Unlike what most people think, pelvic floor dysfunction is not just a pelvic floor issue but issues related to the pelvic floor, pelvic wall, AND what they are attached to. After all, the pelvic floor is not a free-floating surface and its integrity depends on how strong and viable its influencers and attachments are. Keep chasing the ‘why’ to see the root of the problem. Why is the floor weak or why is the floor tight? Not what incident caused it but what did the incident do to make the floor weak or tight. This blog intends to explore some of the whys!

Who Gets Pelvic Floor Dysfunction?

Most people think of pelvic floor dysfunction as:

  • Incontinence 
  • The lack of ability to hold urine
  • Frequent urination
  • Peeing with sneezing, coughing, and/or laughing
  • Having the urge to urinate but not having much to pee
  • Sexual dysfunction
  • Painful pelvis

Watch the video below to learn how traditionally we think of pelvic floor dysfunction as something that has to do with women who have gone through pregnancy, childbirth, traumatic incidents, people who smoke or are overweight, and elderly individuals. This in reality is only a partial list because when you put a single lens on and look at everything with a limited visual field, you only see part of the big picture! Pelvic floor dysfunction involves people of all genders and ages, and no injuries you can think of because it has to do with pelvic instability. Of course, you can have issues related to the nerves going to the pelvis, organs that the pelvis holds, and issues with their function but what the ‘system’ fails to note is that the decline always involves pelvic instability, and lack of proper attention and addressing that means the issue is going to appear- in a different form if not the same way!! You may wish to read my blog on symptoms associated with pelvic floor dysfunction that many miss.

Pelvic Floor Dysfunction is on the rise partly due to the fact that our healthcare system only looks at it when it is at its full-blown stage whereas when we know what to look for, years of future agony and complications can be stopped. You cannot have issues related to the floor without impacting the wall of the pelvis so treatment that is targeted to the floor is only part solution to resolve the issue.

The dysfunction happens in response to adaptation to our injuries and lifestyles. This modification involves the map of movement and how the muscles, ligaments, joints, and bones move based on the command being received from the brain. This is explained fully in the video below.

If you have bad posture and are an active person with injuries to the lower body  and specifically more so if the legs are spread before or at the time of injury (skiing, dance, ballet, hockey, ice skating to name a few) if you injured your lower ab and hips specifically in mundane activities such as doing planks or doing exercises beyond your safe potential if you sit behind a digital device and don’t walk as much, you are more likely to have pelvic floor dysfunction. These are not the only scenarios but allow you to see how you don’t have to fit the ‘stereotype’ to have pelvic floor dysfunction.


When the map of movement is changed as explained above and our posture is compromised as a result of this change, now the number of people being impacted and becoming prone to pelvic floor dysfunction increases. The way our brain impacts our movement and posture is best explained in the video below and is Developmental Kinesiology where I explain it in detail.

Just as with anything else in life, if we detect the problem at a much earlier stage, the treatment is much simpler, less time-consuming, and expensive. I have written a blog on the subtle signs and symptoms of Pelvic Floor Dysfunction with the hopes that we can catch these issues in people much sooner especially since the age group impacted by the dysfunction is continuously getting younger and younger. Check my blogs to understand the different aspects of Pelvic Floor Dysfunction.

If there is one thing I wish for you to get out of this blog, it is to understand that pelvic floor dysfunction is not only pain in the pelvis, incontinence, for old people, especially women. Not every woman with childbirth has it and should get it.

If you are trying to prevent from being your problem, understand how to avoid it, and get yourself checked by the right kind of therapist who is equipped with the understanding of:

  • Postural neurology
  • Movement principles of kinesiology
  • Ergonomics

Because the traditional category of people with it and the traditional treatments are no longer true to the resolution of this problem.

Dr. Shakib

Recommended Reading:

Who Treats Pelvic Floor Dysfunction?

Can I Do Pelvic Floor Therapy On Myself?