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Pain in the....pelvis?

woman lying down with her hands over her pelvis

Welcome to May, the month dedicated to raising awareness about pelvic pain! Pelvic pain is a common yet often overlooked issue that can significantly impact women's health and quality of life. As a women's health physiotherapist, I'm passionate about helping individuals understand pelvic pain, how physiotherapy can provide relief, and what steps you can take at home to manage it effectively.

What is Pelvic Pain?

Pelvic pain refers to discomfort or pain in the lower abdomen, pelvic region, or perineum. It can be acute or chronic and may be caused by various factors such as:

  • Musculoskeletal issues: including muscle tension, pelvic floor dysfunction, or nerve irritation.

  • Reproductive health issues: such as endometriosis, pelvic inflammatory disease (PID), or fibroids.

  • Urinary or bowel problems: such as urinary tract infections (UTIs), interstitial cystitis, or irritable bowel syndrome (IBS).

  • Pregnancy and childbirth: pelvic pain can occur during pregnancy or after childbirth due to changes in the pelvic floor muscles and ligaments.

How Physiotherapy Can Help

Physiotherapy plays a crucial role in managing pelvic pain by addressing the underlying causes and improving muscle function and coordination in the pelvic area. Here's how physiotherapy can help:

  1. Assessment and Diagnosis: A skilled women's health physiotherapist will conduct a thorough assessment to identify the specific factors contributing to pelvic pain, which may include muscle tightness, weakness, or dysfunction.

  2. Pelvic Floor Rehabilitation: Pelvic floor exercises, also known as Kegel exercises, can help strengthen weak pelvic floor muscles and improve their coordination. Additionally, relaxation techniques may be taught to ease muscle tension.

  3. Manual Therapy: Techniques such as massage, myofascial release, and joint mobilisations can help alleviate muscle tightness and improve pelvic alignment.

  4. Education and Lifestyle Modifications: Patients are educated about pelvic anatomy, proper posture, and techniques to relieve pelvic pain during daily activities. Lifestyle modifications, such as improving posture, diet, and hydration, may also be recommended.

  5. Biofeedback and Electrical Stimulation: These techniques can provide feedback on pelvic muscle function and help patients learn how to relax or contract their muscles effectively.

  6. Pain Management Strategies: Physiotherapists may employ various pain management techniques such as heat therapy, cold therapy, or TENS (transcutaneous electrical nerve stimulation) to alleviate discomfort.

Managing Pelvic Pain at Home

In addition to physiotherapy sessions, there are several things you can do at home to manage pelvic pain:

  1. Pelvic Floor Exercises: Practice Kegel exercises regularly to strengthen and tone your pelvic floor muscles.

  2. Stretching and Relaxation: Perform gentle stretches for the pelvic muscles and practice relaxation techniques such as deep breathing or yoga to reduce muscle tension.

  3. Heat Therapy: Apply a heating pad or warm compress to the pelvic area to relieve muscle stiffness and discomfort.

  4. Maintain Good Posture: Practice good posture habits to prevent strain on the pelvic muscles and maintain proper alignment.

  5. Stay Active: Engage in low-impact exercises such as walking, swimming, or cycling to improve circulation and promote overall pelvic health.

  6. Healthy Diet and Hydration: Eat a balanced diet rich in fruits, vegetables, and lean proteins, and stay hydrated to support pelvic health and reduce inflammation.


May is Pelvic Pain Awareness Month, and it's the perfect time to take control of your pelvic health. Whether you're experiencing pelvic pain due to musculoskeletal issues, reproductive health issues, or other factors, physiotherapy can provide effective relief and support. By working with a women's health physiotherapist (like me!) and incorporating simple self-care strategies at home, you can manage pelvic pain and improve your overall well-being. Take the first step towards a pain-free life today!

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