Many people living with chronic pelvic pain have spent months—or even years—trying different treatments without lasting relief. One reason is that the pelvic floor muscles themselves may never have been evaluated.

When these muscles stay chronically tight, they can contribute to pain with intercourse, difficulty using tampons, urinary urgency, constipation, painful pelvic exams, and persistent pelvic discomfort. Pelvic floor physical therapy is often an important part of treatment, but in some cases the muscles remain so guarded that additional treatment options may be considered.