Pelvic & Groin Pain

Pelvic and groin pain can be devastating, preventing mothers from caring for their babies, preventing athletes from advancing in sports, and can leave otherwise healthy people unable to get out of bed without horrible pain and embarrassing symptoms. Whether you have sustained a sports injury, experienced difficulties since giving birth, or suffered another traumatic incident, it is vitally important to understand the role joint instability and ligament laxity play in worsening or complicating your situation. Pelvic floor dysfunction, ischial tuberosity pain, hamstring syndrome, vaginal pain, groin injuries, and other pelvic pain conditions can be resolved with Comprehensive Prolotherapy. Navigate through the sections below for lots of pelvic and groin pain information or get help from our medical staff now.

Symptoms associated with Pelvic Floor Syndrome

  • Abdominal pain/fullness
  • Constipation
  • Difficulty initiating bowel movements
  • Difficulty initiating the urine stream
  • Frequent urination
  • Increased discomfort when sitting for long intervals
  • Pain with orgasm
  • Pain with vaginal penetration
  • Pelvic pressure or pain
  • Post-ejaculatory pain
  • Sensation of incomplete bladder emptying
  • Sensation of needing to urinate immediately after urinating
  • Severe fatigue
  • Severe pain or burning with urination or defecation
  • Sexual dysfunction
  • Straining with urination
  • Testicular or penis pain
  • Vaginal pain

These are among many symptoms associated with pelvic floor dysfunction and other pelvic pain conditions. These symptoms can be signs of the following pelvic & groin pain conditions that we treat with Prolotherapy. Because the soft tissue connections along the pelvis are dynamic, it is important to see a Prolotherapy specialist who can conduct a proper physical exam to determine the most comprehensive treatment plan.

Chronic Conditions caused by Pelvic Instability

Ankle pain most often occurs because the bones and joints are moving too much – hence the diagnosis of joint instability. Why are they unstable? Because the support structures, the ligaments and tendons, are weak.

The Components of the Pelvic Ring

The arrows show the direction of body weight force as it is transferred between the pelvic ring, trunk, and femurs. The keystone of the pelvic ring is the sacrum, which is wedged between the two ilia and secured bilaterally by the sacroiliac joints.

Adapted from: Magee D. Orthopedic Physical Assessment. 6th Edition. St. Louis, MO: Saunders; 2014. From Neumann DA. Kinesiology of the musculoskeletal system. Ed 2. St Louis, 2010. CV Mosby, p. 360. Redrawn after Kapandji IA. The physiology of joints. Vol 3. New York, 1974, Churchill Livingston.


Prolotherapy Treatments for Pelvic & Groin Pain

Chronic pain that does not respond to exercise, massage, or manipulation is most likely a ligament problem. Our providers see patients with pelvic and groin pain that have already been through round after round of physical therapy or other symptomatic but to no avail. When muscles contract against an unstable base, continuing to do muscle work will only prove frustrating. All the while, the stability continues to deteriorate. The symptoms return, and patients may even end up going through surgical procedures. You must address the unstable base/joint instability, including the pubic symphysis, along the pelvic floor and ischial tuberosity, and back to the sacroiliac joints and lumbar spine. Treatments in our clinics always start with a detailed history and discussion with the patient, and a thorough physical exam for joint instability and ligament and tendon laxity. From there, a comprehensive Regenerative Injection Treatment protocol can be determined, along with post-treatment instructions to help continue stabilizing and strengthening the area. As the pelvic base stabilizes, muscles can contract and body functions can occur without increased pain and pressure throughout the pelvic region.

In cases of pain in groin, hamstring, rectal, vaginal, testicular, pelvic floor, and pubic symphysis areas, generally these pains can be reproduced when the ligaments around the pelvis are palpated. The most commonly affected areas are the ligaments around the sacrococcygeal junction, which includes the sacrococcygeal ligament, sacrotuberous, and sacrospinous ligaments.

Sacrotuberous Ligaments:


Its importance in stabilizing the pelvis with the sacroiliac ligaments and close association in the transmission of forces with the hamstring and gluteal muscle are often overlooked.

Patients with pain should have the sacroiliac joints palpated because sacroiliac ligament laxity can also refer pain to the groin. Another common cause of chronic groin, testicular, or vaginal pain is iliolumbar ligament weakness, because this ligament refers pain from the lower back to these areas.

Pubic Symphysis Treatment with Prolotherapy and PRP


Prolotherapy treatments to the weakened ligaments help these areas heal and return to normal strength. Once the ligaments are strong again, typically taking around 3-6 treatments, the chronic pain abates. In cases of pelvic floor dysfunction, the additional symptoms such as difficulty with urination and bowel movements, as well as sexual dysfunction and abdominal pressure, can be eliminated as well.

Athletes with chronic groin pain find that return to sports after Prolotherapy is generally quick and provides the desired long-term stability. This is an ideal treatment for patients looking for long-term results.

Get Help Now!

You deserve the best possible results from your treatment. Let’s make this happen! Talk to our team about your case to find out if you are a good candidate.