Pelvic pain physical therapy in Holly Springs, NC at Evolve Physical Therapy treats the underlying causes of chronic pelvic pain with a specialized, whole-body approach. Pelvic pain is often misunderstood and can persist for months or years, but with the right treatment, it is highly manageable. We help patients reduce pain, restore function, and return to normal life.

What is pelvic pain?

Pelvic pain is a broad term that includes pain in the lower abdomen, pelvis, vaginal region, rectal region, or surrounding tissues. It may be constant or intermittent, sharp or aching, and can be triggered by sitting, exercise, bowel movements, intimacy, or no clear pattern at all. Pelvic pain is often complex because it may involve muscles, connective tissue, nerves, breathing mechanics, posture, prior injury, stress, or nervous system sensitization.

Common Symptoms

Patients may experience:

• Pain with sitting
• Pain with intercourse
• Lower abdominal or pelvic discomfort
• Pain during or after exercise
• Burning, aching, or pressure sensations

Why Pelvic Pain Develops

Pelvic pain is often driven by a combination of:

• Overactive or tight pelvic floor muscles
• Chronic muscle guarding
• Scar tissue restrictions
• Nerve irritation
• Increased nervous system sensitivity

Many patients have overactive (tight), not weak, muscles

Why Pelvic Pain Persists

Pain can continue even after the initial cause resolves because:

• The nervous system becomes more sensitive
• Muscles remain in a guarded state
• Movement patterns continue to irritate tissues

This is why rest alone often does not resolve symptoms.

What Most Patients Get Wrong

• “It’s just stress”
• “It will go away on its own”
• “I just need to relax more”

 Pelvic pain is real, physical, and treatable with the right approach.

How Pelvic Floor Physical Therapy Helps

Treatment focuses on reducing irritation and restoring normal function.

This may include:

Muscle relaxation and release

• Reducing tension and trigger points
• Improving tissue mobility

Nervous system regulation

• Reducing sensitivity
• Improving tolerance to movement

Movement retraining

• Identifying and correcting aggravating patterns

Gradual return to activity

• Safely increasing tolerance to exercise and daily tasks

Pelvic Pain FAQ

Is pelvic pain normal?
No, it is common, but not normal.

Do I need internal treatment?
Not always. Treatment is individualized based on your needs.

Book An Appointment With A Pelvic Floor Specialist

If you’re experiencing pelvic pain, you don’t have to live with it. Schedule a pelvic floor evaluation at Evolve Physical Therapy in Holly Springs, NC and take the first step toward lasting relief and confidence.