Pelvic Pain

Pelvic Pain Physical Therapy in Massachusetts

Compassionate, Specialized Care for Lasting Relief

Pelvic pain is a deeply personal and often misunderstood experience. If you're living with symptoms that affect your daily comfort or intimate life, you're not alone—and effective, evidence-based treatment is available. At Orthopaedics Plus, our pelvic health specialists provide skilled, discreet, and compassionate care designed to identify the root causes of your pain and help you return to a life of confidence and comfort.

  • Do you have pain with tampon use?

    Do you have pain with tampon use?

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    Pain with tampon insertion or removal—known as dyspareunia or vaginismus depending on the cause—can indicate pelvic floor muscle dysfunction or heightened pelvic nerve sensitivity. This pain is not "normal," and it doesn’t mean you have to just “live with it.” Through gentle pelvic floor physical therapy, we work to:

    Our physical therapy plan may involve:

    • Desensitization strategies
    • Soft tissue mobilization and myofascial release
    • Postural education and ergonomic advice
    • Activity and clothing modifications to reduce irritation

    We work with you to reduce sensitivity, manage daily triggers, and restore comfort in your routine.

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  • Do you have pain with sex?

    Do you have pain with sex?

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    Pain during or after intercourse can stem from pelvic floor dysfunction, hormonal changes, scar tissue, or nerve hypersensitivity. Whether the pain is superficial or deep, consistent or situational, we provide a supportive, judgment-free space to help address it.

    Our treatment may include:

    • Internal or external manual therapy to reduce tension and trigger points
    • Biofeedback and neuromuscular re-education
    • Strategies to improve communication and comfort during intimacy
    • Education about anatomy, arousal, and protective muscle guarding

    Our goal is to help you reclaim confidence and enjoyment in your intimate relationships—without pain.

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  • Do you have pain hile wearing tight clothing?

    Do you have pain while wearing tight clothing?

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    Pain or discomfort from tight clothing may be due to pelvic nerve entrapment, vulvodynia, or heightened sensitivity of the vulvar tissues. If leggings, jeans, or even undergarments cause burning, pressure, or irritation, this could indicate a hypersensitive pelvic floor or irritated pudendal nerve.

    Our physical therapy plan may involve:

    • Desensitization strategies
    • Soft tissue mobilization and myofascial release
    • Postural education and ergonomic advice
    • Activity and clothing modifications to reduce irritation

    We work with you to reduce sensitivity, manage daily triggers, and restore comfort in your routine.

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  • o you have vaginal burning all of the time?

    Do you have vaginal burning all of the time?

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    Chronic vaginal burning can feel overwhelming and isolating. It may be linked to vulvodynia, vestibulodynia, interstitial cystitis, or pelvic floor muscle overactivity. This type of pain is complex but very treatable.

    At Orthopaedics Plus, we’ll tailor your treatment to your symptoms and history, with interventions that may include:

    • Internal and external pelvic floor muscle release
    • Neuromuscular re-training to calm overactive nerves
    • Breathwork and relaxation strategies
    • Collaboration with gynecologists or urogynecologists when needed

    We’re here to validate your experience, explain your options, and support you every step of the way.

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Women's Health | Pelvic Pain | Incontinence | Pregnancy & Postpartum