Pelvic Pain

Understanding Pelvic Pain: Causes, Symptoms, and Physiotherapy Solutions

Pelvic pain is a common issue, often felt in the lower back and pelvic region. It is more frequently experienced by women than men and, in some cases, can indicate an underlying health condition.

At The Treatment Table, our expert physiotherapists specialise in holistic assessment and treatment of pelvic pain, helping you recover fully and regain mobility.

What Causes Pelvic Pain?

Pelvic pain is typically associated with instability in the pelvic region. The pelvis plays a crucial role in connecting the spine to the lower limbs, and its joints must efficiently absorb and transfer forces to allow for pain-free movement.

When dysfunction or injury affects the pelvic joints, ligaments, or muscles, instability may develop, leading to inflammation and discomfort. Pain can also be referred from the lumbar spine, meaning an issue in the lower back could manifest as pelvic pain.

Due to the complexity of pelvic structures, several factors can contribute to pain.

Common Causes of Pelvic Pain

  • Osteitis pubis

  • Sacroiliac dysfunction LINK

  • Stress fractures LINK

  • Bursitis LINK

  • Muscle strain

  • Ligament damage LINK

  • Nerve impingement

  • Spondylolisthesis LINK

  • Intervertebral disc prolapse LINK

  • Muscle weakness or imbalance

  • Changes to the pelvic muscles during or after pregnancy

Other Possible Causes

  • Irritable bowel syndrome (IBS)

  • Endometriosis

  • Chronic pelvic pain syndrome (CPPS)

  • Pelvic adhesive disease

  • Ovarian or uterine conditions

  • Prostatitis

What Should You Do If You Have Pelvic Pain?

Pelvic pain can significantly impact daily activities, mobility, and overall quality of life.

Since multiple factors can contribute to pelvic pain, seeking physiotherapy for an accurate diagnosis is essential. A correct diagnosis ensures:
✔ You receive the right treatment for your condition.
✔ You avoid unnecessary stress and anxiety about potential causes.
✔ Early intervention prevents the pain from becoming chronic and more difficult to treat.

Physiotherapy Assessment for Pelvic Pain

During your first physiotherapy appointment, we conduct a comprehensive assessment consisting of:

  1. Subjective Evaluation

    • Discussing when the pain started, how frequently it occurs, its severity, and how it affects your daily life and activities.

  2. Objective Examination

    • Assessing muscle strength, hip mobility, sensation, reflexes, and palpation of both bony structures and muscles around the pelvis.

    • Examining the lumbar spine and hips to rule out referred pain from other areas.

Once the assessment is complete, your physiotherapist will diagnose the issue, explain your prognosis, and recommend treatment options tailored to your needs.

Physiotherapy Treatment for Pelvic Pain

Treatment is personalised to address the root cause of your pain, focusing on pain reduction, improving mobility, and restoring function.

Your rehabilitation plan may include:
Core stability exercises – Strengthening deep muscles for better support.
Stretching & Strengthening routines – Enhancing flexibility and movement control.
Objective Strength Testing – Identifying muscle imbalances.
Soft Tissue Release & Trigger Point Therapy – Relieving muscle tension.
Postural Education – Correcting habits contributing to pain.
Massage Therapy – Reducing muscle tightness and promoting relaxation.
Home Exercise Programme – Self-management strategies for ongoing recovery.

All treatment plans are goal-oriented to help you recover faster and prevent future episodes of pelvic pain.

How to Book a Physiotherapy Assessment for Pelvic Pain

If you are experiencing persistent pelvic pain and want expert guidance, contact us today:

📧 Email: info@thetreatmenttable.com
📞 Phone: 0151 559 1107

Summary

Pelvic pain can significantly affect your mobility, comfort, and quality of life. Whether caused by muscle imbalances, joint dysfunction, or referred pain, physiotherapy is essential for accurate diagnosis, pain relief, and functional recovery.

For expert physiotherapy treatment, contact The Treatment Table at info@thetreatmenttable.com or 0151 559 1107 today.