Pelvic pain is the common term for a set of co-existing pain symptoms in and around the pelvis. It may include musculoskeletal, neurological, fascial and/or visceral pain. Its origin may be multifactorial with a complex history and often unknown etiology. Treatment is usually multidisciplinary. When the symptoms have existed for more than 6 months it is termed Chronic Pelvic Pain (CPP).

Pain symptoms may vary in intensity from mild achy to severe pain, on and off or constant. It may be in the lower abdomen, back, pelvis, hips or perineum(area between the legs). It may include bladder and bowel symptoms and/or pain with sex. It affects both men and women.

(Most of our patients have at least two or more symptoms)

  • Urinary frequency and urinary urgency
  • Dysuria (pain or burning during urination)
  • Nocturia (frequent urination at night)
  • Reduced urinary stream and urinary hesitancy
  • Perineal pain (pain between the anus and scrotum in men
  • Pain or discomfort during or after ejaculation
  • Sitting pain
  • Genital pain
  • Suprapubic pain (pain above the pubic bone)
  • Coccyx (tailbone) pain or coccygodynia/coccydynia
  • Low back pain
  • Groin pain
  • Excessive discomfort or relief after a bowel movement
  • Anxiety about having sex and ‘erectile dysfunction’
  • Reduced libido (reduced interest in sex)
  • Anxiety and catastrophic thinking
  • Depression
  • Social withdrawal and difficulty in intimate relations
  • Impairment of self-esteem
  • Sleep disturbance
  • Helplessness and hopelessness
  • Rectal pain
  • Increased pain caused by stress
  • Testicular pain or discomfort
  • Exacerbation of pain related to menstruation
  • Pain/trauma related to childbirth or sexual activity

We frequently find the cause to be due to painful myofascial trigger points in the pelvic floor with some associated musculoskeletal dysfunction. CPP is a local and system problem and the feelings of stress and anxiety related to the problem in turn feed the tension patterns. The success of treatment is in addressing both systems simultaneously.