The Pelvic Floor Is an Autonomic Organ: Rethinking Pelvic Dysfunction
Pelvic floor problems that resist physical therapy are often not muscular at their root. They are downstream of a nervous system stuck in guard.
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Pelvic floor problems that resist physical therapy are often not muscular at their root. They are downstream of a nervous system stuck in guard.
When pain outlives its tissue cause, the problem has moved upstream. Central sensitization, neuroinflammation, and vagal under-tone form a treatable triad — but only if you stop treating tissue and start treating networks.
Urgency that doesn't respond to anticholinergics is often not a bladder problem. It is an autonomic regulation problem with a bladder symptom.
Chronic upper-body holding patterns are not bad posture. They are a physiological state with measurable consequences for the nervous system.
Migraine is increasingly understood as a disorder of brain energy metabolism. The implications for treatment are practical and immediate.