Pelvic Pain Is Not "In Your Head"
Many women are told their pain is normal or psychological. It's not. Pelvic pain has identifiable physical causes — and pelvic floor physical therapy is one of the most effective treatments available.
Understanding Women's Pelvic Pain
Women's pelvic pain is persistent or recurring pain in the lower abdomen, pelvis, or vulva that lasts beyond an expected healing period. It can be sharp, burning, aching, or throbbing — and it often disrupts work, exercise, intimacy, and simply sitting through a movie. If you have been told it is "just part of being a woman," that is wrong. Pelvic pain has real, identifiable causes and pelvic floor physical therapy is one of the most effective treatments available.
Many women with pelvic pain have an underlying condition — endometriosis, interstitial cystitis, vulvodynia, or pelvic floor muscle dysfunction. Pelvic floor therapy for endometriosis is especially effective: while we do not treat the endometriosis itself, we address the muscle guarding, trigger points, adhesions, and central sensitization that accompany it — often reducing pain significantly. If you are searching for vulvodynia treatment or relief from chronic pelvic pain syndrome, the right evaluation can change everything.
We see women from Montclair, Upper Montclair, and across North Jersey who have spent years looking for answers. Our approach is thorough, compassionate, and evidence-based — and most patients are relieved to finally have someone take their pain seriously.
Signs & Symptoms
If you experience any of these, pelvic floor physical therapy can help:
- • Persistent pain in the lower abdomen or pelvis lasting 3+ months
- • Burning, stinging, or rawness at the vulva (vulvodynia)
- • Pain with tampon insertion, pelvic exams, or intercourse
- • Deep pelvic pain during or after sex (dyspareunia)
- • Bladder pressure, urgency, or pain with filling (interstitial cystitis)
- • Pain that worsens with prolonged sitting or at certain points in your cycle
- • Endometriosis-related pelvic pain that persists despite medical treatment
- • Tailbone pain (coccydynia) that worsens when sitting or standing
How I Treat Women's Pelvic Pain
Your evaluation begins with listening — when the pain started, what makes it better or worse, what you've tried, and how it affects your daily life. I then assess your posture, movement, breathing, and pelvic floor muscle function. An internal exam, when you consent and are ready, reveals trigger points, muscle tone, and coordination issues that external exam alone cannot detect.
Treatment is personalized and hands-on: manual therapy and myofascial release for tight tissue, nerve glides for pudendal neuralgia, desensitization for vulvodynia, and neuromuscular re-education with real-time ultrasound imaging (RUSI) so you can see your muscles working. For endometriosis-related pain, I address the muscle guarding and scar adhesions that amplify your symptoms. Pain neuroscience education helps you understand why pain persists — because understanding is part of healing.
See real ultrasound biofeedback in action on Instagram @pelvicptplusPelvic Pain Conditions We Treat
We take a thorough, whole-person approach to understand your pain and create a treatment plan that addresses all contributing factors.
Chronic Pelvic Pain Syndrome
Persistent pain in the lower abdomen and pelvis lasting 6+ months. We address muscle tension, nerve sensitivity, and contributing factors.
Endometriosis-Related Pain
Pelvic floor therapy complements medical treatment by addressing the muscle guarding, adhesions, and central sensitization that accompany endometriosis.
Pudendal Neuralgia
Burning, stabbing, or numbness along the pudendal nerve. We use nerve glides, manual therapy, and positioning strategies to reduce irritation.
Interstitial Cystitis / Bladder Pain
Bladder pressure, urgency, and pelvic pain. Pelvic floor down-training and manual therapy help calm the overactive muscles and reduce symptoms.
Vulvodynia & Vestibulodynia
Chronic vulvar burning, stinging, or rawness. Desensitization, soft tissue mobilization, and progressive exposure therapy.
Post-Surgical Pelvic Pain
Pain after hysterectomy, laparoscopy, hernia repair, or other pelvic surgeries. Scar mobilization and tissue rehabilitation.
Tailbone Pain (Coccydynia)
Pain at the coccyx from sitting, standing, or after a fall. Internal and external manual therapy to restore mobility and reduce pain.
SI Joint & Pelvic Girdle Pain
Pain at the sacroiliac joint or pubic symphysis, common during pregnancy and postpartum. Stabilization exercises and manual therapy.
Our Approach to Pelvic Pain
Manual Therapy
Internal and external soft tissue mobilization, myofascial release, trigger point therapy, and visceral mobilization.
Neuromuscular Re-education
Teaching your pelvic floor muscles to relax and coordinate properly using RUSI biofeedback and breathing techniques.
Pain Neuroscience Education
Understanding how pain works helps reduce fear and improve outcomes. We teach you about your nervous system and pain processing.
Movement & Lifestyle Strategies
Posture, breathing, stress management, and activity modifications that reduce pain triggers and support healing.
Frequently Asked Questions About Pelvic Pain
Related Articles
Learn more about this condition from our blog
Pudendal Neuralgia: Understanding Burning Pelvic Pain & How Pelvic PT Can Help
What pudendal neuralgia is, why it happens, and how pelvic floor PT brings relief.
Why Does My Tailbone Hurt? How Do I Fix It?
Causes of coccyx pain and how pelvic floor PT resolves it.
Pelvic Floor Therapy for Pelvic Pain
How pelvic floor physical therapy can manage and treat pelvic pain conditions.
Free Guides You Can Start Using Today
Tell us where to send it and the PDF is yours right away — it downloads instantly and lands in your inbox too.
Pleasure Without Pain
A compassionate guide to overcoming pelvic pain and rebuilding comfort with intimacy.
Vagercise
Quality kegels done right — learn the correct technique for effective pelvic floor exercises. Most people are doing them wrong.