If you are a runner, an active mom, or simply a woman trying to navigate your daily life, dealing with chronic, stubborn hip pain can be incredibly frustrating. You try stretching, you try rest, and you might even go to traditional physical therapy, yet the deep ache in your hip never seems to fully go away.
At the same time, maybe you struggle with excruciatingly painful periods, dread placing tampons, or experience intense cramping every month.
Like most women, you probably view these as two completely separate issues. You treat your hip pain with ice and ibuprofen, and you treat your menstrual pain with a heating pad, assuming they have nothing to do with each other.
I am so sorry to tell you, but you may have been given incomplete information.
As a pelvic floor physical therapist, I hear stories like this every single day. Women spend years bouncing from orthopedists to gynecologists, trying to fix isolated symptoms. But most women were never taught this: your hips and your pelvic organs are closely connected within the same region of the body.
If you’ve been told that your pain is just something you have to live with, please hear me: your body is not broken. Your symptoms may not be as random or disconnected as they seem.
The Intersection of Orthopedics and Pelvic Health
To understand how pelvic issues can sometimes show up alongside orthopedic pain, we have to look at the anatomy of your pelvis.
Growing up with a physician father and a nurse mother, I knew early on that I wanted to make a big difference in the healthcare world. When I was in middle school, I developed severe knee and hip pain from running track. It hurt to walk, and it even hurt to sleep. That pain drove me to my very first physical therapy experience, and it sparked a lifelong passion for understanding human movement.
But it wasn’t until after high school, while working as a physical therapy aide, that the puzzle pieces of my own health began to connect.
I was running regularly and dealing with persistent, nagging hip pain. One afternoon, a newly graduated physical therapist sat down with me and started asking questions that felt incredibly personal and, honestly, a little inappropriate at the time.
She asked:
- Are your periods painful?
- Is it painful for you to insert tampons?
- Do you suffer from severe abdominal cramping?
I answered yes to every single question.
She looked at me and said, “I don’t think this is just a running injury. I think you have endometriosis.”
Years later, endometriosis was confirmed through surgery, and it became clear that the condition could help explain some of the hip and pelvic pain I had been experiencing.
For more information about endometriosis symptoms and causes, Mayo Clinic offers a helpful overview:
Myth-Busting: “Hip Pain Is Always a Joint or Muscle Issue”
The biggest myth keeping active women stuck is the idea that if your hip hurts, the problem must live exclusively in your hip joint, glutes, or IT band.
The Reality: Your hips and pelvic floor exist in the same interconnected region of your body.
The muscles that rotate your leg and stabilize your pelvis attach throughout the pelvic girdle and sit close to the pelvic floor and internal pelvic structures.
Conditions that create pelvic pain, inflammation, or irritation may also contribute to protective muscle guarding and changes in how the muscles around your hips and pelvic floor function.
That means hip pain does not always have to be viewed as an isolated hip problem.
You deserve better than fear-based advice that tells you to stop running, stop lifting, or simply accept painful cycles.
Root-cause healing matters, and sometimes getting better answers means looking at both your orthopedic symptoms and your pelvic health instead of treating them as completely unrelated.
Why Internal Tension Can Affect External Pain
When your body experiences pelvic pain or pelvic floor dysfunction, your muscles may respond by tightening or guarding.
Because the pelvic floor and deep hip muscles work so closely together, pelvic floor tension can contribute to hip tightness, discomfort, or changes in movement.
This may affect things like:
- How comfortable your hip feels when you walk, run, squat, or exercise.
- How easily your pelvic floor muscles are able to relax and lengthen.
Pelvic floor tension itself is not necessarily the cause of painful periods. But if you already experience pelvic pain, endometriosis, or painful menstrual cycles, muscle guarding may be another piece of the overall picture.
This is about more than symptom management.
If you only focus on the hip without considering what else may be happening in your pelvis, you could miss an important part of the story.
Understanding your body creates confidence, and recognizing that pelvic health can influence how your hips feel and move may help you ask better questions and find more complete care.
Practical Action Steps for Dual Healing
If you are dealing with both hip pain and pelvic symptoms, here are a few places to start.
1. Track Your Pain Patterns
For one or two menstrual cycles, keep a simple journal.
Notice:
- When your hip pain increases
- When your period begins
- Whether your hip feels worse before or during your period
- Whether you experience painful tampon insertion
- Whether you also notice abdominal or pelvic cramping
If your hip symptoms consistently change around your menstrual cycle, that pattern may suggest there is a pelvic or menstrual component worth discussing with a provider.
2. Give Your Hips and Pelvic Floor Room to Relax
If your body already feels tight and guarded, aggressive clenching exercises may not always be what you need.
Gentle positions such as a wide-legged child’s pose or comfortable hip-opening stretches may help you explore relaxation through the hips and pelvic floor.
The goal isn’t to force a stretch.
It is to give your body space to move and relax without adding more tension.
3. Work With a Pelvic Floor Physical Therapist
If you are dealing with hip pain and symptoms like painful periods, pelvic pain, painful tampon insertion, or pain with intimacy, a pelvic floor physical therapist can help look at the bigger picture.
Instead of only treating the hip, pelvic floor physical therapy can evaluate how your hips, pelvic floor, movement patterns, and symptoms may be interacting.
If this sounds like what you’ve been experiencing, you don’t have to keep guessing. Fill out your next step form today: https://www.beyondthevbypauli.com/nextstep
Claim Your Strength and Value
Your body was beautifully and intricately designed.
You do not have to settle for unexplained pain or feel embarrassed about seeking help for symptoms that involve your period, pelvic floor, or intimacy.
The goal isn’t temporary relief—it’s long-term strength.
You have immense worth, and taking care of your physical foundation is a meaningful part of honoring that worth.
Remember, you are an heiress and a queen and everything in between.
You deserve to live, move, and thrive in a body that feels secure, comfortable, and strong.
You don’t need more random exercises. You need a strategy. Book an appointment and let’s create a plan designed specifically for your body and goals.
Not sure what your body needs next? Complete Your Pelvic Floor’s Next Step Form: