Chronic Pelvic Pain Syndrome
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Chronic Pelvic Pain Syndrome (CPPS) is a complex and often misunderstood condition that affects both men and women, causing persistent discomfort and pain in the pelvic region. Unlike acute pain that signals a clear injury or infection, CPPS is a multifactorial condition involving the musculoskeletal, neurological, and sometimes psychological systems.


At Isleworth Pain and Injury Clinic, our team of experienced chiropractors and physiotherapists offers a tailored, integrative approach to treating CPPS, focusing on restoring function, reducing pain, and improving quality of life.


What Is Chronic Pelvic Pain Syndrome?


CPPS is typically defined as pelvic pain that lasts for more than 6 months, with no clear identifiable infection or structural pathology. It can involve:


  • Lower abdominal or pelvic aching
  • Pain in the hips, buttocks, perineum, or lower back
  • Pain during or after sexual activity
  • Urinary urgency or frequency
  • Discomfort when sitting for long periods
  • Bowel-related symptoms (e.g., bloating, constipation)


The condition may result from dysfunction in the muscles, joints, ligaments, and nerves surrounding the pelvic region. Often, it is exacerbated by stress, poor posture, prior injuries, or repetitive strain.


Causes And Contributing Factors


Chronic Pelvic Pain Syndrome is rarely caused by a single issue. Instead, it’s usually the result of several overlapping factors:


  • Pelvic floor muscle dysfunction (tightness or weakness)
  • Postural imbalances
  • Nerve irritation or entrapment
  • Myofascial trigger points
  • History of trauma, surgery, or childbirth
  • Stress or anxiety contributing to muscle tension


In men, CPPS is sometimes diagnosed as chronic non-bacterial prostatitis, while in women, it may overlap with conditions like interstitial cystitis, endometriosis, or vulvodynia.


How Physiotherapy Can Help Manage CPPS


Physiotherapy plays a central role in addressing the musculoskeletal components of CPPS. At Isleworth Pain and Injury Clinic, our physiotherapists offer a range of evidence-based treatments:


1. Pelvic Floor Rehabilitation


  • Identifying and addressing muscle tightness or weakness
  • Teaching proper muscle coordination and relaxation
  • Biofeedback training to restore normal function


2. Manual Therapy


  • Myofascial release of trigger points in the pelvic, hip, and lower back regions
  • Joint mobilisations to improve movement and reduce referred pain
  • Soft tissue techniques to relieve tension and promote circulation


3. Postural Re-education and Core Stability


  • Correcting imbalances in the spine and pelvis
  • Strengthening the deep abdominal and back muscles
  • Improving alignment to reduce strain on pelvic structures


4. Breathing and Relaxation Techniques


  • Reducing tension in the diaphragm and pelvic floor
  • Promoting parasympathetic (rest and digest) activation
  • Managing the stress-pain cycle


The Role of Chiropractic Care in CPPS


Our chiropractors assess the spine, pelvis, and nervous system to identify mechanical and neurological contributors to pelvic pain. Chiropractic care may involve:


  • Spinal and pelvic adjustments (gentle, specific, and modified for comfort)
  • Nerve mobilisation techniques
  • Education on ergonomics and movement patterns


When integrated with physiotherapy, chiropractic care can support a whole-body approach to healing and symptom reduction.


Empowering Recovery Through Individualised Care


Every patient’s experience with CPPS is unique. That’s why we emphasise individualised treatment plans that may also include:


  • Guided exercise programs
  • Nutritional and lifestyle recommendations
  • Pain neuroscience education
  • Collaboration with other health professionals as needed


Our goal is to help you understand your body, break the cycle of chronic pain, and regain control of your well-being.


Start Your Journey Toward Relief Today


You don’t have to live with ongoing pelvic pain.


At Isleworth Pain and Injury Clinic, we take a compassionate, patient-centred approach to Chronic Pelvic Pain Syndrome. Our team is here to listen, assess, and guide you through a personalised treatment plan designed to reduce pain, restore function, and improve your quality of life.


Contact us today to schedule your consultation. Let’s work together to bring comfort, confidence, and strength back into your daily routine.

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We offer expert physiotherapy, chiropractic, and rehabilitation to relieve pain, restore movement, and support lasting recovery.

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