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Andrew has hypertonic cerebral palsy, which means he suffers from tightening muscles and regular spasms.

Helman says some folks find that using a neti pot can cause ear discomfort, especially when using “hypertonic” saline, or saline with a high concentration of salt.

They are hypertonic, with arms and legs held stiffened by overly contracted muscles.

Now, 15 years later, looking back with more knowledge and expertise, I see that this patient clearly had hypertonic pelvic floor muscles secondary to anxiety and fear.

I have a hypertonic pelvic floor that has caused me significant pain since my early twenties, and I am currently receiving treatment from a competent, compassionate, and trained pelvic floor physical therapist.