Bladder Pain Syndrome (BPS) / Interstitial Cystitis (IC)
Definition
Bladder pain syndrome (also called interstitial cystitis) is a chronic condition characterised by pain, pressure, or discomfort in the bladder, often with urinary urgency and frequency, without infection or other identifiable causes. Bladder pain syndrome can significantly impact daily life and quality of life.
Symptoms
Pain or pressure in the bladder or pelvis that worsens as the bladder fills and improves after emptying
Urinary urgency without infection
Frequent urination, including at night
Burning or discomfort in the bladder, urethra, or pelvic region
Pain with sexual intercourse
Symptom flares triggered by stress, certain foods, or hormonal changes
Who is Most Affected?
Bladder pain syndrome is more common in women, particularly those with recurrent UTIs, pelvic pain conditions such as vulvodynia or endometriosis, or other chronic pain syndromes.
Common Causes
Urothelium dysfunction and nerve hypersensitivity
Pelvic floor overactivity or tension
Chronic inflammation and central sensitisation
Dietary or lifestyle triggers
Management Approaches
Pelvic Floor Osteopathy can support bladder pain syndrome with muscle assessment, manual therapy, bladder retraining, breathing strategies, education, and guidance on lifestyle and dietary triggers. Multidisciplinary care may include urology, gynaecology, dietetics, and psychological support.
Key Point
Bladder pain syndrome is chronic but manageable. With tailored, holistic care, many people experience significant symptom relief and improved comfort, function, and confidence.
