We have Physical Therapy for That: Pelvic Pain

Anne Klug, PT

December 6, 2018

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General Health

Pelvic pain is pain in the lowest part of your abdomen and pelvis. Pelvic pain can sometimes radiate to your lower back, buttocks or thighs, vagina or testicles. It is most common in women but can still be a problem for men.

Symptoms

Depending on its source, pelvic pain can be:

• Dull or sharp
• Constant or off and on (intermittent)
• It can be mild, moderate or severe.

Pelvic pain can arise from the reproductive, urinary or digestive systems, or from musculoskeletal sources. Several types of diseases and conditions can cause pelvic pain. Chronic pelvic pain, which is present for more than six months, can have many contributing factors.

Causes

Causes of pelvic pain may be determined by medical tests. In addition, healthcare providers may ask questions regarding the pain and other symptoms to help determine the cause. Common causes of pelvic pain include:

• Pregnancy-related factors
• Trauma
• Intercourse (pain during or after intercourse in women or men)
• Male or female cancers and associated treatments
• Endometriosis in women
• Constipation or IBS
• Scar tissue from surgical procedures
• Muscle or joint dysfunctions in the pelvis, lower spine or hips
• Infections or inflammation
• Hormonal dysfunctions
• Psychological stresses

Treatment

Treatment may include:

• Medications
• Surgery
• Physical therapy
• Pain management techniques

Physical Therapy

Physical Therapy may be helpful for women’s or men’s pelvic pain.  This may include:

• Manual therapy to improve mobility and function
• Trigger point release, including internal or external massage techniques
• Biofeedback to facilitate pelvic floor muscle control or relaxation
• Behavioral strategies to decrease symptoms, including dietary modifications
• Exercises to improve strength and/or flexibility
• Modalities such as ultrasound(deep heat) or electrical stimulation

Our Therapy & Sport Center has specialized therapies available for treating pelvic pain in both men and women.