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Pelvic PT for
Pelvic Pain Conditions 

Pelvic pain can be one of the most isolating health challenges—often invisible to others yet profoundly impacting every aspect of your daily life. Whether you're experiencing sharp, stabbing sensations, dull aches, or persistent discomfort, pelvic pain is not something you should have to endure or "learn to live with."

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We understand that pelvic pain is complex, often involving multiple body systems and influenced by various factors. Our approach goes beyond simply treating symptoms—we investigate the root causes of your pain and develop comprehensive strategies to help you find lasting relief and return to the activities that bring you joy.

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General Pelvic Pain:

  • Pain, discomfort, or bloating in your lower abdomen, pelvis, or genital area

  • Pain that worsens with sitting or certain positions

  • Discomfort that fluctuates with your menstrual cycle

  • Pain that has persisted despite other treatments

  • Referred pain into your lower back, hips, or thighs

  • Muscle tension or spasms in your pelvic region

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Sexual Health Concerns:

  • Pain during or after intercourse (dyspareunia)

  • Burning, stinging, or raw sensations with intimate contact

  • Tightness or tension that makes penetration difficult or impossible

  • Persistent discomfort that affects your desire for intimacy

  • Anxiety about pain that interferes with sexual connection

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Specific Conditions:

  • Endometriosis-related pelvic pain

  • Vulvodynia or vestibulodynia (pain in the vulvar or vestibule area)

  • Interstitial cystitis/painful bladder syndrome

  • Pudendal neuralgia (nerve pain in the pudendal nerve)

  • Coccydynia (tailbone pain)

  • Post-surgical pain following pelvic procedures

  • Pain related to pelvic organ prolapse

  • Persistent pain after childbirth or trauma

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Pelvic pain often exists at the intersection of multiple systems—musculoskeletal, nervous, and sometimes gynecological or urological. Our integrated approach addresses all potential contributing factors.

Pelvic Pain Frequently Asked Questions

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How do I know if physical therapy is right for my pelvic pain?

Pelvic floor physical therapy can help with most types of pelvic pain, even when other treatments have failed. Our comprehensive evaluation helps determine if your pain has a musculoskeletal component that can benefit from our approach. Many patients find relief through PT even after years of unsuccessful medical treatments.

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I've been told my pain is "in my head" or "normal." Can PT still help?

Absolutely. Unfortunately, pelvic pain is often dismissed or normalized, especially for women. We validate your experience and understand that your pain is real, regardless of what you've been told. Our approach acknowledges both the physical and emotional aspects of chronic pain while providing concrete strategies for relief.

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Will treatment for pelvic pain involve internal examination?

While internal assessment can provide valuable information about pelvic floor tension and trigger points, we always prioritize your comfort. We can begin with external approaches and education, and only proceed with internal techniques when you feel ready and give explicit consent. Many effective treatment strategies can be implemented without internal examination.

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How long does it typically take to see improvement with pelvic pain?

Many patients report some degree of relief within 3-6 sessions. For longstanding pain conditions, a full course of treatment typically ranges from 8-12 sessions, though this varies based on individual factors. We focus on giving you tools to manage symptoms from the very first visit, even as we work toward resolving the underlying causes.

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Can pelvic floor PT help with pain from conditions like endometriosis or interstitial cystitis?

Yes. While PT doesn't treat the disease process itself, it can significantly reduce the pain and dysfunction associated with these conditions. Many gynecological and urological conditions create secondary pelvic floor dysfunction that responds well to physical therapy, even when the primary condition requires medical management.

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Is it normal to have flare-ups during treatment for pelvic pain?

Some patients experience temporary symptom fluctuations during the treatment process. This is often part of the healing journey as tissues that have been guarding or compensating begin to change. We work carefully to minimize flare-ups and provide strategies to manage them if they occur, always progressing at a pace that works for your body.

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