Pelvic Pain Treatment
Pelvic pain is pain felt below the belly button — in the pelvis, hips, groin, or tailbone region. When it lasts longer than a few months it's called chronic pelvic pain, and it often involves several systems at once: muscles and joints, nerves, and pelvic organs. Musculoskeletal causes, especially pelvic floor muscle dysfunction and sacroiliac joint problems, are common and highly treatable. Mountain View Pain Center offers coordinated care including pelvic floor physical therapy and interventional pain management.
Common Musculoskeletal Causes of Pelvic Pain
Pelvic floor dysfunction — muscles of the pelvic floor that are overactive, weak, or poorly coordinated — can cause pelvic pressure and pain, pain with sitting, and urinary symptoms. Sacroiliac joint dysfunction refers pain to the buttock, groin, and pelvis. Coccydynia causes tailbone pain with sitting. Hip problems, nerve irritation (including pudendal and other pelvic nerves), and post-surgical or postpartum changes also contribute. Pelvic pain can additionally arise from gynecologic, urologic, or gastrointestinal conditions — which is why thorough evaluation and coordination with your physician matters.
Common Symptoms
Aching, pressure, or burning in the pelvis or perineum; pain with sitting; pain with intercourse; tailbone pain; urinary urgency or frequency without infection; and pain that flares with stress or prolonged posture.
How We Evaluate Pelvic Pain
We start with a careful history and a musculoskeletal exam of the low back, hips, sacroiliac joints, and pelvic girdle. Our pelvic floor physical therapists perform specialized assessment of pelvic floor muscle function. When findings suggest a non-musculoskeletal source, we coordinate with your gynecologist, urologist, or primary care physician.
How We Treat Pelvic Pain
- Pelvic floor physical therapy — the cornerstone for muscle-related pelvic pain: manual therapy, muscle retraining, relaxation and coordination work, and graded exercise
- Pain management — targeted injections for sacroiliac, coccyx, and nerve-related pelvic pain
- Chiropractic care — addresses mechanics of the low back and pelvic girdle
- Acupuncture — an adjunct option for chronic pelvic pain
Request Your Appointment — clinics across Colorado and Arizona, or call (720) 749-5599.
Pelvic Pain FAQs
Is pelvic floor therapy only for women?
No. Men also experience pelvic floor dysfunction — including pelvic pain and urinary symptoms — and benefit from pelvic floor physical therapy.
How do I know if my pelvic pain is muscular?
Clues include pain that changes with position or sitting, tenderness in the pelvic muscles, and pain that flares with activity or stress. A pelvic floor assessment can identify muscle involvement directly.
What happens at a pelvic floor PT evaluation?
Your therapist reviews your history, examines posture, hips, and low back, and assesses pelvic floor muscle strength and coordination. Every step is explained first, and your comfort and consent guide the exam.
Can pelvic pain improve after years of symptoms?
Yes. Chronic pelvic pain often responds to a structured, multidisciplinary plan even when it has persisted for years, though longer-standing pain may take more time to improve.
Do I need a referral to schedule?
Most patients can schedule directly without a referral. Some insurance plans require one for coverage — we verify your benefits before your first visit, so call (720) 749-5599 and we'll handle the details.
References
- American College of Obstetricians and Gynecologists (ACOG): Chronic Pelvic Pain
- MedlinePlus (NIH): Pelvic Pain
- NICHD (NIH): Pelvic Pain
Last updated: July 23, 2026.