How Is Pelvic Pain Diagnosed and Treated?

How Is Pelvic Pain Diagnosed and Treated? | PTCOA

Pelvic pain can be a frustrating and disruptive experience, affecting many aspects of daily life. It’s a condition that can arise from various causes, which makes it especially tricky to pinpoint the exact source. Whether it's a sharp, stabbing pain or a dull, aching discomfort, pelvic pain is something that shouldn’t be ignored. 


What Is Pelvic Pain?

Pelvic pain refers to pain that occurs in the lower abdomen, below the belly button. It can be chronic, meaning it lasts for six months or more, or acute, which is sudden and strong. Both men and women can experience pelvic pain, though it's more commonly reported by women.


Pelvic pain can stem from various sources, including the reproductive organs, urinary system, digestive tract, muscles, or even the bones and joints of the pelvis. Because of the many potential causes, the process of diagnosing and treating pelvic pain requires a thorough and careful approach.


Diagnosing Pelvic Pain

When you visit your healthcare provider with complaints of pelvic pain, they will start by gathering a comprehensive medical history. Your healthcare provider will ask detailed questions about your pain. These questions help the doctor start narrowing down the potential causes of your pelvic pain. They may inquire about the following:


  • Location: Where exactly is the pain located? Does it radiate to other areas?
  • Type of Pain: Is the pain sharp, dull, constant, or intermittent?
  • Duration: Around when did the pain start? Is the pain constant, or does it come and go?
  • Triggers: Do certain activities, foods, or body positions make the pain worse?
  • Associated Symptoms: Are there other symptoms like nausea, fever, or abnormal bleeding?


Physical Examination

After discussing your symptoms, your healthcare provider will likely conduct a physical examination. For women, this may include a pelvic exam to check for tenderness, abnormalities, or signs of infection. The doctor may also palpate the abdomen to identify any areas of discomfort or swelling.


During the physical exam, your provider might also evaluate your posture, gait, and muscle strength, especially if there's a possibility that musculoskeletal issues are contributing to your pelvic pain.


Diagnostic Tests

To further pinpoint the cause of your pelvic pain, your doctor may order various diagnostic tests. These tests help provide a clearer picture of what's happening inside your body.


Ultrasound

An ultrasound creates images of your internal organs by using sound waves. This can help identify issues like ovarian cysts, fibroids, or other abnormalities in the pelvic organs.


Blood Tests

Blood tests can help detect infections, inflammation, or hormonal imbalances that might be contributing to your pain.


Urinalysis

If a urinary tract issue is suspected, a urinalysis can check for signs of infection or other urinary problems.


Pelvic MRI

An MRI provides detailed images of the pelvic area, helping to identify problems with soft tissues that might not be visible on an ultrasound.


Laparoscopy

In some cases, particularly if endometriosis or other gynecological conditions are suspected, your doctor may recommend a laparoscopy. This minimally invasive surgery involves inserting a thin tube with a camera into the abdomen to visually inspect the pelvic organs.


Common Causes of Pelvic Pain

These are some of the most common causes of pelvic pain:


  • Endometriosis: A condition where the tissue that normally lines the inside of the uterus grows outside it, causing pain and sometimes infertility.
  • Pelvic Inflammatory Disease (PID): An infection of the reproductive organs, often caused by sexually transmitted infections, which can lead to chronic pelvic pain if untreated.
  • Ovarian Cysts: Fluid-filled sacs on the ovaries that can cause sharp pain, especially if they rupture.
  • Irritable Bowel Syndrome (IBS): A digestive disorder that causes abdominal pain, bloating, and changes in bowel habits, which can also lead to pelvic pain.
  • Urinary Tract Infections (UTIs): Infections of the bladder or kidneys can cause pain in the lower abdomen and pelvis.
  • Musculoskeletal Issues: Problems with the muscles, ligaments, or joints in the pelvic area can lead to chronic pain.


Treatment Options for Pelvic Pain

Depending on the underlying cause of pelvic pain, treatment will vary. Once your doctor has diagnosed the source of your pain, they can recommend an appropriate treatment plan. Here are some common treatment options:


Medications

Over-the-counter pain relievers are often the first line of treatment for managing pelvic pain, with ibuprofen or acetaminophen being the first worth trying. If your pelvic pain is caused by an infection, such as PID or a UTI, antibiotics may be prescribed to clear the infection and alleviate the pain.


For conditions like endometriosis or fibroids, hormonal treatments such as birth control pills, hormone therapy, or gonadotropin-releasing hormone (GnRH) agonists can help regulate your menstrual cycle and reduce pain.


Physical Therapy

For pain related to musculoskeletal issues, physical therapy can be highly effective. A physical therapist will work with you to strengthen the pelvic muscles, improve posture, and increase flexibility. Techniques such as pelvic floor exercises, stretching, and manual therapy can help relieve pain and improve function.


Lifestyle Changes

Making certain lifestyle changes can also play a significant role in managing pelvic pain. These might include:


  • Diet Modifications: For those with IBS or other digestive issues, changing your diet to avoid trigger foods can reduce pelvic pain.
  • Stress Management: Chronic stress can exacerbate pain, so learning stress management techniques can be beneficial. Some easier ones to pick up include yoga, meditation, and even mindfulness.
  • Exercise: Regular physical activity can help improve circulation, reduce inflammation, and strengthen muscles, all of which can help alleviate pain.


Surgical Options

Surgery may be necessary to help treat the underlying cause of pelvic pain, in some cases. This might include laparoscopy, which is used to remove endometriosis tissue, ovarian cysts, or scar tissue. In severe cases, particularly when other treatments have failed, a hysterectomy (removal of the uterus) may be considered.


Alternative Therapies

Some patients find relief from pelvic pain through alternative therapies such as acupuncture, chiropractic care, or herbal supplements. While these methods may not work for everyone, they can be worth exploring, especially when used alongside conventional treatments.


When to Seek Help

Pelvic pain should never be ignored, especially if it's severe, persistent, or accompanied by other symptoms like fever, heavy bleeding, or difficulty urinating. With early diagnosis, you can receive treatment before complications arise, improving your overall well-being.


If you're experiencing pelvic pain, don't hesitate to reach out to a healthcare provider. With the right approach, you can find relief and get back to living a comfortable, healthy life.


At
Pain Treatment Centers of America, we’re dedicated to helping you find a pain-free life. Contact us today!

By Bob Berendsen January 15, 2026
Winter, widely considered the season of comfort, is the time for indoor relaxation and quiet contemplation. However, winter also brings with it some very real dangers, including cold, dark, and slippery surfaces. For older adults or those dealing with chronic pain, a small slip on these surfaces can lead to serious injuries that take months to heal. The good news? You can train your body to handle these challenges. Let’s explore some simple, safe exercises you or your loved ones can do from the comfort of your home to build your winter-proof stability. Why Winter Increases the Risk of Falls Cold weather brings more than just chilly air. It changes the way we move, how our muscles respond, and even how we think about walking. When it’s icy, people tend to tense up, take shorter steps, and look down more often. Muscles also get tighter in the cold, which reduces flexibility. Plus, all those bulky layers of clothes mess with your center of gravity and limit how quickly you can react if you start to lose your balance. Your boots might be waterproof and warm, but they're probably not giving you the ankle support or ground feel you'd get from your regular shoes. Then there's the simple fact that many of us move less in winter. Maybe you skip your daily walks when it's freezing, or you stop going to that exercise class because driving feels too risky. But here's the catch: the less you move, the weaker you get, and the weaker you get, the more likely you are to fall. Building a Foundation To prevent this, you simply need to work on two main things: balance and strength. Physical therapy and balance-focused exercises train your muscles, joints, and nervous system to respond faster and more effectively when something throws you off. Balance Training Balance isn’t just about standing still without wobbling. It’s about how your body reacts when something throws it off center. When you step on ice, for example, your brain and muscles have to communicate in an instant to keep you upright. If that connection is slow or weak, you’re more likely to fall. Some simple ways to train your balance include: ● Single Leg Stands : Stand near a sturdy surface like a countertop or wall for support. Lift one foot slightly off the ground and hold that position for 10–15 seconds. Then switch sides. At first, you might wobble, but that’s perfectly normal. Over time, your legs, ankles, and core muscles will get stronger, and your balance will improve. Try doing 3 rounds on each leg daily. ● Heel-to-Toe Walk: Imagine you’re walking on a tightrope. Place one foot directly in front of the other, heel touching toe, as you move slowly across the room. This simple drill strengthens your stabilizing muscles and sharpens coordination. Keep your eyes forward, not down, and use a wall for light support if needed. ● Side Leg Raises: Hold onto a sturdy chair or counter. Lift one leg out to the side while keeping your back straight and your toes facing forward. Lower it slowly and repeat. This exercise builds hip strength, which plays a big role in staying upright on slippery ground. ● Weight Shifts: Stand with your feet hip-width apart and shift your weight from one leg to the other slowly. Feel your balance change from left to right. This gentle exercise teaches your body to adjust quickly. Strength Training Balance and strength go hand in hand. When your muscles are strong, they act like shock absorbers, keeping you stable even when your footing isn’t perfect. Focus on the muscles that support your posture and help you move safely. Here are a few simple exercises to include in your daily routine: ● Chair Squats: Sit down and stand up from a sturdy chair without using your hands for support. Keep your feet flat on the floor and your knees aligned with your toes. This move strengthens your thighs, hips, and glutes—key muscles for stability and control. ● Heel Raises: Stand behind a chair or counter and slowly lift your heels so you’re standing on your toes. Lower back down after holding for a few seconds. This helps strengthen your calves and ankles, improving the small muscle reactions that keep you upright when you slip. ● March in Place: Lift your knees high as if you’re marching. Do this for one to two minutes, rest, and repeat. Marching builds leg endurance and helps train your coordination. ● Core Squeezes: While sitting or standing, tighten your stomach muscles as if you’re zipping up a snug jacket. Hold for 10 seconds, then release. A strong core helps your upper and lower body work together to keep you balanced. These movements may look simple, but they’re powerful. Doing them for just 10–15 minutes a day can make winter walks safer and less stressful. Warming Up Before You Head Outdoors Cold weather tightens muscles and slows blood flow, making your body less responsive. That’s why warming up before heading outside is so important. Think of it as insurance against sudden slips. Try a short warm-up routine before stepping out: ● Arm circles to loosen shoulders. ● Gentle knee bends to wake up leg muscles. ● Shoulder rolls and neck stretches to improve mobility. ● A quick indoor walk or stair climb to raise your heart rate slightly. It’s also wise to check your footwear. Look for rubber soles with deep treads for better traction. Avoid smooth or worn-out shoes, and consider ice grips that attach to your boots if you live in a particularly snowy area. Winter doesn't have to be a season of fear. By investing just 10-15 minutes a day in these simple, safe exercises, you can build the strength and confidence you need to navigate the season safely. You are giving your body the tools it needs to stay upright, stable, and strong. When to Ask for Professional Help If you’ve had a fall before or feel nervous about losing your balance, it’s a good idea to get help from a physical therapist or pain specialist. They can assess your movement patterns and create a personalized exercise plan to strengthen weak areas. At Pain Treatment Centers of America , we often see patients who avoid movement due to fear of falling or pain. With guided therapy, they rebuild strength and confidence. Therapists also teach safe walking techniques, posture corrections, and stretching routines that make winter mobility much easier. Even if you’re recovering from an injury or dealing with chronic conditions like arthritis, a professional can tailor exercises that improve stability without aggravating pain. Our team at Pain Treatment Centers of America can provide you with the comprehensive care you need to manage your pain. Contact us to book an appointment!
How PTCOA Physical Therapy Helps Relieve Winter Stiffness
By Bob Berendsen December 3, 2025
While it’s easy to stay bundled up indoors, that approach often makes stiffness worse. With physical therapy, you can manage to keep your body resilient.
Health Anxiety | PTCOA
By Bob Berendsen November 5, 2025
Learning to identify and manage health anxiety can help you regain peace of mind and focus on your overall well-being.
Tips for Autumn Weather Changes ​| PTCOA
By Bob Berendsen October 1, 2025
As summer fades and autumn sets in, the drop in temperature, fluctuating humidity, and shorter days can trigger discomfort for those with joint issues.
Pain and Sleep | Pain Treatment Centers of America
By Bob Berendsen September 1, 2025
As the seasons shift, many people notice changes not only in the weather but also in how their body feels.
How to Stay Active with Chronic Pain Using Gentle Exercises | PTCOA
By Bob Berendsen August 1, 2025
Staying active with low-impact movement offers unique advantages for managing chronic pain, joint conditions, and overall physical function.
Show More