The human pelvis can be described as the central unit between the upper and lower body. Anatomically, the pelvis is composed of the lower spine, hip and pubic bones, and slings of muscle and connective tissue supporting pelvic organs internally. Nerves that originate from the spine branch out to supply sensation and motor control to the muscles of the pelvis.
The sling of muscles (known collectively as the pelvic floor) at the base of the pelvis plays a crucial role in supporting bodily functions. In addition to providing physical support for organs, a healthy pelvic floor also prevents urinary and fecal leakage, especially with increased pressure brought on by coughing or heavy lifting, for example. The floor also assists with sexual function, preventing lymphatic congestion in the pelvis, and providing stability for the surrounding joints in the back, hip, and pubic bones.
The musculoskeletal, reproductive, urinary and gastrointestinal systems are very much interconnected, and they must work together effectively for good pelvic health. A dysfunction in any one of these systems may result in a chain reaction affecting the others. To make things more complex, the mental, emotional and spiritual health of an individual can also deeply affect these systems.
A thorough pelvic health examination will enable the physiotherapist to identify the specific problems impacting your pelvic health, and then create a tailored treatment plan to address these issues. Rehabilitation towards wellness is a partnership – guided by the physiotherapist and lived out by the patient. Both men and women can be impacted by pelvic health issues and can benefit from pelvic therapy.