Pelvic Pain Relief | Expert Pelvic Floor Physiotherapy Solutions

Beautiful young black girl suffering from severe period cramps Sad, stressed African Ameri

Pelvic Pain.
Pain does not always equal tissue damage.

Pain is produced by the nervous system, not just by injured tissues, and in persistent pelvic pain the system can become overly sensitive. Past pain experiences, stress, trauma, and fear can amplify symptoms, even when scans or tests appear normal.

This does not mean “nothing is wrong” — it means the nervous system is playing a key role.

Understanding this helps reduce fear, improve confidence, and is often the first step toward easing pain and restoring function.

Common Symptoms of Pelvic Pain

Lower Abdominal & Pelvic Pain

Abdominal cramping before or during your period
Pain similar to period pain but more intense and persistent
Pain that is not eased with heat pack, TENS, or fetal position
Cramping around your low back and down into your hips and bottom
Pain similar to an endometriosis flare up

Pelvic Floor Muscle Dysfunction

Involuntary muscle contraction of your pelvic floor
Intermittent spasm of your pelvic floor muscle when inserting tampon
Hard to relax your pelvic floor muscle
Unable to maintain a pelvic floor muscle contraction

Bladder/Bowel Pain

Pain when peeing
Increased pain or awareness with a full bladder or bowel
Pain when doing a poo
Constant awareness of the bladder/abdominal area even after peeing or doing a poo

Period/Menstural Pain

Increased perineal (/pelvic area sensitivity
Awareness of pelvic tingling, stinging, pins and needles
Constant awareness of your pelvic area or abdominals.

Pubic Bone/Pelvic Girdle Pain

Acute pain at the meeting point of your pelvis (pubic bone) during pregnancy
Pain in the pubic bone which is exacerbated when standing on one leg (getting dressed)

This delay is often related to limited awareness of endometriosis and the wide range of symptoms, which can include pelvic pain, painful periods, pain with sex, bladder or bowel symptoms, and fatigue.

Pelvic floor physiotherapy plays an important role in endometriosis care, providing individualised treatment to help manage pelvic pain, reduce muscle tension, improve bladder, bowel and sexual function, and support overall quality of life. Pelvic health physiotherapists also work alongside medical providers to support the broader endometriosis care pathway (Signorile et al., 2022).

The trouble with Endometriosis.

Endometriosis is a common yet frequently underdiagnosed cause of chronic pelvic pain, with many people experiencing delays of 8 to 12 years between the onset of endometriosis symptoms and receiving a confirmed diagnosis.