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Chronic pelvic pain is pain occurring in the low abdomen, perineum or low back for at least 6 months; the pain is severe enough to affect daily functioning and relationships. Pelvic pain can be from problems in the reproductive organs, infection, inflammatory conditions, the urinary tract, the gastrointestinal system, the low back, spine and pelvic bones. Pain can also arise from nerves, ligaments and muscles in the low back and pelvis. Often, pain will initially be caused by one structure or condition, then the pain will increase due to further involvement of other tissues and structures because of the body and mind's reaction to pain. For example, a person may begin slumping over to relieve pain in the low abdomen; this posture disrupts the balance of muscle strength and tension around the spine and pelvis. The imbalance results in increased stresses placed on the body, resulting in more pain, either in the spine and hips or referred into the pelvis from these structures.

Physical therapy can help by restoring ideal muscle balance around the spine and pelvis and by use of modalities to reduce pain. Techniques that are used may include manual therapy techniques (sometimes internal), therapeutic exercise and postural counseling. Our Pilates classes taught by Sarah Hudelson, PT, are also a useful adjunct to improve muscle balance in the core (the pelvis and trunk).

Other unique types of pelvic pain, such as vulvodynia, interstitial cystitis, vulvar vestibulitis, vaginismus and pain with sexual intercourse, also respond very well to a physical therapy approach. We encourage a multi-disciplinary team approach to pelvic pain to address the many physical, emotional and sociological impacts of chronic pelvic pain.


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906 W. University Ave., Ste. 120; Flagstaff, AZ 86001 Phone: 928-556-9935 Fax: 928-774-4277