fbpx

Adductors, Pudendal Nerve and Pelvic Floor Pain

READ LATER - DOWNLOAD THIS POST AS PDF >> CLICK HERE <<
Pelvic floor muscles such as levator ani, coccygeus and obturator internus attach to the front, back and sides of the pelvis and sacrum and form the bottom of the core. These muscles must be able to contract to maintain continence, and to relax allowing for urination and bowel movements, and in women, sexual intercourse. Resembling a hammock or a sling, this small ensemble of muscles and fascia support the bladder, uterus, prostate and rectum. Evaluation of the pelvic floor complex must include restoring mobility of the surrounding joints to rule out protective muscle guarding due to misalignment.  Special emphasis should be placed on the lumbosacral, sacroiliac, sacrococcygeal and pubic symphysis joints and their muscular attachments. Unilateral adductor hypertonicity is an oft-overlooked culprit in pelvic floor disorders. As the pudendal nerve and its branches, travel from the sacrum through the pelvic floor to innervate the vaginal, penile and rectal areas, they can become entrapped and in time, painful. In this Technique Tuesday video taken from my Lower Body home-study course, I offer a simple approach for dealing with pelvic floor hypertonicity and protective guarding.

Working through the adductors to influence the pelvic floor:

  • With client left sidelying, therapist passively flexes client’s top leg keeping bottom leg extended
  • Therapist’s forearm gently sinks into adductors above knee and slowly proceeds headward using graded exposure stretching
  • Therapist’s forearm stops on third pass up the leg and applies direct sustained pressure on adductor attachments at the pubis ramus
  • Client is asked to dorsi and plantar-flex her ankle or perform slow pelvic tilts while therapist’s forearm pins the tissue at the pubic ramus
  • Reposition forearm if sharp pudendal nerve pain is felt
  • Retest for improved pelvic floor function

On sale! One week only!

SAVE $100 OFF ANY ECOURSE!

Perfect for sports, massage and corrective exercise therapists, Myoskeletal Alignment Techniques are designed to elevate your clients to a new level of health, and empower your journey into the lucrative world of pain management.

Take $100 off any course on the site! The eCourses contain all the great videos and information available in the Home Study versions. And there’s no shipping cost with eLearning, so you save even more! Purchase now and you'll get lifetime access to the courses. (Offer expires April 13th. No coupon code required.)

 

Share on facebook
Facebook
Share on twitter
Twitter
Share on linkedin
LinkedIn

Sign Up For Our Newsletter

* indicates required