I’m heartbroken whenever I have a patient come in and tell me they can’t have intercourse, or ride their bike, or even take a bath because the pain in their pelvis is so bad.
I’m even more heartbroken to find out how many medications, treatments, or surgeries they have had that didn’t work.
Pelvic pain is often very embarrassing and isolating, because it’s not something we like to talk about. It’s very easy to feel like nobody else has suffered through this and it’s easy to feel like nothing will ever help.
I’m here to tell you two things.
1. You are not alone in having pelvic pain.
2. You have done nothing wrong.
By the end of this article, you will have your questions and anxieties about pelvic pain answered! And we will discuss how physical therapy can help.
Pelvic pain can mean many things- it can mean:
● Perineal or tailbone pain
● pain with sitting on a chair, but not on a toilet
● burning when voiding
● rectal or vaginal pressure
● throbbing or pain following intercourse
● pain with insertion
● pain with erection or ejaculation
Some common diagnoses that are fancy words for pelvic pain are: vulvodynia, levator ani syndrome, interstitial cystitis, coccydynia, or pudendal neuralgia.
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There is a set of muscles around your pelvis called your “pelvic floor”, they need to be able to relax to allow penetration or stimulation.
As with any muscle in our body, they need to be able to contract when needed, but also need to be able to relax when they are not needed.
Muscles tend to have a lot of nerve endings, especially those in our pelvic floor, making them very susceptible to pain when there is something wrong.
These muscles in our pelvis are often a huge component in causing pelvic pain, but unfortunately they are often overlooked.
If you had pain in your shoulder, the first thing you would look to would be the muscles around your shoulder. Why should the muscles in our pants be any different?
Patients that I see for pelvic pain are often at their wits end trying to find answers. A lot of my patients have gone through failed surgeries, been on multiple medications, or failed treatments such as acupuncture
(I don’t know about you, but I don’t want a needle or a scalpel anywhere near my perineum).
Physical therapy, as far as treatments go, is pretty low-risk. I have a hard time finding someone who wouldn’t benefit from strengthening weak muscles and stretching tight muscles. And that’s exactly what physical therapists can do for your pelvic floor!
Physical therapists are experts in the musculoskeletal system, and we can help stretch and strengthen the muscles in your pelvic floor to get you pain free.
Physical therapists can also educate you on sitting and exercise mechanics to keep you pain free, as well as changes you may need to make to your sex and hygiene routines.
Have more questions about pelvic pain? Want to talk to one of our pelvic floor therapists? Click the button below to book your FREE discovery visit today!
About Author: Dr. Jenna Stasi
Dr. Jenna Stasi is currently pursuing her Women’s Health Clinical Specialist Certification, to better treat women and men suffering from pelvic floor dysfunction. In her time away from the clinic, she enjoys running, backpacking, and baking. For more information on how to ease or overcome your injury, go to www.backinmotionsspt.com.