Returning You to a Healthy, Active Lifestyle


Savannah's Premier

Women's Health & Pelvic Rehab Physical Therapy Clinic

  Female Pelvic Pain

  • It is estimated that 20% of women experience pelvic pain at some point in their lives. Numerous studies have shown that the musculoskeletal system is often a primary or secondary cause of pelvic pain in women; therefore, physical therapy plays a major role in the diagnosis and treatment of female pelvic pain.

Common Symptoms of pelvic pain often include one or a combination of the following:

  • provoked or unprovoked yspareunia pain following sex
  • interlabial, vulvar or genital itching or burning
  • painful urination, urinary hesitancy, urgency, and/or frequency
  • abdominal and groin pain
  • sacroiliac joint pain/instability
  • constipation
  • painful periods
  • difficulty wearing jeans, pants, or underwear
  • pain with sitting
  • difficulty exercising

Associated Diagnoses

  • Interstitial Cystitis/Painful Bladder Syndrome
  • Vulvodynia/Vestibulitis
  • Clitorodynia
  • Persistent Genital Arousal Disorder (PGAD)
  • EndometriosisI
  • rritable Bowel Syndrome
  • Tailbone pain/coccydynia
  • Proctalgia Fugax
  • Pelvic Girdle Pain
  • Sacroiliac Joint Dysfunction

Evaluation and Treatment

  • During a  patient’s first appointment a physical therapist will take an extensive medical history.
  • Following the history, the physical therapist will perform a thorough external and internal musculoskeletal examination. You are always welcome to have another individual in the room during evaluation and/or treat

Your initial evaluation may include:

  • Postural and structural assessment
  • Evaluation of connective tissue in the abdomen, back, pelvis and lower extremities
  • Myofascial evaluation of the pelvic girdle muscles
  • Examination to identify myofascial trigger points in the pelvic girdle and pelvic floor muscles
  • Pelvic floor examination (vaginal and possibly rectal) to assess muscle tone, motor control, strength, nerve and coccyx tenderness  (At all times you are in control and the exam can be stopped)
  • Evaluation of muscle strength
  • Skin inspection
  • Biofeedback

Following the physical examination

  • Your physical therapist will discuss your physical findings, their assessment, and your prescribed treatment plan.  This will include the suggested frequency and duration of physical therapy.
  • Treatments are typically one-hour in length.
  • Prior to your first appointment and throughout the treatment process, you will have access to your PT to ask questions or discuss concerns.
  • It is our commitment that in every area of treatment, we will take that extra step (or leap!) to ensure that you receive the best treatment possible to meet your goals.