How Pelvic Floor Therapy Can Help with Reflux

August 16, 2023

Reflux, also known as gastroesophageal reflux disease (GERD), is a common digestive disorder that occurs when stomach acid flows back into the esophagus, causing discomfort and various symptoms. While reflux is primarily associated with the digestive system, the pelvic floor, a group of muscles and tissues located at the base of the pelvis, can also play a role in managing and alleviating reflux symptoms.

In this article, we will explore the relationship between reflux and the pelvic floor, understand the benefits of pelvic floor therapy, and learn how to find a qualified pelvic floor therapist to address reflux symptoms effectively.

Understanding Reflux

Reflux occurs when the lower esophageal sphincter (LES), a muscular ring that acts as a barrier between the stomach and esophagus, becomes weak or relaxes inappropriately. This allows stomach acid to flow back up into the esophagus, resulting in symptoms such as heartburn, regurgitation, chest pain, difficulty swallowing, and a sour taste in the mouth.

Common Causes of Reflux

Reflux, or gastroesophageal reflux disease (GERD), can occur due to various factors. Understanding these common causes can help individuals better manage and prevent reflux symptoms. Here are some of the most common causes of reflux:

Weak Lower Esophageal Sphincter (LES): The LES is a muscular ring that acts as a barrier between the stomach and esophagus. If the LES becomes weak or relaxes inappropriately, it can allow stomach acid to flow back into the esophagus, leading to reflux symptoms.
Hiatal Hernia: A hiatal hernia occurs when a portion of the stomach pushes up through the diaphragm and into the chest. This can weaken the LES and contribute to reflux by allowing stomach acid to escape into the esophagus more easily.
Obesity: Excess weight and obesity can increase the pressure on the stomach, leading to a higher likelihood of reflux. Fat accumulation around the abdomen can also affect the organs’ positioning and pressure on the LES.
Certain Foods and Beverages: Certain foods and beverages can trigger or worsen reflux symptoms. Common culprits include fatty or fried foods, spicy foods, citrus fruits, tomatoes, chocolate, coffee, carbonated drinks, and alcohol. It’s important to identify and avoid specific triggers to manage reflux effectively.
Pregnancy: Pregnancy can contribute to reflux due to hormonal changes and the growing uterus putting pressure on the stomach. Reflux symptoms may be more common during the later stages of pregnancy.
Smoking: Smoking weakens the LES and impairs the normal functioning of the esophagus. It can also increase stomach acid production, making reflux more likely to occur.
Certain Medications: Some medications can relax the LES or irritate the esophagus lining, leading to reflux symptoms. Examples include certain pain medications (e.g., nonsteroidal anti-inflammatory drugs), calcium channel blockers, antihistamines, sedatives, and antidepressants. Discussing the potential side effects of medications with a healthcare provider is important.
Lying Down After Eating: Eating a large meal and lying down shortly afterward can increase the likelihood of reflux. It’s recommended to wait at least two to three hours after eating before lying down or going to bed.
Stress and Anxiety: While not a direct cause of reflux, stress and anxiety can exacerbate reflux symptoms. Increased stress levels can lead to changes in eating habits, trigger unhealthy coping mechanisms such as smoking or overeating, and increase stomach acid production.
Underlying Medical Conditions: Reflux can be associated with certain medical conditions, such as hiatal hernia, gastroparesis (delayed stomach emptying), peptic ulcers, or connective tissue disorders. Treating and managing these underlying conditions can help alleviate reflux symptoms.

What is Pelvic Floor Therapy?

Pelvic floor therapy is a specialized form of physical therapy that focuses on improving the pelvic floor muscles’ strength, coordination, and function. These muscles are crucial in supporting the pelvic organs, maintaining continence, and facilitating proper bowel and bladder function. Pelvic floor therapy involves various exercises, manual techniques, and biofeedback to address specific pelvic floor issues.

How Pelvic Floor Therapy Can Help with Reflux

While the pelvic floor may not seem directly related to reflux, certain dysfunctions in this area can contribute to developing or exacerbating reflux symptoms. Here are some ways in which pelvic floor therapy can help with reflux:

Diaphragmatic Breathing and Relaxation Techniques

Pelvic floor therapy often includes diaphragmatic breathing and relaxation techniques. These techniques help promote relaxation of the diaphragm and the pelvic floor muscles, reducing tension and pressure in the abdominal and pelvic region. By enhancing diaphragmatic function and reducing muscular tension, these practices can help alleviate reflux symptoms.

Improving Posture and Alignment

Poor posture and alignment can impact the function of the digestive system and contribute to reflux symptoms. Pelvic floor therapy aims to improve posture and alignment, ensuring optimal positioning of the abdominal organs and reducing the pressure on the LES. By addressing postural imbalances and promoting better alignment, pelvic floor therapy can help minimize reflux symptoms.

Strengthening the Core and Abdominal Muscles

Pelvic floor therapy includes exercises to strengthen the core and abdominal muscles. Strong core muscles provide better support for the abdominal organs and help maintain proper intra-abdominal pressure. By strengthening these muscles, pelvic floor therapy can improve the stability of the abdominal area, potentially reducing the occurrence and severity of reflux symptoms.

Addressing Pelvic Floor Muscle Dysfunction

Pelvic floor dysfunction, such as hypertonicity (excessive muscle tension) or weakness, can affect the surrounding muscles and organs, including the diaphragm and LES. Through targeted exercises and techniques, pelvic floor therapy helps identify and address these dysfunctions. By restoring balance and coordination in the pelvic floor muscles, therapy can indirectly contribute to managing reflux symptoms.

How to Find a Qualified Pelvic Floor Therapist

It’s important to find a qualified therapist when seeking pelvic floor therapy for reflux or any other pelvic floor-related concerns. Here are a few steps to help you find the right pelvic floor therapist:

Consult with Your Healthcare Provider: Consult your primary healthcare provider or gastroenterologist. They can provide referrals to qualified pelvic floor therapists in your area.
Research and Reviews: Conduct online research to find pelvic floor therapists specializing in reflux or digestive health. Read reviews and testimonials to gather insights from other patients undergoing therapy.
Credentials and Specialization: Ensure the therapist is a licensed healthcare professional with specialized training in pelvic floor therapy. Look for certifications, such as those from the American Physical Therapy Association or other reputable organizations.
Experience and Expertise: Consider the therapist’s experience and expertise in treating reflux or related conditions. Choosing someone with a track record of successfully addressing reflux symptoms through pelvic floor therapy may be beneficial.
Consultation and Communication: Schedule a consultation with the therapist to discuss your symptoms, goals, and treatment approach. This will allow you to assess their communication style, compatibility, and whether they can address your specific needs.

Key Takeaways

Reflux can significantly impact an individual’s quality of life. However, understanding the connection between reflux and the pelvic floor opens up new avenues for managing and alleviating symptoms. Pelvic floor therapy, focusing on strengthening the pelvic floor muscles, improving posture, and enhancing relaxation techniques, offers promising benefits in reflux management.

Fortunately, integrating pelvic floor therapy into reflux management plans can significantly improve symptoms and overall well-being. By addressing the underlying causes and incorporating targeted therapeutic techniques, individuals can experience relief and regain control over their digestive health. Working closely with healthcare professionals to receive accurate diagnoses, personalized treatment plans, and ongoing support in managing reflux and maintaining optimal digestive health is essential. With the right approach, individuals can find relief from reflux and enjoy a better quality of life.

Reach out to me today for more information on how pelvic floor therapy can help you!