Pelvic Floor Therapy and its Role in Managing Chronic Pain

By Dr. Christine Martirez PT, DPT on 1/31/2024

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Chronic pain, whether localized or pervasive, can significantly impact an individual's quality of life. For those experiencing chronic pain related to pelvic floor issues, the transformative potential of pelvic floor physical therapy is gaining recognition. In this blog post, we'll explore how pelvic floor physical therapy can be a beacon of hope for those seeking relief from chronic pain.

Understanding Chronic Pain

Chronic pain is characterized by persistent discomfort that lasts for an extended period, often beyond the typical time frame for healing. Pelvic floor-related chronic pain may manifest as pelvic pain, lower back pain, pain during intercourse, or pain associated with conditions like endometriosis, interstitial cystitis, pelvic floor dysfunction, and many other symptoms.

The Role of Pelvic Floor Physical Therapy

Pelvic floor physical therapy is a specialized form of rehabilitation designed to address the muscles, ligaments, and connective tissues in the pelvic region. Here's how it can benefit individuals suffering from chronic pain:

  • Comprehensive Assessment:

    Pelvic floor physical therapists conduct thorough assessments to identify the root causes of chronic pain. This includes evaluating muscle tone, strength, flexibility, and coordination in the pelvic floor and surrounding areas.

  • Individualized Treatment Plans:

    Based on the assessment, therapists develop personalized treatment plans tailored to the specific needs of the individual. These plans may include a combination of exercises, manual therapy, and other therapeutic modalities.

  • Muscle Relaxation Techniques:

    Pelvic floor physical therapy incorporates techniques to relax tense muscles in the pelvic floor. This is particularly beneficial for individuals experiencing chronic pain related to muscle tightness or spasm.

  • Strengthening Weak Muscles:

    For individuals with weakened pelvic floor and surrounding muscles contributing to chronic pain, therapists design exercises to strengthen and improve muscle function. Building strength in these muscles can contribute to long-term pain relief.

  • Biofeedback:

    Biofeedback is a valuable tool used in pelvic floor physical therapy. It provides information about muscle activity, allowing individuals to gain awareness and control over their pelvic floor muscles. This can be instrumental in managing chronic pain.

  • Manual Therapy:

    Hands-on techniques, including soft tissue mobilization and manipulation, are employed to release tension, reduce trigger points, and improve overall tissue mobility. Manual therapy can significantly alleviate pain and improve physical function.

  • Posture and Alignment Correction:

    Therapists address postural imbalances that may contribute to chronic pain. Guidance on proper body mechanics and ergonomic adjustments can help individuals maintain optimal alignment.

  • Education and Empowerment:

    Understanding the connection between pelvic floor health and chronic pain is essential for effective management. Pelvic floor physical therapists provide education on anatomy, contributing factors to pain, and strategies for long-term relief, empowering individuals to take an active role in their healing process.

Chronic Conditions Treated with Pelvic Floor Physical Therapy

Pelvic floor physical therapy can benefit individuals with various conditions leading to chronic pain, including:

  • Pelvic floor dysfunction

  • Fibromyalgia

  • Endometriosis

  • Interstitial cystitis

  • Vulvodynia

  • Dyspareunia (painful intercourse)

  • Chronic prostatitis

  • Lower back pain related to pelvic issues

Seeking Professional Guidance

If you're experiencing chronic pain related to the pelvic floor, consulting with a pelvic floor physical therapist is a proactive step towards finding relief. We are healthcare professionals trained to address the unique challenges associated with pelvic health and can provide targeted, evidence-based interventions.


Chronic pain can be a big detriment in one's quality of life, but pelvic floor physical therapy offers a pathway to relief and recovery. By addressing the underlying issues contributing to pain, individuals can regain control over their lives and rediscover a sense of well-being. If you’re experiencing chronic pain and pelvic floor dysfunctions, please reach out to us at Pelvic Health Center in Madison, NJ to set up an evaluation and treatment! Feel free to call us at 908-443-9880 or email us at

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