Let’s discuss a much-overlooked topic in modern medicine, especially as it relates to rehabilitative medicine…the pelvic floor. Yes, both men and women have a pelvic floor, and both can be compromised and contribute to many different conditions including but not limited to incontinence issues, sexual issues, and chronic pain.
The pelvic floor is essentially the base of our core. It has to be integrated with the rest of the surrounding anatomy. That means the organs, the bowel and bladder, the connective tissue, and the ligamentous tissue all have to be deeply integrated and fine-tuned for everything to work in this rhythmical dance back and forth. It also helps to support our daily functions, prevent urinary and fecal incontinence, improve sexual function, and many other functions that we’ll discuss.
So, what does a well-activated pelvic floor actually do?
1) We are constantly transmitting force through the body. So, a well-activated pelvic floor is going to attribute to the closing force to prevent any leakage of urine, fecal, or gas.
2) Research shows that between 60 to 80% of women with stress urinary incontinence can cure it or significantly improve it with pelvic floor retraining.
3) A well-activated pelvic floor is also going to allow the appropriate relaxation response of the pelvic floor muscles to allow for proper emptying of the bladder and to prevent any post dribble or leakage after you’ve finished urinating.
4) It should also be relaxed enough for proper evacuation of the bowel, but provide enough resistance for optimal defecation.
5) It supports the internal organs such as the vagina, the bowel, and the bladder. Especially as it relates to women and pregnancy, the more intact the pelvic floor musculature is, the less likely there will be a prolapse.
6) It increases the tone which allows for greater sexual awareness, and you need to have a pelvic floor that can relax completely so that you can have more pleasurable pain-free sex.
7) A well-activated pelvic floor will relax and significantly stretch during vaginal delivery.
8) A well-activated pelvic floor will work in coordination with your diaphragm and the rest of the abdominals. This is very important in looking at overall movement and movement efficiency.
In summary, a well-activated pelvic floor is important for so many necessary functions. When it is not functioning well it can contribute to a whole host of problems, one of which, that we see consistently in our office, pain. Chronic pelvic pain, low back pain, hip pain, and even knee pain can all be driven by pelvic floor dysfunction. It’s way more common than you think! It’s also an area where we tend to hold our emotions. So, I want to point out that as important as it is for the pelvic floor to contract, it is equally important for the pelvic floor to relax. If it is always tight, then we are not able to fully contract and fully relax it, which can contribute to the same issues. That is why it is very important to get evaluated properly. If you are having any type of symptoms that might indicate you have a pelvic floor issue, please contact our office to schedule a pelvic floor examination.
If you need help on your journey to better health, contact email@example.com to schedule.
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