Pelvic PainSymptoms & Treatment
Understanding pelvic pain and how specialized physiotherapy can help restore function and comfort.
What is pelvic pain?
Pelvic pain is discomfort in the pelvis, lower abdomen, or pelvic floor area. It can stem from muscular dysfunction, joint problems, nerve irritation, or reproductive health issues. A pelvic health physiotherapist provides specialized assessment and treatment.
Who it affects and typical treatment
Who it affects
- Women of reproductive age experiencing pelvic floor dysfunction
- Postpartum women with pelvic pain or pressure
- Men with chronic pelvic pain syndrome or prostatitis
- Anyone with endometriosis, bladder issues, or sexual dysfunction
Typical treatment plan
- Pelvic floor muscle training and relaxation techniques
- Manual therapy for trigger points and mobility
- Education about bladder and bowel habits
- Breathing and core coordination exercises
Common causes
Pelvic Floor Dysfunction
Tight, weak, or uncoordinated pelvic floor muscles causing pain, pressure, and functional problems
Reproductive Conditions
Endometriosis, ovarian cysts, fibroids, or other gynecological conditions affecting pelvic structures
Pregnancy & Childbirth
Pregnancy changes, trauma during delivery, or postpartum recovery affecting pelvic structures
Urological Issues
Interstitial cystitis, chronic UTIs, or bladder dysfunction causing referred pelvic pain
Common symptoms
- Deep pelvic ache or pressure sensation
- Pain during intercourse or penetration
- Painful or frequent urination
- Painful bowel movements or constipation
- Lower back or hip pain
- Pelvic heaviness or prolapse sensation
- Muscle spasms or tension in pelvis
- Tailbone or coccyx pain
How a physiotherapist can help
Pelvic health physiotherapists are specially trained to assess and treat pelvic floor dysfunction. They provide internal and external examination to identify muscle tension, weakness, or coordination problems. Treatment includes manual therapy, exercise prescription, and education to restore normal pelvic function and reduce pain.
This specialized approach addresses both physical symptoms and functional limitations, helping patients return to normal daily activities, exercise, and intimate relationships without pain or discomfort.
Effective treatments
Internal Manual Therapy
Gentle internal techniques to release trigger points, improve mobility, and restore normal muscle tone in the pelvic floor
Pelvic Floor Exercises
Targeted strengthening and relaxation exercises to improve muscle coordination and endurance
Breathing & Core Training
Coordination exercises linking diaphragm, core, and pelvic floor for optimal function
Behavioral Modification
Education on bladder and bowel habits, posture, and lifestyle factors affecting pelvic health
At‑home management
While professional treatment is essential for pelvic pain, several self-management strategies can support your recovery. These approaches work best when combined with guidance from a pelvic health physiotherapist.
Heat & Relaxation
Warm baths, heat packs, and gentle stretching to relax pelvic muscles and reduce pain
Stress Management
Mindfulness, meditation, and breathing exercises to reduce tension and pain sensitivity
Gentle Movement
Walking, yoga, and prescribed exercises to maintain mobility and prevent stiffness
What to expect in physiotherapy
Your first appointment includes a comprehensive discussion of your symptoms, medical history, and functional limitations. The physiotherapist will explain the assessment process and obtain consent before any examination. Internal examination is commonly used but is always optional and conducted with sensitivity.
Treatment sessions focus on manual therapy, exercise instruction, and education. Progress is monitored regularly, and the treatment plan is adjusted based on your response. Most patients require several weeks to months of treatment for optimal results.
Medical Disclaimer
This information is for educational purposes only and should not replace professional medical advice. If you're experiencing pelvic pain or related symptoms, please consult with a qualified healthcare professional for proper diagnosis and treatment. The content provided is not intended to diagnose, treat, cure, or prevent any medical condition.