What is Pelvic pain?

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Pelvic pain is persistent discomfort or pain in the lower abdominal area, hips, or pelvic region. It can arise from multiple causes and may affect various aspects of life, including movement, sexual health, digestion, and emotional well-being.

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Common conditions associated with pelvic pain:

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• Pelvic Floor Dysfunction: overactive or altered pelvic muscle activity linked to pain and functional issues.

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• Endometriosis: Dr Peta Wright (2023) describes Endometriosis as "cells found growing outside of the uterus that resemble the endometrial cells of the uterine lining".

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• Vulvodynia: Chronic pain or discomfort in the vulva, often without a clear cause.

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• Interstitial Cystitis (IC)/Painful Bladder Syndrome (PBS): Bladder pain and urinary urgency.

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• Pelvic Girdle Pain: Pain is often associated with the joints and ligaments in the pelvic area.

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• Irritable Bowel Syndrome (IBS): Gastrointestinal issues that often overlap with pelvic pain.

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• Post-Surgical Pain: Following surgeries like hysterectomy or laparoscopic procedures.

 

Pelvic pain is often complex, involving a mix of musculoskeletal, nervous system, and emotional factors. At Evolving Pain, we provide a comprehensive approach, from pain coaching to physiotherapy, to help you manage these challenges. 

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How our team and help you manage pelvic pain

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Pain management and nervous system regulation

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• Relaxation techniques: Breathing exercises and mindfulness strategies to calm the nervous system.

• Symptom mapping: Identifying triggers and patterns to reduce flare-ups.

• Education: Understand how your pain system works and how to retrain it for better outcomes.

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Movement and exercise therapy

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• Gentle mobility exercises: Stretching and movement to ease stiffness and discomfort.

• Global reconditioning to support the overactive or altered activation patterns of the muscles around the pelvic bones

• Muscular down training to support alignment and reduce pressure on the pelvic area.

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Referrals to pelvic pain specialists:

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We work as part of your care team to ensure all aspects of your pelvic pain are addressed. We can link you with trusted pelvic pain specialists, including:

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• Gynaecologists

• Endocrinologists

• Pain management doctors

• Psychologists or counsellors specialising in chronic pain

• Dieticians specialising in this area (check out Balance & Bite! who we trust and love and are on-site!)

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