Pelvic pain vs urinary issues – can physio help both?

Pelvic physiotherapy can address both chronic pelvic pain and urinary problems with tailored treatment.

Short answer: Yes.
Longer answer: Here’s how.

Pelvic pain.
Bladder problems.
Leaking, urgency, pressure, tension… it’s all uncomfortable, sometimes embarrassing, and often ignored for way too long.

But here’s what most people don’t realize:
Pelvic pain and urinary issues are often connected.
And yes — pelvic floor physiotherapy can help treat both.

Let’s break it down.

Pelvic Pain 101: What It Feels Like

Pelvic pain isn’t just “down there.” It can show up as:

  • Aching in the lower abdomen or deep in the pelvis
  • Sharp or burning sensations
  • Pain during sex
  • Tailbone pain or pressure
  • Discomfort with sitting, squatting, or lifting
  • Pain that mimics hip, groin, or back issues

Pelvic pain can be linked to tight, overactive pelvic floor muscles, postural dysfunction, or old injuries that never quite healed right.

Urinary Issues 101: What They Include

This could be:

  • Peeing when you cough, sneeze, jump, or laugh
  • Rushing to the bathroom — and not always making it
  • Feeling like you always have to go
  • Trouble starting your stream or fully emptying your bladder
  • Nighttime urgency or disrupted sleep from peeing
  • Feeling pressure or heaviness in the bladder area

These symptoms often come from pelvic floor dysfunction — either weakness, poor coordination, or excess tension that disrupts bladder control.

So What’s the Connection?

Your pelvic floor muscles support both your bladder and your pelvic organs. They help:

  • Control your urethra and bladder
  • Stabilize your pelvis
  • Relax and contract during urination, bowel movements, and sexual activity

If those muscles are:
Too weak = leaks, urgency, pressure
Too tight = pain, hesitancy, discomfort
Poorly coordinated = a mix of both

👉 You might experience pelvic pain and urinary symptoms at the same time.

How Can Pelvic Physio Help Both?

At YFS, we start with a full-body movement and pelvic health assessment. Then we create a plan that addresses both pain and function.

Your plan might include:

  • ✅ Internal and external manual therapy
  • ✅ Breathwork and pelvic floor coordination
  • ✅ Mobility and strength for hips, back, and core
  • ✅ Bladder training or urge-suppression strategies
  • ✅ Education around posture, pressure, and daily habits
  • ✅ Nervous system calming (because stress tightens everything)

Our goal?
Reduce your pain. Improve your bladder control. Help you feel confident in your body again.

Common Conditions We Treat:

  • ✔️ Urinary incontinence (stress or urge)
  • ✔️ Pelvic floor overactivity
  • ✔️ Interstitial cystitis / bladder pain syndrome
  • ✔️ Postpartum pelvic issues
  • ✔️ Pain with sex or penetration
  • ✔️ Pelvic organ prolapse
  • ✔️ Post-surgical pelvic recovery
  • ✔️ Pelvic pain with no clear diagnosis (that doesn’t mean it’s not real!)

Final Word: You Don’t Have to Choose Between “Pain” or “Bladder Problems” — We Treat Both

You’re not broken. You’re not alone. And you’re not stuck.

Whether you’ve been dealing with pain for years or just started noticing bladder issues, pelvic floor physio can help you take control — without meds, pads, or invasive treatments.

Let’s treat the root, not just the symptoms.
Book your pelvic health assessment at YFS and find out how physio can support both your pain and your bladder — with a plan that actually works.

Book a Consultation

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