Chronic pelvic pain is a condition that affects people of all ages, genders, and backgrounds. It is characterized by pain below the belly button and above the legs, which may also radiate into the lower back, buttocks, or thighs. This pain can vary in intensity, duration, and nature, and it persists for more than six months, even in the absence of tissue damage or after the tissues have healed.
The symptoms of chronic pelvic pain can vary depending on the systems and structures involved. In women, common symptoms may include pain while sitting, around the anus or vulva, during or after sex, involuntary pelvic floor spasms, painful urination, abdominal and groin pain, constipation, and pain in the pelvic girdle, sacroiliac region, coccyx, and pubic symphysis. Men with chronic pelvic pain may experience similar symptoms, such as pain while sitting, involuntary pelvic floor spasms, painful urination, abdominal and groin pain, constipation, and pain in the pelvic girdle, sacroiliac region, coccyx, and pubic symphysis. Additionally, headaches, migraines, and TMJ pain can also be common complaints associated with pelvic pain.
There are various potential causes or contributing factors of chronic pelvic pain, such as overactive or non-relaxing pelvic floor muscles, nerve irritation or compression in the pelvic region (e.g., pudendal neuralgia), infections of the prostate, bladder, or chronic thrush, conditions like endometriosis, adenomyosis, or PCOS, pelvic inflammatory disease, injury or trauma to the area, surgeries affecting the pelvic floor and surrounding nerves and fascia, constipation, pregnancy and childbirth, gastrointestinal conditions (e.g., Crohn's disease, SIBO, irritable bowel syndrome, ulcerative colitis), emotional factors (mood, past or current abuse), lifestyle considerations (e.g., high stress), among others.
Osteopathy can offer assistance in managing chronic pelvic pain. A comprehensive case history is taken to understand the individual's unique situation and potential contributing factors. Whole body assessment and treatment are conducted to identify and address whole-body strain patterns impacting alignment and biomechanics. Internal assessment of the pelvic floor can be beneficial in diagnosing and treating pelvic pain, and osteopaths may use manual therapy techniques to release tension in the pelvic floor.
Management of chronic pelvic pain includes education on relaxed diaphragmatic breathing to reduce muscle tension and stress, promoting good toilet habits and mindfulness during bathroom visits, restorative yoga to calm the central nervous system, gentle movement practices, such as Yin Yoga, to improve flexibility and trust in the body, advice on sleep patterns and behaviors, nutritional guidance to reduce inflammation, and mindful chewing to aid digestion and promote gut health.
Given the complex nature of chronic pelvic pain, a multidisciplinary approach involving various health and wellness practitioners may be necessary. Referrals to naturopaths, acupuncturists, GPs, and pain psychologists can be a part of a holistic management plan for pelvic pain.
Commentaires