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Check Your Pelvic Floor Muscles, Nerves, and Joints Too!

When people feel abdominal pain, they often suspect issues with their intestines, bladder, uterus, prostate, or ovaries. This is a natural assumption, and even doctors usually consider organ-related diseases first.

However, there are cases where detailed examinations reveal no abnormalities. In such situations, the cause might not be an internal organ problem but rather a musculoskeletal, neurological, or joint-related issue involving the pelvic floor muscles, nerves, joints, or bones.

“Lower Abdominal Pain ≠ Always an Organ Problem!”

The abdomen and pelvis contain not only organs but also muscles, nerves, bones, and joints. Pain originating from these structures can closely mimic organ-related pain, making it difficult to distinguish between them. As a result, patients may experience persistent pain despite normal test results.

Here are some possible causes:

✔ Tension or tightness in the pelvic floor muscles → Pain worsens after prolonged sitting, discomfort after urination

✔ Pudendal nerve compression or hypersensitivity → Tingling pain, discomfort from clothing touching the area

✔ Hip joint or sacroiliac joint problems → Pain changes depending on body position, worsens with walking

✔ Spinal (lumbar) issues → Lower abdominal discomfort accompanying back pain

First, Identify What You’re Fighting Against!

If you undergo repeated tests and treatments without a clear diagnosis, it can lead to frustration and anxiety.

Taking a moment to consider whether the pain is truly organ-related and shifting focus to muscles, nerves, and joints could be the first step toward effective treatment.

Questions to Ask Yourself:

☑ What triggers the pain? (Sitting, walking, urination, bowel movements, etc.)

☑ Does the pain change with body position? (Worsens with prolonged sitting? Improves with movement?)

☑ Could it be explained by muscle or nerve compression?

By considering these factors, you can avoid unnecessary anxiety about organ diseases and move toward more appropriate treatment options.

In the next post, we’ll discuss specific examination points and self-check methods in detail!