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Perineum Pain That Moves Around: Causes and Treatment

Posted July 31, 2019| by katherine SHARE

Do you ever have perineum pain that feels like it’s moving around in the perineum area? If you’ve ruled out infections with your doctor, it might be connected to your pelvic floor. 

Chronic Urinary Tract Infections Can Trigger Pelvic Floor Irritation

Often, clients come to us complaining of chronic urinary tract infections, bladder irritation and pain that moved between the vagina and rectum. Sometimes, even after the bladder/UTI is treated, the pain continues in the vaginal, hip and perineal areas. In men, this might present as prostatitis or pain in the urethra that travels to the rectum. 

The pain might feel tingling, sharp or a deep throbbing that moves from one place to the other. It’s important to go to your doctor to rule everything out, but if there’s no clear cause for the pain, it’s likely there is a musculoskeletal issue in the pelvic floor.

Pelvic Floor and Perineum Pain

We see this often in our clinic. Usually the pain moves around from front to back and there is no clear medical cause. However, the pelvic floor is usually the culprit. 

The pelvic floor is a group of muscles that line the bowl of the pelvis. Nerves run through the muscles of the pelvic floor and if these muscles become spasmed or tight, they can compress on those nerves and cause you all sorts of issues such as:

  • —perineum pain 
  • —pain after a bowel movement
  • —pain with intercourse
  • —pain with sitting

Why do these muscles become spasmed?

Chronic irritation can trigger changes in the myofascia and the muscles around the organs that are irritated. It’s kind of like one bad neighbor affecting another.  

Since you can’t see the muscles of the pelvic floor, it can be difficult to diagnose. If you’re experiencing these symptoms, click here to schedule a complimentary phone consultation with one of our physical therapists. 

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