Pelvic floor patient receiving treatment for pelvic pain / pelvic spasm at Pelvic Health Physical Therapy in Madison, NJ.

Pelvic Pain / Pelvic Spasm

Pelvic pain is pain felt in the lower abdomen, pelvis, sacrum, hips or perineum. It has many possible causes and affects up to 20% of the population in the United States, including women and men. Pelvic Floor physical therapists help people experiencing pelvic pain restore strength and flexibility to the muscles and joints in the pelvic region, and reduce their pain through internal pelvic floor intervention.

Signs and symptoms can include:


• Inability to sit for normal periods of time.
• Reduced ability to move your hips or low back.
• Difficulty walking, sleeping, or performing daily activities.
• Pain, pressure or numbness in the pelvic region with exercise or recreational activities.
• Pain during sexual activity.
• Urinary frequency, urgency, or incontinence, or pain during urination.
• Constipation or straining with bowel movements, or pain during bowel movements.
• Difficulty using tampons

How can a Physical Therapist help?


Based on the evaluation results, your pelvic floor physical therapist will individualize treatment to strengthen your pelvic floor muscles and to improve their function. You will also gain control over your symptoms and reduce your dysfunctions. Your physical therapist will discuss diet and nutrition, change in behavior, postural training, and develop a plan to return you to your previous level of function.

What to Expect During Your First Evaluation:


Your physical therapist will complete a thorough review of your medical history, and perform a physical examination to identify the causes of your pelvic pain and any joint issues, muscle tightness or weakness, or nerve involvement.

The exam may include:


Pelvic girdle screening, soft tissue assessment, visual inspection of the tissues, reflex testing, sensation testing, and / or internal assessment of pelvic floor muscles. Your physical therapist also will determine whether you should be referred to a physician to assist in your interdisciplinary plan of care.

What's The Next Step?


At Pelvic Health Physical Therapy, our certified physical therapists will provide you with a thorough evaluation to determine what the best treatment plan will be for you. We understand how inhibiting pain and stiffness can be, and we want to help get you back to comfortably living your life. We'll help lift all of your physical stresses away!


Please email receptionmadison@pelvichealthnj.com to book an appointment, or call our office at 908-443-9880.