Pelvic Pain

Pelvic pain is obviously very common during pregnancy as the relaxing hormone stretch your muscles and ligaments to gradually open your pelvic and your baby is gaining weight (to learn more about Pelvic pain during pregnancy and after pregnancy click here).

However, pelvic pain can also occur in non pregnant women and even men! Pelvic area is a complex zone of the body and many different tissues can be the origin of pelvic pain. Some have a systemic origin including (menstrual cycle, kidney stone, hernia, infection…) for which would need to consult your GP. Nonetheless, they can also frequently be caused by a musculoskeletal issue. Let’s review the most common one.

Posterior Pelvic Pain (lower back and bottom area):

  • Gluteal muscles spasms: Pelvic pain localized in your bottom often due to bad posture or overuse (repetitive sport)
  • Quadratus lumborum muscles spasms: Pelvic pain localized in your lower back pain often due to bad posture or overuse (repetitive sport)
  • Piriformis muscles spasm: Pelvic pain localized in your bottom, can be associated with pin & needles in your leg as the sciatic nerve path through it
  • Sacro iliac inflammation: Pelvic pain localized in your central lower back but can spread to your hip and front thigh

Groin anatomy pelvic pain

Pelvic pain in your lower abdominal or groin area:

A lot of generic names are used for these symptoms such Pelvic Girdle Pain (PGP) or Symphysis Pubic Dysfunction (SPD). Unfortunately, this name are often non specific and don’t help for the treatment. Cleared diagnostic would be:

  • Adductor tendonitis: Pelvic pain localized in your groin and caused by the adductor muscles which insert on the pubis symphysis
  • Abdominal muscles spasm:  Pelvic pain localized in your groin or lower abdominal and caused by the abdominal muscles (often rectus abdominis) which also insert on the pubis symphysis
  • Psoas spasm: Pelvic pain localized in your groin or lower abdominal
  • Pubic symphysis inflammation: Pelvic pain localized right in the middle of your legs and mostly painful going out of the bed or a car
  • Inguinal ligament irritation: Pelvic pain localized in your groin area due to a ligament inserting on the pubis symphysis

Check out our videos to prevent Pelvic Girdle pain with Pelvis mobility exercises!

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