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January 2016 


No one likes to talk about the pain “down there,” but pelvic floor dysfunction can make your life miserable. From frequent urination that interferes with sleep, to the feeling that you are sitting on a golf ball, pelvic floor dysfunction is a real pain in the you-know-what. And though it may not be the first topic you bring up at your dinner party, chances are good that at least 20% of your guests have experienced pelvic floor dysfunction. Yep, it’s that common. 

Why don’t we hear much about it? 

Well, again, would you bring it up at a 

dinner party? And besides, symptoms 

vary so much that determining that it is 

pelvic floor dysfunction (PFD) takes 

detective work. PFD even eludes many 

health care providers. 

Some folks describe a feeling that they 

have a headache in their pelvis, or stress 

incontinence, urinary urgency, or leakage. 

Those issues seem easy to pin on a pelvic floor issue. 

But if someone has lower back or SI joint pain that does not get better with treatment, chronic hip tightness, or a lingering hamstring pull, pelvic floor dysfunction could be the cause. And with chronic prostatitis or sexual dysfunction, the pelvic floor is often at least part of the issue. 

You may remember Kegels, those exercises 

to tighten and strengthen the pelvic floor 

muscles. When Kegel exercises were 

first introduced in 1948, they were the 

cat’s meow. Just doing Kegels would take 

care of any pelvic floor problems… until 

they didn’t. With research, practitioners 

and researchers found that many pelvic

Click here to watch the proper way to do 

a Kegel Exercise 


floor problems were happening because of tightness, and doing Kegels made the problem worse. Having strength in the pelvic floor muscles is important, but so is having flexibility. Being able to relax those muscles is often the first step to feeling better again. 

Another problem with Kegels is knowing if you are doing the right thing. Pelvic floor muscles aren’t easy to access and you may think you’re doing it right thing when you’re using every muscle but the correct 

What causes pelvic floor dysfunction? 

LOTS of things: 

Long hours on a bike without a proper bike fit. 

Sitting all day, every day, especially on a hard surface. 

A pelvic fracture. 

A fall onto your tail bone. 

Untreated lower back pain. 

Traction on nerves during 

childbirth or vaginal 


Diastasis recti – where your 

abdominal muscles separate 

in a vertical line around the 

belly button. 

Stress that makes you want to tuck your tail like a nervous dog. 

Think of your trunk as a big box. The bottom of the box is the pelvic floor. 

Each side of the box needs to have 

integrity to create a stable container 

from which your limbs move. If there 

is a split in the muscle around the 

outer abdominal muscle, that “side” of 

the box is weak causing other areas 

(like the pelvic floor) to tighten up. Or 

if you have a lot of lymphatic 

congestion around your midriff, your 

“container” is not as firm and again, 

the pelvic floor may respond by 

spasming. Conversely, your lower 

back muscles are super tight and the 

distortion of the box makes it 

impossible to activate the pelvic floor

muscles. Abdominal scars or 

adhesions can do the same thing; you 

may be so tight that you can’t even 

fire the pelvic floor muscles. The 

variations are endless. 

The really good news: 

Pelvic floor dysfunction can be treated 

using a variety of techniques that 

create balance in the muscles of the 

hips, abdomen and pelvis. Working on 

abdominal lymph nodes, learning how 

to support the large abdominal muscle 

that has a tear in it, or retraining 

pelvic floor muscles all can be helpful 

in treating the variety of problems we 

see. Correcting imbalances of the 

lower back and pelvis and strengthening afterwards all can help. 

We have many tools at our disposal to evaluate and treat pelvic floor dysfunction. The key is determining what is causing what and then tackling the imbalances and dysfunctions one at a time. It may be a long road to complete resolution but it can’t feel nearly as unending as suffering from pelvic floor dysfunction. 

We’ve learned a lot about treatment of pelvic floor dysfunction and we are seeing some remarkable changes. Stay tuned for more on this topic, or contact your therapist if you just can’t wait another minute. 

A solution is waiting for you. 

A New and Friendly Face 

Be sure and say hi to Carol next time you ‘re in 

the office. She just joined us as our day-time front 

desk administrator. Carol is catching on quickly, 

and will soon be able to take care of all your 

scheduling needs. An East coast gal, Carol spent 

much of her life on Long Island, New York before 

moving to New Jersey in 1991. Carol is one of six 

kids and she loves family. In fact, in December, 

Carol Borgenicht 

she moved to Colorado to be near her son Phil, and Katie and Kevin (her daughter and son-in law). 

Carol loves her animals, Lexy the pug and Sammy the cat. She also enjoys long walks, crocheting, exercise and some favorite TV programs.

And she loves the Colorado weather (even in winter), because the sun is magnificent. 

We are tickled pink to have Carol on our team and we know you’ll feel the same way.


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