A Deep Look into Pelvic Pain and Osteopathy

Experiencing any pain below the level of umbilicus? Then it can be called pelvic pain on a broad aspect. Pelvic pain is a very common condition, that can be caused due to several reasons. It is more commonly presented in women, of reproductive age compared to men. It can be considered as a disease condition, or just a mere symptom depending on the manifestation and presentation.


Pelvic pain can be caused due to an injury or trauma. Repetitive strain is also a leading cause of pain to occur. The overexertion or overuse of the muscles of the pelvis and the lower limb may cause injury. Osteopathic treatment helps to manage the condition vividly through a sophisticated approach by understanding the cause of pain and determining treatment accordingly on an individual basis!!!

Pelvic Pain Symptoms

Pain is the major symptom, it can be steady, moderate, or severe, varying from dull aching pain to intermittent aches.

In addition to this, 

  • Tenderness of pubic bone.
  • Pain over groins
  • Pain on buttocks
  • Localized pain of pubic bone
  • Pain on the back of the leg
  • Pain on coughing, bearing weight, and in squatting position in toilets, during urinating or during bowel movement.
  • Prolonged standing or sitting produces pain.
  • Contraction of the abdomen also produces pain.

Common Pelvic Injuries

  1. Inguinal hernia -occurs when a part of the intestine, contents of the abdominal cavity protrudes through the inguinal canal. It is more common in men (the inguinal canal of men is bigger compared to women). When suspected, an Osteopath advises imaging to be done followed by corrective surgery.
  2. Osteitis pubis -caused by repeated running, jumping, or kicking, or inflammation of muscles during childbirth. Inflammation of pubic bones and muscles occurs, the two pubic bones have their union at pubic symphysis (a cartilaginous joint). Inflammation is produced on any stress( which may be mechanical) to the joint.
  3. Pelvic instability associated with pregnancy -release of relaxin, a hormone during pregnancy causes instability in women which leads to pain pelvis.
  4. Pain and inflammation of sacroiliac joint -the sacroiliac joint is the joint between the sacrum and ilium of the pelvis. There are two sacroiliac joints, on each side, at the back of the pelvis and below the hip bone. The joint bears the whole weight of the upper body. Pain and inflammation occur on standing for a prolonged period (also standing up immediately after sitting posture produces pain).

Chronic Prostatitis (CP), in men, is one common condition causing pain over the pelvic region. Here the patient may come complaining of pain over the lower abdomen, testicular, penile, or perineal region, and pain may be experienced during or after urination and ejaculation, urinary urgency and frequency, or erectile dysfunction.

Women are most commonly affected by pelvic pain than men. The common conditions in women that cause pelvic pain include Pelvic Inflammatory Disease (PID), endometriosis, during pregnancy, uterine prolapse (after childbirth), and menopause. 

What Osteopathy can do in Pelvic Pain

Osteopathy helps ease your pelvic pain and supports you do your daily activity more comfortably without trouble, whether having chronic pain, or the cause of the pain being psychological or physical. But in case of emergency, or conditions where immediate or additional; aid is required, our Osteopaths would suggest you consult a GP and seek treatment.

We, at Richards Osteopathy, assess the body through a holistic approach. Our Osteopaths make use of subtle gentle manipulations and techniques that could enhance joint mobility and improve the range of movement by reducing the strain on muscles, thereby evenly balancing the pelvis on both left and right sides. Complete case history is taken, and all-important examinations are done before making a diagnosis and rule out all other possible conditions. A treatment plan is prepared strictly on an individual basis based on the causes that lead to the pain, and the level of pain experienced by the person.

Our Osteopaths perform stretching, massage, and support the muscle by providing strengthening to the pelvic muscles and manage the pelvic dysfunction. We are experienced and trained to stretch the muscles and reduce pain by relaxation. It may help restore the pelvic floor and its biomechanics, thereby increasing circulatory homeostasis and autonomic tone. In addition to this, we will also assist you to perform different exercises that would increase pelvic mobility and helps you retain strength, and benefit you in the future, after the treatment also.

Peculiarities of treatment
  • Enhances range of movement of joints of the pelvis, hips, and low back
  • Improves the flexibility of pelvic muscles
  • Correction of posture and alignment of the pelvis and low back.
  • Improves the strength of the pelvic area
  • Improvs the flexibility of the pelvic area
  • Advice on exercises that improves and strengthens the pelvis
  • Postural advice. Lying down may ease the pain
  • Diet and lifestyle modifications
  • Training on self-management of pain and re-education

Get your help

Expert-friendly Osteopaths are here to treat and cure you. We will work together. Richards Osteopathy is always at your service!!!

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There are a number of causes of such pain (endometriosis, uterine motility, surgery and sometimes even, sudden movement) that osteopathy may be able to help with. Osteopaths may be able to help if your pelvic pain is caused by hyper or hypomobile sacroiliac or public symphysis joints. These joints also have complex support mechanics provided by the local ligaments which may become compromised during pregnancy, with overuse, or through sporting injuries. Osteopaths will assess the local structures and determine the best cause of treatment and rehabilitation exercises for your individual needs. The pelvis is also highly influenced by surrounding structures such the mechanics of the lower limb and lumbar spine so your osteopath will ensure these areas are functioning well to prevent reoccurrences of pelvic dysfunction.

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