12/22/2025
Low back pain isnât always just a âbackâ problem â and this is where things get interesting.
In clinical studies of people with lumbopelvic pain, up to 95% were found to have some form of pelvic floor dysfunction when the pelvic floor was actually assessed. That doesnât mean everyone has severe symptoms â but it does mean this part of the system is commonly involved and often overlooked.
Hereâs why that matters đ
Pain changes how muscles work.
When youâre in pain, muscles donât automatically âstrengthenâ â they often become inhibited, delayed, or poorly coordinated. The body adapts by compensating somewhere else.
Your core is a system, not a single muscle:
⢠Abdominal wall
⢠Diaphragm
⢠Pelvic floor
⢠Deep spinal stabilizers
These structures are designed to work together â coordinating with breathing, movement, and load. If one piece (like the pelvic floor) isnât doing its job well, the rest of the system has to pick up the slack. Over time, that extra demand often shows up as persistent or recurring low back pain.
This is why:
âď¸ Strengthening alone doesnât always help
âď¸ Stretching alone doesnât fix the problem
âď¸ Your back pain may keep returning despite âdoing all the right thingsâ
Youâre not broken.
Your body may just be missing coordination, timing, and support within the core system.
Looking beyond the back â and addressing how the pelvic floor, diaphragm, and abdominal core work together â can be a game changer.
⨠A more complete picture leads to better outcomes.