Pelvic Pain

Pelvic pain can masquerade as back or tailbone pain, or pain into the hips, groin, or lower abdomen. Dysfunction in different  body systems may be causes of pelvic pain. Injuries to the muscles or joints, urinary tract infections, hormonal changes, or nerve injuries can all be potential sources for pelvic pain.

Pelvic pain is a complex symptom, and addressing its root cause is essential for effective management and relief.

Your pelvic floor can react with muscle spasm, weakness, or poor coordination when impacted by some of the conditions below:


  1. Menstrual Cramps (Dysmenorrhea): Many women experience pelvic pain during menstruation due to uterine contractions. While mild discomfort is normal, severe or prolonged pain may indicate an underlying issue.

  2. Pelvic Inflammatory Disease (PID): PID is an infection of the reproductive organs in women. It can cause pelvic pain, especially during intercourse, along with other symptoms such as abnormal vaginal discharge and fever.

  3. Endometriosis: This condition occurs when tissue similar to the lining of the uterus grows outside the uterus. Endometriosis can cause pelvic pain, particularly during menstruation, and may be associated with fertility issues.

  4. Urinary Tract Infections (UTIs): Infections of the urinary tract, including the bladder or urethra, can lead to pelvic pain, a frequent urge to urinate, and pain or burning during urination.

  5. Interstitial Cystitis: This chronic condition causes inflammation of the bladder, leading to pelvic pain, a frequent need to urinate, and discomfort during sexual intercourse.

  6. Pelvic Floor Dysfunction: Dysfunction of the pelvic floor muscles, which support the pelvic organs, can result in pelvic pain. Conditions such as pelvic floor muscle spasms or weakness may contribute to discomfort.

  7. Ovarian Cysts: Fluid-filled sacs on the ovaries, known as ovarian cysts, can cause pelvic pain. While many cysts are harmless and resolve on their own, others may cause pain and require medical attention.

  8. Appendicitis: Inflammation of the appendix, located in the lower right abdomen, can cause pelvic pain. Appendicitis requires prompt medical intervention.

  9. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause inflammation in the intestines, leading to pelvic pain, abdominal discomfort, and changes in bowel habits.

    Pelvic Congestion Syndrome: This condition involves the swelling of pelvic veins, leading to pelvic pain, especially after long periods of standing.

If you or someone you know is experiencing persistent or severe pelvic pain, it is important to consult with a healthcare professional. A thorough medical evaluation, including a physical examination and possibly imaging or diagnostic tests, can help identify the underlying cause of pelvic pain and guide appropriate treatment, which may include pelvic health physiotherapy.

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Benefits of seeing a Pelvic Floor Physiotherapist