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Low Back Pain and Bladder Leaks

  There is a significant correlation between low back pain and pelvic floor dysfunction, so much so, that one study even reported that 95% of women with low back pain had some form of pelvic floor dysfunction!1 And many other studies have shown similar connections between the two. Pelvic floor dysfunction can present as pain, pelvic heaviness/pressure, bowel or bladder issues. If you have low back pain you are much more likely to develop pelvic floor dysfunction, such as bladder leakage, and if you have bladder leakage, you are much more likely to develop low back pain.

  The common factor between low back pain and pelvic floor dysfunction is that we often find issues with muscle control surrounding the trunk and pelvis. When treating low back pain it is important to know if pelvic floor dysfunction is present because including pelvic floor interventions in treatment for low back pain has been shown to be more effective in reducing pain and having longer term relief. This may be the missing piece for some who suffer from chronic low back pain!

  Pelvic floor interventions focus on increasing awareness and coordination of the pelvic floor muscles. And no, it’s not just about doing Kegels. Kegels are merely an introduction to the pelvic floor muscles and do not result in proper coordination with functional movements. Pelvic floor treatment does not necessarily mean internal treatment either. The important thing is that we are addressing low back pain and pelvic floor dysfunction more comprehensively to ensure better resolution of symptoms and improved quality of life.

Struggling with low back pain and/or bladder leaks? 

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  1. “Association between lumbopelvic pain and pelvic floor dysfunction in women: A cross sectional study.” Musculoskelet Sci Pract. 2018 Apr;34:47-53.

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