Pelvic Pain & Pelvic Floor Pain
The pelvic floor muscles (PFM) are a hammock of muscles that connect the pubis bone at the front to the tailbone (coccyx) and the bones we sit on (ischial tuberosities) at the back. What most people do not know is that our pelvic floor muscles are part of our ‘core’ muscles. Our core stabiliser muscles are made up of three groups of muscles: the pelvic floor muscles (PFM), the transverse abdominal muscle (TvA) and the multifidus muscle. The most commonly spoken of and recognised is our PFM.
Some Causes of Pelvic Pain
The tension in the PFM must be balanced in the front (beneath the pubis) and the back (at the sacrum). They must also work in cooperation with the other core stabilisers. Changes in recruitment of the PFM can occur because of pain, poor movement patterns, trauma, surgery or childbirth. This altered recruitment often results in over activation of some muscles and under activation of others – the patterns are highly variable.
Physiotherapy treatment is utilised when specific muscles may be weak or not performing properly. The correct activation and training of the PFM is a crucial part of helping you to get and feel better. As every person, body and condition is different; specific treatment methods will vary depending on the extent of the pain and weakness. Here at PhysioCare, we treat all of our patients on a case-by-case basis. Pelvic pain and PMF issues form part of our Women’s Health service and are only treated by female Chartered Physiotherapists.
What we can do for you
Having read this and you feel that you may have any imbalance to the pelvic floor, whether it be under active, which can cause leakage or overactive, which again can cause leakage or cause you to experience pain during intercourse; remember this is not normal and we recommend you seek help and advice. In order to determine this, you will have to visit a women’s health physiotherapist who will talk you through which muscles they have found need more activation or need less. As part of your one-to-one physiotherapy treatment with a female Chartered Physiotherapist her at PhysioCare, you will receive a tailored exercise plan with access to guided step-by-step instructions that you can complete at home.