Pelvic Pain When Walking [The Basics Needed to Guide You!]

Pelvic pain can be a potent decelerator when you walk and also in your daily activities. Not to mention the immense suffering it can bring upon an individual. It can have different modalities based on your age, gender, biology, familial history, etc. Knowing its specific causes and rejecting inappropriate ideas from invading your mind is necessary to recover fast.

Now, why do people face pelvic pain when walking?

Pelvic pain can be the manifestation of several diseases ranging from mild to severe. The causes are many including strains, sprains, fractures, infections, endometriosis, cancer, arthritis, etc. The pain increases and aggravates with walking and other movements. Treatments vary accordingly.

You can know more details and have more clarity from the following segments.

Chronic pelvic pain is more often related to women. It can occur due to ectopic pregnancy, endometriosis, fibroids, pelvic inflammatory diseases, ovarian cysts, cancer (genital organs), etc.

Pelvic Pain- A General Overview

Pelvic pain can be the manifestation of a spectrum of disorders. These are mostly in the gastrointestinal tract, urinary tract, and reproductive organs. The causes of pelvic pain can differ in males and females. 

It can occur due to musculoskeletal problems, infections, or nerve conditions. Some common disorders include kidney infections and stones, hernias, intestinal and pelvis disorders, appendicitis, sexually transmitted infections, etc.

pelvic-pain-while-walking

Chronic pelvic pain is more often related to women. It can occur due to ectopic pregnancy, endometriosis, fibroids, pelvic inflammatory diseases, ovarian cysts, cancer (genital organs), etc.

The diseases are diagnosed by blood and urine tests, lower endoscopy, ultrasound, CT scan, etc. Depending upon the nature and frequency of pain, the treatment options vary.

Sometimes antibiotics are enough but surgery may be needed in certain cases too. Physiotherapy and counseling are useful in the case of chronic pelvic pain.

Pelvic Pain When Walking [Causes, Treatment & Prevention]

In this segment, you will get details focused on pelvic pain while walking only. It includes the key problems, their modalities, and solutions.

Causes

The causes can be put under three groups of disorders: Musculoskeletal disorders, infections, and nerve-related disorders.

Musculoskeletal Disorders

These include,

Sprains & Strains

Small tears can occur due to overstretching of ligaments and tendons resulting in swelling and pain. These are termed sprains and strains respectively.

Trochanteric Bursitis

There is a large bursa (fluid-filled sac) in the hip. It’s situated between a bony area and a thick band of tissue. Inflammation of this bursa may happen due to wrong posture, abnormal joint movements, etc.

bursitis

This causes pelvic pain while walking for a long time.

Tendinitis

Inflammation in the tendons due to any reason can cause pain in the pelvis while walking.

Chronic nerve pain can occur due to involvement of any of the four nerves:

Pudendal, iliohypogastric, ilioinguinal and genito-femoral nerves.

Post-Surgical Issues

Many times scar tissues can form in different organs in the pelvis after surgery. This may cause pelvic pain later on while walking.

Weakened Muscles

Due to physical inactivity, the pelvic musculature can become weak and tense. This also results in pelvic pain when walking. Like, pelvic floor muscle pain which occurs mainly in women.

Bones And Joint related diseases

Pelvic fracture, pelvic cancer, etc. can cause severe pain. The joint pains include sacroiliac joint pain, pubic symphysis dysfunction, osteitis pubis, etc. With age and senility, osteoarthritis can be severe and debilitating.

Inguinal Hernia

This can occur due to coughing, strenuous activities, heavy weight lifting, etc. It is the bulging of contents from their original position directly or indirectly.

Nerve Related Disorders

This includes,

Sciatica

It is the irritation of the sciatic nerve running through the pelvis and thigh. This can cause radiating pain in the buttock and back of the thigh. Often the piriformis muscle can press on the sciatic nerve due to excessive sitting, movement loss, etc.

sciatica
This causes numbness, tingling sensation, pain in the buttock and outer thigh. The pain can be quite severe when walking.
Pelvic Nerve Pain

Chronic nerve pain can occur due to involvement of any of the four nerves:

Pudendal, iliohypogastric, ilioinguinal and genito-femoral nerves.

Pudendal neuralgia can be quite serious and happen due to surgery, delivery, exercises, etc.

Infections and Inflammations

This includes,

Pelvic Inflammatory Disease

It is an infection of the reproductive organs, especially by sexually transmitted microorganisms. Like, gonorrhoea, chlamydia, etc. 

Appendicitis

This is the inflammation of the appendix due to the blockade of its opening. It is usually acute and needs emergency surgery.

Diverticulitis

This is inflammation of the small pouch-like structures of the large intestine. This can help in initiating bacterial infections. Pain occurs in the case of jarring movements including walking.

diverticulitis
Inflammatory Bowel Syndrome

This includes symptoms like pain, bloating, constipation, diarrhea, etc.

Avoid prolonged use of any limb or muscles. Like, standing or walking for a very long time. Your muscles can get fatigued.

Treatment Options

Pelvic pain is first diagnosed by blood tests, radiography tests, manual pelvic exams, etc. Then the physician will prescribe suitable treatments accordingly. Treatments vary due to different patient conditions, age, etc.

  • Medications like prescription pain relievers, muscle relaxants are used to treat pain and inflammation. Injectable corticosteroids help to ease inflammation.
  • In case of infections, antimicrobial agents especially antibiotics are used.
  • TENS (transcutaneous electrical nerve stimulation) is a procedure used to relieve pain.
  • Surgery might be needed in case no other treatments are useful.
  • Physical therapy is very useful. It has multiple uses for treating pelvic pain from different origins. This helps to improve joint mobility, muscle strength, etc. Like, muscle energy techniques are used to treat muscle stiffness by lengthening and shortening muscles.
  • Home remedies are there too. This includes using a hot water bag, elevating legs, yoga, and meditation, etc. Having herbs like willow bark can reduce pain. You can take over-the-counter analgesics like acetaminophen, aspirin, etc at home too.
  • Ice-compress can help to restrict blood circulation and thus numb the pain sensation. It can decrease swelling and inflammation too. On the other hand, heat therapy is useful in case of pain due to muscle spasms. It increases oxygen and blood flow to the muscle tissues. You’ve to use these two techniques judiciously by identifying the cause and nature of your pelvic pain.

Preventive Measures

Being aware of the risk factors and causes of pelvic pain is important. These will guide you to lead a life free from pelvic pain. Otherwise, limit the pain up to a great extent. So, what you should be doing is,

  • Be physically active and avoid a sedentary lifestyle.
  • Stretch your muscles every day. It’s better to do it after waking up every morning for at least 5 minutes.
  • Avoid prolonged use of any limb or muscles. Like, standing or walking for a very long time. Your muscles can get fatigued.
  • If you are a vegan then take vitamin B12 capsules regularly. It’s better to take calcium tablets too.
  • Add more fibers to your diet and limit red meat as much as possible. Try to have complementary proteins like mixed rice and pulse.
  • Have a regular full body check-up at least once or twice every six months.
  • Consult your doctor if there are any signs of infection or inflammation like swelling, pain, reddening, etc.
  • Do an X-ray if you fall or get injured. This is to see if there is any fracture, dislocation, etc in your bones and joints.

FAQs

What does pelvic pain in women indicate?

Pelvic pain is a common symptom for many women around the world. It can be for any musculoskeletal disorders which can be diagnosed by radiography tests. It can be due to some severe diseases too, like endometriosis, pelvic inflammatory disease, ovarian cancer, etc.

Main treatments include manual therapy, medications, and surgery.

Why does pelvic pain increase during walking?

Walking or any jarring movements can aggravate your already affected muscles, tendons, ligaments, joints, nerves in the pelvis. These will increase your pain sensation and affect your prognosis. So, it’s important to take a rest after light physical activities if you’re suffering from pelvic pain.

What is pelvic inflammatory disease?

It occurs in women due to infection by mainly sexually transmitted organisms. It can remain asymptomatic for a long time and turn chronic in some cases. The symptoms can be subtle or appear gradually. These include pain in the pelvic region and lower abdomen, difficult urination, fever.

Also, painful intercourse, difficulties in getting pregnant, abnormal uterine bleeding, heavy vaginal discharge, etc.

The Bottom Line

Pelvic pain when walking needs to be taken seriously. As it can be due to any serious underlying disorder, it can deteriorate without treatment. Identifying the cause through a proper diagnosis is halfway through the battle. Physical therapy is bringing great changes and hopes for a cure in this respect. So, know your problems and know your options. Good luck!

Fauzia Jasia

Fauzia Jasia

I am Samiha, a student of Medicine, an aspiring writer and a seeker of Truth. I hope that the small efforts we put for the general benefit will guide us to fulfillment.

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