Physical therapy, including pelvic floor muscle exercises and biofeedback, is a proven effective treatment for vulvodynia.

Multimodal physical therapy targets pelvic floor muscle dysfunction, a major contributor to vulvodynia pain. Techniques like manual therapy, biofeedback, and vaginal dilators help relax and retrain muscles, reducing pain and improving sexual function. Studies highlight physical therapy as a cornerstone in managing vulvodynia, especially when topical lidocaine is unavailable or insufficient.