Pelvic Pain Isn’t “All in Your Head”—Here’s What You’re Missing
You’ve been told it’s normal.
That your pelvic pain is “just cramps.”
That lifting your baby could “make it worse.”
That surgery is your only option.
🚨 Let me stop you right there.
Your pelvic pain is not random.
Your infertility is not just bad luck.
And your body is not broken beyond repair.
In this blog, I’m breaking down everything I learned from pelvic floor physical therapist Nitty Sharma. Her story—and her patients’—will flip the script on what you thought you knew about your pelvis, your gut, and even your fertility.
Let’s dig in.
The Pain Nobody Connected
Nitty didn’t set out to be a pelvic floor therapist. She started in orthopedics—backs, necks, the “usual.”
Then she broke her tailbone.
The doctors shrugged. “Nothing we can do. Don’t sit for a year.”
Yes, you read that right. A year.
Her tailbone pain eventually improved. But then came the pelvic symptoms. Random cramps. PMS pain on days she wasn’t supposed to have PMS. Discomfort that didn’t fit neatly into a diagnosis.
She did what most women do: ignored it, adjusted her posture, sat on one butt cheek instead of both. She tried to live with it.
But when she finally saw a pelvic floor PT, they spotted it immediately: “Why is your tailbone bent over?”
That injury had been driving her pelvic pain for years. Once she treated the tailbone—and learned how to retrain her body—the pain lifted.
👉 Lesson #1: Pelvic pain doesn’t always come from the pelvis. Old injuries, posture, or scars can trigger years of discomfort.
“Don’t Lift Your Baby” – The Worst Advice New Moms Get
Here’s one story that will make your blood boil.
A new mom with pelvic organ prolapse was told:
“Don’t pick up your baby. You’ll make it worse.”
Can you imagine?
Giving birth…and then being told you can’t hold your child?
She followed the advice. She spiraled into depression. Her psychiatrist even admitted—her postpartum depression was rooted in not being able to bond with her baby.
That’s what fear-based medical advice does.
When she came to pelvic floor therapy, everything changed. She learned how to lift properly. How to breathe, engage her core, and trust her body again.
Fast forward: she wasn’t just lifting her baby. She was deadlifting 80 pounds in the gym.
👉 Lesson #2: Your body isn’t fragile. It’s resilient. With the right support, you CAN return to lifting and living.
Infertility, Surgery, and the Scar Nobody Looked At
One patient came to Nitty ready for fibroid surgery. She had spent a year trying to conceive, including failed rounds of IVF. The doctors found a fibroid and said: “This might be the problem. Let’s operate.”
Before surgery, she asked Nitty for a second opinion.
Together, they uncovered something shocking: years earlier, she’d had her appendix removed. The scar was deep, infected, and pulling on the tissue around her pelvis.
Scar tissue was blocking movement in her reproductive organs.
Nitty did visceral mobilization—gentle hands-on therapy to free up the tissue. Within months, that woman got pregnant. No surgery needed.
Read that again: a scar from an old appendix surgery was standing between her and pregnancy.
👉 Lesson #3: Infertility isn’t always “bad eggs.” Sometimes it’s mechanics. Scar tissue, adhesions, and pelvic floor dysfunction matter.
Movement = Life
Here’s a phrase Nitty lives by:
Movement is fundamental to life.
Even when you’re sitting still, your body is in constant motion:
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Your diaphragm moves with every breath.
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Your pelvic floor rises and falls.
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Your digestive tract pushes food along.
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Your cerebrospinal fluid flows through your brain and spine.
If internal movement gets stuck—because of scars, injuries, stress, or poor posture—symptoms follow.
Pain. Bloating. Constipation. Infertility. Prolapse.
That’s why pelvic floor therapy isn’t just about “Kegels.” It’s about restoring motion where the body has locked down.
👉 Lesson #4: Healing isn’t only chemistry—it’s mechanics. Movement inside and out drives health.
The Gut–Pelvis Connection
Almost 100% of Nitty’s pelvic pain patients also have gut symptoms.
Bloating. Constipation. IBS. Food sensitivities.
Doctors rarely connect the dots. They treat pelvic pain as “gynecology” and gut issues as “GI.” But your body doesn’t separate them.
Here’s the truth:
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The intestines attach directly to the spine and pelvis. Inflammation there = low back pain.
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Antibiotics for UTIs or prostatitis wreck gut bacteria, leading to IBS and new pelvic pain.
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Stress alone reshapes the microbiome, fueling anxiety, depression, and gut dysfunction.
👉 Lesson #5: If you have pelvic pain, look at your gut. If you have gut pain, look at your pelvis.
Why You Can’t Wait for Rock-Bottom
Here’s the mistake most people make: they wait until pain is unbearable before seeking help.
Nitty says the best results come when symptoms are still “weird,” “vague,” or “random.”
That odd twinge during your cycle.
That cramp when you sit too long.
That PMS pain showing up at the wrong time.
That’s your body waving a red flag.
Intervene early, and healing happens faster. Wait until your nervous system is fried, and the process takes longer.
👉 Lesson #6: Don’t wait for disaster. Act on the whispers before they become screams.
Breaking the “Doctor Knows Best” Myth
Here’s the most rebellious part:
Your doctor doesn’t know everything.
Your OB doesn’t know everything.
Even your PT doesn’t know everything.
And that’s okay.
What’s not okay? Being told: “Nothing’s wrong. It’s all in your head.”
The truth is, your body always knows. Your tissues never lie. Skilled hands can feel restrictions, adhesions, and movement loss that scans will never show.
👉 Lesson #7: If one practitioner doesn’t help, don’t give up. Find another. Healing depends on fit, not fate.
My Takeaway for You
Pelvic pain isn’t random. It isn’t your fault. And it isn’t the end of your story.
Your body is resilient. It craves movement. It can heal—when you give it the right input.
What you need isn’t another “pill for pain” or surgery that skips the root cause. You need answers. You need someone to connect the dots between your gut, scars, nervous system, and pelvis.
Because your body isn’t broken. It’s brilliant.
Your Next Step
Stop spinning your wheels. Stop living in confusion. Stop waiting for someone else to tell you it’s “bad enough” to get help.
You deserve clarity now.
✨ Here’s what to do next:
- Save this blog for when you need hope and evidence that your pain has a root cause.
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If you’re ready for personalized support, check out my Better Belly Blueprint and VIP programs.
Your symptoms are NOT forever.
Your body is ready to move, heal, and thrive.
The only question is—are you ready to take the first step?
Connect with Dr. Nidhi Sharma:
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Facebook: @thinkbeyondpain
Instagram: @thinkbeyondpain
Youtube: @FuncPhysio Healthy Mommy Room
15 Minute Consultation to see if working with Nidhi could help you! Sharma.nidhi.pt@gmail.com
Dr. Nidhi's Clinic: Func Physio
Ebook for pregnant and post-partum patients:
Other links from the show:
- Failing Forward, by John Maxwell
- Schedule Your Qualifying Call with Allison
Connect with us on social media!
- Facebook: @betterbellytherapies
- Instagram: @betterbellytherapies
- Website: betterbellytherapies.com
Or email us at hello@betterbellytherapies.com
This episode was first published at BetterBellyTherapies.com/podcast/07.
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