Persistent Pelvic Pain
Chronic or recurring pelvic pain lasting six months or more — and a path back to comfort.
What is Persistent Pelvic Pain?
Persistent (chronic) pelvic pain is pain in the pelvic region that lasts longer than six months. It can be constant or intermittent, sharp or aching, and may interfere with sitting, intimacy, exercise, or simply getting through a normal day.
The causes are usually multifactorial. Pelvic floor muscle dysfunction (overly tight, weak, or poorly coordinated) is a common contributor; so are nerve sensitivity (pudendal or other branches), central sensitisation in long-standing pain, post-infectious changes, post-surgical scar restrictions, endometriosis-related referral, and bladder pain conditions such as interstitial cystitis (IC/BPS).
Pelvic floor physiotherapy is widely recognised as first-line conservative care. Treatment is a partnership — we assess carefully, explain what we find, and rebuild your trust in the area.
Common symptoms
Specific symptom indicators pending Discovery Brief sign-off. The questions in "When to see us" below describe the typical experiences patients bring to consultation.
When to see us
If any of these sound familiar, booking a consultation is worth your time.
- →Pelvic pain that has lasted six months or more and limits sitting, exercise, or daily comfort?
- →Pain with intercourse, tampon use, or pelvic exams that has persisted?
- →A history of pelvic infection, surgery, or trauma that pain has outlasted?
- →A diagnosis of endometriosis or IC/BPS where pain control still feels unfinished?
- →Pain that has been dismissed elsewhere as "just stress" or "nothing structural"?
How we treat it
We begin with a thorough assessment of the pelvic floor and surrounding structures — strength, tone, coordination, and any neural or scar tissue contributions. The plan is built from that, not from a protocol.
Manual therapy, trigger point release, and nerve mobilisation address the tissue and neural drivers directly. Where central sensitisation is part of the picture, we pair this with pain-science education, pacing, and breathing or nervous-system regulation work so the brain settles alongside the body.
Postural and biomechanical retraining reduces the mechanical load that perpetuates the cycle. Progress is graded — comfort first, then capacity for the activities that matter to you.
Red flags that warrant urgent medical review (rather than physiotherapy first): sudden severe pain, fever, unexplained bleeding, neurological symptoms in the legs, or new bladder/bowel changes. We will say so directly if your picture suggests one of these and coordinate the right referral.
- •Pelvic Floor Therapy
- •Manual Therapy
- •Pain Management Techniques
- •Trigger Point Release
- •Nerve Mobilisation
- •Postural Retraining
What to expect at your first visit
Initial evaluation typically takes 60 minutes. We'll discuss your history, run a relevant assessment, and agree on a treatment plan together — you set the pace.
[Specific details TBC with clinic in Discovery Brief.]
Ready to talk to us?
A consultation is the fastest way to find out whether we are the right team for you.
Book a consultation →Content reviewed by Lymph & Pelvic Care Kenya. Last updated: pending Discovery Brief sign-off.