I agree! Good post! Crytears and Painfree you KNOW what you are talking about! I have had this problem for a long time now. It is a very, very long story but in addition to the pelvic floor dysfunction, I have lumbar issues, cystocele and rectocele and just found out I had fractured my tailbone...sometime...years and years ago! (Stupid go cart accident when I was 12 ). ALL of this factors in. I saw a Urogynecologist about a year ago; had ALL the testing and could never seem to get the PT done as I was dealing with my neck (fusions). So...I FINALLY get to start pelvic floor PT in another week. My Urogyn did say though that if the pain was severe during PT, to stop and he would do the repairs. As of right now I have been Graded out as a 1....so he is hoping PT is all I need. And that may even include some blocks of some kind. I just recently had my coccyx injected (right where the old fracture is) and that was a godssend! And that was per the Uro in order to calm down any nerves before going into PT. And I also wanted to mention that for those of us that have had hysterectomies, low estrogen can also cause a lot of this. So, another thing I have to do is to use Premarin cream. Anyway, I will post back after PT and let you know how it went. But, yep, there are very, very few specialists that do this.