Have you ever wondered why your low back hurts and if it has anything to do with your pelvic floor? Well, you’re not alone! The connection between low back pain and the pelvic floor is an intriguing and important topic to explore. Low back pain is a common problem that many people experience, while the pelvic floor consists of a group of muscles located in your pelvis that help support your organs and control your bladder and bowel movements. Understanding how these two areas are related can provide valuable insights into managing and treating both low back pain and pelvic floor issues in women & men.

The relationship between low back pain and the pelvic floor is multifaceted and can be influenced by several factors. 

Here are a few key reasons why low back pain can be related to the pelvic floor:

  1. Musculoskeletal Connections: The muscles in the pelvic floor and the low back are interconnected. Imbalances or dysfunctions in one area can affect the other. For example, if the pelvic floor muscles are tight or overactive, they can create tension and pull on the low back muscles, leading to pain and discomfort.
  2. Core Stability and Support: The pelvic floor muscles play a crucial role in providing stability and support to the spine and pelvis. Weakness or dysfunction in the pelvic floor muscles can compromise the overall core stability, resulting in increased stress on the low back muscles and potentially contributing to pain.
  3. Nerve Interactions: Nerves from the low back and pelvic floor can share common pathways and innervation. Conditions such as nerve impingements or irritations in the low back can sometimes refer pain to the pelvic floor region, and vice versa. Nerve-related issues in one area may manifest as pain or discomfort in the other.
  4. Pelvic Floor Dysfunction: Pelvic floor dysfunction refers to various conditions that disrupt the normal functioning of the pelvic floor muscles, such as pelvic pain, urinary or fecal incontinence, or pelvic organ prolapse. These dysfunctions can alter the alignment and mechanics of the pelvis and spine, potentially leading to low back pain.

Understanding the relationship between low back pain and the pelvic floor can help guide healthcare professionals in assessing and treating patients comprehensively. It emphasizes the importance of addressing both areas to achieve optimal outcomes in managing pain and promoting pelvic floor health.

Pelvic Health physiotherapists play a vital role in addressing low back pain & hip pain by addressing the underlying pelvic floor dysfunction and related musculoskeletal issues. 

Here are several ways in which a pelvic physiotherapist can help with low back pain:

  1. Assessment and Diagnosis: A pelvic physiotherapist will conduct a thorough assessment to identify the specific causes and contributing factors of low back pain. This may involve assessing the pelvic floor muscles, core stability, posture, movement patterns, and any pelvic floor dysfunctions that may be present.
  2. Pelvic Floor Muscle Rehabilitation: If pelvic floor dysfunction is identified as a contributing factor to low back pain, the pelvic physiotherapist can develop an individualized treatment plan that includes pelvic floor muscle rehabilitation. This may involve exercises to improve strength, coordination, and relaxation of the pelvic floor muscles, which can help alleviate low back pain.
  3. Core Strengthening and Stabilization: Pelvic physiotherapists are skilled in providing exercises and techniques to strengthen and stabilize the core muscles, including the deep abdominal muscles, back muscles, and pelvic floor. Improved core strength and stability can alleviate stress on the low back and promote proper alignment and movement patterns.
  4. Manual Therapy Techniques: Pelvic physiotherapists may use various manual therapy techniques to address muscle imbalances, joint dysfunctions, or soft tissue restrictions in the pelvic region and low back. These techniques can help reduce pain, improve mobility, and restore proper movement patterns.
  5. Postural and Ergonomic Education: Pelvic physiotherapists can educate individuals on proper posture and ergonomics, both during daily activities and specific exercises. This knowledge can help prevent and reduce low back pain by promoting optimal alignment and minimizing strain on the spine.
  6. Education and Self-Management Strategies: Pelvic physiotherapists provide education and self-management strategies to empower individuals in managing their low back pain. This may include lifestyle modifications, activity modifications, relaxation techniques, and strategies for pain management.

By addressing pelvic floor dysfunction, improving core stability, providing manual therapy, and offering education and self-management strategies, pelvic physiotherapists can play a crucial role in helping individuals manage and alleviate low back pain effectively. It is important to consult with a qualified pelvic physiotherapist for a comprehensive evaluation and personalized treatment plan.


Why is it important for Pelvic Physiotherapists to Treat Low Back Pain?


It is crucial for pelvic physiotherapists to treat low back pain because they understand the interconnectedness between the pelvic floor and the low back. By addressing pelvic floor dysfunction and imbalances, they can alleviate strain on the low back and provide targeted relief. Pelvic physiotherapists take a holistic approach, considering the entire pelvic region, and provide individualized treatment plans that address the specific factors contributing to low back pain. They also educate patients on prevention and long-term management strategies, empowering individuals to take an active role in maintaining their pelvic health and reducing the risk of recurring pain. Through their specialized knowledge and interventions, pelvic physiotherapists play a vital role in effectively treating low back pain and improving overall well-being.


To schedule an appointment or inquire further about pelvic physiotherapy, please feel free to call Physiomobility at 416-444-4800. Alternatively, you can reach out to us via email at reception@physiomobility.ca. Our dedicated team is here to assist you and provide the specialized pelvic physiotherapy services you need. Take the first step towards improved pelvic health and contact Physiomobility today.


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Physiomobility continues to remain open and is not part of the lockdown. We continue to have rigorous disinfection policies and procedures in place to ensure the safety of our community and are open for patient in-person visits with all of our practitioners.

Virtual appointments are available and encouraged for those who are at a heightened risk of illness.

We remain focused on our quality of care & our continued commitment to helping our patients feel their best. For further assistance, you can contact us at 416-444-4800 during our opening hours. 

The Physiomobility Team