Chronic Pelvic Pain

Rehabilitation to reduce pain and control the tone in the pelvic floor muscles through specific exercises to restore normal balance and function.

Chronic Pelvic Pain

Physiotherapy for Chronic Pelvic Pain

Pelvic pain is often misunderstood; it is frequently associated with overactive pelvic floor and the presence of trigger points and tension. The pain can be diffuse throughout the pelvis or localized to one spot. The onset of pelvic pain can be secondary to any of the following:

Trauma to the pelvic floor during childbirth.

Chronic constipation.

Adhesions following surgery.

Disorders of overactivity of the pelvic floor muscles.

Direct trauma to the pelvic floor.

Injury to the sacrum or coccyx.

Unknown cause.


Disorders commonly treated at our clinic are:

Pelvic floor / perineal pain.

Urethral / vaginal / rectal pain.

Lower abdominal pain.




Interstitial cystitis.

Pudendal neuralgia.



The treatment

Treatment includes assessment of the pelvis, the perineum, the pelvic floor, the abdomen and often the muscles and fascia of the thighs. Techniques used are:

Trigger point therapy.

Connective tissue manipulation.

Dry Needling.

Manual therapy of the pelvis.

Postural rehabilitation.


Rehabilitation also involves learning how to reduce and control the tone in the pelvic floor through specific exercises. Ultimately the aim is to restore normal balance and function to the muscles and relieve pain.


More information

 Pelvic Organ Prolapse, a guide for women

Overactive Pelvic Floor Muscles.


Reference websites:

Our website



We treat both men and women for chronic pelvic pain. Please see our section on Men’s Health.