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Writer's pictureDana Elliott, MScPT

Low Back Pain and Pelvic Floor Dysfunction

A Canadian done study showed that 95.3% of women with low back pain had pelvic floor dysfunction on internal testing (Dufour et al, 2018). These dysfunctions included tenderness on internal palpation (71%), pelvic floor weakness (66%), and pelvic organ prolapse (41%).


Another follow up study (Keizer et al, 2019) showed that women who have lumbopelvic (back/pelvic/hip) pain and strong or uncontrolled urinary urge have a high likelihood of pelvic floor muscle dysfunction when tested internally. These women also score highly for central pain mechanisms (pain coming from the central nervous system versus tissue injury).


If you are having any symptoms of low back pain or pelvic floor dysfunction (leaking, pain, pelvic organ prolapse, sexual discomfort, constipation, inability to start or stop flow of urine, menstrual pain, menopausal symptoms) Dana can assess both the external and internal structures and create a game plan for resolving or preventing any further issues.


References:


Dufour S, Vandyken B, Forget MJ, Vandyken C. Association between lumbopelvic pain and pelvic floor dysfunction in women: A cross sectional study. Musculoskelet Sci Pract. 2018 Apr;34:47-53.


Keizer A, Vandyken B, Vandyken C, Yardley D, Macedo L, Kuspinar A, Fagahani N, Forget MJ, Dufour S. Predictors of Pelvic Floor Muscle Dysfunction Among Women With Lumbopelvic Pain. Phys Ther. 2019 Dec 16;99(12):1703-1711.

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