The days of pelvic floor dysfunction being a health issue of women with pregnancy and childbirth, elderly, overweight, and smokers are long gone. Our ergonomics plays a huge role in pelvic floor dysfunction and the reason why we are seeing younger patients and men. To get into the role of ergonomics on pelvic floor dysfunction, let’s go over the basic anatomy of the area, then explore how ergonomics impacts the health of your pelvis and give you the first exercise to correct your pelvic floor dysfunction.

What Is The Anatomy Of The Pelvic Floor?

Your pelvis is the foundation of your torso and is reinforced by muscles on both sides inside and outside. This is because the stability of your pelvis is instrumental to your functionality and balance. The inside muscles may get tight and weak when you rely on their function more than they are designed to provide. Unlike what most people may think, you cannot have a tight pelvic floor muscle without having other muscles within the pelvic girdle getting weak. The muscles of the floor connect to the muscles of the walls inside the pelvis and together, they reinforce the inner connection of the 3 pieces of bones that form the pelvis.

pelvic floor

Your lifestyle, habits, choices, your breathing, and your functionality in movement especially of the lower back, the lower part of the mid-back, the hips and lower extremities, and your overall posture have a direct influence on the stability of the pelvis. Everything IS connected.

How Does Ergonomics Impact Pelvic Floor?

The muscles of the pelvic floor, just like any muscles involved in movement, are impacted by:

  • The use (or abuse) 
  • duration of use
  • The sequence of their involvement in the movement and
  • The quality of their performance

Sitting on a hard surface like a chair rubs us of biological breathing that provides both relaxation and strengthening of the pelvic floor. We slouch from too much sitting and fold over our diaphragm. There goes another factor against proper breathing. The video below explains how this works more in detail.

With sitting on a chair, our ankles are flexed within a limited range and we become limited in the ankle range of motion. This means when walking, other parts of our body including the knees and hips need to make up for this lack.

With tight hip joints, we lose the balance between flexion and extension, in the inner and outer parts of our pelvis and thighs. This translates into yanking and pulling of the pelvis with every step we take. That is a big player in planting the seeds of tightness and weakness of the muscles inside the pelvis. I see an imbalance between the inner thighs and gluteus medius (on the side and just above the hips) all the time. This is a classic presentation of pelvic floor dysfunction.

Standing up and seated desk is a good solution only if you alternate between sitting and standing and replace the chair with an exercise ball with a minimum of 95″ in diameter.

Getting a wide keyboard and placing it closer to your body on the desk allows your elbows to not be rolled forward which then encourages slouching and the decline that I explained above.

Your actions matter and health lives in movement. Make sure have functional mobility and breathing biologically if you wish to avoid pelvic floor dysfunction and many other issues that are related to postural instability.

If you have pelvic floor dysfunction or are not happy with the treatments you have received, contact me.

Dr. Shakib

Recommended Reading:

Constipation And Pelvic Floor Dysfunction

The Top Pelvic Floor Exercises For A Healthy Core And Beyond