Thoracic Curvature Increases Risk for Prolapse

What is a prolapse?

Prolapse exists when the vagina feels like it is falling out of the body.

There are a variety of risk factors for prolapse. We know that vaginal birth, and each subsequent vaginal birth, increases one’s risk, as well as interventions like forceps, 3rd and 4th degree tears, and repetitive high levels of straining and elevated intrabdominal pressure (chronic constipation, chronic cough).

As physical therapists, we believe that chronic mismanagement of intrabdominal pressure (poor core stability strategies) is also a likely factor.

One risk factor that may surprise you is a known correlation with increased “thoracic kyphosis” – a fancy term for the forward curvature of your upper spine.  So that poor posture you’ve been trying to correct because your upper back and neck are a bit achy could also, over time, contribute to development or worsening of prolapse.

There is a direct relationship between different postures of the spine/pelvis and pelvic floor activation, and the pelvic floor’s ability to support the organs above (bladder, uterus, rectum, etc.).

So yes ladies…. posture matters! And so does HOW you use your core!  Want to make sure you’re doing all the RIGHT things for your core and pelvic floor?  Come see us!