Conditions

Understanding Pelvic Pain

Pelvic pain refers to discomfort felt in the lower abdomen, hips, or pelvis — an area containing multiple organs, muscles, nerves, and joints. It can affect both men and women and may be acute (short-term) or chronic (lasting more than three months). Because pain in this region can arise from many sources — including the musculoskeletal system, nerves, bladder, bowel, or reproductive organs — accurate diagnosis and coordinated specialist care are essential.

Typical symptoms include:

  • Deep aching, stabbing, or cramping pain in the lower abdomen or groin
  • Pain during sitting, walking, or sexual activity
  • Pain radiating to the back, hips, or thighs
  • Bladder or bowel discomfort
  •  Muscle tightness, burning, or sensitivity in the pelvic floor

Chronic pelvic pain can result from nerve entrapment (such as pudendal neuralgia), pelvic floor muscle tension, endometriosis, post-surgical pain, or spinal and sacroiliac joint dysfunction. Often, more than one structure contributes to the pain, and this overlap is best managed with a multidisciplinary pain clinic approach.

Wessex Pain Clinic

How We Diagnose

At Wessex Pain Clinic, diagnosis begins with a comprehensive consultation exploring pain patterns, triggers, previous surgeries, and associated bladder, bowel, or gynaecological symptoms.

When needed, we collaborate with gynaecologists, urologists, gastroenterologists, and physiotherapists for a coordinated approach.
Further investigations may include:

  • Pelvic ultrasound or MRI to evaluate muscles, joints, and soft tissues
  • Diagnostic nerve blocks (e.g. pudendal or ilioinguinal nerve) to identify nerve-related pain sources
  • Sacroiliac joint or hip assessments to rule out musculoskeletal contributions

This detailed evaluation ensures that both local and referred pain mechanisms are identified and treated appropriately.

Wessex Pain Clinic
Lifestyle and Complementary Therapies

Our specialist physiotherapists partners play a central role in pelvic pain management, focusing on:

  • Pelvic floor relaxation and rehabilitation
  •  Posture and movement retraining
  • Manual therapy for sacroiliac or hip dysfunction
  • Bladder and bowel re-education where appropriate

Pain psychology support is equally important, helping patients manage the emotional effects of chronic pain, anxiety, and altered body confidence through cognitive behavioural therapy (CBT), mindfulness, and pacing strategies.

At Wessex Pain Clinic, we work as a team and meet regularly to discuss complex, treatment resistant or unusual cases. As such you will often receive the expertise of several pain consultants. We believe that we are one of very few pain clinics to offer this.

Medications

We may prescribe:

  • Anti-inflammatory medicines (NSAIDs) to reduce inflammation and discomfort
  • Neuropathic pain medications such as amitriptyline, duloxetine, pregabalin, or gabapentin for nerve-related pain
  • Topical treatments (e.g. lidocaine ointment) for local nerve irritation
  • Hormonal therapy (in conjunction with gynaecologists) where endometriosis or cyclical pain is present
Interventional Procedures

Our consultants offer precise, image-guided procedures to directly target the cause of pain, including:

  • Pudendal nerve blocks for pudendal neuralgia or pelvic floor nerve pain
  • Ilioinguinal, genitofemoral, or obturator nerve blocks for localised neuropathic pain
  • Sacroiliac joint injections where pelvic joint dysfunction contributes to symptoms
  • Pelvic floor trigger point injections for muscular spasm or myofascial pain
  • Lidocaine infusions to calm widespread nerve sensitisation
  • Pulsed radiofrequency (PRF) treatments for prolonged relief in chronic nerve pain

All procedures are carried out under ultrasound or fluoroscopic guidance to ensure accuracy and safety.

Our approach to pelvic pain is comprehensive, compassionate, and multidisciplinary, combining medical therapy, precision interventions, and rehabilitation for long-term improvement.

Treatments at Wessex Pain Clinic

Treatments