Specialist women’s health physiotherapy for persistent or recurring pelvic pain

Pelvic pain refers to pain felt in the lower abdomen, pelvis, vulval or vaginal area, perineum, or deep within the pelvis. Pain may be constant or intermittent and can vary in intensity. For some women, pelvic pain is linked to the menstrual cycle, while for others it may be present more persistently or triggered by specific activities.
Pelvic pain can have more than one contributing factor, and symptoms do not always fit neatly into a single diagnosis.
Pelvic pain may be associated with a range of conditions, including:
Endometriosis
Painful periods (dysmenorrhoea)
Pelvic floor muscle tension or overactivity
Vulval or vaginal pain conditions
Bladder or bowel-related pelvic pain
Musculoskeletal issues involving the hips, lower back, or pelvis
Pelvic pain can present in different ways. You may experience one or more of the following:
Pain in the pelvis, lower abdomen, vulval or vaginal area
Deep pelvic pain or aching
Pain during or after intercourse
Pain associated with periods or hormonal changes
Bladder-related pain or discomfort
Bowel-related pain or discomfort
Pain with sitting, standing, walking, or certain movements
Lower back, hip, or pelvic discomfort alongside pelvic symptoms


Women’s health physiotherapy approaches pelvic pain by considering the pelvic floor, musculoskeletal system, and wider lifestyle factors together. Pelvic pain is rarely caused by one issue alone, and support focuses on identifying and addressing contributing factors.
Physiotherapy support may include:
Assessment of pelvic floor muscle tone, control, and coordination
Hands-on treatment to address soft tissue tension or sensitivity
Mobilisation of joints where stiffness or movement restriction contributes to pain
Assessment and treatment of related musculoskeletal issues, such as back or hip pain
Movement-based rehabilitation to improve confidence and reduce pain with activity
Support with posture, breathing, and movement patterns
Guidance around activity modification, pacing, and flare-up management
Consideration of lifestyle factors such as stress, sleep, and hormonal influences
Support is always tailored to the individual, based on symptoms, contributing factors, and personal goals.
You may wish to seek support if pelvic pain is affecting your comfort, relationships, daily activities, or quality of life, or if symptoms feel persistent or difficult to manage. Where symptoms suggest that further medical investigation may be appropriate, this can be discussed and onward referral recommended.
Appointments take place at the clinic in Winscombe, supporting women across North Somerset.
If you’re experiencing pelvic pain, a women’s health physiotherapy appointment provides the opportunity to explore your symptoms and discuss appropriate next steps.
If you’re unsure whether this is the right appointment for you, you’re welcome to get in touch to discuss your options.
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Thrive and Shine Women's Wellness Studio
Corner House
Woodborough Road
Winscombe
BS25 1AQ
07862620259
Thrive and Shine Women’s Wellness provides Physiotherapy, Pilates, menopause support, and remedial hypnosis / CONTROL method for women across Winscombe, Weston-super-Mare, Cheddar, Axbridge, and North Somerset.
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