Chronic pelvic pain is the pain that is not associated with lower urinary tract dysfunction, sexual dysfunction, bowel dysfunction, or symptoms suggestive of gynecological dysfunction, which occurs in the area under the navel which we call the pelvic region, abdomen, inner side of the thigh, groin and lumbar region.
It can be seen in both men and women, but it is more common in women. Patients often describe a stretch in their groin as if sitting on a golf ball.
Pain radiating to the leg is also common, usually caused by the involvement of the piriformis muscle. This leg pain can affect one leg or both legs.
Pains around the coccyx that do not go away and lower back pain may be directly related to the pelvic floor.
If left untreated, difficulty urinating, urinary incontinence and constipation may occur.
TREATMENT
Pelvic floor rehabilitation is of great importance in the treatment of chronic pelvic pain. Rehabilitation begins with patient education. Physiotherapy methods such as manual therapy, electrical stimulation, ESWT, magnetotherapy are used for pain management. Afterwards, recurrence of pain is prevented by teaching the pelvic floor muscles to work correctly with biofeedback and exercise.