Hip Pain and its Influence on Incontinence

September 29, 2023


If you’ve experienced hip pain and are also dealing with incontinence or bladder leaks, you may be wondering if there is a connection between the two. In thisarticle, I want to provide insights into the correlation between hip issues andbladder function.


To comprehend the link between hip pain and incontinence, let’s start by talking about the anatomy of the pelvic region. Visualize the pelvis as a bowl of muscles, this “soup bowl” of muscles is your pelvic floor. Within the pelvis, overlapping the pelvic bowl, there is a muscle known as the hip rotator, which extends from behind the pubic bone and around the pelvic bowl. Restricted hip mobility, whether due to arthritis, limited flexibility, or even hip replacement surgery, can directly impact the engagement and movement of the pelvic floor muscles because of the close connection between the hip joint and its musculature.


The hip rotator plays a vital role in the rotation and outward movement of the hips. When the hip rotators are tight or limited in flexibility, it can affect the ability of the pelvic floor to engage, move, and receive proper blood flow. As a result, the muscles of the pelvic floor may struggle to contract and relax effectively, compromising their strength and overall function.


Another significant factor to consider is the attachment of the pelvic floor to the pubic bone, where the groin muscles (adductors) connect. If the groin muscles are tight, along with the hip rotators, it can restrict the movement of the pelvis in multiple directions. Given that the pelvic floor consists of muscle fibers running in various directions, optimal engagement of these muscles requires the corresponding movement of the hips, pelvis, and spine. If these movements are impaired, the different muscle fibers may not engage as needed, affecting the functionality of the pelvic floor.


To activate all muscle fibers of the pelvic floor effectively, it is crucial to have proper movement in different directions. The front-to-back muscle fibers require front-to-back movement of the hips and pelvis, while the sideways fibers rely on lateral movements. Additionally, the horizontal fibers necessitate rotational movement of the hips, pelvis, and spine. Inability to move freely in these directions, including vertical movement, can hinder the optimal functioning of the pelvic floor muscles.


Understanding the relationship between hip pain and incontinence can shed light on potential solutions for addressing both concerns. Restricted hip mobility and tightness in the hip rotators and groin muscles can directly impact the engagement, strength, and blood flow to the pelvic floor muscles. By focusing on improving hip flexibility, mobility, and multi-directional movement, individuals experiencing hip pain and incontinence may find relief and enhanced pelvic floor function.


If you’re struggling with hip pain and its potential influence on incontinence, consult with a pelvic floor physical therapist or healthcare professional who can provide personalized guidance and targeted exercises to improve your condition. Remember, taking proactive steps to address hip issues can positively impact your pelvic floor health and overall well-being.

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