Possible Causes of Pelvic Floor Pain

Each year, pelvic floor dysfunction affects 300,000 to 400,000 American women so severely that they require surgery. Approximately 30% of the operations performed are re-operations. The high prevalence of this problem indicates the need for preventive strategies… -Delancy 2005pelvic floor pain causes

Pictures of Pelvic Pain Causes – from WebMD.com

So why is it so hard to diagnose pelvic floor pain?

According to Dr. Jerome Weiss, the detection difficulty arises because of the unique interface of the silent pelvic floor muscles with visceral structures (urethra, vagina and rectum) that penetrate them. Therefore, when the pelvic floor muscles become hypertonic, or develop spasm, pain or some other dysfunction is a result.

The patient then goes to seek help, and since the symptoms sound like a bladder infection/prostatitis (even though tests are negative), patients are treated with multiple courses of antibiotics, urethral dilations in women and occasionally surgery (TUR prostate in men). When there is no response, they go to the next physician or are sent for psychotherapy. 

Since the vaginal pain and dysparunia sounds like a yeast infection, endometriosis or vulvar vestibulitis, they are treated with many courses of antifungal agents (sensitized to topicals), dietary changes, vestibular or laparoscopic surgery. Read the full article here.

Do you suffer any sort of low back or pelvic pain?

  1. Are you currently pregnant?checklist--pelvic-pain
  2. Have you ever had a baby or been pregnant?
  3. Are you peri-menopausal or menopausal?
  4. Have you ever undergone gynaecological surgery including C-section, hysterectomy, episiotomy, etc…?
  5. Do you frequently lift heavy weights, do CrossFit or other strenuous exercising?
  6. Do you have a history of lower back pain?
  7. Have you ever had an injury to your pelvic region i.e. Tailbone, car accident, fall etc
  8. Are you overweight?
  9. Are you an elite athlete?
  10. Do you leak urine when you exercise, laugh, cough or sneeze?
  11. Do you often need to go to the toilet in a hurry or not make there in time?
  12. Do you find it difficult to empty your bowel or bladder?
  13. Do you accidently pass wind, daily?
  14. Do you suffer pelvic pain or pain during sex, occasionally or continually?

If you answered Yes to questions 11 to 15 it is recommended that you consult a specialist such as a Pelvic Floor Physiotherapist. An untreated dysfunctional pelvic floor can lead to many problems such as the ones listed below.

** There are pages devoted to each cause, just click on the link

Connective Floor Disorder


Diastasis Recti


Hypertonic (High Tone) Pelvic Floor Muscle Dysfunction

Interstitial Cystitis

Levator Ani Syndrome

Lichens Sclerosis

Paradoxical Puborectalis Syndrome

Pelvic Congestion

Pelvic Floor Disorder (Dysfunction)

Pelvic Inflammatory Disorder

Pelvic Organ Prolapse

Perineum Pain (Perineal Pain) 


Vulvar Vestibulitis



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