Pelvic Floor Injections: What You Need to Know
You’re not alone—and you’re not imagining it.
If you’re experiencing burning at the vaginal opening, pain with penetration, vaginal tightness, or muscle spasms that feel like your body just won’t let go—this may be coming from overactive or tense pelvic floor muscles. These symptoms are common in conditions like vaginismus, vulvodynia, levator ani syndrome, and pelvic floor dysfunction.
One of the most effective treatments—especially when pelvic floor physical therapy isn’t enough on its own—is pelvic floor injection therapy, including vaginal Botox.
What Are Pelvic Floor Injections?
Just like you can develop tight knots in your neck or shoulders, your pelvic floor muscles can become stuck in a contracted, painful state. These tight areas—called trigger points—can contribute to:
Pain at the vaginal opening
Pain with sex
Vulvar burning or rawness
Vaginal muscle spasms
Difficulty progressing in physical therapy
Constipation or discomfort with bowel movements
Pain during pelvic exams
When these muscles stay clenched, they can make any form of internal care—including pelvic PT or intimacy—feel impossible. Pelvic floor injections help reduce that tension so your body can begin to heal.
Types of Injections Offered
1. Trigger Point Injections (TPI)
Trigger point injections involve a combination of numbing medication and a small amount of anti-inflammatory steroid, placed directly into the overactive pelvic floor muscles. These injections:
Calm local inflammation
Disrupt the pain-spasm-pain cycle
Are performed vaginally with local numbing for comfort
Can be repeated as needed every 3–4 months
Trigger point injections are often helpful for patients whose pain is localized to one or more muscle groups, or when pelvic PT alone has plateaued.
2. Vaginal Botox Injections
Vaginal Botox is a well-established treatment that helps relax muscles that are chronically tight or resistant to manual therapy. This treatment:
Reduces involuntary pelvic floor muscle clenching
Supports improved tolerance of pelvic floor PT
Typically begins to take effect within 7–14 days
Often leads to decreased pain with sex, exams, and internal work
Expert Care, Collaborative Approach
All injections are performed by a highly experienced, trauma-informed Nurse Practitioner who specializes in pelvic and sexual health. Your care is coordinated with your Wellest pelvic floor physical therapist, so we can ensure your treatment plan is personalized, timely, and aligned with your goals.
We believe that progress happens faster when your care team is in communication—so we’ve built that into your experience.
Book Your First Visit
We’re offering a small number of new patient spots.
If you're ready to go from “I don’t want to” to “I want to!” we’re here to help.
Not ready to book a visit yet? Start with our Sexual Wellness Library.
What’s Included in the Sexual Wellness Library:
Short, expert-led videos
Learn what’s happening in your body
Real tools you can try today
Get $50 credit if you book a visit later
Your investment:
$97 One-time purchase
Feel better. On your time.