The Pelvic Floor: Understanding Its Anatomy and Function

The pelvic floor is a remarkable and intricate part of the human body, yet it often goes unnoticed until problems arise. Pelvic floor physical therapy (PFPT) is a specialized form of therapy that focuses on the pelvic muscles, ligaments, and connective tissues, offering relief and improvement for a variety of conditions, such as urinary incontinence. Understanding the anatomy and function of the pelvic floor is crucial to appreciating the importance of pelvic floor physical therapy.

Anatomy of the Pelvic Floor:

The pelvic floor is made up of muscles, ligaments, and connective tissues that form a supportive sling at the base of the pelvis. It is divided into three layers:

1. Superficial Layer: This layer consists of the bulbospongiosus, ischiocavernosus, superficial transverse perineal muscles, and external anal sphincter. These muscles are involved in sexual function and the support of organs.

2. Intermediate Layer: There is a dense layer of fascia above the superficial muscles, and there lies the deep, transverse perineal muscle, external urethral sphincter, compressor urethra, and sphincter urethrovaginalis to make up the intermediate layer. 
3. Deep Layer: The levator ani muscles, including the puborectalis, pubococcygeus, and iliococcygeus muscles, form the deep layer. These muscles support organs and play a role in urinary and fecal continence.

Function of the Pelvic Floor:

The pelvic floor has several important functions, including:

1. Supporting Organs: The pelvic floor provides support to the bladder, uterus, and rectum, helping to maintain their position and prevent prolapse.

2. Controlling Bowel and Bladder Function: The pelvic muscles function to support bowel and bladder control. They help maintain continence by contracting to close off the openings of the bladder and rectum.

3. Sexual Functioning: The pelvic floor plays a role in sexual function by contributing to the sensations of arousal and orgasm. Strong pelvic muscles can enhance sexual function by improving muscle tone and control.

4. Stability of the Pelvis and Spine: The pelvic floor muscles work in conjunction with the muscles of the abdomen, back, and hips to provide stability to the pelvis and spine. Pelvic floor weakness can contribute to back pain and pelvic instability.

Pelvic Floor Physical Therapy:

Pelvic floor physical therapy is a specialized form of physical therapy that focuses on pelvic floor rehabilitation and strength. It can help improve pelvic floor function and alleviate symptoms associated with pelvic floor dysfunction, such as urinary incontinence, pelvic organ prolapse, and pelvic pain.

The pelvic floor is a complex structure with crucial functions related to supporting pelvic organs, bowel and bladder control, sexual function, and stability of the pelvis and spine. Understanding the anatomy and function of the pelvic floor is essential for appreciating the importance of pelvic floor physical therapy in maintaining pelvic health and overall well-being.

Contact Nurture Women’s Health & Fertility Today

If you are looking for support for your pelvic pain, urinary incontinence, or other pelvic floor dysfunction symptoms, Nurture Women’s Health & Fertility has a pelvic floor physical therapist ready to help you. Contact us today to get started!

About The Author

Alex Beaudoin, PT, DPT takes an approach to pelvic floor physical therapy that is characterized by compassion, empathy, and a patient-centered focus. Recognizing the sensitive nature of pelvic health concerns, she creates a supportive and comfortable environment for her patients. By fostering open communication and building trust, Alex ensures that each individual receives personalized care tailored to their specific needs.

References:

Bø, K., Berghmans, B., Mørkved, S., & Kampen, M. (2014). Evidence-based physical therapy for the pelvic floor: bridging science and clinical practice. Elsevier Health Sciences.

Dumoulin, C., & Hay-Smith, E. J. C. (2014). Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews, (5).

Hoffman, B. L., Schorge, J. O., Schaffer, J. I., Halvorson, L. M., Bradshaw, K. D., & Cunningham, F. G. (2012). Williams gynecology (2nd ed.). McGraw-Hill Medical.