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Pelvic Floor Anatomy
The pelvic floor consists of striated muscles, ligaments, and connective tissues that support the pelvic organs against gravity and intraabdominal pressure. The musculoskeletal structure has been vastly overlooked in the past in terms of diagnosis and treatment and as a primary and secondary source of pelvic floor dysfunction. In the past, it was thought that the pelvic diaphragm is composed of the coccygeus muscle posteriorly and the levator ani anterolaterally. Emerging evidence and focus on anatomy has identified a much more complex interrelationship between several individual muscles; each with their own distinct function, action and susceptibility to injury.
The components of the levator ani consist of the iliococcygeus, the pubococcygeus, pubovaginalis and the puborectalis. Superficial muslces include bulbocavernosus, ischiocavernosus and transverse perioneal.
The pelvic floor must allow relaxation of this support at the urogenital hiatus during voiding and parturition while maintaining the anatomic position of pelvic structures. The complex mechanics of its bimodal function and frequent insults to the integrity of the pelvic diaphragm from gravity, daily activities, and vaginal birth contribute to the pelvic musculature’s vulnerability to damage and injury. Lying within the pelvic cavity are the piriformis, and obturator muscles, which are not elements of the pelvic diaphragm but may contribute to pelvic pain when injured.
These muscles are easily accessible from an intravaginal perspective. Many underlying hip, low back and sacroiliac pain syndromes begin with PF dysfunction. This is why it is critical to consider more than just the levator and coccygeus muscle groups.
Risk Factors for Pelvic Floor Dysfunction
Risk factors for women to develop pelvic floor dysfunction include a history of pregnancy, participation in athletics, obesity, sexual trauma, altered biomechanices of the back, pelvis or lower extremity, menopause, surgery, and carrying children on their hips.
Common Signs and Symptoms
Common signs and symptoms of pelvic floor dysfunction include but are not limited to low back pain, pelvic pain, urinary or fecal incontinence, organ prolapse, pain with intercourse and a pressure sensation in the pelvis.
Too often these signs and symptoms are simply accepted as “normal” process of aging in women. These signs and symptoms can show up at almost any age from teen years through the golden years of life.
ChiroQueen Concierge can set you free from suffering!
ChiroQueen Concierge Providers
are trained to diagnose and treat pelvic floor dysfunction resulting in a wide array of pelvic floor conditions including: incontinence, prolapse, low back pain, pelvic pain, pain with intercourse and, coccyx pain.
Whether you are seeking to get out of pain, increase
your exercise intensity, have a much more enjoyable pregnancy, prepare yourself for your recovery, recover and regain your body after pregnancy or arm yourself to fight the “silent epidemic” of pelvic floor dysfunction, a ChiroQueen Concierge Provider can help set you free from suffering
ChiroQueen Concierge providers have successfully graduated from the ChiroQueen Academy and are able to diagnose and treat pelvic floor dysfunction and conditions.