Complex Pelvic, Spine, Orthopedic and Nerve Pain

Ongoing pelvic, perineal or urinary pain with clear tests. Treated with intrapelvic dry needling and neuro-functional acupuncture.

Hypertonic or hypotonic pelvic floor muscles causing pain, pressure, or functional impairment.

Bladder pain, pressure, urgency and frequency without infection, also called painful bladder syndrome.

Burning or electric pelvic pain that gets worse with sitting, caused by an irritated pudendal nerve.

Aching, pressure or burning between the genitals and anus, often worse with sitting, cycling or lifting.

Pelvic, period, bowel and intercourse pain related to endometriosis, including pain that persists after surgery.

Heavy, painful periods and pelvic pressure caused by uterine lining tissue growing into the uterine muscle wall.

Involuntary tightening of the pelvic floor that makes penetration, tampons or exams painful or impossible.

Dense fibrous adhesions from C-section scarring that restrict fascial glide, compress cutaneous nerves, and cause persistent abdominal pain, numbness, bladder urgency, or compensatory pelvic floor dysfunction.

Urinary frequency, urgency, weak stream and nighttime urination linked to an enlarged prostate.

Recurring pain in the perineum, genitals or bladder area with urinary symptoms, usually without an active infection.

Ongoing pain in the epididymis or testicle lasting six weeks or more, often after infection has cleared.

Difficulty getting or keeping an erection, often with pelvic floor tension, pain or nerve involvement.

A semi-rigid, retracted flaccid penis with reduced sensation, pelvic discomfort and erection changes, linked to pelvic floor tension.

Testicular, groin or scrotal pain lasting three months or more after a vasectomy.

Pelvic pain, painful sex, dryness-related discomfort and bladder symptoms during perimenopause and after menopause.

Unwanted, persistent sensations of genital arousal without desire, often linked to pudendal nerve and pelvic floor involvement.

Irregular cycles, pelvic pain and cramping associated with polycystic ovary syndrome.

Pelvic pressure, heavy periods, back pain and bladder symptoms associated with uterine fibroids.

Burning, stinging or raw pain of the vulva lasting three months or more without a clear cause.

A dull, deep rectal ache or pressure caused by tension in the levator ani muscles, often worse with sitting.

Pelvic pain caused by trigger points in the pelvic floor and surrounding muscles that refer pain to organs and other areas.

The pelvic floor tightens instead of relaxing during bowel movements or urination, causing straining and incomplete emptying.

A pelvic floor that cannot relax on demand, causing difficulty emptying, straining and pelvic pain.

Pelvic floor muscles that stay too tight at rest, causing pain, urgency, emptying problems and pain with sex.

A sudden, strong urge to urinate and going very often, driven by pelvic floor tension that amplifies bladder signals.

Pelvic, perineal and penile pain after prostate removal, often from an overworked pelvic floor compensating for continence.

Pain at the coccyx when sitting or standing up, caused by pelvic floor and gluteal muscles pulling on the tailbone.

Heaviness, pressure, a bulge, leaking or trouble emptying from pelvic organ prolapse, addressed through pelvic floor care.

A feeling of sitting on a ball, lump or object between the sit bones, with nothing actually there.

Leaking urine with coughing, sneezing, exercise or strong urges.

The feeling that the bladder does not fully empty, or needing to return shortly after urinating.

Needing to push, bear down or strain to empty the bladder.

A delay or difficulty starting the urine stream, often from a pelvic floor that does not relax.

Burning in the urethra, genitals, perineum or pelvis when tests for infection are negative.

Pain or pressure above the pubic bone that often builds as the bladder fills.

Burning, stinging or pain during or after urination, especially when urine tests are negative.

Anal pain, pressure or discomfort from hemorrhoids, or pain blamed on hemorrhoids that has not responded to treatment.

A constant feeling of pressure, fullness or a foreign object in the rectum.

Aching, sharp or burning pain in the rectum, often with normal colorectal exams.

The feeling of not fully emptying the bowels, often with repeated trips to the bathroom.

Needing to strain to pass stool even when stool is soft and bowel movements are regular.

Pain during or after bowel movements, often with a normal colorectal exam.

Infrequent, difficult or incomplete bowel movements lasting months, often not solved by fiber or laxatives.

Cramping, aching or spasm in the pelvis, genitals or rectum during or after orgasm.

Pelvic pain that continues, changes or returns after surgery for endometriosis.

Pelvic pain, painful sex, bladder or bowel symptoms that continue or start after a hysterectomy.

Painful sex, reduced sensation, difficulty with arousal or orgasm, or dryness after childbirth.

Pelvic, perineal, tailbone, pubic bone or scar pain that continues after childbirth.

Cramping, pelvic and low back pain around menstruation that interferes with daily life.

Pain, burning or rawness of the outer female genitals, including the labia, clitoris and vaginal opening.

Pain during or after intercourse, at the entrance or deep, affecting people of all genders.

Pain over or around the pubic bone, from the joint, adductor tendons, abdominal attachments or pelvic floor.

Habitually clenching or holding the pelvic floor or glutes, often without realizing it.

Sudden cramping or spasms in the pelvis, rectum, vagina or perineum.

A heavy, dragging, full or pressure sensation in the pelvis, often worse later in the day.

Pelvic floor pain, dilation difficulty, urinary or bowel symptoms after gender-affirming genital or pelvic surgery.

Pelvic pain, perineal pain, leaking or erection changes after prostate removal surgery.

Pain in the penis, perineum, testicles or pelvis during or after ejaculation.

Pain in the penis, base of the penis, perineum or pelvis during erections.

Aching or sharp pain in one or both testicles, often with a normal ultrasound.

Pelvic pain, stiffness, bladder or bowel urgency and painful sex after radiation for pelvic cancers.

Urethral burning, urgency, and pelvic or perineal pain that began after a urinary catheter and has not settled.

Pain at the front of the pelvis over the pubic bone, common in pregnancy, postpartum and athletes.

Pain in the sacroiliac joints or front of the pelvis, often with walking, standing, stairs or turning in bed.

Deep groin and inner thigh pain from an irritated obturator nerve, often worse with walking or crossing the legs.

Burning groin pain from an irritated ilioinguinal nerve, common after hernia repair, C-section or abdominal surgery.

Burning groin, genital and upper front thigh pain from an irritated genitofemoral nerve.

Pain with intercourse, tampons, exams or sitting, often driven by pelvic floor tension, sensitive nerves or scar tissue.

Disc herniation, bulge, or degeneration causing low back pain, referred pain, or radiculopathy.

Neck disc pathology causing cervicogenic headache, arm pain, or neurological symptoms.

Nerve root compression causing radiating pain, numbness, or weakness into the arm or leg.

Narrowing of the spinal canal causing leg pain, cramping, or weakness with walking.

Localized spinal pain from facet joint irritation, often with morning stiffness and pain with extension.

Low back and buttock pain from SI joint hypermobility or hypomobility, often mistaken for disc pain.

Shoulder pain, weakness, and limited range of motion from rotator cuff tears, tendinopathy, or impingement.

Joint pain, stiffness, and reduced function from cartilage degeneration in the knee or hip.

Heel and arch pain from plantar fascia inflammation, often worst with the first steps in the morning.

Jaw pain, clicking, limited opening, and headaches from temporomandibular joint dysfunction.

Persistent pain, scar tissue, and functional limitations after orthopedic or abdominal surgery.

Aching, burning or knots between or around the shoulder blades and in the upper back.

Deep buttock pain, sometimes down the leg, from a tight piriformis muscle irritating the sciatic nerve.

Low back and upper buttock pain from compressed cluneal nerves near the top of the pelvis.

Burning or aching in the buttocks, tailbone, pelvis or thighs from irritated sacral nerves, sometimes with bladder, bowel or sexual symptoms.

Recurring low back and pelvic pain from poor control of the spine and pelvis during movement.

Pain at the back of the pelvis near the low back dimples, often on one side.

Pain, burning, numbness or tingling that travels from the buttock down the back of the leg.

Pain in the lower back, from muscles, joints, discs or nerves, that keeps returning or limits daily life.

Back, neck, arm or leg pain linked to a herniated or bulging disc.

Pain in the tailbone, sit bones, buttocks or pelvis that builds every time you sit.

Burning, sharp or aching groin pain lasting three months or more after hernia repair surgery.

Pinching groin pain from hip bone shapes that make contact in deep flexion and rotation.

Groin pain from an inguinal hernia or sports hernia, and the muscle and nerve pain around it.

Pain in the lower abdomen and groin, often from the abdominal wall muscles and nerves.

A constant tight, pulling or cord-like feeling in the groin or inner thigh.

Groin or hip pain, clicking or catching linked to a tear in the hip labrum.

Pain at the front of the hip or in the groin crease, often with walking, sitting or lifting the leg.

A deep, hard-to-pinpoint ache inside the hip or buttock, often worse with sitting, walking or rotating the leg.

Pain in or around the ankle, including lingering sprain pain and Achilles pain.

Aching around or behind the kneecap with running, stairs, squatting or long sitting.

Pain in or around the knee with stairs, squatting, walking, running or kneeling.

Pain from training, overuse or sports injuries that limits performance or keeps returning.

Back, hip, pelvic, leg or foot pain that builds with standing in one place.

Pain in the back, hip, pelvis, tailbone or knee when getting up from sitting.

Back, buttock, hip, pelvic or leg pain that builds during or after driving.

Pain on the outside (tennis elbow) or inside (golfer's elbow) of the elbow with gripping and lifting.

Aching, stiffness or pain in the neck, sometimes spreading to the shoulders, arms or head.

Pain in the shoulder with reaching, lifting, sleeping or overhead movement.

Aching, burning or tightness in the elbow and forearm muscles with gripping, typing or lifting.

Pain in the wrist and elbow, sometimes with hand numbness or tingling.

Widespread musculoskeletal pain, fatigue, sleep disturbance, and cognitive symptoms from central sensitization.

Burning, tingling, numbness, or weakness from peripheral nerve damage or dysfunction.

Recurring tension headaches, migraines, and cervicogenic headaches with musculoskeletal and nerve drivers.

Chronic pain that has spread or intensified because the nervous system has become more sensitive.

Ringing, buzzing or hissing in the ears, especially when it changes with jaw or neck movement.

Pain in the back of the head, temples, face, jaw or scalp, beyond typical headaches.

Pain lasting three months or longer that has not improved with standard treatments such as medication, injections, physical therapy or surgery.

An allergy to mammal products that usually follows a lone star tick bite, with reactions 2 to 6 hours after eating. Treated with SAAT.

Repeated episodes in two or more body systems caused by overactive mast cells. SAAT is offered as an addition to your physician's care.