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Pelvic Pain

What is Pelvic Pain?

It refers to pain in the area below your belly button and above your legs. Pelvic pain can be a sign that there is a problem with one of the organs in your pelvic area, such as the uterus, ovaries, fallopian tubes, cervix, or vagina.

Can physiotherapy help people with pelvic pain?

Yes. The treatment for pelvic pain involves a multidisciplinary approach that includes physiotherapy. Physiotherapy treatment usually includes pain reduction, pelvic floor rehabilitation, nerve stimulation therapies, teaching cognitive coping strategies, education about the importance of planning and pacing exercise and activities.

What are the possible causes of pelvic pain?

  • Gastrointestinal problems like celiac disease, colitis, colon cancer, inflammatory bowel disease, irritable bowel syndrome

  • Gynaecological problems like adhesions, adenomyosis, adnexal cysts, chronic endometritis, dysmenorrhea (period pain), endometriosis, gynaecologic malignancies, leiomyomata pelvic congestion syndrome, pelvic inflammatory disease, vulval pain

  • Musculoskeletal problems like degenerative disc disease, fibromyalgia, levator ani syndrome, myofascial pain, peripartum pelvic pain syndrome, stress fractures

  • Psychiatric and neurological problems like abdominal epilepsy, abdominal migraines, depression, nerve entrapment, neurologic dysfunction, sleep disturbances, somatization

  • Urological problems like bladder malignancy, chronic urinary tract infection, interstitial cystitis, radiation cystitis, urolithiasis

What are the common symptoms associated with pelvic pain?

  • Constant or intermittent pain

  • Sharp, dull or cramping pain

  • A feeling of pressure in the pelvic area

  • Difficulty doing non-strenuous work

  • Sleep disturbances

  • Pain during sex

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