Does Botox Relieve Pelvic Pain?

Question: What relieves pelvic pain? Does something like Botox work? 

Answer from Dr. Daniel Gruber, urogynecologist from Sibley Memorial Hospital in Washington D.C., part of John Hopkins medicine.

The answer to this question depends on the source of the pain. There’s lots of different reasons as to why women experience pelvic pain, and men as well. Some of those reasons could be muscles, nerves, endometriosis, which is when the tissue that lines the uterus gets out into the pelvis, or adenomyosis, which is when that same tissue gets into muscle of the uterus, bladder issues, bowel issues, etc. 

So with pelvic pain, it really, really matters what the cause is in order to be able to treat it. That’s why it’s so important to isolate the it first. 

Botox can help people who have tight pelvic floor muscles. Botox is a muscle relaxant, and so it can be injected into those muscles to temporarily relax them. It’s very variable of how long that lasts for. 

I would definitely recommend working with a good pelvic floor physical therapist first to try and help those muscles and isolate which muscles they are. 

So, the bottom line is that Botox can help, but it really depends on the situation.