Pelvic pain in women is more common that you may think. An estimated 39% of women experience pelvic pain at some point in their lives, and pelvic pain prompts 10% of all gynecology appointments. 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. In addition to other causes, nerve irritation and entrapment may contribute to pelvic pain. Furthermore, fascial restrictions, vascular factors, and impairments in the urinary or gastrointestinal systems can also play a role.. Abdominal or pelvic surgery can contribute to pelvic pain secondary to tissue trauma, alterations in anatomy and connective tissue, scarring, and adhesion formation. Autoimmune and inflammatory conditions—such as interstitial cystitis, endometriosis, PCOS, fibromyalgia, and irritable bowel syndrome—often contribute to pelvic pain.
How Physical Therapy Can Help:
A complete history is important because it helps us determine possible sources of your pain, understand how the pain is impacting your quality of life, and, ultimately, identify both your immediate and long-term goals. Systematically we evaluate the musculoskeletal, neurological, visceral (organ), and fascial systems that are likely contributing to your symptoms. At Pathway Physical Therapy and Wellness 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. Often collaborate with other providers is necessary to address pain that physical therapy alone cannot fully resolve.