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Still in Pain After Being Told Everything Looks Normal?
You've had the scans. You've done the exercises. Maybe you've even tried physio. But the pain in your pelvis, tailbone, or with sex keeps coming back, and nobody has told you why.
You've had the scans. You've done the exercises. Maybe you've even tried physio. But the pain in your pelvis, tailbone, or with sex keeps coming back, and nobody has told you why.
We identify the actual driver, not just the location of pain.
Pelvic pain has eight or more known contributors. Most clinics treat only one. We assess your whole system to find which ones are active in your case.
We combine the treatments that evidence supports for your type.
Depending on your drivers, we pair pelvic floor physiotherapy with shockwave therapy and neuromodulation. One-size protocols rarely work for pelvic pain.
We build a plan that holds when life returns to normal.
Pelvic pain often comes back because the root cause was never addressed. We track your progress and adjust so that improvement sticks.
60-minute one-on-one assessment + treatment plan.
No pressure, no contracts.
If any of this sounds familiar, you're in the right place.
Pelvic pain, pressure, or aching that gets worse with prolonged sitting, standing, or during sex
Scans and tests came back normal, but the pain is still there every single day
Postpartum pain, painful intercourse, or pelvic pressure that has not resolved months after delivery
Tailbone pain that flares when sitting, standing up from a chair, or after a fall
Pelvic floor exercises or Kegels made things worse, not better, and nobody explained why
You want someone to actually find out what is causing your pain, not just hand you an exercise sheet and hope for the best
The Real Problem
Explore 4 slides on Pelvic Pain: Chronic pelvic pain, painful intercourse, or tailbone pain.
Chronic pelvic pain is almost never caused by one thing. It involves overlapping drivers that interact with each other, which is why treating just one at a time rarely gives lasting results. Most people dealing with chronic pelvic pain have two or more of these happening at the same time. That is why we assess the full chain, from spine to pelvic floor to hip mechanics, not just the painful spot.
OUR APPROACH
INITIAL VISIT
Full pelvic floor, hip, lumbar spine, and tailbone movement assessment to identify which drivers are active in your case
Screening for pelvic floor tone patterns (high tension vs. underactivity), scar involvement, and nervous system sensitization
A written treatment plan with clear priorities and transparent pricing before you commit to anything further
Weeks 1 to 6
Focused shockwave therapy targeting the musculoskeletal and myofascial contributors driving your pain (typically 3 to 5 sessions)
Pelvic floor physiotherapy with hands-on manual care to normalize muscle tone, address trigger points, and restore coordination rather than just strengthen
NESA neuromodulation when nervous system dysregulation or stress physiology is suspected, working to lower the alarm response that keeps muscles guarded
Make daily sitting, movement, and intimacy more tolerable, sooner.
6+ Weeks and Beyond
Graduated loading of the pelvic floor and surrounding muscles matched to your actual activity demands, whether that is returning to sport, work, or intimate activity
Ongoing reassessment to catch early signs of recurrence before they become setbacks
Strategies to manage stress-related guarding and sleep disruption, two of the most consistent drivers of pelvic pain relapse
What To Expect
Every case is different, but research and our clinical experience consistently show:
Improvement often begins in the first 4 to 6 weeks. For conditions like tailbone pain and male chronic pelvic pain syndromes, shockwave therapy studies commonly report meaningful symptom reduction by around 12 weeks from the start of treatment. Painful intercourse studies report reductions in pain across follow-up windows in active treatment groups.
Many patients are able to return to activities they had given up. Sitting comfortably for longer periods, resuming intimacy without fear, and moving through daily life without constant pelvic awareness are the functional outcomes we work toward in every plan.
A multimodal approach outperforms single-treatment approaches in this condition. Research supports combining targeted pelvic physiotherapy with regenerative and neuromodulatory care rather than applying one protocol to everyone. This is our clinical model.
Our promise: we will tell you honestly at the assessment if we do not believe you are a good candidate for this approach. If your condition needs a different pathway, we will refer you directly.
EVIDENCE
Myofascial pelvic floor physiotherapy has been shown to achieve more than double the responder rate of general massage in a randomized multicenter trial of urological chronic pelvic pain syndromes, supporting targeted over generic treatment approaches.
Low-intensity shockwave therapy has been shown to reduce pain and improve quality of life in chronic pelvic pain syndromes affecting men, confirmed in multiple systematic reviews and randomized controlled trials with outcomes commonly evaluated at 12 weeks.
Shockwave therapy for painful intercourse and vulvodynia produced pain reductions exceeding 30% in active treatment groups in randomized placebo-controlled studies, with no significant change in the sham group.
Adding EMTT to standard care reduced pain and disability significantly more than standard care alone in a randomized controlled trial of musculoskeletal pain affecting the lumbar and pelvic region, supporting its use when hip and back contributors are driving pelvic symptoms.
Altered central pain processing, where the nervous system amplifies signals from the pelvic region, is consistently documented in urogynecological chronic pelvic pain conditions in systematic review evidence, supporting a nervous-system-informed treatment pathway for affected patients.
Outcomes are group averages from clinical trials; individual results vary.
BY THE NUMBERS
Here are answers to some of the most common questions about Pelvic Pain: Chronic pelvic pain, painful intercourse, or tailbone pain..
6 results found
It depends on which type of pelvic pain you have. Shockwave has the strongest research support for male chronic pelvic pain syndromes, where multiple systematic reviews and randomized trials show meaningful reductions in pain, urinary symptoms, and quality of life. For tailbone pain, a randomized trial supports greater improvement with shockwave compared to other physical modalities. For painful intercourse and vulvodynia, randomized placebo-controlled studies also show clinically relevant pain reductions in the active treatment group. We map this out in your first visit.
Yes. Systematic review evidence links cesarean scar changes and adhesions with ongoing pelvic pain and dyspareunia. The scar itself may appear healed, but restrictions in the surrounding tissue and altered muscle recruitment patterns can persist and contribute to pelvic symptoms years after the procedure. Abdominal surgery in general, including hernia and appendectomy, is also associated with adhesion formation that can affect pelvic pain in some cases. We assess scar involvement as part of our standard root-cause evaluation.
Research protocols for male pelvic pain commonly use around 6 sessions delivered weekly or twice weekly, with outcomes evaluated at 12 weeks. Dyspareunia trials often use 4 weekly sessions. Clinically, we typically estimate 3 to 5 sessions for a meaningful response, though this depends on how many drivers are present and how long the condition has been active. We review this with you during your initial assessment.
In a meaningful number of people with chronic pelvic pain, the nervous system has become sensitized to signals from the pelvic region. Stress and poor sleep amplify that sensitivity, which is why pain often flares during difficult periods even when nothing has physically changed. This is called central sensitization and is well documented in urogynecological pelvic pain research. Addressing this nervous system component is part of why we include neuromodulation in plans where this pattern is present.
Normal imaging rules out structural damage but does not rule out the most common drivers of pelvic pain. Pelvic floor muscle tension, coordination problems, nervous system sensitization, scar tissue restriction, and lumbopelvic mechanical dysfunction do not show up on standard X-rays or MRI. Many patients with these presentations are told everything is fine when the real issue is a functional one that requires hands-on assessment to detect. We review this with you during your initial assessment.
If your pelvic floor muscles are already overactive or in a state of high tension, adding more contraction work will often increase pain, not reduce it. The pelvic floor needs to be relaxed before it can be strengthened. Systematic review evidence highlights this tension-versus-weakness distinction, and it is one of the most common reasons exercise-only programs fail for this condition. Our assessment identifies whether your pelvic floor needs to be calmed down, strengthened, or both. We map this out in your first visit.
YOUR NEXT STEP
Stop collecting random treatments. Get a plan built around the real causes that are active in your case.
Initial Pelvic Pain: Chronic pelvic pain, painful intercourse, or tailbone pain. Assessment — Edmonton
60-minute one-on-one session. Here’s what’s included:
Full movement and strength assessment of the pelvic floor, hip, lumbar spine, and tailbone
Identify which pain drivers matter for your specific presentation
Review of your history, prior treatments, imaging, and surgical history if available
Clear written plan with transparent pricing before you commit to anything further
No referral needed. No obligation to continue beyond the first visit.
No pressure, no contracts.
We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.
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