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The research in the last decade has led to a clearer understanding of how load is transferred through the low back and pelvic girdle and from this research it is evident that low back pain and stress urinary incontinence have components in common. Recently, a multi-centered study in Holland investigated how common a combination of the two conditions (low back pain and stress urinary incontinence) was. In a study of 66 patients, 52% reported a combination of low back pain along with some form of pelvic floor dysfunction (voiding dysfunction, urinary incontinence, sexual dysfunction and/or constipation). Of these 52%, 82% stated that their symptoms began with either low back or pelvic girdle pain.
We now recognize that the factors which must be optimal for stability of the low back and pelvic girdle and those that must be present for closure of the urethra are the same. The goal of restoring motor control for the low back and pelvis is to ensure movement patterns that optimize the transference of loads through all the joints and organs. The result is stability with mobility, where there is joint motion control without rigidity of posture, without episodes of collapse, and with fluidity of movement. In addition, the strategy used for stabilization should not induce excessive intra-abdominal pressure leading to bladder/uterus descent.
Your therapist at Diane Lee & Associates will give you a very thorough examination of the joints and muscles of your low back and pelvis as well as an assessment using ultrasound imaging to see what strategy you are using to transfer loads through your pelvis. An individual treatment program will be developed that is specific to your needs. Hopefully, you will learn to support the organs of your pelvis and keep them for a lifetime avoiding what we believe is NOT inevitable with time - stress urinary incontinence.