Mehmet CopurogluEski?ehir Osmangazi University, Turkey
Title: Pelvic floor dysfunction and back pain
The pelvic floor is made up of muscles, and when these muscles are in spasm, they can refer pain upwards and even downwards, and it’s often misdiagnosed as lower back pain by doctors who are not aware of the pain referral patterns of the muscles. Pelvic floor dysfunction is the inability to control one’s pelvic floor muscles. There can be too much or not enough tension of the pelvic floor muscles, resulting in things like urinary incontinence or the inability to complete a bowel movement. It’s also something that can be mistaken for back pain or bring about pelvic and lower back pain. The job of the core muscles is to support the torso and to stabilize it with movement. If they are not working properly, the torso and pelvis become unstable and you’re more likely to experience back pain and posterior pelvic pain in the SI joints" or sacroiliac joints, which link the pelvis with the lower spine. A wide variety of people have pelvic floor dysfunction. Women make up many cases, since pelvic floor dysfunction can result from pregnancy, childbirth, and endometriosis. That as women age, they often develop pelvic floor dysfunction. One of the major goals of rehab is to reactivate or wake up the core muscles to help stabilize and support the pelvis and spine to prevent pain or to abolish pain. If you train the pelvic floor muscles, you are essentially training the core muscles that will help support the spine and hopefully get rid of the pain. We recommend a physical evaluation by a pelvic physical therapist so they can determine if the pelvic floor muscles are tight or just weak. As a result, pelvic floor dysfunction and the back pain that accompanies it can be alleviated with proper care and exercises. It is necessary to approach the spine holistically, and all diseases affecting the pelvis threaten spinal health. For this purpose, we recommend that gynecologists & obstetricians and physiotherapists work in cooperation.
Mehmet Copuroglu completed his medical education at Bezmialem Foundation University. He is completing his gynecology and obstetrics assistantship at Eskişehir Osmangazi University, Turkey. He conducts studies on birth materials and genetics.