Our pelvic floor actually is not like any other group of muscles in our bodies in that it can never fully relax b/c if it did that would cause incontinence. So already the muscles are at a bit of a handicap compared to other muscles in our bodies b/c they can never relax. These muscles are also in a unique position in that they are in an area of the body where they play a role in the functioning of adjacent organs, the urethra, the bladder, etc. I addition, they share nerve branches with these organ systems. The result is that a problem with the muscles can cause severe problems and pain to the organs and vice versa!
If the muscles become too tight, and they do for a variety of reasons, such as trauma (childbirth, etc.), overuse (frequent biking, SITTING, etc.) a cycle of pain can be ignited. Let me explain: the muscles become tight, the tissue stops getting the oxygen it needs, pain begins, the muscles guard against the pain becoming tighter, more pain, nerves are impeded, more pain, more tightness, trigger points develop b/c that's what happens when muscle tissue doesn't get enough oxygen and other nutrients (b/c of tightness), and next thing you know you're dealing with a slew of painful symptoms that can include urethral burning, pain with sitting, vestibular burning, urinary urgency/frequency...it's a very long list and unfortunately I have dealt with my share of these symptoms for too long (I'm seeing two great PTs now, so getting better finally, slow but sure.) All this because of initial guarding or TIGHTNESS that began due to a trauma, in my case it was a bartholin's abscess.
So this is why over tight pelvic floor muscles are nothing to fool around with and doing kegels is not a good idea!
Edited by healthwriter - 8/31/12 at 9:40pm