- Have you been experiencing pain in your pelvis or lower abdomen for a long time? Or do you have pain in a groin, your hip(s), upper legs or lower back?
- Are there any problems or pain when you go to the bathroom?
- Are you experiencing problems with your period? When making love?
- Did symptoms arise during or after pregnancy or childbirth?
- Have you had your (pain) symptoms since menopause?
- Or perhaps since you have had surgery in your lower abdomen?
- Are there things you can no longer do or want because of the pain or other symptoms?
If your answer to one or more of these questions is "yes," or if you have symptoms similar to this: We can help you.
Your pain or discomfort may have one or more causes. Because in the lower body, the bladder, uterus, ovaries, intestines, muscles, tendons, blood vessels, nerves and bones are close together. Sometimes the cause of pain and symptoms can be difficult to determine. But rest assured: we almost always succeed in determining where the pain and discomfort are coming from. And we can treat you. For more than 25 years, we have specialized in treating these chronic pelvic pain and symptoms.
Do you see your symptoms in the list below? If so, we can help you. Would you rather talk about it? Then give us a call.
Pain
- Pain in or around the pelvis
- Pain in the upper abdomen
- Abdominal pain
- Pain due to endometriosis
- Pain in the groin
- Low back pain that keeps returning despite treatment. Often at the level of the dimples in the lower back
- Pain after lying in a position for a long time
- Stomach Pain
- Pain between the shoulder blades
- Pain after standing in a position for a long time
- Breech pain
- Pain after exercising back and abdominal muscles
- Pain when sitting
- Pain after sitting in one position for a long time
- Pain exacerbated by stress and or anxiety
- Restless legs
- Pain that gets worse before or around menstruation
- Pain that worsens in/after menopause
Bladder, urination, urine leakage
- Bladder inflammation feeling without having a bladder infection
- Recurrent bladder infections
- Constant pressure sensation on the bladder
- Pain in the lower abdomen at the level of the bladder
- Abdominal pain
- Pain on urination
- Spraying sometimes interrupted jet with urination
- Difficulty holding up urine
- Having difficulty getting urine going
- Having to urinate very often, usually just a little at a timeFeeling like you are not emptying properly
- Long dripping when urinating
- Pain at the outlet of the urethra
- Urinary leakage upon urge, sneezing, laughing, startling or unexpected movements
Bowels, defecation, defecation
- Hemorrhoids
- Painful tears (fissures) at the anus
- Anus cramp
- Pain between vagina and anus
- Abdominal pain
- Feeling like there is a golf ball in the intestine.
- Increase in urge for defecation
- Difficulty holding up stools
- Defecation: difficulty emptying the bowels or constipation
- Feeling like stool is left in the intestine
- Pain during defecation
- Spastic bowels
During or after pregnancy
- Pelvic Pain
- Pain that arose during pregnancy
- Pain made worse during pregnancy
- Pain that occurred after pregnancy
After childbirth
- Hemorrhoids
- Pelvic Pain
- Painful scar after a cut
- Pain in the tailbone
- Burning pain when sitting
Vagina, uterus, ovaries, menstruation
- Abdominal pain
- Vaginal pain
- Severe menstrual pain
- Pain that gets worse during menstruation
- Middle pain (pain during ovulation)
- Pain that gets worse in menopause
- Pain in lower back and pelvis
- Pain between vagina and anus
Free
- More difficulty reaching orgasm
- Altered sensation during orgasm
- Altered sensation when touching the clitoris
- Pain during or after orgasm
- Pain during intercourse: at the entrance to the vagina
- Pain during intercourse: deeper in the vagina
- Pain in certain positions during lovemaking
- Permanent feeling of arousal without sexual desire
Other
- Depressed feelings (caused by the symptoms)
- Fatigue or lethargy (caused by the symptoms)
- Difficulty standing on one leg
- Stress
Possible causes
Do you recognize one or more (pain) symptoms in the list? Below are possible causes. These causes are not unrelated. Suppose your pelvis is unstable due to pregnancy hormones, your abdominal and back muscles will have to adjust. This may all go very well, but a muscle may cramp or a nerve becomes irritated. Such a nerve may become painful, or you may experience problems with urination, for example.
IMPORTANT: No two women are alike. Everyone has her own story and during the consultation we will take the time to listen to your experiences.
Female hormones
The amount of female hormones in our bodies is not always the same. These hormones also affect muscles and joints. This can cause (pain) symptoms:
- During or around menstruation,
- during and after pregnancy,
- during the transition,
- During or after treatment with female hormones,
- because disorders and diseases respond to the amount of hormones in the blood,
- Female hormones, for example, can cause ligaments to slacken.
Pelvic instability is one example.
Learn more about female hormones Here's what we can do for you
Incorrect muscle use
We have many muscles in our abdomen and back. For example, because of our work, hobby, stress, because of an injury or after surgery, because of wrong sitting or walking posture, one muscle can become too strong and another muscle too weak. Or a muscle becomes overloaded and cramped. This can lead to pain during movement or at rest.
A too strong or too weak muscle can also put pressure on a nerve. Such an irritated nerve, or the muscle itself, can affect the function of the bladder or intestines, for example. And pain during intercourse may be because the muscles in the abdominal cavity are too tense.
When a muscle is cramped, it has small painful "knots. These are also called: "trigger points.
We will also give you more information about pressure on a nerve, or an irritated nerve.
After surgery
With surgery on your abdomen, back or hip, for example, muscles and nerves may become sensitive or irritated. And after surgery on an arm or leg, you may have started moving less or differently. Even a small change in your body can lead to (pain) symptoms. And it may well be that those symptoms only appear a long time after surgery.
After a fall or an accident
A fall or an accident may have caused major or minor damage in the body, such as a broken bone, a pulled or bruised muscle or a damaged nerve. Even a small change in your body can cause (pain) symptoms. And it may well be that those symptoms do not arise until a long time after the fall or accident.
Read more about after a fall or accident This is what we can do for you
Too flexible joints
Every joint is surrounded by ligaments. These provide strength. So do the muscles and tendons surrounding a joint. People with hypermobility syndrome (HMS) have very flexible joints. In them, the ligaments and tendons are weaker. They lack some of the firmness in the pelvis and this can cause (pain) symptoms.
Read more about flexible joints Here's what we can do for you
Irritated nerves
Nerve pain in the pelvic floor
In the pelvis, pelvic floor, at the buttocks, groin, legs, abdomen and back are several nerves that can cause problems.
Do you have pain in your pelvic floor when you sit? Does the pain diminish when you stand or lie down? If so, you may be suffering from the Pudendus Nerve.
This type of complaint is medically known as Pudendus Neuralgia, entrapment of the Pudendus Nervus, also called Pudendus Entrapment or Neuropathy of the Pudendus Nervus. It is a problem that is not always recognized. Also, not much is yet known about it in medical science. Often Pudendus Problem occurs as part of Chronic Pelvic Pain Syndrome, also called CPPS (Chronic Pelvic Pain Syndrome).
Read more about irritated nerves Here's what we can do for you
Interstitial cystitis/bladder pain
The condition interstitial cystitis (IC) is also called bladder pain syndrome (BPS). This condition is still sometimes overlooked. This is because its symptoms resemble those of a bladder infection. But: in a bladder infection, bacteria are active and in IC and BPS, they are not.
People with IC or BPS suffer from one or more of these symptoms:
- frequent urination,
- pain above the pubic bone,
- feeling severe pressure or discomfort when the bladder fills. Peeing briefly gives relief, but as soon as the bladder fills, the pain or pressure returns. This complaint is the most noticeable.
These people may also suffer from chronic pelvic pain.
More information can be found here
Learn more
We almost always manage to determine
determine where the pain and
discomfort are coming from.
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