Lower Back pain and Understanding Pelvic Floor Muscles and exercises.

This is a long post to describe just how important the pelvic floor muscles are and how they relate to stability of the lower back and hips. We see this in our practice with what is called SI joint dysfunction. The exercises described here should done everyday.

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The pelvic floor is a crucial part of our anatomy that often doesn't get the attention it deserves. These muscles play a vital role in supporting the organs in the pelvis, including the bladder, intestines, and for women, the uterus. Strengthening these muscles can have a multitude of benefits, from improving bladder control to enhancing sexual health.

What Are Pelvic Floor Muscles?

The pelvic floor is a group of muscles and connective tissues that span the area underneath the pelvis. These muscles form a hammock-like structure that supports the pelvic organs. Both men and women have pelvic floor muscles, and they are essential for:

Supporting Pelvic Organs: They hold the bladder, intestines, and uterus (in women) in place.

Controlling Urination and Bowel Movements: They help manage the release of urine and feces.

Sexual Function: They contribute to sexual arousal and orgasm.

Stabilizing the Core: They work in conjunction with other core muscles to maintain stability and posture.

Why Strengthen Pelvic Floor Muscles?

Strengthening the pelvic floor muscles can provide several benefits:

Improved Bladder and Bowel Control: Strong pelvic muscles can prevent incontinence and reduce the urgency and frequency of urination.

Enhanced Sexual Health: These muscles play a role in sexual arousal and orgasm, and strengthening them can lead to improved sexual function.

Support During Pregnancy and Postpartum Recovery: For women, a strong pelvic floor can support the additional weight during pregnancy and aid in recovery after childbirth.

Prevention of Pelvic Organ Prolapse: Strengthening these muscles can help prevent conditions where pelvic organs drop due to weak support.

Identifying Pelvic Floor Muscles

Before starting exercises, it's essential to identify the correct muscles. Here's how you can locate your pelvic floor muscles:

For Women: Imagine trying to stop the flow of urine mid-stream. The muscles you engage are your pelvic floor muscles.

For Men: Imagine trying to stop passing gas or the flow of urine. The muscles you feel tightening are your pelvic floor muscles.

It's important not to make a habit of stopping urine flow mid-stream, as this can lead to incomplete emptying of the bladder and increase the risk of urinary tract infections.

Pelvic Floor Exercises

1. Kegel Exercises

Kegel exercises are the most well-known pelvic floor exercise. They involve contracting and relaxing the pelvic floor muscles.

How to Do Kegels:

Sit or lie down in a comfortable position.

Tighten your pelvic floor muscles and hold for 3-5 seconds.

Relax the muscles for the same amount of time.

Repeat 10-15 times per session, three times a day.

Tips:

Ensure you're not tightening your abdomen, thighs, or buttocks.

Breathe normally throughout the exercise.

2. Quick Flick Kegels

Quick flicks are rapid contractions of the pelvic floor muscles, which help improve muscle response.

How to Do Quick Flicks:

Quickly tighten your pelvic floor muscles.

Release immediately.

Repeat 10 times in a row, three times a day.

3. Bridge Exercise

The bridge exercise not only strengthens the pelvic floor but also engages the glutes and core muscles.

How to Do the Bridge Exercise:

Lie on your back with knees bent and feet flat on the floor, hip-width apart.

Arms should be at your sides, palms down.

Lift your hips towards the ceiling, squeezing your pelvic floor and glutes.

Hold for a few seconds before lowering back down.

Repeat 10-15 times.

4. Squats

Squats are excellent for strengthening the pelvic floor as well as the lower body.

How to Do Squats:

Stand with feet shoulder-width apart.

Lower your body as if sitting back into a chair, keeping your back straight and knees over your toes.

Engage your pelvic floor as you lower.

Return to the standing position.

Repeat 10-15 times.

5. Diaphragmatic Breathing

This exercise helps coordinate the diaphragm and pelvic floor muscles, promoting relaxation and control.

How to Do Diaphragmatic Breathing:

Sit or lie down comfortably.

Place one hand on your chest and the other on your abdomen.

Inhale deeply through your nose, allowing your abdomen to rise while keeping your chest still.

Exhale slowly through your mouth.

Continue for 5-10 minutes daily.

Incorporating Pelvic Floor Exercises into Daily Routine

Consistency is key when it comes to strengthening pelvic floor muscles. Here are some tips to incorporate these exercises into your daily routine:

Set Reminders: Use phone alarms or sticky notes as reminders.

Pair with Daily Activities: Perform exercises during routine activities like brushing your teeth or watching TV.

Track Progress: Keep a journal to monitor improvements and stay motivated.

When to Seek Professional Help

While pelvic floor exercises are beneficial, some individuals may need professional guidance:

Persistent Incontinence: If exercises don't improve symptoms, consult a healthcare provider.

Pelvic Pain: Pain during exercises may indicate an underlying condition.

Pregnancy and Postpartum: A pelvic floor physical therapist can provide tailored exercises.

Pelvic floor muscles play a vital role in our overall health and well-being. By incorporating simple exercises into your daily routine, you can strengthen these muscles, leading to improved bladder control, enhanced sexual function, and better core stability. Remember, consistency is key, and if you experience any issues, don't hesitate to seek professional guidance. Strengthening your pelvic floor is an investment in your long-term health and quality of life. Feel free to expand on any sections or add personal anecdotes and experiences to make the post more engaging and relatable for your audience.