Effect of Spinal Manipulation on Vulvar Pain

Inclusion Criteria: * Provides written and dated informed consent to participate in the study. * Is between the ages of 18-40 years. * Reports pain in the pelvis and/or vestibule (area that is wiped after using the toilet) that has been present for ≥ 6 weeks. * Has not had treatment for pelvic or vestibule pain in the 6 months prior to study participation. * Is willing and able to comply with study protocol. * Is healthy and free from disease, as determined by a health history questionnaire and screening exam. * Agrees to abstain from alcohol consumption 24 hours prior to the study protocol. * Reports a consistent regimen of pain medication use in the 6 weeks prior to the study protocol. This includes both prescription and over the counter medications. * Secondary Inclusion Criteria: demonstrates provoked vestibule pain to q-tip testing. Exclusion Criteria: * Is currently pregnant, or attempting to become pregnant, as the intervention is contraindicated for this population. * Fails the health history, spine screen; or does not demonstrate provoked vestibule pain with q-tip test. * Has undergone any spine or pelvic girdle surgery in the 12 months prior to the study. * Has ever had sling/mesh placement to the pelvic region. * Has been diagnosed with osteopenia, osteoporosis, acute infection or arthritis flare, or other condition that could weaken the bony skeleton. * Has ever had a thoracic spine fracture. * Has had a change in any prescription or over-the-counter medication…