Pelvic Pain

Jane Butcher
Sep 14
2 min read

Pelvic Pain

Pelvic pain is discomfort in the lower abdomen, hips, or pelvis. It can range from a dull ache to sharp, stabbing pains, and may be constant or come and go.

Common Causes in Women

Musculoskeletal issues: tight hip flexors, weak glutes, poor posture, lower back problems.
Gynaecological conditions: endometriosis, fibroids, ovarian cysts, pelvic inflammatory disease (PID).
Bladder & bowel issues: UTIs, IBS, constipation.
Pelvic floor dysfunction: overly tight or weakened muscles causing pressure or referred pain.
Menopause & hormonal changes: declining oestrogen affects tissue health, lubrication, and pelvic support.

When It’s Chronic

Chronic pelvic pain often overlaps with conditions such as:

Endometriosis
Interstitial cystitis/bladder pain syndrome
IBS
Pelvic floor muscle dysfunction

This makes management more complex and often requires a multi-disciplinary approach.

Management & Support Options

Medical evaluation to rule out underlying conditions.
Physiotherapy (especially women’s health/pelvic health physios).
Exercise & movement: gentle strengthening of the core, glutes, hips, and mobility work.
Stress management: reducing nervous system tension can lower pain sensitivity.
Lifestyle support: hydration, high-fibre nutrition, daily movement, and quality sleep.

How Fitness Pilates Can Help

Pelvic pain can affect women at any age – from teenagers to post-menopause. While medical care is essential, Fitness Pilates offers supportive strategies that make a real difference:

Builds pelvic floor awareness (contracting and relaxing effectively).
Strengthens the deep core & glutes for better pelvic support.
Improves posture & alignment, easing strain on the back and hips.
Uses breathwork to regulate the nervous system, reduce tension, and promote pelvic relaxation.