Persistent Pelvic Pain

Are you someone that suffers from persistent pelvic pain? It can be truly awful but there is help available for you.

Pelvic pain is a complex condition that can significantly impact an individual's quality of life. It can arise from various causes, including musculoskeletal issues, pelvic organ dysfunction, or neurological factors. I guess if you are reading this you might have been given a diagnosis by a GP or specialist and you are seeking help. Common conditions that contribute to pelvic pain include pelvic floor dysfunction, endometriosis, bladder pain syndrome (interstitial cystitis), prostatitis or even chronic constipation.

Symptoms of pelvic pain may vary widely in intensity and duration. Patients may experience sharp or dull pain, pins and needles, pressure, or discomfort in the pelvic region, which can sometimes radiate to the lower back, hips, and abdomen. This pain can be persistent or intermittent, and it may be exacerbated by activities such as exercise, sexual intercourse, or prolonged sitting.

Although there can be lots of different causes, it can be disruptive of your life, daily activities, sleep and relationships. It can be difficult to feel positive when you have persistent pelvic pain.

Assessment by a qualified physiotherapist specialising in pelvic health is essential for an accurate diagnosis and effective treatment plan. A thorough evaluation may include a detailed medical history and a physical examination focused on the pelvic region, tummy, hips and thorax. My initial assessment for someone with pelvic pain lasts between 75-90 minutes. During that time we will come up with a plan of how we can work together to make you feel more comfortable.

Physiotherapists utilise various techniques, such as manual therapy, therapeutic exercises, and biofeedback, acupuncture, TENs to address underlying musculoskeletal issues and enhance pelvic floor function. We will also discuss the interaction between your brain and the pelvis and utilise techniques to calm the nervous system. Education on pain management strategies and lifestyle modifications also plays a crucial role in treatment. Patients are encouraged to engage in exercises that promote relaxation and if needed to strengthen the pelvic floor while avoiding activities that may exacerbate symptoms.

Each physiotherapy session after the first session is usually an hour. Most patients come for sessions quite close together initially, then as the pain becomes more manageable, we spread the sessions apart, so that people can work on the techniques that they have learned by themselves. Sometimes I might encourage patients to seek help from other health professionals too such as their general practitioner, a hospital consultant, or a mental health specialist. I often see people with persistent pelvic pain for several months.

 Often people start to feel better once they understand the reasons why their pain has become persistent. Treatment is a bit like peeling layers off an onion, we gradually find ways and techniques that help to control and manage the pain. Often the manual therapy really helps to desensitise the muscles and tissues quickly. Learning how to self-manage takes longer but is completely doable with practice. My intention is that patients become so knowledgeable about their body, that they can self-manage really well.

Early intervention is key to managing pelvic pain effectively. If you are experiencing discomfort, consulting a physiotherapist with expertise in pelvic health can provide tailored treatment to improve your symptoms and overall well-being.

If you are unsure whether I would be able to help you please ask for a 15 minute complementary phone call to discuss your problem.