Pelvic pain is a complex and often misunderstood condition that can affect people of all ages and activity levels. It may present as pain in the lower abdomen, hips, groin, tailbone, or pelvic floor, and it can interfere with daily activities, exercise, work, and quality of life.
Pelvic pain is real, it is common, and it is treatable—especially with the right approach.
What Is Pelvic Pain?
Pelvic pain refers to discomfort located in the pelvis or surrounding structures. Pain may be constant or intermittent and can feel sharp, aching, burning, or heavy. Some people notice symptoms during specific activities, while others experience pain at rest.
Pelvic pain is not always linked to one single structure. Muscles, nerves, joints, connective tissue, and organs can all contribute, which is why a comprehensive evaluation is essential.
Common Causes
Pelvic pain can develop for many reasons, including:
Pelvic floor muscle tension or poor coordination
Pregnancy, postpartum changes, or pelvic trauma
Endometriosis or painful menstrual cycles
Pain during or after intercourse
Bladder or bowel dysfunction
Hip, low back, or sacroiliac joint dysfunction
Nerve sensitivity or irritation
Chronic stress or poor pressure management
In many cases, pelvic pain results from how the body responds to stress, injury, or repeated strain over time—not from tissue damage alone.
How Physical Therapy Helps
Pelvic floor physical therapy focuses on restoring balance, mobility, strength, and coordination throughout the pelvic region and the rest of the body. Treatment is always individualized and guided by your symptoms, goals, and comfort level.
A physical therapy plan may include:
Education on pelvic anatomy, posture, and pain science
Manual therapy to reduce muscle tension and improve tissue mobility
Pelvic floor muscle training to improve relaxation, strength, and coordination
Breathing and pressure management strategies
Core, hip, and full-body strengthening
Movement retraining for daily activities and exercise
Many people are surprised to learn that their pain often involves muscles that are overactive or guarded rather than weak. Learning how to relax, coordinate, and load the pelvic floor appropriately can make a meaningful difference in symptoms.
Why Pelvic Pain Is Treatable
Pelvic pain does not mean something is “wrong” with you. The nervous system, muscles, and connective tissue are adaptable, and with the right guidance, symptoms often improve significantly.
Physical therapy addresses the root contributors to pain rather than masking symptoms. Early intervention can speed recovery, but people at all stages—acute or chronic—can benefit from pelvic health physical therapy.
When to Seek Help
If pelvic pain affects your movement, exercise, intimacy, or daily life, a pelvic health physical therapist can help identify contributing factors and create a personalized plan.
At Breathe In Motion Physical Therapy & Wellness, our therapists specialize in treating pelvic pain through one-on-one, individualized care. Our goal is to help you move with confidence, reduce pain, and feel supported in your body again.
If you have questions or would like to schedule an evaluation, we’re here to help.
