lower backpain

The Link Between Pelvic Floor Dysfunction and Lower Back Pain

June 16, 20253 min read

As a Doctor of Physical Therapy who has spent years supporting women through their most transformative journeys, I want to share something crucial that often goes unnoticed: the intricate relationship between your pelvic floor and those nagging lower back aches that seem to linger long after pregnancy or become a constant part of your daily life.

Your Core’s Role in Pain and Stability

Imagine your body as a beautifully complex support system. Your pelvic floor isn't just a group of muscles – it's a powerful foundation that connects everything from your breathing to your movement. According to the National Institutes of Health, over 25% of women experience pelvic floor disorders, and a staggering 60-80% of adults face chronic lower back pain at some point in their lives.

These aren't just statistics – they're real experiences shared by countless women I've treated in my pelvic floor physical therapy clinic in Nashville.

Understanding Pelvic Floor Dysfunction

Pregnancy, childbirth, daily stress, and even seemingly unrelated activities can create imbalances in your core muscle system. Your pelvic floor works intimately with your diaphragm, abdominal muscles, and back muscles – what we call the "core canister." When this delicate system is disrupted, it can manifest as:

  • Persistent lower back pain

  • Hip tightness

  • Sciatic-like symptoms

  • Uncomfortable pressure in the pelvic area

  • Challenges with core stability

Many of my patients are surprised to learn that their chronic hip and back pain might actually stem from pelvic floor issues.

Pelvic Floor and Pain

During pregnancy and postpartum, your body undergoes remarkable changes. The muscles and connective tissues in your pelvic region stretch and adapt, sometimes creating long-term compensation patterns. What many women don't realize is that these changes can persist long after giving birth, leading to ongoing discomfort.

Symptoms That Often Get Missed

  • Unexplained lower back pain

  • Difficulty engaging core muscles

  • Feeling of instability when lifting or moving

  • Persistent tension in the lower back and hips

A Holistic Approach to Healing

dry needling

In my physical therapy practice, we don't just treat symptoms – we address the root cause. Our approach includes:

  • Comprehensive pelvic floor assessments

  • Manual therapy techniques

  • Targeted birth recovery exercises

  • Postural re-education

  • Specialized techniques like dry needling and cupping

What to Expect in Pelvic Floor Therapy

  1. Detailed Evaluation: A thorough examination of your muscle function, movement patterns, and pain triggers.

  2. Personalized Treatment Plan: Strategies tailored to your unique body and experience.

Empowerment Through Education: Understanding your body's signals and how to support its healing.

pelvic floor therapy

Resources and Hope

For those seeking more information, I recommend checking out resources from:

Your Journey, Your Healing

To every woman reading this – your pain is valid, your experience matters, and healing is possible. Whether you're a new mom navigating postpartum recovery or someone struggling with persistent back pain, our postpartum strength classes are designed to support you every step of the way.

Ready to Take the First Step?

Don't let pain define your story. A pelvic floor therapy assessment could be the key to unlocking a pain-free, more confident you. Your body has an incredible capacity to heal, and we're here to support that journey.

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