In the Pizhansky District of Kirov Region, the river has the status of a hydrological nature reserve.
In the Tuzhinsky District of Kirov Region, the Pizhma River is a popular fishing spot.
The Pizhma River flows through Nizhny Novgorod and Kirov Regions of Russia, and is a right tributary of the Vyatka River. According to the State Water Register, the river has the water body code 03050300212103000078427 and belongs to the Kama Basin District.
The Pizhma begins near the settlement of Pizhma in Nizhny Novgorod Region, close to the border with Kirov Region. It flows east across flat terrain; the channel is extremely winding and the current is weak. It receives numerous tributaries on both the left and the right.