Pelvic Pain

Pelvic pain affects men and women, and sometimes children and adolescents. Pelvic pain may be embarrassing to talk about, but the problem can be devastating.

Pelvic pain has many names. It can be called:

    • Pudendal neuralgia
    • Interstitial cystitis
    • Prostatitis
    • Vulvodynia
    • Proctalgia
    • Rectal pain
    • Pain during intercourse
    • Endometriosis
    • Groin pain
    • Hip pain
    • Piriformis syndrome

…and every one of these can be generated by muscle and fascia and does not have to come from pinched nerves or infection. If what you have learned has not been helping…there is a different way to heal from pelvic pain.

Identifying the Source of Pelvic Pain

Injury to any muscle in the pelvic floor can generate chronic pain.

Most of the pain in the body comes from muscle and fascia that has been injured. Pelvic pain is no different. Most doctors and medical people on the other hand have been taught to think of pain as coming from pinched nerves, spinal problems, and diseased parts that can be taken out with surgery. This is partly why so many types of pain treatments do not help or do not last. The real injury has not been found, and none of the treatments really make the pain go away. The most helpful treatment may be massage therapy. If this is the case, it will help you confirm the pain to be coming from injured muscle and fascia.

We take a different approach to pelvic pain, particularly when it comes to piriformis syndrome. Dr. Blatman prefers to approach the problem of pelvic pain holistically without the need for invasive surgeries or potentially addictive painkillers. This may involve novel therapies such as stem cell therapies or PRP injections — or it could be as simple as therapeutic massage, exercise, and stretching.

What Causes Pudendal Neuralgia (Pelvic Pain)?

Pudendal neuralgia — long term pelvic pain — is caused by damage or irritation of the pudendal nerve, a primary nerve in the pelvis that provides sensation to the buttocks and genitals. It can often be experienced as groin or rectal pain. You may have pudendal neuralgia if you experience burning, crushing, shooting or prickling sensations in the area between your butt and genitals. This can be a sudden pain, or it may develop gradually. There is NO specific symptom that indicates the pelvic pain comes from the pudendal nerve. AND contrary to what many believe, this pain that is generally attributed to the pudendal nerve is RARELY actually from the nerve! Almost all the time the pelvic pain is coming from old injuries to the fascia of your inner thighs, buttocks, and pelvis. How can you tell? If the muscles in your inner thighs, buttocks, or pelvis are tender, the pelvic pain is not coming from your pudendal nerve, and DO NOT undergo a surgery to cut the nerve. Figure out how to make the tender areas not tender…and get the right help. This is difficult, because pain is not what we were taught. It does not usually come from spine, disc, or nerve, but from injuries to our fascia that holds our bodies together.

At our integrative health and wellness centers in New York and Cincinnati, we treat pudendal neuralgia related pain naturally — without the use of drugs or invasive surgeries. To treat pelvic pain, we touch and examine your fascia biology, help you understand how specific areas of tenderness illustrate a lifetime of injuries that contribute to causing your pelvic pain, and then show you what it will take to make pelvic pain go away and get you started on your journey. Pain is not what we were taught. Everyone understands a piece… chiropractic, physical therapy, doctors, pelvic floor specialists, and lots of these folks are helpful…but you are reading this because you still hurt. And the pain does not originate from your pudendal nerve or even your pelvic floor. That’s why everything helps, and yet nothing works!

Natural Treatment for Vulvodynia Pain

With respect to standard conventional medicine there there is no known cause and it has only recently been officially recognized by doctors. Unfortunately, many doctors miss even diagnosing this ailment. It’s a condition that affects the vulva — either as a generalized pelvic pain in different areas of the vulva at different times or as localized pain in one specific area of the vulva. The condition can affect a woman’s ability to enjoy sex and exercise.

We can naturally treat vulvodynia through a number of minimally-invasive and natural remedies, including physical therapy, stem cell injections, and Tempsure Vitalia, a process that uses radiofrequency to heat the vulva area to encourage the body’s natural production of collagen, which strengthens the skin.

Where do Muscles and Fascia Refer Pelvic Pain?

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

Injury to muscle and fascia causes the body to form trigger points–which can be felt as knots in the muscles, in the middle of ropey bands of muscle. When they are “active,” they generate radiating pain, and any pain symptom you can describe. In these diagrams, the “x’s” represent approximate locations of trigger points, and the red speckles represent the areas of likely referred pain.

What Might the Pain Feel Like?

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

Myofascial pain can be very confusing and misleading to describe. It can be dull, achy, sharp, knife-like, stabbing, shooting, numbing, burning, radiating….there is no pain symptom you can describe that cannot come from injured muscle and fascia. Since this same kind of pain can occur anywhere in the body, severe pelvic pain can be thought of as a “migraine” in the pelvis.

What Started my Pelvic Pain?

Pelvic pain may begin after a procedure to your bladder, pelvic organs, or hernia surgery. It can also occur in people who have injuries to their hip, pelvic, and thigh muscles from years of running, biking, and other sports.

How can Blatman Health and Wellness Center Help?

Dr. Blatman and the staff of the center understand pelvic pain and promote non-destructive and non-surgical treatment options. A careful physical examination will first reveal the tender and injured muscle and fascia tissue that is driving the pain. Our caring staff will then start to instruct you in how to start working on your body to help it heal from pelvic pain. Nutrition changes will also be recommended to give your body what it needs to heal faster as well as to decrease inflammation that “glues” your fascia cords and strings together and contributes to your pain.

Fortunately, pelvic pain is treatable without the need for invasive surgeries. We have a number of therapies available that can provide safe, effective and fast relief.

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