Pelvic Pain Physiotherapist Milsons Point
Pelvic pain includes the joints at the back of the paelvis (SIJ), buttock pain, groin pain and pubic pain, there is a joint there too. Pelvic pain be relentless left undiagnosed or misunderstood.
Pinpointing the exact cause demands a combination of medical sleuthing and clinical expertise, it doesn’t always need x-rays or investigations.
To understand the different manifestations of pelvic, hip, and gluteal pain you can read more in the blog posts.
Sacroiliac Joint Pain
SIJ pain can radiate to different parts of the pelvis, hips and even affect the lower back. It has a multitude of different causes, and they all need to be assessed thoroughly to treat you effectively. There is no recipe treatment, everyone is an individual. Posture, muscular balance, lifestyle, past injuries all play a part.
Pain may radiate to the buttocks, outer hip, and even down the thigh. When the hip joint is not stable, or muscles are unbalanced, the the SIJ is affected and also loses stability.
The pelvis is comprised of three distinct bones. The front part of the pelvis is joined by fibrocartilage, known as the pubic symphysis, and at the back is joined by strong ligaments anchoring a wedge-shaped bone (the sacrum or tailbone) into the pelvis, and forming the SIJ joints.
The structural integrity and function of the pelvis is vital for walking as it acts as a central hub for the muscles used for walking.
Several muscles originate from the inner part of the pelvis, including the adductors (inner thigh muscles) and hamstrings, deep hip rotators (attaching to a ligament jointing with the tailbone) and pelvic floor muscles. This area can be complex to determine the cause for pain, examination requires clinical experience.
Treatment often requires mindfully relaxing tight or spasmed muscles, then retraining the stabilising muscles. In retraining specific muscles (different in every person) the proper function of the area is restored helping prevent recurrence and return you to your activity or sport.
We are not pelvic floor physios. We do not treat incontinence. We DO treat weakness of the pelvic floor as it relates to pelvic and spinal stability and good health.
A torsion is twist. In this case the pelvic ring becomes asymmetrical. It takes a trained person to diagnose this.
The pelvis is made up of 3 bones forming a ring. When the ring is not symmetrical, it is referred to as a pelvic torsion or imbalance. For example; one hip bone may be higher than the other, the dimples at the back of your pelvis may not be identical, or the front of the pelvis may feel more forward on one side.
Physio treatments for pelvic pain may encompass techniques such as targeted muscle ‘release’ of specific muscles, laser therapy, and patient education. The second phase is retraining the stabilisers. This phase helps to build your strength to prevent recurrence. This type of strengthening is mindful, different from a gym program.
We aim to restore you to comfortable walking, getting up from a chair, bending and straightening up and to have it not return.