Felicity is in her mid-thirties. She has had vaginal pain for a little over a year. She feels pain constantly, not just during sex (or using a tampon). She believes she has pudendal neuralgia (compression of the pudendal nerve) and sacroiliac joint dysfunction (pain where the sacrum connects to the pelvis). She has seen several doctors to figure out how to manage or eliminate her pain. So far, no luck. But, she is finding some relief by taking amitriptyline and gabapentin orally, as well as muscle relaxers before bed. She will also be starting physical therapy very soon.