Pelvic pain can be puzzling. One day it’s a dull ache, the next it’s a sharp pain that comes and goes in waves, or maybe it’s just a lingering discomfort you can’t quite pinpoint. So, how do you know if it is just a passing feeling that “all women get” or something worth getting help for?
The truth is, if pelvic pain is affecting your daily life, even in small ways, it’s worth looking into. Pelvic physiotherapy can help you understand what’s happening, ease pain, and find ways to move more comfortably.
What is pelvic pain?
Pelvic pain can feel different for everyone. It might be a deep ache in your lower abdomen, a sharp pain in your pelvic area, pressure in your tailbone or buttocks, or a burning, throbbing sensation that lingers. It can come and go, flare up with certain movements, or be there most of the time.
No matter how it feels, if it’s bothering you or getting in the way of life, that’s reason enough to seek support.
Why does pelvic pain in women happen?
Pelvic pain can have a few different causes, and often, it’s not just one thing. Sometimes, it’s a combination of factors that build up over time. Here are some of the most common ones:
- Period pain: Cramping or discomfort during your cycle.
- Endometriosis: When tissue similar to the lining of the uterus grows outside the uterus, causing deep, sharp or aching pain.
- Pelvic pain during pregnancy: Changes in posture, increased pressure, hormonal changes, and stress on the pelvic floor can lead to discomfort.
- Chronic pelvic pain: If pain has been present for six months or more, it’s considered chronic and indicates a need for treatment.
- Irritable bowel syndrome (IBS): Bloating and digestive issues can sometimes cause pelvic discomfort.
- Painful intercourse: Pain with intimacy is common but not normal, and it’s a sign your pelvic floor might need some care. We cover more on this in our blog here.
- Pudendal neuralgia: Nerve-related pain in the pelvis, which can feel like burning, tingling, or pressure.
How do I know if I need treatment for pelvic pain?
If you’re asking yourself whether your pelvic pain is “bad enough” to see someone about it, the answer is probably yes. Pain, especially ongoing pain, is your body’s way of telling you something needs attention.
That doesn’t mean something is wrong with you, and it doesn’t mean you need to “fix” yourself. But it does mean, should you choose, support is available to manage your pain.
Here are a few signs it’s time to check in with a professional:
- Your pain has lasted longer than expected
- It’s getting in the way of daily life—whether that’s walking, sitting, intimacy, work, or exercise
- You’ve noticed changes in your bladder or bowel habits, especially if pain or bleeding is present
- The area around your pelvis feels different—whether that’s a change in sensation, pressure, or appearance
How can pelvic pain physiotherapy help?
Physiotherapy for pelvic pain isn’t just about exercises (though those can help!). A women’s health physio can help you understand what’s going on, figure out what works for your body, and create a plan that feels right for you.
At North West Healthy Women, we take a gentle, whole-body approach to pelvic pain. Depending on what’s causing your discomfort, physiotherapy might involve:
- Pelvic floor support: If your pelvic floor muscles are tight, overactive, or need strengthening, we’ll guide you through techniques to help.
- Nervous system calming: Sometimes, pain lingers because the nervous system is on high alert. We use gentle exercises and hands-on techniques to help desensitise the area.
- Full-body movement: The way you stand, sit, and move can impact pelvic pain. We look at the bigger picture to help you feel more comfortable in your body.
There’s no one-size-fits-all approach, and we’ll work with you to manage your symptoms at your pace, on your terms.
Managing pelvic pain at home
While seeing a physio can give you personalised guidance, there are a few things you can try at home to bring relief:
- Find pain-relieving positions: If certain postures feel good (like lying on your side with a pillow between your knees), use them.
- Try gentle movement: Slow, mindful stretching can help ease tension.
- Practice breathwork: Deep belly breathing can relax tight muscles and calm the nervous system.
- Listen to your body: Avoid movements that aggravate pain and focus on what feels supportive.
If pain isn’t easing, or if you’re feeling unsure, ask us during your appointment and we’ll find what works for you.
Pelvic pain physio support with North West Healthy Women
With the right support, small changes can make a big difference.
Contact our clinic or book online to schedule an initial consultation with our team of compassionate women’s health physios today.
