Interstitial Cystitis

Interstitial Cystitis

Interstitial Cystitis

Understanding Interstitial Cystitis: A Chronic Condition That Deserves Compassionate Care

Interstitial cystitis (IC), also known as bladder pain syndrome, is a chronic condition that affects millions of people—primarily women—causing persistent bladder pressure, pelvic pain, and frequent, urgent urination. At FYZICAL De Zavala, we believe that awareness and early intervention are key to improving quality of life for those living with IC. 

What Is Interstitial Cystitis? 

Interstitial cystitis is a complex disorder characterized by inflammation or irritation of the bladder wall, leading to symptoms that mimic a urinary tract infection—but without the presence of bacteria. The bladder may become stiff and scarred over time, reducing its capacity and intensifying discomfort. 

Common Symptoms Include: 

• Pelvic pain or pressure, especially between the vagina and anus (or scrotum and anus in men) 
• Frequent urination—sometimes up to 60 times a day 
• Urgent need to urinate, often with small volumes 
• Pain during bladder filling and relief after urination 
• Pain during sexual activity 
• Flare-ups triggered by menstruation, stress, exercise, or certain foods 

What Causes IC? 

The exact cause remains unknown, but several factors may contribute: 

• Defects in the bladder lining, allowing irritants to penetrate and inflame tissue 
• Autoimmune reactions, allergies, or genetic predisposition 
• Pelvic floor dysfunction or chronic pain syndromes like fibromyalgia 

Diagnosis: A Process of Elimination 

Because IC shares symptoms with other urological conditions, diagnosis often involves ruling out infections, bladder cancer, or prostatitis.

Tests may include: 

• Urinalysis and urine cultures 
• Cystoscopy (bladder examination) 
• Bladder wall biopsy 
• Pelvic exams and symptom diaries 

Treatment Options at FYZICAL 


While there’s no cure, multimodal treatment can significantly reduce symptoms. At FYZICAL De Zavala, we offer: 

1. Pelvic Floor Physical Therapy 

Many IC patients experience pelvic muscle spasms. Our therapists use targeted exercises and manual techniques to relax and retrain the pelvic floor, reducing pain and urgency. 

2. Bladder Retraining Programs 

We help patients gradually increase the time between urinations, breaking the cycle of urgency and improving bladder control. 

3. Lifestyle and Nutritional Guidance 

Certain foods—like citrus, caffeine, alcohol, and spicy items—can trigger flares. Our team helps patients identify and eliminate dietary irritants. 

4. Stress Management 

Stress doesn’t cause IC, but it can exacerbate symptoms. We offer holistic support including mindfulness, guided imagery, and behavioral coaching. 

5. Collaborative Care 

We work closely with Urologists and pain specialists to coordinate medication management, bladder instillations, and advanced therapies like sacral nerve stimulation when needed. 


Living with IC: Hope and Support 

Interstitial cystitis can be isolating, but it doesn’t have to be. At FYZICAL De Zavala, we empower patients with education, personalized care plans, and compassionate support. If you or a loved one is experiencing chronic bladder pain or urinary urgency, reach out to our team. Relief is possible—and we’re here to help you find it.