Pelvic Pain
Pelvic pain is a complex issue that can present in a variety of ways. While some individuals might struggle with discomfort while sitting or muscle pain that radiates, others may experience chronic bladder pain or a frequent need to urinate. At the
Center for Regenerative Sports & Spine Care, Dr. Mairin Jerome and our team take the time to understand what each patient is going through so we can develop personalized treatment plans to help them obtain relief. Conditions that cause pelvic
pain include:
- Interstitial cystitis: Interstitial cystitis is a chronic bladder condition marked by pelvic pressure, urinary urgency, and frequent urination that persists without an active infection. Many patients experience cycles of flare-ups
that can interfere with sleep, daily routines, and tolerance for sitting or travel.
- Pelvic myofascial pain: Rather than originating from the bladder or reproductive organs, pelvic myofascial pain comes from chronically tightened muscles within the pelvic floor. The discomfort is often difficult to localize
and may shift between the pelvis, hips, lower abdomen, and lower back.
- Obturator internus pain: Deep rotational movement of the hip depends heavily on the obturator internus muscle. Irritation in this structure may create buttock or pelvic pain that is frequently mistaken for hip joint problems
or sciatic nerve irritation.
- Pelvic myofascial pain syndrome: Pelvic myofascial pain syndrome stems from a pelvic floor that has lost its ability to fully settle back into a resting state. Over time, that constant muscular bracing can turn routine activities
like sitting, bowel movements, intimacy, or even simple positional changes into ongoing sources of pelvic discomfort.
- Pudendal neuralgia/pudendal nerve pain: Pudendal neuralgia develops when the pudendal nerve becomes compressed, irritated, or overly sensitive along its pathway through the pelvis. Burning pain, numbness, or heightened sensitivity
often increase with sitting and may improve somewhat when standing or lying down.
- SI joint pain: The sacroiliac joints act as load-transfer points between the spine and pelvis during standing, walking, and directional movement. Dysfunction in this
area commonly produces pain near the lower back or buttocks that worsens during transitional movements such as climbing stairs or rising from a chair.
- Urinary frequency due to lumbosacral nerve irritation: Communication between the bladder and nervous system relies on nerve signals traveling through the lower spine and sacral region. Irritation affecting these pathways may
disrupt normal bladder signaling and contribute to urgency, increased frequency, or abnormal bladder sensation.
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