I Have Pressure in My Bottom: Pelvic Floor Physical Therapy and Lifestyle Changes

By Dr. Zarina Vitebsky, DPT, MSPT, PRPC, TPS, LPF, DN on 2/13/2024

Introduction

Pelvic floor physical therapy is a specialized form of physical therapy that focuses on the muscles, ligaments, and connective tissues in the pelvic floor. This area of the body is responsible for supporting the bladder, uterus, and rectum, and plays a crucial role in bowel and bladder control, sexual function, and overall pelvic health. Treatment techniques may include pelvic floor exercises, manual therapy, biofeedback, and education on proper posture and body mechanics. The goal is to strengthen and relax the pelvic floor muscles, improve coordination and control, and alleviate symptoms such as pressure or pain.

Feeling pressure in the bottom pelvic floor can be a sign of dysfunction or weakness in these muscles, which can lead to a variety of uncomfortable symptoms. In this article, we will explore the benefits of pelvic floor physical therapy in addressing this issue and improving overall pelvic health.

Importance of Addressing Pressure in the Bottom Pelvic Floor

Feeling pressure in the bottom pelvic floor can be a sign of various pelvic floor disorders, including pelvic organ prolapse, urinary incontinence, and pelvic pain. These conditions can significantly impact a person's quality of life and may worsen if left untreated.

Pelvic floor physical therapy can help address the underlying causes of pressure in the bottom pelvic floor and improve symptoms. It can also prevent future issues and promote overall pelvic health.

Ignoring pressure in the bottom pelvic floor can lead to more severe problems, such as urinary or fecal incontinence, sexual dysfunction, and chronic pelvic pain. Seeking treatment from a pelvic floor physical therapist can help prevent these issues and improve overall well-being.

Understanding the Pelvic Floor

Definition of the Pelvic Floor

The pelvic floor refers to a group of muscles, ligaments, and tissues that form a supportive sling at the bottom of the pelvis. It spans from the pubic bone in the front to the tailbone in the back and from one sitting bone to the other. These muscles are responsible for supporting the pelvic organs, including the bladder, uterus, and rectum.

Functions of the Pelvic Floor Muscles

The pelvic floor muscles have several important functions, including:

• Supporting the pelvic organs and preventing them from prolapsing (sagging or dropping down)

• Controlling bladder and bowel function

• Assisting with sexual function and pleasure

• Providing stability and support for the spine and pelvis

Common Issues Related to the Pelvic Floor

There are several common issues that can arise with the pelvic floor, including:

• Incontinence (leaking urine or feces)

• Pelvic organ prolapse

• Pelvic pain

• Sexual dysfunction

• Constipation

• Difficulty with childbirth

These issues can be caused by a variety of factors, such as pregnancy and childbirth, aging, chronic constipation, and certain medical conditions. Pelvic floor physical therapy can help address these issues and improve overall pelvic floor function.

Causes of Pressure in the Bottom Pelvic Floor

Weak Pelvic Floor Muscles

One of the main causes of pressure in the bottom pelvic floor is weak pelvic floor muscles. These muscles play a crucial role in supporting the pelvic organs, including the bladder, uterus, and rectum. When these muscles are weak, they are unable to properly support the organs, leading to a feeling of pressure in the pelvic area. Weak pelvic floor muscles can be caused by factors such as aging, obesity, and a sedentary lifestyle.

Tight Pelvic Floor Muscles

On the other hand, tight pelvic floor muscles can also contribute to pressure in the bottom pelvic floor. When these muscles are too tense, they can cause discomfort and pain in the pelvic area. This can be caused by factors such as stress, anxiety, and overactive bladder. Tight pelvic floor muscles can also lead to difficulty with urination and bowel movements.

Pregnancy and Childbirth

During pregnancy and childbirth, the pelvic floor muscles undergo a lot of strain and pressure. This can result in weakening or damage to the muscles, leading to pressure in the bottom pelvic floor. Additionally, the weight of the growing baby can also put pressure on the pelvic floor, causing discomfort and pain. Women who have had multiple pregnancies or difficult deliveries are more likely to experience pressure in their bottom pelvic floor.

Chronic Constipation

Chronic constipation, or difficulty passing stool, can also contribute to pressure in the bottom pelvic floor. When stool is not passed regularly, it can build up in the rectum and put pressure on the pelvic floor muscles. This can lead to discomfort and pain in the pelvic area. Chronic constipation can be caused by a variety of factors, including a low-fiber diet, dehydration, and certain medications.

Other Medical Conditions

There are also other medical conditions that can cause pressure in the bottom pelvic floor. These include pelvic organ prolapse, endometriosis, and pelvic inflammatory disease. These conditions can put pressure on the pelvic floor muscles and cause discomfort and pain. It is important to consult with a healthcare professional if you are experiencing pressure in your bottom pelvic floor to determine the underlying cause and receive proper treatment.

Signs and Symptoms of Pressure in the Bottom Pelvic Floor

Discomfort or Pain in the Pelvic Area

One of the most common signs of pressure in the bottom pelvic floor is discomfort or pain in the pelvic area. This can manifest as a dull ache, sharp pain, or a feeling of pressure or fullness. The pain may be constant or intermittent and can range from mild to severe. It may also be accompanied by other symptoms such as urinary or fecal incontinence, difficulty emptying the bladder or bowels, and pain during sexual intercourse.

Difficulty Emptying the Bladder or Bowels

Pressure in the bottom pelvic floor can also cause difficulty with bladder or bowel movements. This can include a feeling of incomplete emptying, straining or pain during urination or bowel movements, and a frequent urge to go to the bathroom. These symptoms may be caused by muscle tension or weakness in the pelvic floor muscles, which can affect the proper functioning of the bladder and bowels.

Urinary or Fecal Incontinence

In some cases, pressure in the bottom pelvic floor can lead to urinary or fecal incontinence. This means a person may experience leakage of urine or feces, or have difficulty controlling their bladder or bowels. This can be embarrassing and can significantly impact a person's quality of life. Incontinence may be caused by weakened pelvic floor muscles or nerve damage, both of which can be addressed through pelvic floor physical therapy.

Pain During Sexual Intercourse

Another sign of pressure in the bottom pelvic floor is pain during sexual intercourse. This can be caused by muscle tension or weakness in the pelvic floor, which can make penetration uncomfortable or even painful. It can also be a result of scar tissue or trauma in the pelvic area. Pelvic floor physical therapy can help address these issues and improve sexual function and comfort.

Other Related Symptoms

Aside from the main signs and symptoms mentioned above, pressure in the bottom pelvic floor may also be accompanied by other related symptoms. These can include lower back pain, hip pain, and pelvic pain. These symptoms may be caused by muscle imbalances or tension in the pelvic floor, and can be addressed through targeted exercises and techniques in pelvic floor physical therapy.

Pelvic Floor Physical Therapy for Pressure in the Bottom Pelvic Floor

Evaluation by a Pelvic Floor Physical Therapist

When experiencing pressure in the bottom pelvic floor, it is important to seek evaluation from a pelvic floor physical therapist such as any member of our specialized team at Pelvic Health Center of NJ. This specialized therapist will conduct a thorough assessment to determine the underlying cause of the pressure and develop a personalized treatment plan.

Techniques Used in Pelvic Floor Physical Therapy

Pelvic floor physical therapy utilizes various techniques to address pressure in the bottom pelvic floor. These techniques may include pelvic floor muscle exercises, biofeedback, manual therapy, and relaxation techniques.

Importance of Consistency and Adherence to Therapy

Consistency and adherence to therapy are crucial for achieving successful outcomes in pelvic floor physical therapy. It is important to attend all scheduled therapy sessions and follow the prescribed exercises and techniques at home. This will help strengthen the pelvic floor muscles and alleviate pressure in the bottom pelvic floor.

Potential Benefits of Pelvic Floor Physical Therapy

Pelvic floor physical therapy has been shown to have numerous benefits for individuals experiencing pressure in the bottom pelvic floor. These may include improved bladder and bowel control, reduced pain and discomfort, and improved sexual function. Consistent and dedicated therapy can lead to long-term relief and improved quality of life.

Lifestyle Changes to Support Pelvic Floor Health

Proper Posture and Body Mechanics

Poor posture and incorrect body mechanics can also contribute to pelvic floor issues. Slouching or sitting for long periods of time can put strain on the pelvic floor muscles. It is important to practice good posture and use proper body mechanics when lifting heavy objects to avoid putting unnecessary pressure on the pelvic floor.

Avoiding Activities That Put Pressure on the Pelvic Floor

Certain activities, such as high-impact exercises or heavy lifting, can put a lot of strain on the pelvic floor muscles. It is important to avoid these activities or modify them to reduce the pressure on the pelvic floor. Low-impact exercises, such as swimming or yoga, can be beneficial for pelvic floor health.

Dietary Changes to Prevent Constipation

Constipation can also contribute to pelvic floor issues, as straining during bowel movements can put pressure on the pelvic floor muscles. Making dietary changes, such as increasing fiber intake and staying hydrated, can help prevent constipation and reduce strain on the pelvic floor.

Managing Stress Levels

Stress can cause tension in the pelvic floor muscles, leading to discomfort and potential issues. It is important to find ways to manage stress, such as through relaxation techniques or therapy, to help alleviate pressure on the pelvic floor and improve overall pelvic floor health.

Conclusion

Recap of key points

Throughout this article, we have discussed the issue of feeling pressure in the bottom pelvic floor and its potential causes. We have also explored the benefits of seeking pelvic floor physical therapy as a treatment option. It is important to remember that every individual's experience with pelvic floor pressure may be different, and it is crucial to consult with a healthcare professional for personalized advice.

Encouragement to seek professional help for pressure in the bottom pelvic floor

If you are experiencing pressure in your bottom pelvic floor, it is essential to seek professional help. Pelvic floor physical therapy can provide targeted exercises and techniques to alleviate pressure and improve overall pelvic floor health. A trained therapist can also assess any underlying issues that may be contributing to the pressure and provide a personalized treatment plan.

Emphasis on the importance of self-care and lifestyle changes for pelvic floor health

In addition to seeking professional help, it is crucial to prioritize self-care and make necessary lifestyle changes to support pelvic floor health. This may include incorporating pelvic floor exercises into your daily routine and avoiding activities that put excess pressure on the pelvic floor. Remember, taking care of your pelvic floor can have a significant impact on your overall well-being.

If you’re experiencing pelvic floor dysfunctions associated with the issues above, please reach out to us at Pelvic Health Center in Madison, NJ to set up an evaluation and treatment! Feel free to call us at 908-443-9880 or email us at receptionmadison@pelvichealthnj.com.

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