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Pelvic Pain

Here are some options for treating pelvic pain:

Primary care provider

  • Your primary care provider is a partner in managing your overall health and well-being. If you are experiencing pelvic pain, your primary care provider is the best place to begin. He or she will do an exam, review your medical history and recommend a treatment plan, which may include one or more options below. If you need to establish care with a primary care provider, we can help.
  • Perhaps, your primary care provider already recommended a treatment approach that was not as effective as you both had anticipated. Don’t give up hope. Chronic pain management sometimes requires a combination of treatment options.

Integrative medicine

  • All muscles can develop trigger points that cause pain, meaning that muscles that affect the pelvis region can cause uncomfortable symptoms in the genitals, rectum, bladder and other areas of the pelvis. In these cases, alternative and complementary treatments like massage therapy can help treat muscles in the lower abdomen that may be causing pain. Used in conjunction with physical therapy and other treatments that target internal muscles and structures, many patients can find relief from pelvic pain.
  • For more information or to see if the Integrative Medicine Center may be a good fit to help with your pelvic pain, schedule a consultation with our physician specially trained in Integrative Medicine.

Physical therapy

Pelvic floor physical therapy can help treat the source of your pelvic pain. It can be an easier, more effective treatment option than taking pain medication alone. It often results in shorter recovery time after surgery or an injury, less pain medication, improved strength and better quality of life. Our physical therapists will begin with an evaluation of muscle, joint and nerve function in your abdominal, pelvic floor, back and hip regions.

An external and/or internal exam will help determine if there is any muscle weakness, tension or poor coordination (poor ability to either contract or relax the muscles). They will develop a treatment plan using techniques to promote your ability to move, reduce pain, restore function and prevent disability.

  • Treatment may include:
    • Manual therapy to increase mobility of abdominal, back, hip and pelvic floor to allow for optimal movement.
    • Exercise and movement instruction for improved motion and strength in the pelvic region, back and hips.
    • Biofeedback to help retrain pelvic floor muscle function.
    • Education on relaxation, breathing and optimal positions to address symptoms. This may include a postural assessment to help facilitate alignment.
    • Several of our physical therapists have advanced specialty certification in pelvic floor physical therapy, giving patients with pelvic pain unparalleled expertise. They work closely with primary care providers and experts from Gynecology, Urology and Physical Medicine & Rehabilitation to provide comprehensive care.
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