Pelvic Pain Physical Therapy

pelvic pain treatmentPelvic pain is pain felt in the lower abdomen, pelvis, sacrum, hips or perineum. It has many possible causes and affects up to 20% of the population in the United States, including women and men. Pelvic Floor Physical therapists help people experiencing pelvic pain restore strength and flexibility to the muscles and joints in the pelvic region, and reduce their pain through internal pelvic floor intervention.

Pelvic pain can feel like burning, sharp, stabbing pain like pins and needles, throbbing/sore due to:

  • Pregnancy and childbirth
  • Pelvic joint problems
  • Muscle weakness or imbalance
  • Tender points in the muscles around the pelvis, abdomen, low back, or groin areas
  • Entrapment or Inflammation of a nerve
  • Scar tissue after abdominal or pelvic surgery
  • Disease
  • A shift in the position of the pelvic organs, sometimes known as prolapse

Signs and Symptoms:

  • Inability to sit for normal periods of time.
  • Reduced ability to move your hips or low back.
  • Difficulty walking, sleeping, or performing daily activities.
  • Pain, pressure or numbness in the pelvic region with exercise or recreational activities.
  • Pain during sexual activity.
  • Urinary frequency, urgency, or incontinence, or pain during urination.
  • Constipation or straining with bowel movements, or pain during bowel movements.
  • Difficulty using tampons

How can a Physical Therapist help?

Based on the evaluation results, your Pelvic Floor Physical Therapist will individualize treatment to strengthen your Pelvic Floor muscles and to improve their function. You will also gain control over your symptoms and reduce your dysfunctions. Your physical therapist will discuss diet and nutrition, change in behavior, postural training, and develop a plan to return you to your previous level of function.

Dr. Scott Kelly in Clinics in Colon and Rectal Surgery, Sept, 2014 published an article Pelvic Floor Rehab in the treatment of incontinence stated that Pelvic Floor Physical Therapy is an important first-line treatment for patients with incontinence.

During Your First Evaluation:

Your physical therapist will complete a thorough review of your medical history, and perform a physical examination to identify the causes of your pelvic pain and any joint issues, muscle tightness or weakness, or nerve involvement.

The exam may include:

  • Pelvic girdle screening, Soft tissue assessment, Visual inspection of the tissues, Reflex testing, Sensation testing, Internal assessment of pelvic floor muscles.

Your physical therapist also will determine whether you should be referred to a physician to assist in your interdisciplinary plan of care.

Zarina is one of two pelvic floor therapists in the US that has been trained by Dr. David Wise.
pelvic pain book- a headache in the pelvis

Click here to learn more about Dr. Wise and his pelvic pain protocol.

Pelvic Floor Testimonials

  • When I first got CPPS/CP I did not know what was happening to me and was scared.  I was in pain and only wanted help from a knowledgeable physical therapist that worked with males. I chose Zarina because she's been coached by the pioneers in CPPS. Zarina explained what was going on with my pelvic floor, gave me stretches to do at home, and is compassionate and caring during our sessions.  Her enthusiasm sometimes is just what you need. Zarina has helped me feel better in only a few short months, and I know I'm only going to keep progressing. The center also has plenty of space to do some stretches and the staff is very warm and friendly. -H.R.
  • I'm a 61 year old who has been treated by multiple physical therapists for a variety of ailments including lower back pain, sciatica and a surgically reattached pectoral tendon.  The ProTouch facility is immaculate, has a full complement of exercise machines and medical equipment to treat almost any condition imaginable.  After my initial evaluation the intensity of the treatment I received on my first visit by Zarina and her assistants was by far more extensive than anything else I had ever experienced... - C.G.
  • Pelvic Pain is a complex chronic pain, mind-body syndrome. Zarina is extremely knowledgeable, supportive, and professional. She is very clear in giving instructions for home exercise. She is reassuring and optimistic. I had already been to several physical therapists; with Zarina, I am progressing for the first time! -Unknown