About
The Mystery ABOUT Female Health
Once upon a time, there was a land called the pelvic floor upon which the whole world depended for its survival and pleasure. The pelvic floor provided vital services for the world including:

filtering and eliminating wastes
providing sexual pleasure
helping structurally support the world in its various activities.

The land of the pelvic floor performed these services best when its citizens lived a life of balance between work and rest.

The world went through a period of strife and the citizens of the pelvic floor were required to work more and more. Night shifts became commonplace. In some parts of the land, citizens were required to work twenty- four hours a day, seven days a week, with no rest.

Soon the pelvic floor citizens were completely exhausted and very unhappy. They had stopped doing their jobs well. Their normal processing of wastes was no longer done efficiently and they became unable to give pleasure to the world. Their cries of distress were increasingly heard.

Painful protests from the pelvic floor were made, along with demands for a return to balance between rest and work. The world (you, the patient), however, did not seem to understand what the pelvic floor was trying to say.

So the world hired a consultant who suspected the source of the problem to be foreign troublemakers and recommended sending in legions of anti-troublemakers. The troublemakers, however, could not be found and the problem continued.

The world became desperate and decided to hire a new consultant who saw the problem differently. The new consultant said: “If you want to solve the problem, you cannot simply have an idea of what the problem is without getting down in the trenches of the problem. To know the problem and its solution you must get to know it intimately and face to face. You must go to the land of the pelvic floor and listen to complaints.” The world replied. “We don’t know how to talk to or understand the pelvic floor. We have never had a conversation with it.” The consultant answered, “I know the language of the pelvic floor and will teach you how to understand what it is trying to tell you.”

After meetings with the pelvic floor and the consultant, the world finally understood that its contribution to the problem was the demand it made for the pelvic floor to work constantly. So they decided to change this. However, while the world agreed in principle to stop demanding constant work, it often forgot this agreement and lapsed back into its old habit of making unreasonable work demands. The consultant had to remind the world over and over to stop forcing the pelvic floor to work constantly. This was not easy for the world to learn.

After a while, the world said to the consultant, “Your method seems to be working much of the time but why is everything not completely back to normal?” The consultant replied: “ Both you and the land of the pelvic floor are used to the unhappy state of affairs. If you are not reminded, you will continue to force the citizens of the pelvic floor to work without rest.”
The world, however, was not the only perpetrator of the problem. The pelvic floor had also gotten used to the misery of constant work and had forgotten how to rest even when the world allowed it.

Therefore, a curriculum was set up for the pelvic floor as well. The people of the pelvic floor went to special clinics where they learned to stretch the contracted posture that they developed due to their constant work. This stretching and their lessons in learning not to fall back into the habits enabled them to relearn how to relax and rest as they used to do.
As the world and the pelvic floor learned to coexist in a balance of work and rest, the land of the pelvic floor became a happy place again.
Conditions
The world stands for you, the conscious person, who makes decisions and sends commands to your body. You send these commands, often out of habit. They feel normal and familiar to you.

The land of the pelvic floor is your pelvis and the contents of your pelvis including the structures that are involved in urination, defecation, sexual activity and physical movement. These functions and there myriad of biochemical, nervous, and mechanical processes go on, often without requiring your awareness, will, conscious effort or attention.

The problem begins when the world demands that the pelvic floor work on a constant basis. Normally, the pelvic floor muscles are dynamic, working and resting throughout the day. Even though they tighten, they have to relax. The relaxed state allows for proper oxygenation, nutrition and management of wastes and rejuvenation of tissue.

People who have pelvic pain tend to habitually focus tension in the pelvic muscles as a response to stress, anxiety, trauma or pain. In the allegory, they allude to this by saying that the continual strife of the world prompted it to make the pelvic floor work too much, leading to pain.

People with pelvic pain have elevated pelvic floor tension even when resting. The pain and dysfunction gets worse in the presence of stress.
In the allegory the world has lost communication with the pelvis. Most of the patients tend to be out of touch with what is going on in their pelvis

The consultant’s work (physiotherapist) is to help the patient to resolves the pelvic pain using physical and mental methods to restore the pelvic floor muscles to a relaxed and pain free state while at the same time stopping the nervous system arousal that feeds pelvic floor tension.


(Headache in the Pelvis, David Wise & Rodney Anderson)