DR. LISA GOODMAN, DC, CCSP, CACCP

Pelvic Floor Dysfunction: Understanding a Common but Often Overlooked Condition

According to the National Institute of Health, nearly 25% of women experience pelvic floor dysfunction (PFD). And while the condition tends to become more common with age, it is not an inevitable part of growing older. It certainly shouldn’t be something anyone simply “learns to live with.” With the right care and knowledge, pelvic floor issues can be both understood and treated—restoring comfort, confidence, and quality of lifeSo what exactly is pelvic floor dysfunction? Let’s break it down and explore the causes, symptoms, and most importantly, the treatments that can help.

What is the Pelvic Floor?

The pelvic floor is a group of muscles, ligaments, and connective tissue located in the lower pelvic region. These muscles act like a supportive sling for vital organs such as the bladder, rectum, and uterus (or prostate in men). They play a crucial role in controlling bowel movements, urination, and sexual function—especially in women.

When these muscles are working properly, they contract and relax as needed. But when something goes wrong, the results can be painful and disruptive.

What is Pelvic Floor Dysfunction (PFD)?

Pelvic Floor Dysfunction occurs when the muscles in the pelvic floor become too tight, too weak, or lose coordination. Instead of relaxing, these muscles may involuntarily contract. Over time, this can damage the muscles and make them less capable of supporting the organs they were designed to protect. As a result, key bodily functions—such as urination, bowel movements, and sexual activity—may be affected.

Though more common in women, men are not immune. Around 16% of men also experience some form of PFD.

Common Symptoms and Causes

The symptoms of PFD can be wide-ranging and may include:

* Chronic pelvic pain in the groin, abdomen, or lower back

* Painful intercourse

* Frequent or urgent need to urinate

* Pain or burning during urination

* Urinary or fecal incontinence

* Vaginal or rectal pressure

* Muscle spasms or cramping

* Irritable Bowel Syndrome-like symptoms

In women, childbirth is the leading known cause—more than 50% of those who have given birth are affected. Other contributing factors may include trauma to the pelvic region, surgery, nerve damage, obesity, and chronic straining. Yet, in many cases, no clear cause can be identified, and research into the condition continues.

The Mind-Body Connection

One often overlooked aspect of PFD is the emotional and psychological component. In both personal and clinical experience, we find that emotional stress and unresolved trauma can manifest physically. Cultural norms often encourage emotional suppression—holding tension in the body as a coping mechanism.

When emotions go unexpressed, many people unconsciously clench muscles in their neck, back, or pelvic floor. Over time, this can lead to chronic pain and dysfunction. While pelvic floor dysfunction is not “all in your head,” acknowledging and treating the emotional side of the condition is often a crucial part of the healing journey.

Effective Treatment Options

The good news? Most cases of pelvic floor dysfunction can be treated without surgery through a combination of therapies. Here are some of the most effective approaches:

* Biofeedback Therapy: This non-invasive method uses sensors to help patients learn to relax and coordinate their pelvic floor muscles.

* Pelvic Floor Physical Therapy: A trained therapist can guide patients through specific exercises and stretches to strengthen or release targeted muscles.

* Self-Myofascial Release: Internal trigger point therapy can aid in desensitization and improving comfort

* Massage Therapy: Therapeutic massage can address surrounding muscles, promote relaxation, and encourage a deeper connection with the body.

* Chiropractic Care: Adjustments can help realign the spine and pelvis, improving nerve function and alleviating pressure on the pelvic floor. Adjustments can reduce tension in the pelvic region, enhancing muscle function and reducing discomfort associated with pelvic floor disorders.

* Counseling: Talk therapy can help address the emotional impact of chronic pelvic pain. It’s important to remember: the body often reflects what the mind is holding.

* Self-Care and Lifestyle Changes: Warm baths, gentle yoga, breathing exercises, and stress-reduction techniques can all contribute to improved pelvic floor health.

* Medication: In some cases, medications can be used to relieve pain, reduce inflammation, or manage related symptoms.

You Are Not Alone

Pelvic floor dysfunction can be an isolating and frustrating experience—but it doesn’t have to be a permanent one. With a skilled team and an integrative approach, many people are able to reclaim their comfort, intimacy, and confidence.

If you suspect you may be dealing with PFD, speak with a healthcare provider familiar with pelvic health. Healing is not only possible—it’s within reach.

Washington Park Chiropractic is the only practice in Denver, Colorado specializing in Sports Chiropractic, Prenatal Chiropractic and Pediatric Chiropractic. Our Doctors are expert certified and trained in Sports, Pediatrics and Prenatal Care including massage, acupuncture, Webster Technique, Graston Technique, Laser, K-Laser, Kinesiology Tape, RockTape and Normatec. Stay connected with me on Instagram: @washparkchiro or @drlisagoodman