Understanding Pelvic Pain

Pelvic pain is discomfort or pressure in the lower abdomen or pelvic region. It may develop gradually or appear suddenly, and can range from mild aching to severe, sharp pain. Pinpointing the exact source can be challenging because the pelvis contains many interconnected structures—including muscles, nerves, organs, and joints. However, lasting relief is possible with accurate diagnosis and a holistic treatment plan.

At the Gerling Institute in NYC, our specialists understand that pelvic pain is often multifactorial, stemming from spinal, muscular, or neurological origins. We combine advanced imaging, regenerative medicine, and tailored therapies to restore comfort, function, and quality of life for each patient we treat.

Common Causes of Pelvic Pain

Understanding the root cause of pain is essential. For many patients in New York City, pelvic pain involves a combination of musculoskeletal and neurological factors, requiring a comprehensive treatment plan.

Muscle or Nerve Dysfunction

Tight or imbalanced pelvic floor muscles and nerve entrapment, such as pudendal neuralgia, can cause chronic pelvic pain and sensitivity.

Spinal Disorders

Lumbar or sacral disc herniations, sacroiliac (SI) joint dysfunction, or nerve root compression in the lower spine can refer pain to the pelvic region.

Gynecologic Conditions

In women, endometriosis, ovarian cysts, and uterine fibroids are common causes of pelvic pain.

Urologic or Gastrointestinal Issues

Bladder inflammation (interstitial cystitis) or bowel conditions such as irritable bowel syndrome (IBS) can trigger persistent pelvic discomfort.

Post-Surgical or Injury-Related Pain

Pelvic trauma, childbirth, or surgical scar tissue may contribute to ongoing pain or mobility limitations.

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Signs and Symptoms

Pelvic pain can present differently for each person. Common symptoms include:

  • Persistent aching or pressure in the lower abdomen, hips, or groin
  • Pain during sitting, standing, or sexual activity
  • Radiating discomfort into the lower back or thighs
  • Muscle spasms or a feeling of tightness in the pelvis
  • Numbness, tingling, or burning sensations in the pelvic region
  • Changes in bladder or bowel habits

If your symptoms are severe, persistent, or associated with numbness or weakness, seek an evaluation from a pelvic pain specialist in NYC for an accurate diagnosis and targeted treatment.

Diagnosis at the Gerling Institute

Because pelvic pain can have overlapping causes, effective diagnosis requires a multidisciplinary and holistic approach. Our NYC spine and musculoskeletal team may recommend:

  • Comprehensive physical examination to assess posture, movement, and pelvic floor muscle tone
  • Neurological testing to identify nerve compression or irritation
  • Advanced imaging, such as MRI or CT scans, to evaluate spinal alignment, disc integrity, and pelvic structures
  • Diagnostic injections (e.g., SI joint or nerve root blocks) to confirm the pain source

We also collaborate with gynecology, urology, and pain management specialists to ensure a complete and coordinated evaluation.

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Pelvic Pain Treatment Options in NYC

Treatment at the Gerling Institute is always customized to each patient’s condition and goals. Whenever possible, we use non-surgical therapies to relieve pain and improve mobility.

Non-surgical options include:

  • Physical therapy and pelvic floor rehabilitation
  • Anti-inflammatory or neuropathic medications
  • Image-guided injections (nerve blocks, SI joint injections)
  • Lifestyle adjustments and ergonomic training
  • Regenerative medicine, including PRP and stem cell therapy, when appropriate

When structural issues such as disc herniation or nerve compression contribute to pelvic pain, minimally invasive surgical procedures may be recommended to relieve pressure and restore spinal alignment.

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Why Choose the Gerling Institute for Pelvic Pain Treatment in NYC

Pelvic pain often involves complex interactions between the spine, muscles, and nerves. We specialize in uncovering those connections at the Gerling Institute in New York City. Our holistic model integrates regenerative medicine, advanced diagnostics, and multidisciplinary rehabilitation to treat both the physical and neurological causes of pelvic pain.

Led by Dr. Michael Gerling, a minimally invasive spine and musculoskeletal care pioneer, our NYC team blends innovation with compassion. We empower patients to heal on every level—physical, emotional, and mental—with personalized treatment plans that restore balance, comfort, and confidence.

We’re here to help you move forward.

Relief starts with experienced spine and pain care. Contact us today to schedule your consultation and begin your path toward lasting relief.

We're here to help you move forward.

Relief starts with quality orthopedic care. Contact us today to take the next step toward a more active, pain-free life.

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