Pelvic muscle spasms may be related to factors such as prolonged sitting, excessive pelvic floor muscle tension, urinary system infections, gynecological inflammation, and neurological disorders. They typically manifest as lower abdominal pain, abnormal urination, and painful intercourse.
1. Long term sitting
Maintaining a sitting position for a long time can lead to obstruction of pelvic blood circulation and sustained tension in local muscles. Office workers or drivers are prone to such problems, which may be accompanied by a feeling of soreness in the waist. It is recommended to get up every hour and engage in pelvic tilt exercises or yoga cat style stretches to help relieve muscle stiffness.
2. Excessive tension of pelvic floor muscles
Postpartum women or those with long-term constipation often experience spasms due to compensatory contractions of the pelvic floor muscles, which are often exacerbated by coughing and sneezing. Kegel exercises can effectively enhance muscle coordination, while warm sitz baths can relax local muscles. Some patients may have pelvic floor dysfunction symptoms such as urgency to urinate and incomplete bowel movements simultaneously.
3. Urinary tract infections
Inflammation caused by cystitis or urethritis can reflexively cause pelvic muscle spasms, often accompanied by symptoms of frequent urination and painful urination. Urine routine examination shows elevated white blood cells. After diagnosis, it is necessary to follow the doctor's advice to use antibiotics such as levofloxacin and cefuroxime, and to use hot compress to relieve spasms and pain.
4. Gynecological inflammation
Diseases such as pelvic inflammatory disease or endometriosis can cause local tissue adhesions and stimulate abnormal muscle contractions. Patients often experience symptoms such as worsening menstrual pain and abnormal vaginal bleeding. Gynecological examination combined with ultrasound can provide a clear diagnosis, and treatment should be based on the condition, using drugs such as metronidazole and Guizhi Fuling capsules.
5. Neurological disorders
Anxiety, depression, and other emotional problems may trigger involuntary contractions of pelvic floor muscles through neural reflexes, manifested as persistent dull pain accompanied by a feeling of anal heaviness. This situation requires psychological counseling combined with pelvic floor biofeedback therapy, and if necessary, medication such as Deanxit that regulates neurological function should be used according to medical advice.
Daily attention should be paid to avoiding wearing tight pants that compress the pelvic cavity, maintaining regular bowel habits, and conducting 15 minutes of abdominal breathing training daily. During acute attacks, using a knee chest position combined with local hot compress and reducing intake of caffeine and spicy stimulating foods such as bananas and dark green vegetables can help relax muscles. If the symptoms persist for more than a week or are accompanied by fever and bleeding, it is necessary to seek medical attention promptly to investigate organic diseases.
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