Lichen Sclerosus and How Pelvic Physiotherapy Can Help
Amy Price PT, MSc PT, BSc Kin
Lichen Sclerosus (LS) is a chronic inflammatory skin condition that primarily affects the genital and perianal regions. It predominantly occurs women, but men and children can also develop this condition. LS is known for its uncomfortable symptoms and potential complications, making it crucial to explore effective management strategies. In this blog post, I'll delve into the symptoms of Lichen Sclerosus, diagnosis and treatment, and how pelvic floor physiotherapy can play a significant role in its management.
Symptoms of Lichen Sclerosus
Lichen Sclerosus is a chronic inflammatory condition that affects the skin. It’s cause is not well understood, but it’s thought to be an autoimmune condition, and may also have a genetic component that makes certain individuals susceptible. LS manifests with various symptoms, which can range from mild to severe. Common signs include:
Itching: Persistent itching is a hallmark symptom of LS, often leading to discomfort and an increased risk of skin damage due to scratching.
White patches: LS typically presents as small, shiny, white spots that may grow into larger patches over time. The affected skin can become thin and fragile.
Pain: Some individuals with LS experience pain during sexual intercourse, urination, or bowel movements. The pain can be a significant source of emotional distress.
Discomfort and tightness: LS can cause a tightening of the affected skin, leading to discomfort and difficulty moving the affected areas. This can also lead to associated tightness in the internal and external pelvic muscles.
Diagnosis and Treatment of Lichen Sclerosus
Diagnosing LS involves a combination of clinical examination, medical history review, and sometimes, laboratory tests. A healthcare provider, often a dermatologist or gynaecologist, may perform a physical examination to assess the affected areas. Additionally, a skin biopsy may be conducted to confirm the diagnosis and rule out other conditions. Medical treatment of LS typically involves a prescription topical steroid cream to manage the symptoms.
The Role of Pelvic Physiotherapy in Managing Lichen Sclerosus
Pelvic floor physiotherapy is a valuable component of the multidisciplinary approach to managing LS. Pelvic floor physiotherapists can assess the strength, tone, and function of the pelvic floor muscles that may be affected by LS. LS may cause pelvic floor muscle tension which can contribute to pain and discomfort. Pelvic physiotherapists can use manual techniques to address muscle tension and tightness in the pelvic floor region. This can help alleviate pain and improve flexibility. Pelvic physiotherapist can also teach exercises and stretches to help relax the muscles and reduce discomfort , which can be part of a client’s home management program. Finally, pelvic physiotherapists can also educate individuals with LS about lifestyle modifications, including proper hygiene, avoiding irritants, and practicing self-care to minimize symptoms.
Lichen Sclerosus can have a profound impact on an individual's quality of life, but with a comprehensive approach to management, including pelvic floor physiotherapy, patients can find relief from symptoms and improve their overall well-being. If you have a diagnosis of LS or are experiencing some of the symptoms, pelvic floor physiotherapy can help manage your symptoms and improve your quality of life.
References:
-https://my.clevelandclinic.org/health/diseases/16564-lichen-sclerosus
-https://www.nhs.uk/conditions/lichen-sclerosus/
-https://www.lostlabia.com/