PELVIC FLOOR & CORE CONNECTION
The pelvic floor muscles (PFM’s) span from the pubic bone in front to the tailbone (coccyx) and side pelvic walls. They support the bladder, uterus and bowel by tightening muscles and sphincters around the organs when lifting, exercising or coughing. Sitting and standing tall keeps a low level of automatic activity in the PFM’s. On the other hand, relaxing the muscles is important for easy bladder and bowel emptying.
Healthy PFM’s are needed to
- Prevent bladder and bowel leaks
- Support the growing uterus
- Prevent pelvic organ descent (prolapse)
- Work with core muscles to support the spine
- Enhance sexual sensation
Pelvic floor problems can be due to
- Regular straining to empty the bowel
- Constant coughing
- Weight of baby and fluids during pregnancy
- Muscle damage and interventions used during birth
- Larger waist measurement
- Work involving regular heavy lifting
- Excessive abdominal workouts or over challenging exercise
- Pelvic organ prolapse
- Hysterectomy and some pelvic surgery
- Less oestrogen after menopause
- Infection and pain
Pelvic Floor Muscle problems
The PFM’s cause problems when they are
- Weak and not strong enough to lift when you run or sneeze
- Tight and cannot relax
- Over powered by excessive tightness in trunk and waist muscles
How is the Pelvic Floor Connected to the Core?
The inner core of postural muscles consists of the pelvic floor, deep
abdominal (transversus abdominis), deep spinal muscles (multifidus) and
the diaphragm. Normally the inner CORE muscles all work together.
When the PFMs lift from underneath the body, the transversus abdominis
tensions around the abdomen to the lower spine and the spinal multifidus
and diaphragm above are involved to contain the rise of pressure inside
Sometimes injury, weakness, heavy lifting or doing excessive abdominal
workouts, can strain the PFMs in the base of the pelvis. When the PFMs
are too tight (the same as a tight shoulder muscle), they become weak and
also unable to work normally. Before trying to strengthen the PFMs it’s
important to identify the slow, subtle action of correctly tightening and
lifting without stronger muscles taking over.
If you’re still unsure about working your PFMs make an appointment to
see a women’s health physiotherapist.
2 Tips To Flatten Your Stomach
Lengthen and grow tall through the crown of your head to switch on the
automatic action of your pelvic floor and core abdominal muscles and
watch how your tummy automatically flattens.
Lift up the PFMs to switch on the deep abdominal (which flattens the
tummy) instead of sucking in the muscles at the waist.
- Painful pelvic floor muscles & common gynae conditions
- Can pelvic floor muscles be too tight to give birth?
- Natural Solutions: UTI, Bladder Pain & Vaginal Infections
- What's going to happen to my pelvic floor next time I give birth?
- Benefits of pelvic floor muscle training
- The Potential of Pessaries
- Great Pessary Workshop
- Prolapse and Pelvic Floor Muscles
- What is a 'relaxed vaginal outlet'?
- Prolapse Prevention begins early