{"id":2396,"date":"2022-05-07T10:29:30","date_gmt":"2022-05-07T14:29:30","guid":{"rendered":"https:\/\/physioex.impulsionmedia.com\/?post_type=condition&#038;p=2396"},"modified":"2026-03-05T15:23:33","modified_gmt":"2026-03-05T20:23:33","slug":"pelvic-problems","status":"publish","type":"condition","link":"https:\/\/physioextra.ca\/en\/condition\/pelvic-problems\/","title":{"rendered":"Pelvic Pain and Problems"},"content":{"rendered":"<h2>How does pelvic pain present?<\/h2>\n<p>Pelvic pain includes all discomfort felt in the pelvic region, lower abdomen, and pelvic floor. It can present as:<\/p>\n<ul>\n<li><a href=\"https:\/\/physioextra.ca\/en\/health-tips\/pain-sexual-intercourse\/\">Pain during sexual intercourse<\/a><\/li>\n<li>A feeling of heaviness or vaginal pressure<\/li>\n<li>Severe menstrual cramps<\/li>\n<li>Muscle tension in the pelvic region<\/li>\n<li>Pain during the bladder filling phase<\/li>\n<li>Difficulty and pain during bowel movements<\/li>\n<\/ul>\n<p>These symptoms may be temporary or chronic and can affect different age groups.<\/p>\n<h2>What are the possible causes of pelvic floor pain?<\/h2>\n<p>In general, pelvic pain and pelvic issues are caused by dysfunction (for example, weakness or excessive tension) of the pelvic floor muscles, a group of muscles located at the base of the pelvis between the pubic bone and the coccyx. Other factors may also be involved, such as ligament injury, a difficult delivery, certain lifestyle habits, or associated medical conditions.<\/p>\n<div class=\"accordeons\">\n<div class=\"su-accordion su-u-trim\"><div class=\"su-spoiler su-spoiler-style-default su-spoiler-icon-plus su-spoiler-closed\" data-scroll-offset=\"0\" data-anchor-in-url=\"no\"><h3 class=\"su-spoiler-title\" tabindex=\"0\" role=\"button\"><span class=\"su-spoiler-icon\"><\/span>Pelvic organ prolapse<\/h3><div class=\"su-spoiler-content su-u-clearfix su-u-trim\"> Pelvic organ prolapse often creates a feeling of pressure or heaviness in the vaginal area. It may be accompanied by urinary issues, including incontinence. Depending on the severity, a bulge, sometimes appearing like a small ball, may be seen at the vaginal opening. However, these symptoms can take several years to develop and, in some cases, may never appear. The main cause of pelvic organ prolapse is damage to the structures that support the pelvic organs (ligaments and the myofascial system), along with weakening of the pelvic floor muscles. <\/div><\/div> <div class=\"su-spoiler su-spoiler-style-default su-spoiler-icon-plus su-spoiler-closed\" data-scroll-offset=\"0\" data-anchor-in-url=\"no\"><h3 class=\"su-spoiler-title\" tabindex=\"0\" role=\"button\"><span class=\"su-spoiler-icon\"><\/span>Overactive bladder<\/h3><div class=\"su-spoiler-content su-u-clearfix su-u-trim\"> Overactive bladder is characterized by urgent, hard-to-control urges to urinate, even when the bladder is not full. These strong urges can also lead to urinary leakage. Possible causes include lifestyle habits that irritate the bladder (such as consuming caffeine, carbonated drinks, energy drinks, alcohol, and tobacco), urinary tract infection, and hypertonicity (excessive tension) of the pelvic floor muscles. Drinking too little water can also contribute to overactive bladder. Other medical conditions, such as bladder pain syndrome or interstitial cystitis, can also cause pelvic pain. <\/div><\/div> <div class=\"su-spoiler su-spoiler-style-default su-spoiler-icon-plus su-spoiler-closed\" data-scroll-offset=\"0\" data-anchor-in-url=\"no\"><h3 class=\"su-spoiler-title\" tabindex=\"0\" role=\"button\"><span class=\"su-spoiler-icon\"><\/span>Pregnancy and childbirth<\/h3><div class=\"su-spoiler-content su-u-clearfix su-u-trim\"> Pregnancy and childbirth can lead to discomfort or pain in the pelvic region. Natural postural and hormonal changes during pregnancy can cause <a href=\"https:\/\/physioextra.ca\/en\/health-tips\/pregnancy-back-pain\/\">lower back pain<\/a>, pain in the lower abdomen, at the pubic symphysis (the joint between the left and right sides of the pubic bone), or at the sacroiliac joint (at the back of the pelvis). Changes in position, such as standing up, sitting down, or turning over in bed, can be difficult and painful. After childbirth, vulvar or vaginal pain may make sitting uncomfortable. This pain is often increased with bowel movements and sexual intercourse. It occurs more frequently after a delivery with tearing or an episiotomy, when the pushing phase is longer, or due to the baby\u2019s size. A scar following a pelvic floor tear, an episiotomy, or a cesarean section can also be painful if it is stiff and does not move well because tissues have adhered. <\/div><\/div> <div class=\"su-spoiler su-spoiler-style-default su-spoiler-icon-plus su-spoiler-closed\" data-scroll-offset=\"0\" data-anchor-in-url=\"no\"><h3 class=\"su-spoiler-title\" tabindex=\"0\" role=\"button\"><span class=\"su-spoiler-icon\"><\/span>Pain during sexual intercourse<\/h3><div class=\"su-spoiler-content su-u-clearfix su-u-trim\"> Several causes may explain <a href=\"https:\/\/physioextra.ca\/en\/health-tips\/pain-sexual-intercourse\/\">pain related to sexual intercourse<\/a>: hypersensitivity of nerve cells, hypertonicity of the pelvic floor muscles (too tense), scar tissue adhesions, an associated medical condition such as fibromyalgia, etc. The pain often feels like burning or a \u201crazor-blade\u201d sensation and may occur at penetration, during, and after intercourse. Several diagnoses are associated with this type of pain:<\/p>\n<ul>\n<li><strong>Dyspareunia<\/strong>: the medical term for pain during sexual intercourse<\/li>\n<li><strong>Vestibulodynia<\/strong>: pain at the entrance of the vagina (the vestibule)<\/li>\n<li><strong>Vulvodynia<\/strong>: pain in the vulvar region<\/li>\n<li><strong>Vaginismus<\/strong>: involuntary contraction of the pelvic floor muscles, making penetration difficult or impossible<\/li>\n<li><strong>Pudendal neuralgia<\/strong>: pain along the path of the pudendal nerve, possibly accompanied by numbness or tingling<\/li>\n<\/ul>\n<\/div><\/div> <div class=\"su-spoiler su-spoiler-style-default su-spoiler-icon-plus su-spoiler-closed\" data-scroll-offset=\"0\" data-anchor-in-url=\"no\"><h3 class=\"su-spoiler-title\" tabindex=\"0\" role=\"button\"><span class=\"su-spoiler-icon\"><\/span>Severe menstrual cramps<\/h3><div class=\"su-spoiler-content su-u-clearfix su-u-trim\"> Certain medical conditions, including endometriosis, can cause pelvic pain, pain during sexual intercourse, pain during urination, and pain during bowel movements. Endometriosis affects about 10% of women and is characterized by significant, sometimes debilitating, menstrual pain. Medical management is necessary, but pelvic floor rehabilitation can also help reduce these symptoms. <\/div><\/div> <\/div>\n<\/div>\n<p><a class=\"btn-calendrier-contenu condition\" href=\"https:\/\/reservation.physioextra.ca\/en\/\" target=\"_blank\" rel=\"noopener\"><span class=\"nul\">Book an appointment<\/span><\/a><\/p>\n","protected":false},"featured_media":10402,"template":"","class_list":["post-2396","condition","type-condition","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Pelvic Pain: Causes, Symptoms &amp; Treatments | PhysioExtra<\/title>\n<meta name=\"description\" content=\"Pelvic issues, such as organ prolapse, an overactive bladder, or pain can affect your quality of life. 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