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The Somatovisceral Interface With Pelvic Pain



Pain in different body areas can excruciate the host as it can affect other regions. In the body, pain can affect the muscles, tissues, organs, and skeletal joints through environmental factors that affect the body’s systems. For example, theĀ gut systemĀ provides the body with overall health and wellness by regulating homeostasis and metabolism, which can be affected by common factors likeĀ stressĀ or unhealthy eating habits that can causeĀ joint inflammationĀ due to overproducing harmful gut bacteria. Or how aboutĀ poor postureĀ affecting the organs in the pelvic region and causing the lower back and neck muscles to have a dull ache in the body. Today’s article looks at how pelvic pain affects the somato-visceral reflexes in the body and how there are treatments for relieving pelvic pain. We refer patients to certified providers specializing in chiropractic treatments that help those with pelvic pain. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only.Ā Disclaimer


Can my insurance cover it? Yes, it may.Ā If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

Somatovisceral Reflexes & Pelvic Pain

Have you experienced pain in your lower back or pelvic regions from sitting too long? Have you experienced bladder dysfunction that is causing you to urinate frequently? Or are you suffering from muscle cramps in the pelvic area?Ā Studies have revealedĀ that pelvic pain can be a chronic, persistent pain associated with co-morbidities like IBS (irritable bowel syndrome), neurological disorders, or low back pain. Pelvic pain is challenging to diagnose since it is multifactorial and shares various nerve roots that send signals to the brain. For example, individuals that suffer fromĀ pelvic painĀ will complain about the somatovisceral convergence affecting their reproductive organs and connective tissues. Other issues like prolonged sitting and poor posture can also affect the lumbosacral nerve root as it is being compressed, causing low back pain and pelvic organ dysfunction.



TheĀ somato-visceral reflexesĀ of the pelvic muscles can become overstretched and compress the surrounding nerve roots like the sciatic nerve and the lumbosacral nerve, causing issues of sciatica or lower back pain.Ā Studies have also revealedĀ that individuals who suffer from spinal cord injuries can disrupt the somatic lumbosacral nerve pathway that is responsible for coordinating bladder function to the pelvic region. TheseĀ pathwaysĀ can also produce different autonomic reflex responses to the various organs and somatic afferents. For example, if a female is experiencing pain in her hips or thighs from hyper-sensitive nerve roots, the brain will register that as pain in her reproductive system. Or, if the pelvic muscles are hypersensitive to the touch, something might be affecting the genital regions.

An Overview Of Pelvic Pain- Video

Have you experienced muscle tenderness located in the pelvic region? Have stressful events caused changes in the reproductive system? Have you experienced pelvic pain that is associated with low back pain? You might be experiencing these systems due to pelvic pain and associated co-morbidities. The video above gives an overview of pelvic pain and how it affects the body.Ā Research studies have revealedĀ that the characteristic of mechanically induced pelvic pain and organic dysfunction that correlates to lower sacral nerve root compression results from low back disorders. The environmental factors that can cause low back conditions include:

  • Obesity
  • Heavy lifting
  • Muscle strain
  • Poor posture
  • Herniated disc

Treatments For Pelvic Pain


Various treatments can help relieve these overlapping risk profiles associated with pelvic pain and low back pain that are causing the issue and strengthen the weak muscle affected. Exercising can help support the hip and thigh muscles to prevent muscle strain on theĀ low back and pelvic musclesĀ with the combination of chiropractic therapy to provide beneficial pain relief.Ā Chiropractic therapyĀ on the lumbar spine can help alleviate pelvic pain and lumbosacral nerve root irritation affecting the pelvic region. The effects of chiropractic therapy help sustain the caudal flexion of the lumbar spine and release the muscle that aggravates the lumbosacral nerve root that is running along the pelvic region.Ā 



Pain affecting the pelvic region can be due to co-morbidities affecting different areas in the body. With pelvic pain being multifactoral, it can be a challenge to diagnose since it shares various nerve roots signaling to the brain. This causes many individuals to complain about somatovisceral convergence that can affect their reproductive organs and connective tissues in the pelvic region. Other issues like low back pain associated with prolonged sitting and poor posture can cause pelvic pain too. Treatments like chiropractic therapy and exercising can help strengthen the low back and pelvic muscles to alleviate painful symptoms that are causing underlying issues and discomfort in the body.



Browning, J E. ā€œMechanically Induced Pelvic Pain and Organic Dysfunction in a Patient without Low Back Pain.ā€ Journal of Manipulative and Physiological Therapeutics, U.S. National Library of Medicine, Sept. 1990, pubmed.ncbi.nlm.nih.gov/2212886/.

Browning, J E. ā€œChiropractic distractive decompression in treating pelvic pain and multiple system pelvic organic dysfunction.ā€Ā Journal of manipulative and physiological therapeutics vol. 12,4 (1989): 265-74. pubmed.ncbi.nlm.nih.gov/2527938/

CM;, Spitznagle TM;Robinson. ā€œMyofascial Pelvic Pain.ā€ Obstetrics and Gynecology Clinics of North America, U.S. National Library of Medicine, 9 June 2014, pubmed.ncbi.nlm.nih.gov/25155122/.

Craggs, Michael D. ā€œPelvic Somato-Visceral Reflexes after Spinal Cord Injury: Measures of Functional Loss and Partial Preservation.ā€ Progress in Brain Research, U.S. National Library of Medicine, 2006, pubmed.ncbi.nlm.nih.gov/16198702/.

Dydyk, Alexander M, and Nishant Gupta. ā€œChronic Pelvic Pain – Statpearls – NCBI Bookshelf.ā€ In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 Nov. 2021, www.ncbi.nlm.nih.gov/books/NBK554585/.


Post Disclaimer

Professional Scope of Practice *

The information herein on "The Somatovisceral Interface With Pelvic Pain" is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional.

Blog Information & Scope Discussions

Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.

We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez DC or contact us at 915-850-0900.

We are here to help you and your family.


Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Dr. Alex Jimenez DC, MSACP, CIFM*, IFMCP*, ATN*, CCST
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