Very frustrated, everything I'm doing in PT is making it worse
I know that I have a hypertonic pelvic floor, multiple professionals have told me this so far. Dilating and internal massage has only made me way more tight and caused me to have daily cramping of my vaginal canal. I've tried dry needling in different areas of my body and it always makes my muscles tighter and more painful. I tried a TENS unit and even that made my pelvic muscle pain flare and caused muscle pain in my labia majora which is atypical for me.
I got a referral for a pelvic floor botox consultation, but that doctor refused to do botox bc she said my pf doesn't feel very tight. I feel that there's no option left here. My pelvic floor is so tense that it's so physically difficult to poop or even pass gas, I have to strain so hard and sometimes just can't. How am I supposed to improve my pelvic floor if every pf treatment worsens it? I can't even touch the damn thing without it tightening up. I need botox so my body can tolerate the physical therapy treatment and stop freaking tf out at every little touch.
For more context, I'm hypermobile and there's no stretches I can do that would help bc I'm already overly flexible. Also I've tried vaginal baclofen which didn't do anything, and I couldn't tolerate vaginal diazepam bc it made me severely depressed.
Does anyone have any other ideas for how to fix my pelvic floor? (I'm looking specifically for pelvic floor advice today, not treatments for other causes of vulvar pain thank you!)