The pelvic floor is a group of muscles that span the bottom of the pelvis and support the bladder, uterus, and rectum. These muscles work together with the back muscles and other muscles in the trunk and pelvis to provide stability and mobility to the body during movement.
Dysfunction in the pelvic floor muscles can contribute to back pain in a few different ways:
Muscle tension: When the pelvic floor muscles are too tight, they can pull on other muscles in the pelvis and back, contributing to pain and discomfort.
Muscle weakness: Conversely, when the pelvic floor and/ or core muscles are weak, other muscles in the pelvis and back may compensate, leading to muscle imbalances that contribute to pain and dysfunction.
Nerve irritation: The pelvic floor muscles are innervated by nerves that also supply the back and surrounding muscles. Dysfunction in the pelvic floor muscles can lead to nerve irritation, which can contribute to back pain.
Postural imbalances: The pelvic floor muscles are also involved in maintaining proper posture and alignment of the pelvis and spine. When there are postural imbalances or compensations, this can place stress on the back muscles and spine, leading to pain and dysfunction.
Pelvic floor physical therapy can help address these underlying issues and improve overall muscle function and coordination, which can reduce back pain and improve mobility. Treatment may involve techniques such as manual therapy, stretching exercises, strengthening exercises, and postural correction.