Chronic pelvic pain is a common condition. Establishing a diagnosis can be complicated by the interplay between various organ systems, including urologic, gynecologic, gastrointestinal, neurologic, endocrinological, psychological, and musculoskeletal. Frequently, the patient will have seen multiple providers and undergone multiple tests, as well as invasive procedures, before the musculoskeletal system is even considered in the differential diagnosis. Typically, the musculoskeletal and nervous systems become suspected culprits only once all other potential etiologies have been eliminated.