Pelvic Health and Alignment

I realise that I've been going on and on about shortened pelvic floor muscles, but what are they really?  Muscles have a very specific length that allows them to function optimally according to a length-tension (strength) relationship.  Length-Tension Relationship* This demonstrates that a muscle that is too short or too long has a decreased ability to contract compared to when it is within it's ideal range. A tight muscle is not necessarily a strong muscle, instead it is unable to function and respond appropriately to required demands because it is never able to contract through its full range.  Shortened pelvic floor muscles can manifest in many different ways: Stress urinary incontinence - leaking with cough/sneezing, laughing, running and jumping Pelvic pain - tailbone , pubic bone, SIJ or lower back pain Pain with sex Decreased sensation or difficulty achieving orgasm with sex Constipation Higher risk of perineal tearing with a vagina...

If you've never experienced difficulty with bowel movements before, then good for you and keep doing what you're doing! However, if you are like many of us who have had experienced constipation then you know it can be quite uncomfortable and more than a little annoying. Constipation can also become hazardous to the pelvic organs and muscles when we begin to strain and hold our breath in an effort to get the stool out. This puts an enormous amount of pressure on the pelvic structures and over time, this repetitive straining can lead to prolapse of the pelvic organs, weakness of the pelvic floor muscles and also hypertonicity (tightness) of the muscles. Constipation is medically defined as less than 3 bowel movements per week and is usually due to one of two reasons; either the stool itself is very solid and difficult to pass, or there is a problem with the emptying process. Solid stools can be due to a number of things: Dehydration - as your food is digested and m...

The muscles of the pelvic floor are pretty amazing. They have many different roles including bladder and bowel control, supporting the pelvic organs, sexual function and core stability. During pregnancy and childbirth, these muscles take on the additional task of supporting the weight of your baby and then allowing the baby to pass through for delivery. These diagrams depict the pelvic floor muscles as they are normally and then during childbirth.  Pelvic Floor Muscles at rest Pelvic Floor Muscles when the baby is crowning Remember that this is what your body and these muscles are made to do. However, perineal tearing (tearing of the skin and muscles between the vagina and the anus) is unfortunately quite common and can occur when the muscles are not able to yield appropriately. This can lead to bladder and bowel incontinence and numerous other conditions related to pelvic floor dysfunction. For the muscles to undergo this amount of stretch and decrea...

Erin, Leah and myself working hard at the clinic This week I went to a yoga class for the first time in a long while. It was awesome! And very challenging.  In Grade 9 or 10 at school, I was getting disheartened by being one of the slower swimmers in my training squad. I told my Dad I didn't want to go anymore because I was the slowest and he said 'Well how are you going to get any better if you don't go'. I figured this made pretty good sense, so I kept at it, set some PBs, and his words have stuck with me ever since.  So for those who say they 'just aren't flexible' and 'never have been', how are you going to get any more flexible if you never do anything about it. Yoga isn't about being better than any one else in the class. It is simply a guided practice that you do for yourself. Pelvic floor dysfunction is often related to the lack of pelvic movement in our daily repertoire of positions (sitting in chairs, standing, walking a...

(The primary cause of my tailbone pain) Coccydynia is the fancy term for a sore tailbone. It can be caused by several different things but is often prolonged by pelvic floor muscle dysfunction. What is it? Coccydynia is essentially pain in the tailbone ( Coccyx = Tailbone, Dynia = Pain ) This can present as an achy/dull pain or sometimes more intense/sharp pain particularly with movement (eg. rising from sitting) or sitting for a long time. What causes it? Tailbone pain or coccydynia can be caused by a direct injury to the tailbone, however, t his does not necessarily mean that there is a fracture or dislocation of the bone or joint. Some related causes can include: Direct impact or a fall directly onto the tailbone, eg. while snowboarding or from a height Damage to the tailbone during childbirth (vaginal delivery)  Strain of the pelvic floor muscles from pregnancy Prolonged sitting with your weight on your sacrum and tailbone eg. flights/long car rides  (see...

I love travelling and feel very fortunate to have the opportunity to do so. However, one of the downsides about moving to the other side of the world is that you do spend a lot of time in transit just to get home for a visit. Over the last month and a bit, I have done a ridiculous amount of flying (for educational courses, home visits and fun), spending about 45hrs in the air (between Calgary, Vancouver, Seattle, Los Angeles, Brisbane, Sydney, Dallas and Austin) and a whole bunch more time in and around airports, taxis, buses and trains. All of this added up to a very sore tail bone and tight pelvic floor muscles and a lot of time to think about how travelling can affect your pelvic health.  Here are some of my travel-related observations to keep in mind that you can also apply to your everyday life! Sitting The most obvious downside to travelling is the looong amounts of time spent sitting and particularly the way that you sit. I have a tendency to curl up in my sea...

Today's post is slightly different to most of the others. I've never written a book review before (outside of primary school), however I just had to share this particular one with you. Recently I was lucky enough to get my own copy of... Alignment Matters by Katy Bowman! My first impression was: Oh my gosh this woman is smart! If you've never heard of her, Katy Bowman is a biomechanist from the USA and teaches thousands of people easy ways to look after their body and keep it functioning the way that it should. I love this book from a Physio perspective as there is a huge focus on prevention of injury and maintaing (or gaining) whole body wellness. The information throughout the book is very well researched but also easy to read for people with lots or little health education. The book is a collection of the first five years of her blog, organised into relevant categories and body parts with each gem of knowledge presented in short chapters. Great if you don...