Pelvic floor dysfunction

Pelvic floor dysfunction, characterized by muscles that are either too tight (hypertonic) or too weak (hypotonic), disrupts the normal function of the pelvic organs. When these muscles are hypertonic, they can cause muscle spasms and tension, leading to direct pain in the rectum and lower abdomen. This tension can also compress nerves, such as the pudendal nerve, resulting in radiating pain. In cases of hypotonicity, the pelvic organs may not be adequately supported, leading to a sensation of heaviness or pressure that can be perceived as pain. Additionally, both hypertonic and hypotonic dysfunction can contribute to abnormal bowel movements, such as constipation or straining, which can further exacerbate pain in the rectal and lower abdominal regions.

Pelvic floor physical therapy helps reduce pelvic and rectal pain by addressing the root cause: the pelvic floor muscles. A therapist can teach you exercises to relax tight muscles that may be causing spasms or nerve irritation, or strengthen weak muscles that aren't properly supporting your pelvic organs. They may also use hands-on techniques to release tension and improve blood flow, and provide guidance on posture and movement to reduce strain on the pelvic area. By restoring proper muscle function and coordination, pelvic floor PT can alleviate pain and improve your overall comfort.

Pelvic floor physical therapy can ease myofascial pain—the kind caused by tight knots or trigger points in muscles—by directly targeting those painful spots. A therapist uses hands-on techniques like massage and stretching to release the tension in these muscles, which improves blood flow and reduces pain signals. They also teach you exercises to keep those muscles relaxed and moving well, preventing the pain from coming back. By addressing the muscle tightness, pelvic floor PT helps break the pain cycle and improve your comfort.