The presence of Pelvic Floor Dysfunction strongly predicts Low Back Pain
This makes a lot of sense when we think about the role of the pelvic floor in core stabilization of our low back and also the connection between muscles in the pelvic floor and the hip!
Should I be doing more KEGELS?!
Maybe...but it's not always that simple. In research conducted by Vandyken, in which they investigated women with both pelvic floor dysfunction and low back pain, they found that a large majority of them had overactive pelvic floor muscles. This is a situation in which the muscles are holding more tension more often than necessary. A small majority had weakness. And some actually had pelvic organ prolapse.
So what does it all mean? What's the bottom line?
What all of this research is suggesting is that if you are seeking physical therapy for low back pain, especially if you are a woman, you may benefit from a therapist who can both assess and treat your low back pain AND your pelvic floor!! This is our speciality!
I want to address a somewhat common scenario in many of my patients including people with knee and hip pain.
The story goes something like this. Progressively more aggravating pain that leads to a doctor's visit and an x-ray of the knee or hip (or maybe back/neck).
Resulting diagnosis of arthritis with a recommendation that it may eventually require a joint replacement, but not yet because you're too young or not in enough pain. And that's the end of it.
So now, the plan is hurry up and wait to inevitably get worse. If you've experienced something similar, I want to offer you some hope! While some conditions do eventually require surgery, many do not. And often, there is still room for improvement in the mean time.
By using specific techniques to improve space in arthritic joints, treating surrounding soft tissue (muscles, ligaments and connective tissue), and finding the best strengthening exercises that don't hurt, I've seen many patient's get back to or continue doing the things they want to do without significant pain!
Here's a video where I talk about some mindsets that keep people from getting the help they need!
3 things to stop doing if you have joint pain of arthritis
I discussed previously the role the hip plays in knee alignment and pain. Briefly, if your hip is weak, then it cannot maintain proper knee alignment and this may result in knee pain.
I'm demonstrating 3 exercises here to improve hip strength. Most of my knee patients see these exercises at some point in their rehabilitative program!
Sidelying Hip Abduction
Bridge with Band
Standing Hip Abduction Extension
Pain at the inner or medial part of the knee is a common complaint in active adults including hikers and runners.
People often complain of tenderness to the touch and also pain and limitations going up and especially down hills or stairs.
When people go looking for answers to this problem, they often end up getting an explanation of what hurts. Medial ligament strain...bursitis (swollen fluid filled sac)...tendonitis (swelling of a tendon)....etc.
In my experience this naming of what hurts in a fancy way as I like to think of it, is not all that helpful in getting to the root of what is causing the pain.
Write something about yourself. No need to be fancy, just an overview.