Pelvic Pain

Did you know that May is Pelvic Pain Awareness Month? Pelvic pain can be described as pain along the lower abdomen, pelvis, or perineum (the area between the rectum and the scrotum or vagina). According to the International Pelvic Pain Society, nearly 25 million people in the U.S. experience pelvic pain secondary to conditions such as endometriosis, irritable bowel syndrome, myofascial pelvic pain, among others. 

Pelvic pain often requires a multimodal approach to treatment. Symptoms can be contributed by a variety of factors, including the following:

  • Overactivity and tightness of muscles at the pelvic floor, hips, and low back
  • Weakness of muscles at the pelvic floor, hips, and low back
  • Pregnancy and childbirth
  • Hypermobility of joints
  • Pressure on nerves at the lumbar spine or in the pelvis
  • Scar tissue post-abdominal or pelvic surgery (e.g. c-section, sling procedure, prostatectomy)
  • Pelvic organ prolapse

Although pelvic pain is common in individuals with vulvas, it is important to note that all individuals have a pelvic floor and those with a penis can also experience pelvic pain symptoms. No matter the external anatomy, anyone can experience the following signs or symptoms consistent with pelvic pain: 

  • Pain or difficulty with daily activities such as sitting and walking
  • Stiffness and/or pain in the hips, low back, and tailbone
  • Pain with sexual activity
  • Urinary frequency, urgency, incontinence, or pain during urination
  • Constipation, pain, and/or straining with bowel movements
  • Pain with insertion of tampons, sexual penetration, and/or with pelvic exams
  • Pain before, during, or after ejaculation

If any of these symptoms are familiar, you may want to consider discussing them with your healthcare provider. Physical therapy can be helpful in addressing pelvic pain, as well as in improving mobility, strength, and function for daily activities. A pelvic physical therapy evaluation will include a review of your medical history and a physical exam to try to identify the causes/contributors of your pelvic pain. A pelvic PT can also help to identify any specialists that you might benefit from seeing to address your symptoms with a multidisciplinary approach. 

MOTI Physiotherapy offers pelvic physical therapy services for all patients. If you experience pelvic pain and would like help in navigating treatment, we are happy to help you with your healing journey!

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