Pelvic pain
Please note the conditions below are only possible causes of your pain and many other structures can be the source of your symptoms. Therefore a thorough evaluation by a physiotherapist is necessary to make an accurate diagnosis and treat not only the symptoms but also the origin of the pain.
Musculoskeletal problems have been found to be the primary or secondary cause of pelvic pain, therefore physiotherapy is necessary to help this condition.
Symptoms of Pelvic Pain
- Pain, itching or burning in the pelvic region, e.g.
- Menstrual pain and cramps
- Constipation
- Painful urination, urinary urgency/frequency/hesitancy
- Clitoris pain
- Vulvar pain
- Vaginal pain
- Burning urethra
- Perineal pain
- Anal pain
- Labial pain
- Discomfort wearing pants or underwear
- Pain in sitting
- Pain during or after exercise
- Sexual pain (e.g. vaginismus, pain during or after intercourse, pain during or after orgasm)
- Abdominal, groin pain
- Sacro-iliac joint pain/instability
Treatment:
Depending on what is found on evaluation, the following could be treatment options:
- Mobilization of vaginal and neural tissue
- Connective tissue manipulation in and around pelvic region
- Scar tissue mobilisation (from C-section, episiotomy, tear during birth process, or from surgery)
- Neural tissue mobilisation
- Pelvic floor motor control exercises/Kegel exercises
- Bowel movement re-training with correct voiding positions
- Relaxation exercises
- Correct breathing exercises
- Posture re-education
- Pilates
