Pelvic pain is pain in the lowest part of your abdomen and pelvis. In women, pelvic pain might refer to symptoms arising from the reproductive, urinary, or digestive systems, or from musculoskeletal sources. Pelvic pain in men can result from a range of issues, including post-surgical hernia repair, prostatitis, and low back pain.
Depending on its source, pelvic pain can be dull or sharp; it might be constant or sporadic; and it might be mild, moderate, and/or severe. Pelvic pain can occur suddenly, sharply, and briefly (acute) or over the long term (chronic). Pelvic pain can radiate to your lower back, buttocks, or thighs. You might even experience pain while urinating, sitting, or during sexual activity.

Pelvic Pain Disorders

  • Coccydynia: Pain in and around the coccyx (​tailbone).
  • Dyspareunia: Pain during sexual intercourse at sexual entry (penetration) or deep pain during shearing.
  • Interstitial cystitis (IC /Painful Bladder Syndrome): Discomfort, pressure, tenderness, or pain in the bladder, lower abdomen, and pelvic area – can be mild or severe.
  • Levator ani spasm: Perineal pain caused by involuntary muscle spasm of the Levator Ani muscle.
  • Myalgia (muscle pain) /Myositis (muscle inflammation).
  • Scar and myofascial conditions: Restrictions from C-sections, abdominal surgeries, vaginal scar, cancer-related treatments.
  • Prostatitis pelvic pain: Chronic nonbacterial prostatitis is a common male genitourinary condition characterized by episodes of pain and discomfort that come and go unpredictably. It may also involve inflammation and difficulties with urination.
  • Prolapse: One or more of the pelvic organs descend out of their normal position into the vaginal canal.
  • Pudendal neuralgia: Pain radiating along the nerve without demonstrable compromise of the nerve structure.
  • Sacroiliac joint dysfunction: Misalignment or abnormal movement of the two large joints in the lower back on either side of the tailbone.
  • Vaginismus: Involuntary tightening of the vagina. Usually during intercourse or when inserting tampons. Often caused by muscle spasms.
  • Vulvodynia: Chronic pain or discomfort around the opening of the vagina (vulva).

Pelvic Pain Symptoms

  • Pain in the abdomen between the lower ribs and groin.
  • Pain in the region of the anus or rectum.
  • Pain in the back from the waist to tailbone – including flanks and buttocks.
  • Myalgia (muscle pain) /Myositis (muscle inflammation).
  • Pain in the region of the groin, genitals or perineum.
  • Pain with symptoms referred along the penis and into the tip of the penis.
  • Pain that occurs in or around one or both testicles.

Begin Your Journey to Better Wellness

If you need a specialized physical therapist, I highly recommend Rosie Radford. Rosie is very competent, kind and compassionate about her work. Rosie is truly professional and puts you at ease knowing how difficult and personal these issues can be. Rosie had genuine concern for my treatment and well-being. Most importantly, Rosie’s treatment worked!

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