Ealing Physio

Pelvic pain (including vaginismus, dyspareunia, pudendal neuralgia)

Pelvic pain (including vaginismus, dyspareunia, pudendal neuralgia)

Pelvic Pain is a complex condition that involves persistent or recurring pain in the pelvic region and may be associated with conditions such as vaginismus, dyspareunia (pain during sexual intercourse), and pudendal neuralgia. It can affect both women and men and may result from pelvic floor muscle dysfunction, nerve irritation, childbirth, surgery, trauma, infection, or chronic musculoskeletal conditions. Symptoms may include aching, burning, sharp pain, muscle tightness, discomfort while sitting, pain during sexual activity, or difficulty with bladder and bowel function. Chronic pelvic pain can have a significant impact on daily activities, relationships, emotional wellbeing, and overall quality of life. Early assessment is essential to identify the underlying cause and develop an appropriate treatment plan.

Physiotherapy plays a key role in managing pelvic pain by improving pelvic floor muscle function, reducing muscle tension, relieving nerve irritation, restoring flexibility, and improving posture and movement patterns. Treatment may include manual therapy, pelvic floor muscle rehabilitation, relaxation techniques, breathing exercises, nerve mobilisation, and education on pain management and lifestyle modifications. A personalised rehabilitation programme helps reduce pain, restore normal pelvic function, improve confidence, and enable patients to return comfortably to their daily activities and improve their overall quality of life.

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