Chronic pelvic pain (CPP) is a condition lasting longer than 6 months whereby the patient experiences recurrent or persistent episodes of pain experienced in the pelvic region, abdomen, pelvic floor or pelvic organs.  Often CPP is diagnosed in the absence of other pathology.

 

Chronic pelvic pain is different for every person, the pain may come and go and can be aggravated by activities of daily living, penetrative intercourse, bladder or bowel motions and menstruation.  

 

Common CPP conditions that we see include:

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Endometriosis         

Coccydynia

Vulvodynia

Vestibulodynia

Vaginismus

Dyspareunia

Bladder Pain Syndrome

Interstitial Cystitis

Anorectal Pain

Pudendal Neuralgia

Proctalgia Fugax

Pelvic Girdle Pain

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As Physio’s trained in Women’s Health, we see a lot of pelvic pain. CPP can be complex to treat so it is important to cover all aspects of the patients journey, including medical, biomechanical and psychosocial factors. 

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Physiotherapy treatment may consist of the following:

• Mindfulness and breathing

• Pelvic floor muscle down training and desensitisation

• Graduated pelvic floor release and manual therapy

• Graduated dilator therapy

• Musculoskeletal assessment and treatment of the lumbar spine, pelvis and thorax

• Defecation dynamics to improve bowel and bladder function

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In many cases we will work  alongside other health practitioners to assist us in the management of CPP due to its complex nature. Pelvic physiotherapy can be highly effective in treating and managing these conditions so get in contact with one of our physiotherapists if this sounds like something you are experiencing.

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