Pelvic pain is more common than you may think. In the United States, pelvic pain affects an estimated 2–16% of men, with prostatitis being the most common diagnosis in those under 50. Pelvic pain has many different presentations, triggers, and treatment modalities. It may be related to posture, breathing, referred muscle pain from the pelvic floor and/or surrounding muscles. Nerve irritation and entrapment may be contributing factors especially if pudendal, genitofemoral, obturator and posterior femoral cutaneous nerves are involved. Additionally, fascial restrictions, vascular considerations, urinary and gastrointestinal system impairments can contribute as well. Abdominal or pelvic surgery can influence pelvic pain secondary to tissue trauma, alterations in anatomy and connective tissue, scarring and adhesion formation. Autoimmune and inflammatory conditions—such as interstitial cystitis, painful bladder syndrome, prostatitis, and irritable bowel syndrome—often contribute to pelvic pain.
How Physical Therapy Can Help:
A complete history is important so that we can determine possible sources for your pain, how the pain is impacting your quality of life, and what your immediate and long term goals are. Systematically we evaluate the musculoskeletal, neurological, visceral (organ), and fascial systems that are likely contributing to your symptoms. We treat through a biopsychosocial philosophy meaning we address how the pain is impacting you on a social and emotional level. We work to establish pain free movement and empowerment in your treatment program. We collaborate with additional providers when needed to address sources of pain that physical therapy alone cannot fully resolve