Back Pain, Tummy Trouble and the Often Ignored Connection to Pelvic Pain









Do you experience sore, achy, or even severe low

back pain?


How about abdominal pain, weakness, or tummy



Maybe you experience temporary relief, but that

lingering discomfort does not seem to go away.


Despite everything you try (even specialists and

or medication), do you feel like their is a piece of

the puzzle that's missing?


Our bodies are in fact a complex puzzle with

many pieces that must fit together. Often, we get

so focused on the exact "spot" that hurts, we

ignore the whole system that needs to fit



Let's look at the system that makes up your

midsection where many of our clients report pain

and discomfort that disrupts their quality of life.


Your Organs Live in a Box


At the back of your abdominal box are the muscles

of your spine, the front your abdominal muscles,

the sides your oblique muscles, the top your

diaphragm, and the bottom your pelvic floor



The most ignored piece of the "abdominal cavity

puzzle" (the one no one wants to talk about) are

the pelvic muscles.  However, it shouldn't be so

taboo because problems with the pelvic muscles

are actually very common.


In fact, pelvic pain affects about 20 % of the

population. The rate of problems such as

weakness, muscle spasm, or related symptoms

such as incontinence and sexual dysfunction

are as high as 50%.


Evidence shows that those with low back pain

have a significant decrease in pelvic floor muscle

function.  In these cases, people report symptoms

such as:

  • Tender points in the back, or buttock.
  • Pain in the abdominal area.
  • Unable to sit for as long as you used to.
  • Urinary frequency, urgency, or leaking.
  • Chronic constipation
  • Straining with bowel movements


Maybe you have some of these symptoms

occasionally but don't feel like they aren't a big

deal to you right now.  Maybe that back pain that

keeps you from enjoying your weekend activities

is most pressing right now.


But remember, in this puzzle all of the pieces

must be addressed before you completely achieve

the long lasting relief you desire.


How do we keep all the pieces of this puzzle

functioning properly so each part can do it's job?


1. Diaphragmatic Breathing


The diaphragm is the top of the box. It expands

and contracts with each breath.  Deep

diaphragmatic breathing improves digestion,

relaxes the back and pelvic muscles, and aides in

increased oxygen utilization for muscle function.


While lying on your back, breath in deeply

allowing your stomach to rise as you breath in

and fall as you breath out.


2. Abdominal drawing in maneuver


This is a simple, yet effective exercise to improve

abdominal muscle strength, control, and also

recruit the pelvic floor muscles.


Starting again on your back. . . as you exhale, keep

your back flat on the ground and pull your

stomach in pulling your belly button to your spine.

Hold, release, and then repeat.


3. Lifestyle Habits


Everything you do to keep a strong healthy body

will effect your back, core, and pelvic floor.  This

includes good posture, maintaining a healthy body

weight, refraining from smoking, and exercising



Could this be your missing piece?


We see this frequently with our clients.  In fact,

78% of physical therapy patients with low back

pain also have urinary incontinence.  Most don't

come to therapy reporting this as a problem.


Our clients want their back fixed so they can get

back to running.  They think it has nothing to do

with the fact that they leak during a race.


Over 50% of clients delay treatment for pelvic

issues due to either embarrassment, or they feel

this piece to the puzzle is just inevitable.

Well. . . it isn't!


Physical therapists help people experiencing back,

abdominal, and pelvic pain restore strength and

flexibility to the muscles and joints, and reduce

their pain. Our clients are often pleasantly

surprised when constipation, shortness of breath,

or urinary symptoms subside during the course  of

their treatment.


If back pain, tummy trouble, or pelvic pain are

limiting your ability to confidently participate

in the activities you enjoy inquire today.  A

FREE 15 minute phone conversation can

help you start putting ALL the pieces of the

puzzle together.  Click HERE to get started.