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Gain Some Insight into Pelvic Pain Physiotherapy

January 24, 2024
Gain Some Insight into Pelvic Pain Physiotherapy

Chronic pelvic pain is a common problem and presents a significant challenge to healthcare providers due to its complex nature, long history, and poor response to therapy. Pelvic pain is experienced in the pelvis, lower abdomen area, or perineum. Physiotherapy can treat and rehabilitate your body when it is suffering from chronic pelvic pain.

In this blog, let us give you an insight into pelvic girdle pain treatment with physiotherapy.

Causes of pelvic pain  

Here are some common causes of pelvic pain:

  • Pregnancy and childbirth, impact pelvic muscles and induce pelvic joint modifications
  • Muscle weakness or imbalance in the pelvic floor, trunk, or pelvis muscles
  • Modifications to the muscles that control the colon and bladder
  • Inflammation or direct irritation of nerves is caused by pressure, injury, or intraperitoneal inflammation
  • Cramps or contractions of both skeletal and smooth muscles
  • Ectopic pregnancy
  • Twisted or ruptured ovarian cyst
  • Pelvic inflammatory disease
  • Urinary tract infection
  • Ruptured fallopian tube
  • Appendicitis

Conditions that lead to chronic pelvic pain

  • Uterine fibroids
  • Menstrual cramps
  • Endometrial polyps
  • Scar tissue between internal organs in the pelvic cavity
  • Cancers of the reproductive tract
  • Menstrual cramps

Pelvic Pain Treatment

Physiotherapy for pelvic pain  

Pelvic pain physiotherapy is a type of therapy that can be used to treat the symptoms of pelvic floor dysfunction and aid the functioning of muscles. This involves a wide variety of exercises that will help you relax your muscles. The purpose of chronic pelvic pain treatment is to reduce the symptoms and help you return to your daily activities. This includes being able to better control your bladder or help you participate in sports and workouts. Physical therapy can also help women who are uncomfortable or in pain during sex. Some exercises may assist them in becoming more aware of their muscles and attaining relief from pelvic pain.

How is physiotherapy administered whilst treating pelvic pain?

Whilst offering physio for pelvic girdle pain, a physiotherapist will discuss your physical concerns and know your symptoms. They will assess your core muscles to determine their endurance, and have you try distinct positions to assess the coordination of your pelvic floor muscles. The exam helps your physiotherapist develop the optimal pelvic floor physical therapy plan for you.  

Pelvic Pain Physical Therapy

Techniques and exercises

Here are some common exercises performed whilst offering pelvic pain physio:

  1. Kegel

The Kegel exercise is likely the most well-known exercise for the treatment of pelvic floor dysfunction. It involves the pelvic floor muscles contracting isometrically.

  • Start the process by holding your pelvic floor muscles. Don’t forget to keep breathing.
  • Relax your muscles completely after holding for 5 seconds.
  • Repeat this process 10 times.
  1. Reverse kegel

The reverse kegel is a method for relaxing the muscles of the pelvic floor. Whilst offering physiotherapy for pelvic girdle pain, the patient is made to relax their pelvic floor muscles. When you urinate or have a bowel movement, you first drop your pelvic floor and release the pelvic floor muscles (PFM), which is comparable to the satisfaction you experience when you finally make it to the toilet.

  • Start by contracting the pelvic floor to feel what tightening muscles feel like.
  • Release the tension.
  • Gently move your tailbone towards the surface where you are lying.
  1. Transverse abdominis activation

It has been demonstrated that transversus abdominis (TrA) helps the pelvic floor muscles engage efficiently. Without training the pelvic floor musculature, TrA activation also results in increased pelvic floor muscular activity. It can begin in low-load body positions and can be challenged by adding leg or arm movements, such as walking.


Is pelvic pain affecting your quality of life? Consult a physiotherapist to help you with workouts that are best for you. Visit Southgate Physio, a leading pelvic pain clinic offering professional pelvic pain treatment.

If you want to know more, feel free to get in touch with us by calling 0208 3686767 or emailing us at

Physiotherapy Services We Offer

Our clinic offers a wide range of treatments that are all recommended and tailored to everyone who comes and visits us. Our range of treatments complements the body and mind, helping to keep you pain and injury-free, delivering preventative measures to maintain your well-being and enhance your performance levels.

Our main aim is to restore your personal well-being so you can enjoy an active, healthy, and pain-free life. Click on any of the services to find out a little more about each treatment and understand if it might be right for you.

Simply Contact Us or give one of our physiotherapists a call on 02083686767 or email us on to book a physiotherapy appointment.

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