03/09/2026
Pelvic floor function is closely connected to spinal mechanics and the deep stabilizing muscles that support the vertebral column. Among these stabilizers, the multifidus plays a critical role in maintaining segmental control between vertebrae and helping distribute forces efficiently through the spine.
When these deep stabilizers lose activation or coordination, the spine often compensates by relying on larger superficial muscles. This can contribute to stiffness, altered movement patterns, and changes in how forces are transferred through the pelvis and pelvic floor.
Eccentric loading and controlled spinal articulation can help reintroduce neuromuscular engagement in these deeper stabilizing systems. Training the spine to lengthen under control encourages better coordination between the pelvic floor, spinal stabilizers, and surrounding musculature.
For those interested in the clinical application, I also demonstrate several manual therapy techniques related to this topic in the most recent membership live stream replay.
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