Pelvic Floor and Your Psoas Muscles
The Pelvic floor and your Psoas muscles, which are the most important in helping with Incontinence? There are three primary signs that indicate non-optimal function of the pelvic floor:
Leakage of urine is the most common sign of pelvic floor dysfunction. It is often thought that incontinence is an issue that affects women only after childbirth and as they age. However, studies have shown incontinence to be common as we age even if you have not had a baby.
Posterior pelvic tilt Caused by the Psoas Muscles
Tight unresponsive Psoas muscles. Our Huge Psoas muscles are constantly compressed from our sitting positions. These are the huge muscles that sit inside the pelvis and so they have the potential to compress other stuructures in the pelvis, like your bladder. Huge downward compression forces from the Psoas muscles affect your bladder.
Overtightening of the Core Muscles
Most women I see who are in a Pilates class or have worked their core muscles or been given a pelvic floor exercise regime usually tell me that they still get back pain and that the exercises have not helped their incontinence as they expected. This is because strengthening your pelvic floor or your core is going to add in more tightness into an already tight Psoas muscle and will be putting a downward pressure over the bladder.
Pelvic Pain Syndrome: what is it?
Is a term used to describe a raft of potential possible contributing structures within the pelvis causing pain or discomfort. The vagueness is because of the inability to pin point a particular structure to the pain. The Psoas muscle has the ability to compress anything below it in the pelvis but also start to distort the Sacroiliac joints and the hip joints. This is the structure I believe is the real culprit in what is call PPS.
Reconnecting with your deep core and pelvic floor is very important and often forgotten! But the most important muscle that overrides and impacts everything in the pelvis are our Psoas muscles. When you have fluid and flexible Psoas muscles that are working optimally you should not have core and pelvic floor muscle problems.
As reported by Sapsford et al. (2008), both continent and incontinent women who sat more upright (i.e. assumed a position approximating neutral lumbar spine and pelvic alignment) tended to have greater pelvic floor activation than those who sat in a slumped posture. In this book several strategies have been discussed for improving alignment and control of the lumbar spine, pelvis, and hips, as well as for restoring function of the deep myofascial system (DMS) (e.g. psoas, transversus abdominis, and pelvic floor).
The most important muscle to address with all of the above symptoms is the Psoas muscle.
At Posturepro physiotherapy we specialize in the Psoas muscles.
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