help the other.

Pelvic floor acupuncture and dry needling can help in the following ways:

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Release trigger points and reduce muscle spasm in the pelvic floor, hips, and low back

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Improve circulation, tissue healing, and nerve function

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Complement pelvic floor exercise for longer-lasting results

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Regulate pain through the central and peripheral nervous system

For some patients, I also integrate PTNS (Percutaneous Tibial Nerve Stimulation), a gentle neuromodulation therapy that influences bladder, bowel, and pelvic function by stimulating nerves along the lower leg. This is especially helpful for overactive bladder or urinary urgency.

Mishe Skenderova, acupuncturist at Zelena Medicine in Basalt, Colorado holding a anatomical model of the human pelvis.

Collaborative care for complex conditions

Pelvic floor issues often overlap with other systems. You might already be working with a urologist, gynecologist, physical therapist, or psychotherapist. My role is to complement that care and help your body integrate and respond more fully. It’s also worth noting that while hormone therapy can be very valuable, it’s not the full answer. There’s a growing trend of attributing women's midlife or pelvic symptoms to hormone loss. Hormones matter, but not everyone can safely benefit from those intervetions. Hormone replacement won't be able to release an obturator internus muscle trigger points or release scar tissue adhesions. Effective pelvic care works on every level: hormonal, muscular, emotional, and neurological.

An elderly couple with backpacks enjoying a hike in Colorado after acupuncture.

Integrative pelvic health in the Roaring Fork Valley of Colorado

Pelvic health and treatment often benefits from collaboration with other medical professionals such as urologists, OB-GYNs, physical therapists. My role is to complement that care and help the body regulate, integrate, and heal. Whether your symptoms started after childbirth, surgery, cancer treatment, or gradually over time, this part of your body deserves care and understanding.

Treatment is gentle, collaborative, and always done within your comfort. The goal is simple: to restore balance, confidence, and connection to a part of your body that’s deeply linked to safety, intimacy, and vitality.