The Pelvis an integrated approach
The pelvis is essential for the performance of almost every task. It is particularly relevant for women suffering from pelvic girdle pain (PGP), incontinence, pelvic organ prolapse (POP), and/or sexual impairment; all possible symptoms of failed pelvic function. Given the role the PFMs play in multiple tasks, it is not surprising that ‘muscle training’ is recommended as the first-line of treatment for women with these conditions. In clinical practice, it is common to see complex patients with a combination of pain, incontinence, organ prolapse, and/or diastasis rectus abdominis and breathing pattern changes.
A thorough evaluation often reveals many past injuries, thoughts/beliefs, and emotional states that have collectively led to changes in strategies for posture, movement, continence and pelvic organ support. All these features need to be assessed for sound clinical reasoning and effective individual therapy to be successful.