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Pelvic Pain

Pelvic pain is usually experienced around the lower back and pelvis. It is more common in women than men and can sometimes be indicative of a serious health problem.

The physiotherapists at Liverpool Physio are experienced at assessing and treating pain in the pelvic area holistically in order to promote a full recovery.




Passive stretch of the muscles and connective tissues of the hip by specialist therapistAbove: Passive stretch of the muscles and connective tissues of the hip by specialist therapist




What causes pelvic pain?



Pelvic pain is commonly caused due to an element of instability within the area. The pelvis acts as a stable platform which connects the spine to the lower limb and its joints must be able to absorb and transfer forces efficiently in order for pain-free movement to occur.

In the event of dysfunction or injury within the pelvic joints, the surrounding ligaments or muscles, instability can lead to inflammation and pain. It is also common for pain felt here to be referred pain originating in the lumbar spine.

Due to the complexity of the structures in and around the pelvis, pelvic pain has a number of specific common causes:


Passive stretch of the muscles and connective tissues of the hip and pelvis by specialist therapistAbove: Passive stretch of the muscles and connective tissues of the hip and pelvis by specialist therapist



Other internal causes include:
  • Irritable bowel syndrome
  • Endometriosis
  • Chronic pelvic pain syndrome (CPPS)
  • Pelvic adhesive disease
  • Ovarian or uterine conditions
  • Prostatitis

What should I do if I have pelvic pain?



If you have pain in or around your pelvis it can impact on many of your daily activities.

Due to the number of possible causes of pelvic pain it is important to seek physiotherapy intervention in order to diagnose your condition. A correct diagnosis not only means that you can receive the correct treatment but also ensures that you are not suffering unnecessary anxiety worrying about possible causes of your pain.

Prompt treatment is also recommended in order to prevent your injury from becoming chronic and more difficult to treat.


What would physiotherapy assessment for pelvic pain involve?



The physiotherapy assessment will take place at your first appointment and comprises of both subjective and objective assessments.
  • The subjective assessment gives you the opportunity to discuss factors such as when your pain began, how often it affects you, how intense it is and how it affects your day to day activities.

  • The objective assessment includes assessing your muscle strength, hip range of movement, sensation, reflexes and palpation of both the bony structures and musculature around the pelvis. In order to rule out referred pain, your hips and lumbar spine may also be assessed.
Once the assessment is complete, your physiotherapist will be able to make a diagnosis and will spend time explaining this and your prognosis and also discussing possible treatment techniques.





Trigger point massage of the muscles and connective tissues around the hip.Above: Trigger point massage of the muscles and connective tissues around the hip.



What would physiotherapy treatment for pelvic pain involve?



Once a diagnosis has been made, appropriate treatment techniques will be selected to incorporate into a tailor-made rehabilitation. The general aim of treatment techniques for pelvic pain include reducing pain, increasing range of movement if appropriate and promoting a swift return to your day to day activities and sports.

Possible treatment techniques include:
  • Manipulation
  • Core stability exercises
  • Stretching and strengthening exercises
  • Soft tissue release
  • Trigger pointing
  • Acupuncture
  • Postural advice
  • Massage
  • Provision of a home exercise programme
The recommended rehabilitation programme is designed to take into account your own needs and goals and the exercises provided can be used to self- manage and help prevent further episodes of pelvic pain.


How can I arrange a physiotherapy assessment for pelvic pain?



If you are concerned about pelvic pain please either email us to arrange an appointment at office@liverpoolphysio.co.uk or call our team on 0151 558 0077.





Progressive strengthening hip exercises supervised by experienced therapistAbove: Progressive strengthening hip exercises supervised by experienced therapist



Summary



Pelvic pain is a problem which is most common in the female population. Pain can be caused by instability or dysfunction within the joints of the pelvis. There are also many structures surrounding the pelvis which can be affected; physiotherapy assessment is vital in defining a diagnosis and forming a treatment plan. Core stability exercises, massage and electrotherapy are just some of the physiotherapy treatment methods used to reduce your pain and regain your normal capabilities.

To book an assessment with one of our experienced musculoskeletal physiotherapists you can call 0151 558 0077 or e-mail office@liverpoolphysio.co.uk

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Phone: 0151 558 0077
0151 558 0077
Email: office@liverpoolphysio.co.uk
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88 Rodney Street, Liverpool, L1 9AR  [map]
150 Lord Street, Southport, PR9 0NP
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