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Women's Health - American Physical Therapy Association


American Physical Therapy Association


The International Pelvic Pain Society

Frequently Asked Questions

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CHRONIC PELVIC PAIN

 What is Chronic Pelvic Pain?

Chronic Pelvic Pain (CPP) is pain in the pelvis, back, buttocks and/or abdomen that lasts 6 months or longer. It is a complex problem and may have several causes.

Some causes include:

  • Urinary tract problems – examples are interstitial cystitis, urinary tract infections
  • Gastrointestinal problems – such as irritable bowel syndrome
  • Uterine problems – examples are endometriosis, prolapse
  • Post-surgical scar pain or abdominal adhesions
  • Problems in the muscles and joints of the pelvis that refer pain to the region

Over time, unmanaged pelvic pain tends to become complicated. Symptoms may start in one place, spread to nearby areas, and eventually become a larger physical, emotional and social issue. A major goal of treatment is to interrupt the pain cycle and to prevent localized pain from progressing to a bigger problem, so you can avoid “excessive suffering”.

 

How Should I Seek Help?

Discuss your problem with your physician. Ask your doctor if physical therapy might be appropriate for you.

 

How Can Physical Therapy Help?

Pelvic pain is closely connected to problems in the muscles, joints and nerves. Organs and muscles can communicate a “pain message” via nerves, so that when an organ hurts, it may cause a nearby muscle to go into spasm. Over time, these tense muscles can become primary problems of their own.

Hilary Garrett, MS PT specializes in the muscle and joint problems associated with pelvic pain. She will begin by determining which muscles between your waist and your knees are painful, weak, or in spasm.

 

Treatment may include:

  • Education about what is causing your pain and how you can help yourself.
  • Myofascial release and massage for overworked muscles.
  • Treatment to reduce pain.
  • Exercise program specifically designed for your needs.
  • Restoration of movements in tight joints.
  • Softening of scar tissue.
  • Biofeedback.

 

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