Chronic Pelvic Pain & Nerve Pain Treatment in Portland

Your pelvis is home to a complex network of nerves—the pudendal nerve, obturator nerve, genitofemoral nerve, ilioinguinal nerve, and others—all of which can become compressed, entrapped, or inflamed. When that happens, you might experience:

• Sharp, burning, or electric-shock sensations in the pelvis, genitals, or rectum

• Pain that's worse with sitting and better with standing or lying down (classic pudendal neuralgia)

• Numbness, tingling, or "pins and needles" in the pelvic region

• Pain during or after sex

• Bladder or bowel urgency with no infection

• Tailbone pain (coccydynia)

• Pain that radiates down the inner thigh or into the buttocks

These symptoms can be constant or intermittent. They can range from annoying to completely debilitating. And they're often misdiagnosed as infections, muscle problems, or psychosomatic issues.

Here's the thing about nerve pain: stretching and strengthening exercises alone won't fix it. You can do all the pelvic floor releases in the world, but if a nerve is being compressed by scar tissue, a tight muscle, or a bony structure, that compression needs to be addressed directly.

I know anatomy like nobody's business. I can access structures in your body with incredible specificity. I have rich history in neural decompression and manipulation—this is one of my deepest areas of expertise.

In our initial 90-minute evaluation, we'll do a comprehensive assessment to understand:

• Your pain patterns and triggers

• Your medical and surgical history (past surgeries often create adhesions that trap nerves)

• Posture, alignment, and movement patterns that might be contributing

• Fascial restrictions and areas of tissue tension

• Nerve mobility and tension

Then we'll create a treatment plan that might include:

Manual Nerve Mobilization: Gentle hands-on techniques to release compressed nerves and restore their ability to glide through surrounding tissues.

Visceral Manipulation: Releasing restrictions in your organs and fascia that might be pulling on nerves or creating pressure.

Myofascial Release: Addressing tight muscles (hip rotators, pelvic floor, abdominal wall) that can compress nerves.

Scar Tissue Work: If you've had surgeries, we'll release adhesions that might be trapping nerves.

Internal Pelvic Release: Internal vaginal, internal rectal, & perineal release

Nervous System Calming: Teaching your nervous system to downregulate so you're not stuck in a chronic pain state

• Pudendal Neuralgia: Compression or inflammation of the pudendal nerve, often causing burning pain in the genitals, perineum, or rectum

• Pelvic Nerve Entrapment Syndromes: Any of the pelvic nerves can become trapped by muscles, ligaments, or scar tissue

• Chronic Pelvic Pain Syndrome (CPPS): Ongoing pelvic pain without a clear cause (often nerve-related)

• Post-Surgical Pelvic Pain: Nerve damage or entrapment from gynecological, abdominal, or pelvic surgeries

• Coccydynia (Tailbone Pain): Often involves nerve compression in the sacrococcygeal area

• Ilioinguinal/Genitofemoral Neuralgia: Groin and inner thigh pain from these nerve entrapments

Nerve pain doesn't resolve overnight. Your nervous system has been sensitized, and we need to teach it that it's safe to calm down. That takes time, consistency, and patience.

Most patients start to notice improvement within 4-6 sessions, but full resolution can take several months. This is slow, careful, sacred work—not a fast-food model.