Recurring Question – Pelvic Floor Dysfunction

I am getting a lot of questions about my pelvic floor dysfunction diagnosis and treatment.

One of the most common assumptions I need to explain away is that pelvic floor dysfunction equals pelvic floor weakness.

It does not.

Your pelvic floor muscles can also be too tight, for me with cerebral palsy it’s also called hypertonicity – my muscles contract too much and too often, and get stiff while also losing range of motion. That’s a big deal for your pelvis, where your hips and legs and all the nerves and ligaments and veins and muscles that run through that area work together.

If something is too tight or not able to move, it’s gonna pull at and irritate other places.

The next thing I find myself explaining away often is that kegels are not the only pelvic floor dysfunction exercise. In my case, kegels would make my situation worse.

There are many exercises. My physical therapists – 2 pelvic floor therapists and 1 regular – have all recommended that I work on my breathing for 10 minutes a day. I have a tendency to inhale more than I exhale. They have also all recommended supine transversus abdominis bracing, 10 minutes. I have felt the muscle under my abs building up from this, where I previously did not feel any muscle. My first PFPT had to teach me how to move those muscles correctly.

But otherwise so far it’s just been a lot of stretching activities to help loosen me up and fight spasms and cramps. My chiropractor has also been helping with different adjustments every week for the past few months, so there has been a lot of progress between the two of them working with me.

To help me understand the seriousness of some of my issues, during my second PFPT

Life’s a trip.


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