There are millions of people suffering from lower back pain all over the world. It can drastically impact a person’s quality of life and can range from minor discomfort to crippling agony. Lower back pain can have many different causes, but one that frequently goes unnoticed is its connection and relation to pelvic floor dysfunction.

Many active women suffer from low back pain, and the reasons for this aren’t always obvious. If you have low back pain, you may have pelvic floor dysfunction, a common condition that affects many women, especially after giving birth. The good news is that specialized pelvic floor physical therapy can help you address the source of your pain and get back to doing the things you enjoy.
What is the Pelvic Floor?
The pelvic floor, situated at the base of the pelvis, serves as a crucial support system for vital pelvic organs, including the bladder, rectum, and, in women, the uterus. These muscles act like a hammock or sling, cradling and maintaining the position of these organs, ensuring they don’t sag or descend into the pelvic cavity.
Among their primary functions, the pelvic floor muscles play a pivotal role in regulating bowel and bladder activities. They collaborate to control the voluntary release of urine and feces, providing the ability to hold or initiate these bodily functions. During pregnancy, these muscles support the growing fetus but must also relax during childbirth. Maintaining a healthy pelvic floor is essential to prevent symptoms that can significantly impact a woman’s quality of life.
What is Pelvic Floor Dysfunction?
Pelvic floor dysfunction involves weakened tight, or poorly coordinated pelvic floor muscles. This can lead to symptoms like urinary and fecal incontinence, pelvic pain, and issues with sexual function. Surprisingly, lower back pain can also be a symptom of this condition. Prompt recognition of these symptoms and seeking appropriate medical care is crucial for managing pelvic floor dysfunction and enhancing one’s overall well-being.
What are the symptoms of Pelvic Floor Dysfunction?
When your pelvic floor muscles are affected, you can experience an array of symptoms, such as:
- Frequently needing to use the restroom
- Constipation or pain with bowel movements
- Difficulty passing a bowel movement
- Pain with urination
- Difficulty urinating
- Incontinence (urine or stool)
- Pain in your lower back
- Pain in your pelvis
- And more!
How can it be related to your lower back pain?
While lower back pain is a widespread ailment that affects people of all ages, the relationship it shares with the pelvic floor occasionally arises because of:
1. Muscle Imbalances
Pelvic floor muscles work together with muscles in the lower back and abdomen to give spine stability and support. When the pelvic floor muscles become dysfunctional, this precise balance is thrown off and can lead to lower back pain.
2. Postural Changes:
An imbalanced pelvic floor can also affect an individual’s posture. Over time, poor posture from pelvic floor dysfunction can place added strain on the lower back muscles, leading to pain and discomfort.
3. Nerve Compression:
Pelvic floor dysfunction can cause nerve compression in the lower back, radiating pain down the legs and buttocks, and worsening lower back pain.
4. Overcompensation:
To compensate for pelvic floor dysfunction, individuals may unknowingly tighten their lower back muscles, leading to chronic tension and pain.
5. Weak Core Muscles:
A strong core is necessary for maintaining a healthy spine. Pelvic floor dysfunction can weaken core muscles, including those in the lower back, making them more prone to injury and pain.
Treatment and Management
Lower back pain that is associated with pelvic floor dysfunction requires a comprehensive approach that takes into account the connection of these two conditions. Consider implementing the following strategies to navigate this complex relationship and alleviate discomfort:
- Pelvic Floor Physical Therapy
Pelvic floor physical therapy is a specialized treatment aimed at restoring proper function to the pelvic floor muscles. It can alleviate lower back pain by addressing the root cause of the dysfunction.

- Core Strengthening Exercises
Engaging in exercises that target the core and lower back muscles can help improve posture and reduce pain.

- Lifestyle Modifications
Making lifestyle changes such as maintaining good posture, staying active, and managing stress can contribute to alleviating both lower back pain and pelvic floor dysfunction.

- Holistic Approaches
Practices like yoga, acupuncture, and mindfulness can aid in reducing pain and promoting overall well-being

Lower back pain and pelvic floor dysfunction may appear unrelated, but the two can be linked! Understanding this link is critical for accurate diagnosis and treatment. If you or someone you know is experiencing lower back pain, it is critical to seek the advice of a healthcare professional so you can understand the cause of the pain and find out if it is related to pelvic floor dysfunction. Individuals can improve their overall quality of life and find relief from the discomfort caused by these interconnected conditions by addressing both issues at the same time.

I’ve been dealing with back pain for years, and it’s reassuring to know that I’m not alone in this struggle. Your blog offers a sense of community and support that’s much needed.
Thank you very much!