Pelvic Pain Is Real
Understanding Chronic Pelvic Pain
The SI joint connects the spine to the pelvis and is a frequently overlooked source of pelvic pain. Inflammation or instability of the SI joint can generate pain that feels deep within the pelvis or refers to the hip, buttock, or groin.
Nerves passing through the pelvis — including the pudendal nerve, ilioinguinal nerve, and iliohypogastric nerve — can become compressed or irritated, causing localized or radiating pelvic pain.
Surgeries in the pelvic region — hysterectomy, hernia repair, appendectomy, prostatectomy — can damage or entrap pelvic nerves, causing chronic pain that persists long after healing.
Abnormal tension or coordination of the pelvic floor muscles can generate significant chronic pain, often worsening with prolonged sitting, sexual activity, or specific movements.
Pain at the coccyx (tailbone), often following trauma or prolonged sitting, that becomes chronic and significantly limits daily activity.
Bladder pain syndrome that generates chronic pelvic pressure and pain. Pain management works alongside urology care to address the pain component specifically.
The chronic inflammatory process of endometriosis generates pelvic pain that often continues even after gynecologic treatment. Pain management provides targeted relief for the pain component.
Who Experiences Chronic Pelvic Pain

