Our pelvic organs, the bladder, uterus, and bowel, are located between our pubic bone and tailbone. They really are at the bottom of the barrel of our trunk. There is a lot of pressure on these organs from the location of where they sit. Luckily the design of the human body is so brilliant to offer these organs support from many different factors. There are ligaments, fascia, and muscles that surround these organs and the respiratory diaphragm offers a negative suction to help lift them all from above. The pubic bone offers a shelf of support to the bladder and uterus and the tailbone helps to keep the bowel in its proper place. In its ideal design, the pelvic organs can maintain their position when the body is being used correctly.
Unfortunately, there are ways you can use their body that is not so supportive to the pelvic organs. When the pelvis is posteriorly rotated with the tailbone tucked under the pubic bone becomes a slide of support to the bladder and uterus instead of its shelf of support. When you slouch forward or collapse your upper chest the diaphragm can’t give support from above. When you activate your core in a way that puts too much pressure down on the pelvic organs eventually the ligaments and fascia get stretched out and the organs start to sag leading to pelvic organ prolapse.
Prolapse is a posture and a pressure issue. In everything you do, you are either supporting your pelvic organs or you’re not. You’re either keeping pressure off of the organs or adding too much downward force on them. Two activities that create the greatest intraabdominal pressures is the way you stand up from sitting and coughing. If you are dealing with prolapse you need to adjust your habits and the way you use your body to be more supportive of your pelvic organs.
One activity that we do a LOT of during the day is the way we walk. Again how you walk is either supporting your pelvic organs or it’s not. Watch this video to see how your walking may be either helping or hurting the support of your pelvic organs.