Pelvic Floor Pain

Most Common Illness:

  • Pelvic Pain Syndromes.

Severe pain located in the pelvic area might limit functioning.

  • Pelvic Organ Prolapse.

Occurs when the muscles and tissues supporting the pelvic organs become weak and loose.

  • Urinary Incontinence.

Signifies that a person accidentally releases urine.

  • Fecal Incontinence.

Unable to control bowel movements can lead to stool leaks from the rectum without warning.

  • Dyspareunia:

Description: Dyspareunia refers to painful sexual intercourse, which can occur in both women and men.

  • Postpartum Rehabilitation

Description: After childbirth, women may experience various pelvic floor issues, including weakened muscles, incontinence, or pain.

  • Pelvic Floor Muscle Dysfunction.

The inability to relax and coordinate your pelvic floor muscles to have a bowel movement.

  • Interstitial Cystitis/Bladder Pain Syndrome.

Involves mild to severe bladder pain and an urgent or frequent need to urinate.



  • Pelvic Pain.

Pain in the lower abdomen and pelvic region

  • Pain During Intercourse (Dyspareunia).

Refers to painful sexual intercourse in both genders.

  • Pelvic Pressure or Heaviness

Pelvic floor diseases causes Increase in the abdominal  pressure from above and moving down (pelvic/abdominal organs, diaphragm, core)

  • Urinary Symptoms:
    • Urinary Incontinence: Involuntary leakage of urine, especially during activities like coughing, sneezing, laughing, or exercising.
    • Increased Urinary Frequency
    • Urgency: A sudden and strong urge to urinate, sometimes resulting in leakage.
    • Difficulty Initiating Urination.
  • Bowel Symptoms:
    • Fecal Incontinence
    • Constipation
    • Incomplete Emptying
  • Pelvic Muscle Tension or Spasms.

Involuntary contractions of the pelvic floor muscles.

  • Pelvic Organ Prolapse.

Occurs when the muscles and tissues supporting the pelvic organs become weak and loose.

  • Lower Back Pain.

Pain between the lower edge of the ribs and the buttock.

  • Recurrent Urinary Tract Infections (UTIs).

Three or more (UTIs) episodes within 12 months.

  • Painful Bowel Movements.

Defecation pain accompanied by a scorching or pricking sensation

  • Difficulty Starting or Stopping Urine Flow.

A condition where it’s difficult to start urinating or keep it flowing.

  • Pelvic Floor Muscle Weakness.

The inability to relax and coordinate your pelvic floor muscles to have a bowel movement.

  • Groin Pain.

Refers to discomfort in the area where the abdomen ends and the legs begin.

  • Pain or Discomfort While Sitting.

Dull or aching pain that occurs when attempting to sit.

  • Tailbone Pain.

Pain in the bone at the base of the spine (coccyx), near the top of the buttock.



Available treatment:

  • Manual Therapy:
  • Manual therapy techniques involve hands-on treatment by the physical therapist. This can include:
    • Myofascial release: Soft tissue manipulation to release muscle and fascial restrictions in the pelvic area.
    • Trigger point therapy: The release of tight and painful areas within the pelvic floor muscles.
    • Joint mobilization: Gentle manipulation of the joints to improve mobility and reduce pain.
  • Pelvic Floor Muscle Training:
  • Pelvic floor muscle exercises, also known as Kegel exercises, are commonly prescribed. These exercises aim to:
    • Strengthen weak pelvic floor muscles.
    • Improve muscle coordination and endurance.
    • Enhance awareness of the pelvic floor muscles.
  • Biofeedback and electrical stimulation may be used to assist in muscle training and coordination.
  • Breathing and Relaxation Techniques:
    • Patients may learn diaphragmatic breathing and relaxation techniques to help manage pelvic pain and tension, improve muscle coordination, and reduce anxiety.
  • Functional Training:
    • Functional training involves teaching patients how to apply proper pelvic floor muscle activation during daily activities, such as lifting, bending, and transitioning from sitting to standing.
  • Bladder and Bowel Management:
    • If applicable, therapists help patients develop strategies to manage urinary or fecal incontinence, frequent urination, or constipation.
  • Pain Management:
    • Therapists may use modalities like heat or cold therapy, as well as techniques like mindfulness and visualization, to help manage pain and discomfort associated with pelvic conditions.
  • Posture and Body Mechanics:
  • Evaluation and correction of posture and body mechanics to reduce stress on the pelvic floor and promote better pelvic health.
  • Home Exercise Program.