How effective is pelvic floor physiotherapy for pelvic girdle pain?

Pelvic girdle pain can make walking, turning in bed, climbing stairs or standing on one leg uncomfortable. The pelvic floor works with the abdomen, back, hips and diaphragm; poor timing or protective tension in one area can increase strain elsewhere. A pelvic health assessment considers these connected movements rather than focusing on the painful spot alone.

Treatment may include gentle pelvic floor relaxation or activation, hip and trunk exercises, breathing practice, advice on changing positions and strategies for everyday tasks. The aim is better force sharing and steadier movement, not pushing through sharp pain.

Tell the physiotherapist when pain appears, including during walking, rolling in bed, stairs, sitting or sexual activity. Wear comfortable clothing and bring details of pregnancy, birth, injury or previous pelvic pain. Practise the prescribed movements in small, manageable amounts and use the suggested way to get in and out of bed or a car.

Avoid exercises that consistently worsen pain, breath-holding and prolonged positions that trigger symptoms. A review can refine the load, support devices or activity plan as your tolerance changes.

Seek assessment for severe or rapidly worsening pain, inability to walk, new weakness or numbness, loss of bladder or bowel control, fever, vaginal bleeding, or pain after a significant injury. During pregnancy or after birth, contact your maternity or medical team promptly when pain is severe, accompanied by bleeding, fluid loss, contractions or reduced fetal movement.

What is contributing to my pelvic girdle pain? Is my pelvic floor overactive, weak or poorly coordinated? Which activities should I modify for now? Would a belt, walking aid or other support be suitable? What change would mean I need a further medical assessment?