Pelvic pain may be diagnosed in the form of levator ani syndrome/tension myalgia, coccygodynia (pain in the coccyx), dyspareunia (painful intercourse), vaginismus and vulvodynia.
You may also be diagnosed with endometriosis, interstitial cystitis, and abdominal adhesions – all of which are typically associated with overactivity in pelvic floor muscles.
You are at an increased risk for developing pelvic pain if you have:
If you are diagnosed with pelvic pain, we will offer a comprehensive evaluation that includes an assessment of the pelvic girdle, strength and flexibility of hips and abdominal muscles as well as a detailed pelvic floor assessment.
Palpation to pelvic floor structures is helpful in assessing for tension/pain/trigger points and use of manual therapy to address trigger points is helpful in reducing pain. The use of surface electromyography is very helpful in learning how to relax and gently work the pelvic floor muscles as it provides visual feedback to the patient.
Modalities such as electrical stimulation, ultrasound, hot/cold can also be used for pain relief.