Pelvic Pain Relief from a Cincinnati Holistic Medical Provider

Injury to muscles along the inside of the thighs underlies most deep pelvic pain.

Pelvic pain can occur anywhere between the belly button and the legs. Pain in the pelvic region can originate from digestive, urinary, or reproductive issues. It can also come from damage to the ligaments and fascia of the pelvic floor, buttocks, abdomen, and thighs. Pelvic pain can signal a life-threatening illness or just be a symptom of ovulation during your menstrual cycle.

Though most discussion of pelvic pain revolves around women, pelvic pain affects men, adolescents, and children. Pelvic pain may be uncomfortable to talk about, but it’s always better to get medical attention than ignore it and possibly allow it to get worse. Also, proper treatment hinges on accurately understanding how and where pelvic pain originates.

The Nature and Causes of Pelvic Pain

Pelvic pain may begin after hernia surgery or a procedure to your bladder or pelvic organs. It can also occur in people who incur injuries to their hip, pelvic, and thigh muscles from years of running, biking, and other sports. Pelvic pain is also a common symptom in conditions like endometriosis. Sometimes, the cause of pelvic pain may be as simple as digestive issues from toxic foods, such as diverticulitis, or a symptom of the ovulatory stage in your menstrual cycle.

It is important to note that while most pelvic pain originates in damaged or inflamed muscles and connective tissues, severe, acute onset pain can be a sign of something more serious, like a bacterial infection, cancer, or the onset of an autoimmune disease. This is especially true if your chronic pelvic pain is accompanied by fever, nausea, and vomiting. When it comes to issues around the genitals and reproductive organs, ruling these causes out with CT scans, ultrasounds, colonoscopies, and blood tests can be vital in preserving your health and addressing the pain.

Common Causes of Pelvic Pain in Women

Women are much more likely to experience pelvic pain than men. There are many causes associated with the female reproductive system:

  • Adenomyosis: This condition develops when the lining of the uterine wall grows into the muscular wall of the uterus. While the uterine lining still expels blood monthly, this process can cause severe, chronic pelvic pain.
  • Endometriosis: One of the many symptoms of endometriosis is debilitating, recurring pelvic pain that results from the overgrowth of scar tissue characteristic of this condition.
  • Issues with the ovaries: These include ovarian cysts, fibroids, scar tissue, ovarian cancer, and other problems.
  • Pregnancy-related conditions: Anything that damages the reproductive system during pregnancy, including miscarriages, fetal death, and ectopic pregnancy, can cause pelvic pain.
  • Vulvodynia: This condition involves pain at the vaginal entrance lasting over three months. Typically, vulvodynia has no identifiable cause in standard of care medicine. Fortunately much of what is called vulvodynia is often myofascial referred pain and the 5 rules of the Blatman Method apply.

Common Causes of Pelvic Pain in General

Many types and origins of pelvic pain can affect anyone. These include:

  • Dyspareunia: Another term is painful intercourse. Structural problems, damage to genital tissue, and muscle spasms often cause this type of pelvic pain.
  • Groin pain: Groin pain is most often caused by injury to the muscles or connective tissues around the groin, making it common among athletes.
  • Hip pain: Pain in the hips is usually triggered by inflamed tendons, wearing down of the connective tissues around the hip, or arthritis. However, hip pain can also be referred.
  • Interstitial cystitis: This condition results from damage to the bladder’s walls and tissues. Interstitial cystitis can cause long-term hardening and scarring of bladder tissue.
  • Piriformis syndrome: The piriformis muscle is found deep in the buttocks. Chronic pain in the buttocks can happen when the piriformis muscle spasms, putting pressure on the sciatic nerve. It’s more often caused by injury or overuse. In Dr. Blatman’s experience, piriformis syndrome is over rated. Rarely is a surgical option a good idea for treatment. Most of the time the symptoms attributed to piriformis syndrome respond to the Blatman Method and treatment of myofascial pain.
  • Proctalgia: This type of sharp, stabbing pelvic pain happens when the muscles in the pelvic floor, sphincter, or rectum experience spasms. This usually responds to treatment of fascia injury according to the Blatman Method.
  • Prostatitis: This condition is characterized by pelvic pain and painful urination caused by inflammation or infection of the prostate or surrounding tissues. Chronic prostatitis however may not be infection at all and may respond to treatment of fascia injury according to the Blatman Method.
  • Pudendal neuralgia: Also called Alcock’s syndrome or Pudendal canal, this type of pelvic pain results from damage or compression of the pudendal nerve. It is relatively rare and usually confused with pain due to fascia injury during diagnosis. In Dr. Blatman’s experience the pudendal nerve is rarely involved in causing this pain. As with most enigmatic pain, this usually responds to treatment of fascia injury according to the Blatman Method.
  • Rectal pain: Rectal pain can have many causes, including hemorrhoids, bowel disease, infections, or injury to rectal muscles and tissues. Many cases of unrelenting rectal pain have responded favorably to treatment of fascia injury according to the Blatman Method.

Identifying the Source of Pelvic Pain

Injury to Pelvic Floor muscles causes pain in the pelvis and rectum.

When treating pelvic pain, it’s essential to learn where it comes from to bring long-term relief. We need to realize that most chronic pain is a symptom of myofascial damage.

Contrary to what you might think, most pelvic and other types of pain come from injury to muscles and fascia, the connective tissue throughout the body. Fascial injury causes the body to form trigger points felt as knots in the middle of ropey bands of muscle. When they are “active,” they generate radiating pain and other pain symptoms. Furthermore, pain originating from trigger points can often be referred, that is, feel like they develop in a different place.

Myofascial pain can be tough to describe. It can feel dull, achy, sharp, knife-like, stabbing, shooting, numbing, burning, or radiating. Indeed, there is no unpleasant sensation that cannot come from injured fascia.

Unfortunately, most doctors and medical professionals have been taught that pain comes from pinched nerves, spinal problems, and diseased parts that can be removed with surgery. This mindset prevents the identification of the real causes of pain, which is why so many types of pain treatments are short-lived or ineffective. When we look closer at certain types of pelvic pain, such as pudendal neuralgia or vulvodynia, we can understand the difficulty of accurately identifying the pain source.

What Causes Pelvic Pain from Pudendal Neuralgia?

Pudendal neuralgia results from damage to or irritation of the pudendal nerve, a primary nerve in the pelvis that provides sensation to the buttocks and genitals. Pudendal neuralgia can often cause pain in the groin or rectal area.

Correctly attributing pelvic pain to pudendal nerve damage can prove challenging. In fact, the discomfort generally associated with the pudendal nerve most likely has another source. Burning, crushing, shooting, or prickling sensations in the area between your buttocks and genitals are more often due to fascia injury than nerve injury.

How can you tell whether the pain is from the pudendal nerve or something else? Check by touching the muscles and bones of your pelvis, thighs, groin, buttocks, and abdomen. And don’t just touch… carefully examine by touch-millimeter by millimeter. If these areas are tender, the pelvic pain is not coming from your pudendal nerve, so a surgical procedure to release the nerve won’t fix your problem. Instead, you’ll have taken a gamble and done a procedure that may have left you with more problems.

Injury to Pelvic Floor muscles causes pain in the pelvis and rectum.

So, when we refer to “pudendal neuralgia,” we don’t mean that the pudendal nerve itself radiates pain. Instead, the nerve has been irritated or compressed in some way, causing it to send out pain signals. More likely however, is that the actual source of your pelvic pain is a lifetime of injuries that damaged muscles, tendons, and fascia.

As a holistic medical provider in Cincinnati, we treat pudendal neuralgia-related pain naturally — without using drugs or invasive surgeries. Dr. Blatman is experienced with pudendal neuralgia treatment, and he is skilled at assessing your fascia biology to accurately pinpoint the problem. He can also help you understand how specific areas of tenderness illustrate a lifetime of injuries and what it will take to make pelvic pain go away.

Massage therapy may be the most helpful treatment for pelvic pain, especially in misdiagnosed pudendal nerve pain cases. If this is the case, it will help you confirm that the pain comes from injured muscle and fascia.

Natural Treatment for Vulvodynia Pain

Most doctors have only begun recognizing vulvodynia pain. As with many chronic pain syndromes specific to women, doctors often miss diagnosing this ailment, mistaking it for a yeast infection, bacterial vaginitis, or even a sexually transmitted infection.

Vulvodynia is a condition that affects the vulva, either as generalized pain or localized in one specific area. The condition can affect a woman’s ability to exercise and enjoy sex.

We can treat vulvodynia through several minimally invasive, natural remedies, including physical therapy and stem cell injections. We also offer TempSure Vitalia, a process that uses radiofrequency to heat the vulva area to encourage collagen production, strengthening and firming the skin.

A Cincinnati Integrative Medical Practitioner Can Bring Relief for Pelvic Pain

Dr. Blatman and his team understand pelvic pain and promote natural, non-surgical treatment options. A careful physical examination will first reveal the tender and injured muscle and fascia tissue driving the pain. Our caring staff will then instruct you on working on your body to help it heal from pelvic pain. Dietary changes can give your body what it needs to heal faster and decrease inflammation that kinks your fascia cords and strings together, contributing to your pain.

Blatman Health and Wellness Center offers regenerative therapies that provide safe, effective, and fast relief, such as massage therapy, vaginal rejuvenation via TempSure Vitalia, stem cell treatments, and platelet-rich plasma (PRP) injections. Whereas surgeries and pharmaceuticals merely treat your symptoms, regenerative therapies and lifestyle changes can permanently relieve your chronic pelvic pain because they help heal the source of the problem.

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