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Seacoast Spine & Sports Injuries Clinic

Pelvic Pain

Low back, pelvis & core · Before your visit

Pelvic pain may involve joints, muscles, nerves, pelvic organs, or the pelvic floor.

When to seek urgent medical care

Get urgent medical help for new loss of bladder or bowel control, numbness around the groin or saddle area, rapidly worsening leg weakness, fever with severe back pain, or pain after major trauma.

This is not an exhaustive emergency list. If something feels severe, rapidly worsening, or unsafe, call 911 or seek urgent medical evaluation.

Start here

What is pelvic pain?

Pelvic pain may involve joints, muscles, nerves, pelvic organs, or the pelvic floor. A musculoskeletal examination can identify hip, sacroiliac, trunk, and movement contributors while directing pelvic-health or medical referral when needed.

The same label can behave differently from one person to the next. The timing, location, type of symptoms, injury mechanism, and response to movement help distinguish a local tissue problem from referred pain, nerve involvement, or a pattern that should be evaluated elsewhere first.

How pelvic pain may show up

People do not need every sign below to fit this pattern. They are useful clues to discuss during an evaluation, especially when paired with what changes the symptom and what activity has become difficult.

  • pain around the pelvis or groin
  • pain sitting or walking
  • symptoms linked to hip or back movement
  • pelvic-floor or bladder symptoms

Why it can start or persist

A contributor is not always a single cause. Tissue capacity, recovery, the size of a recent load change, and the mechanics of the task can overlap. For pelvic pain, the history commonly examines:

  1. 1pelvic-floor muscle dysfunction
  2. 2hip or sacroiliac irritation
  3. 3pregnancy, surgery, or trauma

How the pattern is examined

An assessment begins with the story, then tests the findings that can change a decision. For this presentation, that usually means looking at the items below and comparing them with the demands of work, daily life, or sport.

Clinical focuship, lumbar, and sacroiliac screen
Clinical focusload and movement pattern
Clinical focuspelvic-health and medical referral indicators

Imaging can be useful when the history or examination indicates it, but a scan is not a substitute for matching the finding to symptoms, function, and the clinical screen.

Clinically reviewed

Reviewed by Dr. Tamara Lovelace, DC, DACBSP, ICCSP, Chiropractic Sports Doctor and clinic director, on August 25, 2026.

This page explains what we look at and what care can involve. It is not a diagnosis, and it cannot replace an examination. Bring the problem in and a provider will tell you what is going on.

What to expect from care, and in what order

Care for pelvic pain is built around the findings, not a preset protocol. The early goal may be symptom control or protection; the later goal is enough motion, strength, and tolerance for the exact activity you need.

01

address relevant musculoskeletal contributors

Progress is checked against symptom response and function so the plan can change when capacity changes.

02

restore breathing and trunk coordination

Progress is checked against symptom response and function so the plan can change when capacity changes.

03

coordinate pelvic-floor specialty care

Progress is checked against symptom response and function so the plan can change when capacity changes.

Common questions about pelvic pain

Short answers to the decisions people usually face before an evaluation.

What is pelvic pain?

Pelvic pain may involve joints, muscles, nerves, pelvic organs, or the pelvic floor. A musculoskeletal examination can identify hip, sacroiliac, trunk, and movement contributors while directing pelvic-health or medical referral when needed.

How is pelvic pain assessed?

The examination is shaped by your history and the task that brings symptoms on. For this pattern, useful checkpoints include hip, lumbar, and sacroiliac screen, load and movement pattern, pelvic-health and medical referral indicators. The provider also screens for findings that should be evaluated medically before musculoskeletal care continues.

What can care for pelvic pain include?

A plan may draw from Physical Therapy, Chiropractic, and Cupping, but the service is not the diagnosis. Care is selected around the examination and may focus on address relevant musculoskeletal contributors, restore breathing and trunk coordination, coordinate pelvic-floor specialty care. The dose and sequence change with irritability, healing stage, and the activity you need to regain.

Can I stay active with pelvic pain?

Often, some activity can continue after the provoking dose is adjusted, but that decision depends on the tissue, severity, and warning signs. The goal is to protect what needs healing while preserving safe strength and conditioning, then rebuild the specific work, daily-life, or sport demand.

When does pelvic pain need urgent medical care?

Get urgent medical help for new loss of bladder or bowel control, numbness around the groin or saddle area, rapidly worsening leg weakness, fever with severe back pain, or pain after major trauma.

Related low back & pelvis guides

Symptoms often overlap. These pages can help you compare nearby tissues, referred pain, and different loading patterns.

Browse low back, pelvis & core

Get clarity on pelvic pain.

Book at the Portsmouth or Alton clinic. The first step is a focused assessment that separates what hurts from what is driving it.

Portsmouth Clinic

Portsmouth, NH · Seacoast

Mon to Thu: 9:00 AM to 6:00 PMFriday: 9:00 AM to 5:00 PM
(603) 431-4200
Lakes Region Clinic

Alton, NH · Lakes Region

Mon, Wed, Fri: 9:00 AM to 7:00 PMTue & Thu: 9:00 AM to 6:30 PMSaturday: 8:00 AM to 12:00 PM
(603) 875-4000
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