Pelvic Tissue Dysfunction

What is Tissue Dysfunction in Pelvic Pain?


The main tissue problems that cause pelvic pain are:

  • Trigger points, also known as muscle knots
  • Connective tissue dysfunction, which is essentially tension in the outer container of the muscle (the tissue between the skin and the muscle)
  • Neural tension, which is tension along the nerve pathway, causing difficulty with the normal sliding and gliding of the nervous system
  • Pelvic congestion caused by varicose veins, or poor circulation in the pelvic floor
  • Sacro-iliac joint problems are very common in pelvic pain and can be caused by, or contribute to, a tight or weak pelvic floor
  • Tension in the viscera or organs of the lower abdomen including the bladder, prostate, uterus and ovaries
  • Skin problems particularly in the vulva (skin breakdown, dry tissues, infections, or tissue atrophy (thinning) due to hormonal changes)

This tissue dysfunction is contributing to your pelvic pain in varying amounts depending on your own individual presentation.


All patients with pelvic pain have a unique combination of pain contributors from the various tissue problems and their sensitized nervous system. A physiotherapist who specializes in pelvic pain can help you to sort out what your contributing factors are.


If you do not have access to an appropriately trained physiotherapist then the following resources can help: