Let’s talk about a common problem that most people don’t realize could be connected—chronic low back pain and your pelvic floor. Believe it or not, research shows that 95% of people with chronic low back pain also experience pelvic floor dysfunction. Yep, these two are often partners in crime, and understanding this connection is key to breaking free from that nagging back pain.
If you’ve been trying different treatments but your back pain keeps coming back (or never fully goes away), it might be time to dive deeper into what’s happening with your pelvic floor.
Why Are Low Back Pain and Pelvic Floor Dysfunction So Connected?
First off, let’s get clear on what the pelvic floor is. These muscles sit at the base of your pelvis and support vital organs like the bladder, bowel, and, for women, the uterus. But what many don’t realize is that the pelvic floor is also part of your core. And when we say “core,” we don’t just mean your abs! Your core muscles include the pelvic floor, diaphragm, deep abdominal muscles, and muscles in your back. Together, they create stability for your spine and pelvis.
So, if your pelvic floor isn’t working properly—either too tight, too weak, or uncoordinated—your lower back starts picking up the slack. Over time, this can cause chronic low back pain because the muscles that should be supporting your spine are essentially offline or not doing their job.
How Can You Tell if Your Pelvic Floor is Involved?
You might be wondering, “How do I know if my pelvic floor dysfunction is connected to my back pain?” Here are a few signs:
- Incontinence (leaking urine when you cough, sneeze, or laugh)
- Constipation or straining during bowel movements
- Pelvic pain or pressure
- Difficulty controlling gas
- Pain during sex (for women)
If you’re experiencing any of these alongside low back pain, your pelvic floor could be a major player in what’s causing your discomfort. A physical therapist who specializes in pelvic health can assess both your back and pelvic floor to see how they’re affecting each other.
Why Pelvic Floor Dysfunction Can Cause Low Back Pain
Let’s dive into the mechanics of it. There are a few ways pelvic floor dysfunction contributes to low back pain:
- Loss of Core Stability
Your pelvic floor is a crucial part of your core. Without proper strength and coordination, the entire core system becomes unstable. This instability makes your lower back muscles work overtime, leading to tension, discomfort, and eventually, chronic pain. - Pelvic Misalignment
When the pelvic floor muscles are dysfunctional (weak, tight, or spasming), they can affect the alignment of your pelvis. A misaligned pelvis places uneven strain on your spine, which leads to mechanical stress on your lower back. - Pressure Management
The pelvic floor helps manage the pressure in your abdomen when you lift, bend, or twist. If the pelvic floor isn’t doing its job, this pressure can be unevenly distributed, putting extra stress on your back muscles and spine.
Tips for Preventing and Managing Pelvic Floor-Related Low Back Pain
The good news is that pelvic floor dysfunction doesn’t have to be a lifelong struggle. There are effective ways to prevent and manage this problem, especially with the right guidance. Here’s what you can do:
- Strengthen Your Core
Since the pelvic floor is part of your core, it’s important to focus on exercises that strengthen the entire core system. Try exercises like bridges, planks, and pelvic tilts. But be careful not to overdo it—working with a physical therapist is the best way to make sure you’re strengthening the right muscles without aggravating the problem. - Foam Rolling for Recovery
Foam rolling the muscles around your pelvis and hips can help release tension in tight areas like your IT band or glutes, which might be pulling on your lower back. This helps reduce the strain on your pelvic floor and back, promoting recovery. - Practice Proper Posture
Poor posture can put additional stress on your pelvic floor and lower back. Focus on sitting and standing tall, keeping your core engaged and your pelvis neutral. Regular posture checks can make a big difference in reducing pressure on your spine and pelvic floor. - See a Physical Therapist Specializing in Pelvic Floor Health
Not all physical therapists are trained in pelvic floor health, so make sure you seek out a specialist. A pelvic floor PT can assess your specific issues and develop a personalized plan to treat both your pelvic floor dysfunction and low back pain.
Why See a Physical Therapist for Pelvic Floor Dysfunction and Low Back Pain?
Let’s be real, the thought of addressing pelvic floor issues can be a bit uncomfortable for some people, but don’t let that stop you from getting the help you need. Here are three reasons why seeing a pelvic floor physical therapist is key:
- Non-Invasive, Natural Treatment
No one wants to jump straight to surgery or injections if they don’t have to. Pelvic floor physical therapy is a non-invasive, natural way to address both pelvic floor dysfunction and low back pain by restoring balance and strength to your core. - Personalized Care
Every person’s situation is different. A physical therapist specializing in pelvic health will assess your unique needs and create a custom treatment plan. This individualized care ensures you’re targeting the root cause of your pain. - Long-Term Results
Addressing the pelvic floor dysfunction won’t just make your back feel better for a few days—it can lead to long-lasting results. Strengthening these muscles and improving core stability means you’re less likely to deal with chronic low back pain in the future.
Ready to Take the First Step?
If you’re struggling with chronic low back pain and you suspect your pelvic floor might be part of the issue, don’t wait. Getting a professional assessment can save you years of discomfort.
👉 Click here to schedule your consultation. We’ll help you create a personalized plan to get you back on track and living pain-free!
