why back pain can be a pain in the butt
It’s all tied together, you know. And the biggest seams in our body are right along the midline in our pelvis. Tight pelvic floor muscles can contribute to back pain through a complex set of interactions within the pelvic and lower back region. The pelvic floor muscles are part of a network of muscles and connective tissues that provide support to the pelvic organs, maintain stability in the lower back, and play a role in posture and movement. When these muscles become overly tense and tight, several mechanisms can lead to back pain:
Muscle Imbalance and Posture: The pelvic floor muscles are interconnected with other muscles in the lower abdomen, pelvis, and lower back. When the pelvic floor muscles are tight, they can create muscle imbalances in this region. This imbalance can affect posture and the alignment of the spine, potentially leading to lower back pain. For example, overly tight pelvic floor muscles can pull the pelvis into a tucked position, causing excessive curvature in the lumbar spine.
Compression of Nerves: Tight pelvic floor muscles can put pressure on nearby nerves, such as the pudendal nerve, which runs through the pelvic floor region. Irritation or compression of these nerves can lead to radiating pain that may be felt in the lower back.
Referral of Pain: Muscles in the pelvic floor can refer pain to other areas of the body, including the lower back. This referred pain can be experienced as a dull ache or discomfort in the lower back region.
Altered Pelvic Mechanics: Tight pelvic floor muscles can affect the mechanics of the pelvic region and how forces are distributed throughout the spine. This altered mechanics can contribute to muscular strain and discomfort in the lower back.
Chronic Muscle Tension: Chronic tension in the pelvic floor muscles can create a continuous state of muscle tightness and discomfort in the lower back. This can be exacerbated by activities that engage the lower back muscles, such as lifting heavy objects or maintaining certain positions for extended periods.
It's important to note that while tight pelvic floor muscles can be a contributing factor to back pain, they are often not the sole cause. Back pain can result from a wide range of factors, including poor posture, muscle imbalances, herniated discs, arthritis, and more. Therefore, a comprehensive assessment by a healthcare provider, such as an acupuncturist or a physical therapist is crucial to determine the underlying causes of your back pain and develop an appropriate treatment plan.