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Pelvic Pain

Pelvic pain can have a huge range of causes. When pain comes from structures in the pelvic joints, muscles or ligaments, it is known as musculoskeletal pain. Examples of musculoskeletal pain in the pelvis include pubic symphysis pain, sacro-iliac joint dysfunction and coccydynia (tailbone pain).  When pain comes from organs within the pelvis, such as the bladder, bowel or uterus, it is known as visceral pain. Examples of visceral pain of the pelvis include bladder pain, vaginal pain and rectal pain. Some medical conditions cause visceral pain; for example, intersitital cystitis is normally associated with bladder pain, and proctalgia fugax gives you rectal pain. Sometimes the pain feels like it is coming from an organ, but there is actually not anything wrong with the organ itself. This commonly happens with chronic pelvic pain, and certain processes such as neurogenic inflammation and central sensitisation can be at play.

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