Hays County Physical Therapy and Wellness

How Pelvic Floor Dysfunction Causes Lower Back Pain

Have you tried everything for your back pain, like cryotherapy or traditional therapy, but the pain just won’t go away?

You may be overlooking the real culprit – your pelvic floor muscles. These muscles play a significant role in supporting your spine and stabilizing your pelvis. When they’re not functioning properly, they can cause tension and pain in your lower back, often going undetected by traditional therapies.

If you’ve been struggling with persistent back pain and nothing seems to help, it’s time to take a closer look at your pelvic health.

This blog will guide you through the connection between your pelvic floor and lower back pain, how dysfunction can lead to chronic discomfort, and key signs to watch for.

Pelvic Floor and Its Connection to the Lower Back

The pelvic floor isn’t just about bladder control or post-pregnancy recovery—it’s a foundational part of your core. Think of your pelvic floor as the base of a house, supporting everything above it. It works in harmony with your abdominal muscles, diaphragm, and back muscles to create stability and balance.

When this system is out of sync—whether due to muscle weakness, tightness, or imbalances—it can throw off the alignment and functionality of your lower back.

This imbalance often leads to compensation patterns, where other muscles overwork to make up for the pelvic floor’s inefficiency.

The result? Persistent lower back pain that no amount of stretching or massage seems to fix.

How Pelvic Floor Dysfunction Leads to Chronic Back Pain

Here’s the thing: the pelvic floor doesn’t operate in isolation. It’s deeply connected to the muscles and structures in your lower back and hips. When the pelvic floor is tight, weak, or overactive, it creates a ripple effect.

  • Increased Tension: Tight pelvic floor muscles can pull on your lower back, creating discomfort and limited mobility.
  • Weak Core Support: A weak pelvic floor means less stability for your spine, causing strain on your lower back muscles.
  • Postural Changes: Dysfunction in the pelvic floor can lead to misalignments in your pelvis and spine, resulting in chronic back pain over time.
  • Nerve Irritation: Since nerves run through the pelvis, dysfunction can trigger or exacerbate nerve-related pain, including sciatica.

Many of my patients come to me frustrated because they’ve tried “everything”—from painkillers to physical therapy sessions that focus solely on their back. But until we address the pelvic floor, the pain remains.

Could Pelvic Floor Dysfunction Be Causing Your Back Pain?

Wondering if pelvic health could be the missing piece in your back pain puzzle? Use this checklist to see if any of these signs resonate with you:

  • Persistent lower back pain that traditional treatments haven’t resolved.
  • Pelvic discomfort or pressure, especially after standing or sitting for long periods.
  • A feeling of instability in your core or pelvis.
  • Pain during activities like bending, lifting, or walking.
  • Difficulty fully emptying your bladder or experiencing urinary leaks.
  • Postpartum back pain that hasn’t improved over time.
  • A history of pelvic surgeries, trauma, or childbirth that involved tearing or C-section.

If any of these apply to you, it’s time to stop guessing and start addressing the root cause.

Take the First Step Toward Relief

You don’t have to live with back pain or pelvic discomfort. The first step to reclaiming your health and feeling strong, confident, and in control of your body again is understanding what’s really going on.

At Hays County Physical Therapy & Wellness, we specialize in natural solutions for pelvic floor dysfunction and chronic back pain. Our Free Pelvic Floor Assessment is your opportunity to have a one-on-one conversation with a pelvic health expert.

Here’s what you’ll get during the assessment:

  • A personalized evaluation to uncover the root cause of your pain.
  • Answers to your biggest questions about pelvic health and its impact on your back.
  • A tailored plan with next steps to help you move forward with confidence.

Don’t wait—take action today. Schedule your Free Pelvic Floor Assessment by calling us at 512-268-9130.

Let’s tackle your back pain at its source and help you feel like yourself again.