Understanding the most effective treatment for pelvic floor dysfunction (PFD) is important, regardless of the symptoms. You can otherwise go down many rabbit holes and not get the results you are looking for.  Whether dealing with a weak or tight pelvic floor, prolapsed organs, or chronic infections, the foundation of your pelvic health depends significantly on how stable your pelvis is. After all, you can’t do much to the ‘floor’ when the ‘house’ is unstable.

In this blog I will present to you some common sense points to ask yourself; sometimes we are so eager to want to get the results that we don’t thoroughly assess the situation at hand and IMO, pelvic floor dysfunction treatment falls in that category!

What Is A Comprehensive Approach To Pelvic Floor Health?

At our clinic, we begin with a detailed consultation to understand the patient’s history and previous treatments. Most patients have seen multiple providers and undergone various procedures. What hardly ever is done is assess the stability of the pelvis and its joints, what are connected to it from the above and below.

It only makes sense to look at the person walking, looking for the sacroiliac joints’ proper movement with walking, looking at the structure that is built above the pelvis, the trunk, and see how it behaves when moving. We want to look at the lower extremities, how the gait process is, how loud the walking is, and what the knees do in the process.

We want to perform some basic foundational moves such as getting up and sitting to see how well the glutes and lower extremities perform their job. There is no need to do internal manual work knowing that the muscles inside the pelvis are reacting as your reinforcement for pelvic stability. Going after them without understanding WHY they are the way they are means the return of the problem down the road.

How Does The Brain Influence Movement And Pelvic Stability?

Your brain controls everything, including posture and movement. Through Postural Neurology, we can see what the blueprint of movement for your brain is. This is not a special study like an MRI or some sort of scan; it is part of the examination looking specifically for the key players in balance and coordination of movement.

Every baby, including you and I when we were babies, goes through the same developmental stages of movement without any bands, weights, gyms, guides, or training. This is because we are hardwired to do them through the Motor Homunculus blueprint. This map can change due to lifestyle, habits, injuries, and needs and through Postural Neurology, we can see what that map looks like.

Through functional mobility assessment, we can see how our body parts perform their task and this assessment is by studying human babies with the methodology called Dynamic Neuromuscular Stabilization or DNS.

Why Is Movement Key To Pelvic Floor Treatment?

Your pelvic floor does not randomly become tight or weak and the muscles inside of the pelvis work with the structures outside the pelvis to reinforce the walls of the pelvis. This is fundamental for your trunk stability. When the stability is compromised, the muscles inside and outside of the body react accordingly to provide safety and stability.

This shows up with many presentations including the many faces of pelvic floor dysfunction that I have written about in another blog. The bottom line is that when you get rid of the reasons behind the presentation and couple that with biological breathing, the way we all breathed as babies and throughout the early years of our lives, then you are providing your body with what it takes to fix this problem.

When our body parts move functionally, there is no reason for our joints to become restricted or our movements become dysfunctional. When it comes to my patients, what I find extremely successful is to first build the foundation of trunk stability with the Developmental Kinesiology exercises, and biological breathing.  For about 10 sessions, I use the Emsella Chair with 400 contractions a minute, scrutinizing their sitting and breathing while sitting on the chair, I use the contractions to strengthen the inside of the pelvis muscles. We then follow up with more complex exercises to put both the inside and outside of the pelvis muscles to work with the rest of the body in more complex moves.

This is how we can reset the body to where it needs to be and because the patient has become educated on the methodology, they can take better care of not just their pelvis but their whole body.

Why Are PFD Cases Increasing?

Pelvic floor dysfunction is affecting more people, including teenagers, men, non-pregnant women, the underweight, and non-smokers. The traditional stereotype of pelvic floor dysfunction only affecting certain demographics is outdated. In my opinion, treating the muscles inside the pelvis through the anas or vagina with an attempt to have a long-lasting effect is a fallacy!

Keep chasing the why, and use common sense to assess health treatments offered and understand that what I shared here is not the comprehensive approach because I did not discuss the lifestyle, habits, and mindset aspects of health which have their influences on all aspects of our health.

For any questions or more information, please do not hesitate to contact me.

Dr. Shakib

Recommended Reading:

What Are The Treatment Options for Pelvic Floor Dysfunction?

Are Yoga Exercises Good For Pelvic Floor Dysfunction?