Do you have pain in the abdominal, lower back or hip regions, that just isn’t going away? This could be coming from the pelvis. Pelvic pain is enigmatic. It is often experienced in the pelvis and in relation to pelvic functions and movement. But it includes pain from the umbilical to below the hips, and it can also be linked to other regions of the body, and it can affect other regions in the body.
Pain and dysfunction in the abdomino-pelvic region is complex, and pelvic health is intricately linked to health in a broader sense. To understand your pelvic health we thus issue from a model based on the bicycle wheel ©, specifically designed to look at everything from your different body-systems to the larger socio-cultural and environmental systems that you are a part of.
The therapy is inspired by knowledge developed from years of working – and living – with the human body, combined with an enhanced understanding of the body informed by in-depth dissection studies. Myofascial and fascial therapy is rooted in listening to the body, combined with yoga, breathing and education, where the aim is to teach you more about your pelvis, to help you discover what you can do to impact your own pelvic health and make the changes you need to gain long-term improvement. The hands-on therapy includes both internal and external techniques.
Persistent Pelvic pain
Pelvic pain is a common but overlooked and misunderstood condition. Chronic pelvic pain syndrome is defined as “the occurrence of chronic pelvic pain where there is no proven infection or other obvious local pathology that may account for the pain. It is often associated with negative cognitive, behavioural, sexual and emotional consequences as well as with symptoms suggestive of lower urinary tract, sexual, bowel or gynaecological dysfunction”(1, p2). Here we use the term Persistent rather than Chronic Pelvic Pain.
There are as many causes of pelvic pain as there are individuals suffering from it. Myofascial pain can be a cause of pelvic and abdominal pain (2-4), and the challenge is that there is an array of different factors that can trigger the development and persistence of myofascial pain. The treatment of myofascial pain thus must address the underlying causes, if there is to be lasting effect.
Endometriosis & pelvic pain
Endometriosis affects about 6-10% of women (5). These women often suffer from pelvic pain and sensitization (6), and this can be very challenging and difficult to treat. The approach to treating pelvic pain possibly associated with endometriosis is to look at all the various factors that could impact it. There is no cure for endometriosis at present, but there are tools for treating the symptoms, and there is much you can do to manage these. A key is to understand exacerbating factors, to explore the different pieces of the puzzle that make up your specific pain situation.
1. Chaitow L, Lovegrove Jones R. Chronic pelvic pain and dysfunction. Practical physical medicine. London: Elsevier; 2012.
2. Jarrell J. Myofascial dysfunction in the pelvis. Current pain and headache reports. 2004;8(6):452-6.
3. Jones R. The contribution of pelvic floor muscles to pelvic pain. In: Fernandèz-de-las-Penas C, Cleland J, Dommerholt J, editors. Manual therapy for musculoskeletal pain syndromes. UK: Elsevier; 2016. p. 226-35.
4. Srinivasan AK, Kaye JD, Moldwin R. Myofascial dysfunction associated with chronic pelvic floor pain: management strategies. Current pain and headache reports. 2007;11(5):359-64.
5. Giudice LC, Kao LC. Endometriosis. Lancet. 2004;364(9447): 1789-99.
6. Stratton P, Khachikyan I, Sinaii N, Ortiz R, Shah J. Association of chronic pelvic pain and endometriosis with signs of sensitization and myofascial pain. Obstetrics and gynecology. 2015;125(3):719.
Please note that the assessment/treatment time also includes documentation time
Please visit your gynaecologist before booking physio treatment, to ensure there is nothing medical that first needs attention.