Common clients for pain and complaints in women
- Have you been experiencing pain in your pelvis or lower abdomen for a long time? Or do you have pain in the groin, your hip(s), upper legs or in your 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 is difficult to determine. But you can be assured: we almost always succeed in determining where the pain and discomfort are coming from. And we can help you. For more than 30 years, we have specialized in treating 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
- Abdominal pain
- Pain due to endometriosis
- Pain in the groin
- Pain in the genitals
- Pain in the buttock
- Low back pain that keeps coming back 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
- Tailbone pain
- Pain after working-out (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
Bladder, urination, urine leakage
- Feeling like you have a bladder inflammation without having a bladder infection
- Recurrent bladder infections (Cystitis)
- Constant pressure sensation on the bladder
- Pain in the lower abdomen at the level of the bladder
- Abdominal pain
- Pain before, during or after urinating
- Intermitterend flow
- Difficulty postponing urination
- Hesitancy
- Having to urinate very often, usually just a little at a time. Feeling like you are not emptying properly
- Long dripping after urinating
- Pain at the meatus (opening) of the urethra
- Urinary leakage upon urge, sneezing, laughing or during unexpected movements
Bowel, defecation
- Hemorrhoids
- Painful tears (fissures) in the anus
- Muscle spasm in de anus
- Pain between vagina and anus
- Abdominal pain
- Feeling like there is a golf ball in the rectum.
- Increase in urge for defecation
- Difficulty postponing defecation
- Constipation
- Difficulty with evacuating stool
- Feeling like stool is left in the rectum
- Pain during defecation
- IBS (Irritable Bowel Syndrome)
- Fecal incontinence
During Pregnancy
- Pelvic Pain
- Pain that arose during pregnancy
- Pain that increased during pregnancy
- Instability
- Tailbone Pain
- Varicose Veins
- Vulvair Pain
- Vestibular Pain
- Diastasis Recti (gap between the abdominal muscles)
After childbirth
- Hemorrhoids
- Pelvic Pain
- Painful scar after an episiotomy or Cesarean Section
- Pain in the tailbone
- Burning pain when sitting
- Pudendal Neuralgia
- Incontinence (urinary and or fecal)
- Prolapse
Vagina, uterus, ovaries, menstruation, menopause
- Abdominal pain
- Vaginal pain
- Severe menstrual pain
- Pain that gets worse during menstruation
- Pain during ovulation
- Pain that gets worse in menopause
- Pain in lower back and pelvis
- Pain between vagina and anus
- Prolapse
- Vulvar Pain
- Vestibular Pain
- Pain while having sex
- Neuropathic Pain
- Tight Pelvic Floor Muscles
- Weak Pelvic Floor Muscles
- Poor circulation
- Varicose veins
Sex
- Altered sensation during orgasm
- Difficulties in getting an orgasm
- Loss of sensation in the genital area
- 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
- Pain due to sexual trauma
- Pain during sex after giving birth (episiotomy)
- Pain during sex after surgery
- Pain that occurred after menopause
Other
- Depressed feelings (caused by the symptoms)
- Fatigue or lethargy (caused by the symptoms)
- Difficulty standing on one leg
- Stress
- Hypermobility
- Weakness of connective tissue
- Symptoms that occurred after surgery
- Symptoms that occurred after you had an accident
Possible causes from pain and complaints in women
Do you find yourself identifying with one or more (pain) symptoms from the list provided? Below, we delve into potential causes, which, it’s important to note, are interconnected rather than isolated. Let’s consider a scenario where your pelvis becomes unstable due to pregnancy hormones; consequently, your abdominal and back muscles will inevitably need to make adjustments. While this adaptation process may proceed smoothly for many, it’s possible that a muscle could become strained and painful as a result of compensating, or a nerve might get irritated. Such an irritated nerve might not only cause pain but could also lead to issues such as difficulties with urination, among others.
CRUCIAL POINT: It’s essential to remember that no two women are the same. Each individual brings her unique narrative to the table, and during the consultation, we dedicate ourselves to attentively listening to your personal story, acknowledging the uniqueness of your experience.
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 menopause,
- during or after treatment with female hormones,
- because disorders and diseases react to the amount of hormones in the blood,
- Female hormones, for example, can cause ligaments to weaken.
- Pain due to Endometriosis
Pelvic instability is an example.
Incorrect muscle use
We have many muscles in our abdomen, pelvis and back. For example, because of our work, hobby, stress, because of an injury or after surgery, because of sitting or walking posture, one muscle can become too strong and another muscle too weak. The muscles that have to compensate for weakness of other muscles need to work harder. This can lead to pain during movement or at rest.
Muscular imballances can cause pain and may lead to symptoms in adjacent structures. For example if the muscles surrounding your pelvis are not working well together, this can result in tightness of the pelvic floor muscles.
If a muscle has increased tone this may result in development of small painful ‘knots’ in that muscle. They are also called trigger points.
Increased muscle tone can also cause irritation of the pelvic nerves or it. can affect the local blood circulation.
Read more about female hormones
After surgery
With surgery on your abdomen, back or hips, 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 these complaints only arise a long time after the fall or accident.
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 due to compensation strategies in muscles that are compensating for the flexibility of the joints.
Irritated nerves
Nerve pain in the pelvic floor
In the pelvis, pelvic floor, in 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 decreases 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). Nerve pain can also present with other symptoms and the Pudendal Nerve is not the only nerve that can cause pain in the pelvic area.
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
More information
We almost always manage to
determine where the pain and
discomfort are coming from.