Managing Pelvic Congestion
What is Pelvic Congestion?
Pelvic congestion syndrome (PCS) is a chronic pelvic pain condition that occurs when blood flow in the pelvic veins becomes compromised and back flow occurs. This leads to swelling and twisting of the veins. PCS is also known as pelvic venous insufficiency.
Symptoms of PCS
People who experience PCS often report pelvic pain and discomfort. Pain lasts longer than six months and as previously mentioned is not due to menstruation or pregnancy. In men, it is diagnosed by presentation of visible varicosities on the scrotum cavarello.
- Pain
- Often described as aching or throbbing
- Often worse at the end of the day
- May experience associated increased pain during menstruation or with intercourse
- Worsens with prolonged sitting or standing
- Individuals will often report pelvic heaviness.
- Urinary incontinence
- Often stress incontinence
- Bowel dysfunction
- Irritable bowel syndrome
- Diarrhea
- Constipation
- Irritable bowel syndrome
- Associated varicose veins in surrounding buttocks, thighs, vulva and vagina
Risk Factors
- It is more common in women between the ages of 25-40.
- History of varicose veins or peripheral vascular disease
- Polycystic Ovarian Syndrome (PCOS)
About 40% of women who visit a gynecologist report chronic pelvic pain. It is estimated that anywhere from 10-30% of these complaints are due to pelvic congestion syndrome.
Research is unsure what specifically causes PCS but believe that estrogen levels and pregnancy are risk factors.
Treatment
PCS is not preventable. There is no cure for PCS. There are however medications and medical interventions that can help symptoms. Reach out to your healthcare provider for more information on medical interventions that may help. Pelvic health physical therapy can help improve symptoms.
How We Can Help
Pelvic health physical therapy plays a vital role in managing pelvic congestion. Through specialized techniques, we can help improve circulation, alleviate muscle tension, and enhance pelvic floor strength. Our tailored treatment plans often include manual therapy, pelvic floor exercises, and education on posture and body mechanics.
Additionally, we encourage open conversations about pelvic health, as awareness can lead to early intervention. If you experience symptoms consistent with PCS, we’re here to help. Our compassionate team is dedicated to providing personalized care to address your unique needs.
