Pelvic Pain and Pain With Sitting Relief: Pelvic Floor Nerve Decompression
This module teaches the release of the pelvic floor muscles, which support the pelvic organs and influence sacral nerve function.
Modality 28 · Releases: Pelvic pain · Pain with sitting · Pelvic floor tension · Pudendal nerve pain · Constipation · Urinary irregularities · Sexual dysfunction · Tailbone pain
Step 1
Understanding the Problem
The pelvic floor is a sling of muscle that supports the pelvic organs and surrounds the pudendal nerve, the rectum, the urethra and the genitals. When these muscles fatigue into involuntary spasm they shorten, compress the pudendal nerve, reduce circulation and pull the coccyx to one side. Clients describe pelvic pain, pressure or heaviness, pain with sitting that feels like sitting on a golf ball, constipation, urinary irregularities, sexual dysfunction and a deep hip or groin tension that nothing reaches. Releasology decompresses the pelvic floor nerves by releasing the muscles compressing them, including the coccygeus, so pressure comes off the nerve and the pelvis can function normally again.
What this release relieves
- Pelvic pain and chronic unexplained pelvic discomfort. When scans are clear and the pain persists, the pelvic floor muscles in spasm are the usual source.
- Pain with sitting and the sitting-on-a-golf-ball feeling. Sitting loads the very muscles compressing the pudendal nerve. When they release, sitting stops being the trigger.
- Pudendal nerve pain and pelvic pressure or heaviness. The pudendal nerve passes through the pelvic floor. Burning, aching or heaviness along its path is that nerve under muscular compression.
- Constipation and urinary irregularities. The rectum and urethra pass through this sling. A pelvic floor in spasm distorts both; releasing it restores normal function.
- Sexual dysfunction and pain with intercourse. Genital sensation and function depend on the pudendal nerve and on circulation through the pelvic floor; both return as the compression releases.
- Tailbone pain and deep hip or groin tension. The coccygeus pulls the coccyx to one side and holds it there; releasing it lets the tailbone return to centre and the deep tension go.
The pelvic floor is a dynamic muscular system that supports:
the organsthe spinenerve pathwayspressure regulation
When functioning properly:
👉 it responds, adapts, and releasesWhen in spasm:
👉 it compresses nerves
👉 it restricts circulation
👉 it disrupts normal function
Frequently asked questions
Is the release done internally?
It is precise hands-on work at the pelvic floor muscles and their attachments around the pelvis and coccyx. Royal explains exactly what the session involves before it begins.
I have been told my pelvic floor is weak. Is this the opposite?
A pelvic floor that is in constant spasm tests weak because it cannot contract further, and strengthening it makes it worse. Releasing the spasm first is what lets it work again.
Can this help pudendal neuralgia?
When the pudendal nerve is being compressed by the pelvic floor muscles, releasing them takes the pressure off, and clients describe the burning and sitting pain easing. Nerve conditions with other causes should be evaluated by a physician.
Step 2
The Clinical Problem
Clients may present with:
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pelvic pain
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pressure or heaviness
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discomfort when sitting (feeling of sittiing on a golf ball)
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sexual dysfunction
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constipation
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urinary irregularities
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deep hip or groin tension
A key pattern:
👉 symptoms are often vague, diffuse, and persistent, but can become intense
👉 the worst case of this is called a vaginal migraine - which can only be relieved by releasing the coccygeus
And frequently:
👉 traditional treatments fail to resolve them
Step 3
Why This Happens
The pelvic floor is composed primarily of the levator ani group and the coccygeus muscle. Together they support the pelvic organs, stabilize the pelvis, assist bowel and bladder function, contribute to sexual function, and protect the pudendal nerve as it travels through the region.
Like any skeletal muscle, these muscles can become fatigued. When fatigue progresses beyond the muscle's ability to recover, involuntary muscle spasm will develop. Instead of relaxing completely, portions of the pelvic floor remain chronically shortened.
This persistent contraction can create several mechanical problems simultaneously:
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Compression of the pudendal nerve
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Reduced local circulation
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Restricted mobility of the coccyx and pelvic tissues
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Increased tension throughout the connective tissues of the pelvic outlet
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Compression of the rectum - which causes constipation
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Tension based distortion of the urethra which can cause leakage or blockage
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Dysfunction of the genitals for both men and women
Because the pudendal nerve supplies sensation and motor function to much of the perineum, external genitalia, anal sphincter, and portions of the pelvic floor, even relatively small amounts of chronic muscular compression may produce widespread symptoms.
The Releasology model proposes that restoring normal muscle length reduces unnecessary mechanical pressure on the nerve and surrounding tissues. As tension decreases, normal movement, circulation, and nerve function have the opportunity to recover, allowing the body to return toward normal physiology.