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Pain Guide/Pelvis

Pelvis

Pelvic Floor

Pelvic floor pain involves the levator ani, coccygeus, and other muscles forming the pelvic diaphragm. Pelvic floor dysfunction can cause pain in the pelvis, lower abdomen, and perineum, and may affect bladder, bowel, and sexual function.

Medical Disclaimer

This information is for educational purposes only and does not constitute medical advice. Consult a qualified healthcare provider for proper diagnosis and treatment of any pain or medical condition.

Common Causes

1

Hypertonic (overactive) pelvic floor muscles from stress

2

Pelvic floor weakness after childbirth or surgery

3

Chronic pelvic pain syndrome

4

Pudendal nerve irritation or entrapment

5

Prostatitis or interstitial cystitis

Muscles in This Area

6

Pelvis

pubococcygeus

Part of pelvic floor, the pubococcygeus supports bladder/bowel, aids continence and core stability. Crucial for intra-abdominal pressure in heavy lifts like squats.

Pelvic floor dysfunctionStress urinary incontinence

Pelvis

iliococcygeus

The iliococcygeus forms the back part of the pelvic floor, spanning from pelvis to tailbone, supporting organs and pelvic stability. Important for core integrity in heavy lifts and preventing incontinence. Weakness shows in squats or postpartum.

Pelvic floor dysfunctionLevator ani syndromeCoccydynia

Pelvis

coccygeus

The coccygeus is a small pelvic floor muscle supporting the coccyx (tailbone) at the back of the pelvis. It flexes the sacrococcygeal joint and stabilizes during lifts or impacts. Important for pelvic stability and preventing tailbone pain in squats.

CoccydyniaPelvic floor dysfunctionSacrococcygeal strain

Pelvis

External anal sphincter

The external anal sphincter is a skeletal muscle ring around the anus that you can consciously control for bowel movements. It maintains continence during daily activities and is strengthened via Kegels for pelvic floor health. Important for athletes in high-impact sports to prevent incontinence.

Anal sphincter tearFecal incontinenceProctalgia fugax

Hip

piriformis

The piriformis is a deep hip rotator in the glutes, externally rotating the hip for balance in squats and deadlifts. Tightness often causes sciatica-like pain. Essential for hip mobility in athletes.

Piriformis syndromePiriformis tendinopathy

Hip

obturator internus

Deep pelvic external rotator turning thigh outward, key for piriformis syndrome differentials. Stabilizes sacroiliac joint in single-leg stance. Targeted in yoga for hip mobility.

Obturator internus syndromeDeep gluteal syndrome

Stretches That May Help

Happy baby pose
Child's pose pelvic floor release
Deep squat pelvic floor stretch
Child's pose pelvic tuck
Coccyx release stretch
Seated tailbone stretch
Deep squat stretch
Figure-four stretch
Piriformis foam roll
Seated piriformis stretch
Deep hip ER stretch
Modified pigeon
Supine figure four

Recommended Exercises

12

When to See a Doctor

Seek medical attention if you experience urinary incontinence, pain during intercourse, difficulty with bowel movements, pelvic heaviness or pressure, or persistent pelvic pain that affects daily life.

Self-Care Tips

1

Learn to differentiate between pelvic floor tightness and weakness

2

Practice diaphragmatic breathing to help relax the pelvic floor

3

Avoid excessive Kegel exercises if the pelvic floor is already tight

4

Seek a pelvic floor physiotherapist for targeted assessment

Related Pelvis Pain

Pelvis Muscles

Explore all pelvis muscles in 3D

Activities & Sports

Find which activities involve this area

Pinpoint·Interactive 3D Anatomy & Exercise Guide