Legacy Physical Therapy 2961 Dougherty Ferry Road Saint Louis, MO 63122
Call: 636-225-3649 Fax: 888-494-7074 Email: info@legacytherapystl.com

Pelvic Pain

Pelvic pain may be caused by muscle, joint, or nerve problems. 

Common Diagnoses We Treat: 

  • Dyspareunia: persistent or recurrent genital pain that occurs just before, during or after intercourse and causes you personal distress.
    • Sex isn't pleasurable or pain-free for all women all the time. In fact, many women experience painful intercourse at some point in their lives, for a variety of very normal reasons. 
    • Researchers estimate that up to 60 percent of women experience episodes of genital pain just before, during or after intercourse. But the location of pain and frequency of pain varies greatly. If you experience painful intercourse, you may feel:
      • Pain with every penetration, even while putting in a tampon
      • Pain only with certain partners, or under certain circumstances
      • New pain after previously pain-free intercourse
      • Superficial (entry) pain
      • Deep pain during thrusting, which is often described as "something being bumped"
      • Burning pain or aching pain
  • Vaginismus: vaginal tightness causing discomfort, burning, pain, penetration problems, or complete inability to have intercourse
    • Vaginismus is a condition where there is involuntary tightness of the vagina during attempted intercourse. The tightness is actually caused by involuntary contractions of the pelvic floor muscles surrounding the vagina. The woman does not directly control or 'will' the tightness to occur; it is an involuntary pelvic response. She may not even have any awareness that the muscle response is causing the tightness or penetration problem.
    • In some cases vaginismus tightness may, begin to cause burning, pain, or stinging during intercourse. In other cases, penetration may be difficult or completely impossible. The tightness can be so restrictive that the opening to the vagina is “closed off” altogether and the man is unable to insert his penis. The pain of vaginismus ends when the sexual attempt stops, and usually intercourse must be halted due to pain or discomfort.
  • Vulvar Vestibulitis Severe pain on vestibular touch or vaginal entry; erythema in vestibule and bartholin gland openings.
  • Vulvodynia Chronic vulvar discomfort; characterized by burning, irritation, rawness, and inability to have penetration without pain.
  • Levator Ani Syndrome: consists of pain, pressure, and discomfort in the region of the rectum, sacrum, and coccyx, which appears to be aggravated by sitting.
    • Gluteal discomfort and high rectal distress usually occur.
    • Tenderness and muscle spasm affecting the levator ani muscles are the principal symptoms of this disorder.
  • Pudenal Neuralgia: Pudendal neuralgia can occur in men or women. Signs and symptoms may include the following, but they may vary between individuals:
    • Pelvic pain with sitting, but improvement with standing or sitting on a toilet seat.
    • Discomfort with tight clothing.
    • Bladder and/or bowel symptoms (hesitancy, frequency, retention, constipation)
    • Dyspareunia and/or pain/spasm after orgasm
    • Possible abnormal pudendal nerve motor latency test (This may NOT be present in pudendal neuralgia)
    • Pudendal nerve block may assist in decreasing symptoms
  • Pelvic Pain: Persistence of unexplained pain in the lower abdominal and pelvic region without evidence of active disease.