©2019 by Dr Maria Luque

 
  • Dr. Maria Luque

The Role of Pelvic Alignment in Pelvic Floor Dysfunction

If your car starts swerving to the right or left, you will take it to the mechanic. You know that the alignment might be off and it needs adjusting. Now be honest…if your body acts in strange ways, have you ever considered that your body might be out of alignment? Well, there is a good chance it is. Chances are it's creating some unexpected aches, pains, and dysfunctions in the rest of your body. 


The pelvis is the foundation of the skeletal system and it connects with the spine and the top of the legs. Any misalignment within this structure will have a domino effect. Upwards through the spine and downwards through the legs. When the pelvis can't move through its natural pattern, the muscles around it will get overworked. This can result in tightness and pain such as lower back and knee pain, or tightness in the hips and hamstrings. But a misaligned pelvis can also have more severe effects such as contributing to pelvic floor dysfunction (PFD), which is a common concern amongst menopausal women. Any misalignment within the lumbopelvic complex can cause the pelvic floor muscles (PFM) to be unable to function correctly. The PFM form the floor of the pelvic base and help maintain continence by actively supporting the pelvic organs. When those muscles are inhibited by misalignment, are either too weak/too tight, or are incorrectly used, PFD can happen.



Lumbopelvic abnormalities

Excessive anterior pelvic tilt: 

  • Forward rotation/downward tilt of the pelvis

  • The back of the pelvis appears to be much higher than the front (sometimes visible when the waistband sits really high on the back and low on the front)

Excessive lumbar lordosis:

Excessive curvature in the arch of the lower back, which can cause pain and dysfunction


Posterior pelvic tilt: 

Front of the pelvis appears higher than the back


What can you do?


Learn Neutral Position of the Pelvis

If you don't know what to look for, it's difficult to make adjustments. Make it a priority to know how to find neutral position.

  • Place one hand on the bony structure on the front of each hip

  • Index fingers should touch and be parallel to the ground

  • Look down at your hands and posteriorly tilt the pelvis until you can see both index and second fingers of both hands

This is neutral position of the pelvis


Corrective action for misalignment

To avoid any chronic problems stemming from misalignment, you must correct any structural deviations in the lumbopelvic region. There are several ways you can approach these deviations:

  1. Use a foam roller and stretch routine on a daily basis

  2. Work with a fitness/health professional that is familiar with these types of alignment issues

  3. Chiropractic treatment/adjustments


Strengthen your pelvic floor muscles

Kegel exercises are your PFMs workout. These exercises can be done anywhere and only take a few minutes a day. They are incredibly important in preventing pelvic floor problems such as urinary incontinence. They are performed by repeatedly squeezing and relaxing the PFMs. For a step-by-step guide for doing kegels, you can hop over to https://www.nafc.org/kegel



Stay happy & healthy

Dr. Maria