Where are the pelvic floor muscles? What are they? Where do they attach? What do they do? How can you strengthen them? Let's have a look at some more pelvic anatomy.
The iliococcygeus arises from the arcus tendineus on the surface of the obturator internus, i.e., from the ilial part of the pelvic basin. THAT is why it's called, iliococcygeus. The coccygeus, which you gloss over in your presentation, arises from the ischial spine (it is intimately associated with the sacrospinous ligament) and inserts on the sacrum and coccyx. Otherwise, great presentation.
I'm a physical therapy student and your videos help me alot in learning anatomy..also very well said that it is worth trying to keep pelvic muscle strong because its important and can save you from greater damage
Thank you for another brilliant review! As practicing gynecologist , I care for many patients with significant QOL issues from weak pelvic floor ..some women have difficulty isolating (contracting) these muscles . Am now excited to work w/ new RF device which induces muscle contractions … FDA approved. Office procedure x 20 min…. patient can learn how to do Kegel’s on her own :-)
Thank you so much, these videos are really helpful for me and the way you explain you make it seem like it’s cool and not that hard by making it funny in a way I recommend you to all my Med friends
2 minutes into the video and I just keep saying "im in love with you". I'm one of those odd balls that don't like anatomy, but thanks to you it just got so easy to understand! Thank you!
Hello. I am back to this video as yesterday, my physio gave a series of exercises for my pelvic floor. She talked me through the “isolating each muscle” steps...Very interesting. I was thinking about your video a lot as I had watched it earlier this year. I shall now share it with her. I have quite an inwards curve (can’t remember the term now) in my lower back and Mrs Physio told me these exercises along with subtlely tilting my pelvis bone while standing against the wall, with my feet some centimeters away from the wall and without bending the knees, will help reduce the gap. Voilà. Thank you again so much. Kind regards all the way from my home in Mauritius where we are facing quite an ecological disaster with the wreckage of #wakashio #oilspill ...practically at my doorsteps 😞
if i have to say "i am in love with u" to a man..he is u sam..u r making anatomy so easier..and i wish i could get these videos in my first year of med school..u kind of changed my view to anatomy..and these models r extraordinary i m in love with them too..so thanx sam..plz keep posting..
I'm a pelvic floor phyio. Strength of the pelvic floor muscles is important but muscle tension and poor abdominal pressure management are frequently the cause of symptomatic pelvic organ prolapse and stress incontinence. Don't overdo your kegels. It's not that simple. Thanks for another wonderful video. I was looking for something to aid in my teaching for yoga instructors and this is perfect! :-)
You paint the canvas in my head I cone here with white sheet and you paint he picture in my head of how the muscles be working and where they're innervated from origin and insertion. So so good
Hahaha your facials are legendary, the ‘am doing my PF right now’ part LOL. Never thought a pelvic anatomy video could have potential to be enjoyed as well as learned from. Cheers!
Love the video i have tight pelvic floor muscles whats the best stretches for that and will weight training or running make it worse please please reply thanks
Hey Sam, watching all your videos. In regards to the Kegel exercise, I believe I saw a research paper that said that only about half the people doing the Kegel are doing it right. The other half just can't seem to "find" the muscle properly. Meaning that they are activating nearby muscles and not the intended pelvis floor muscles. I don't think that issue is properly appreciated.
Hi, I have had a bowel problem since I was born and I have had to have Botox to freeze my pelvic floor as it was obstructing bowel movements. for years I have struggled with stomach cramping and even have stretch marks on my lower abdomen. The NHS does not take into consideration how much my childhood has been damaged by this. After my operation nearly 2 months ago I haven’t heard anything. No after care, no follow ups. Nothing. Sorry for the long story but I just need some help. Have you got any exercises, medication or just anything that you could recommend me which would help me? Thanks Josh.
hi Sam I find your sessions and lessons very interesting and helpful as to help me with a client that suffers from Spastic Paraparesis and Im sure you are aware of this condition? There isnt much on Google to explain the condition but you get the gest of it? Im a Rehabilitation Trainer and my passions are special needs patients mostly. i don't know all the finer details of anatomy and get by watching your channel and its a great one. Her problems with muscle spasms and the pain the spasm create in her body? Her colon her diaphram bladder colon. she is semi mobile and has no control over her lower limbs thats where i come in to move massage and relax these muscles with massaging stretching strengthening and moving her limbs that help with her bowels and colon movement indirectly. i however have pinpointed a pain she has been having for a while now that turns out to be the diaphram and ribs and the QL muscles. is there any way you could help me with muscle spasm releasing of the those muscles? ive tried my way and maybe you have your way or knows of someone that can help? i will really appreciate it.
The puborectalis muscle pulls the rectum anteriorly - this means that it puts a kink in this tube (like kinking a garden hosepipe). That helps with faecal continence. The muscle must relax and lengthen to allow the rectum and anal canal to straighten out for defecation.
Hi! Is the stress on the pelvic floor greater when hanging (with legs off the floor) vs when standing? I'm trying to understand why some doctors advise against hanging exercises (pull-ups, dips) if the pelvic floor muscles are weak. Maybe I'm understanding it wrong, but the weight on the PFM should remain the same standing on hanging based on the hip anatomy? Many thanks for your videos!
Just taking a guess at it all- when standing your postural muscles are helping keep everything supported with a very balanced set of contractions. When you're hanging your pelvis is free to swing into different positions, combined with the potentially added downward pressure of the diaphragm this could put even more pressure on the floor muscles. The last piece would be the potential for added pressure from the momentum of downward movement ie: dropping back to the floor after pull-ups. I could be wrong on all counts but here's where my mind takes it.
Nice to hear you sound out the not so sensibly named iliococcygeus, and that you don't know why (I just like it when smart people can admit that they don't know something) Are there many muscles/anatomical structures that are illogically, strangely, unsuitably named? A video on those would be fun. I've gotten into the habit of exclaiming loudly when my dog wags her tail in happy welcome of my return from somewhere "Levator ani!"
Most structures have contemporary names that generally make sense. Not obvious sense, but there's usually some reasoning when you start digging into it.
This is actually quite tricky. I think the available model of the pelvic floor is incorrect and would like to refer to "Levator Ani Muscle Anatomy Evaluated by Origin-Insertion Pairs" by Rohna Kearney et. al. 2004
I'm dealing with a lot of pelvic floor muscle pain and with your videos is solidified my pudendal nerve pain as well. I am suffering with sciatica/performis as well Any idea why I'd have muscle pain in pelvis and groin. No childbirth, have not had kids. Only possible injuries from falls into left side/hip. Negative x-ray of pelvis. Just wondering if you have thoughts
What is the quality of the pain, does it ache, is it sharp, does it burn, is there temperature associated with it? Also, what makes it better or worse?
Sam !! Isn't that pubovaginalis and puborectalis collectively called pubococcygeus and pelvic diaphragm consist of pubococcygeus , iliococcygeus and ischiococcygeus ??
At 09:22, you say that m. coccygeus is not part of the pelvic floor or part of the levator ani. I agree with the levator ani-part, but everywhere I read on the internet, it says that m. coccygeus (also called m. ischiococcygeus) IS part of the pelvic floor. Even my textbook of anatomy (Sobotta, Atlas of Human anatomy Latin Nomenclature, Internal Organs, 15th edition, page 214) includes the muscle as part of the pelvic floor. Am I missing something?
This varies between textbooks and descriptions. I wouldn't worry about it too much. It could be thought of as part of the pelvic floor or as part of the pelvic wall, or you might consider the pelvic walls to be parts of the pelvic floor. You know where it is. You know what it does. You're good.
Can a hypotonic pelvic floor affect upper GI issues im struggling really badly with air coming up to my chest and throat but not out , and I also have many symptoms of hypotinic pelvic floor , really giving up now 😔😔😔 can u advise?
What can you do when you have severe constant burning throbbing pain in the opening of vagina! What exercises of the pelvic floor would help? I’ve been suffering since 2005. It really hurts!
doc. I used too much tension with a penis extender. I believe those muscles hurt ( I feel pain deep in the perineum). Ultrasound show everything ok. The doc prescribed anti inflammatory. Pain continues. Will I ever get better doc????? I don't want ED and prolapse, please help
The blood vessels to and from the testes pass through the anterior abdominal wall via the inguinal canal and not through the pelvic floor. So I don't think so, no.
4:20 Pelvic floor muscles
4:55 Levator anni - puborectalis, pubococcygeus, iliococcygeus
6:20 Pubococcygeus
6:40 Anococcygeal ligament, perineal body
7:30 Iliococcygeus (from ischial spine to coccyx)
7:30 Ischial spine
8:00 Obturator foramen, obturator fascia
9:00 Piriformis, obturator internus
9:20 Coccygeus (not part of levator ani)
9:50 Sacroplexus
10:10 Pudendal nerve -> levator ani
11:00 Urogenital hiatus
11:03 Rectal hiatus
12:10 Pelvic floor exercise
You look like dr house 😄
Factuuu
Minus the Bottle of pills in his pocket
Omg! Trueee
Ikrrrr:-D
You teach and explain much more thoroughly than most of my teachers. Thank you so much for taking time out of your day to help!
How about a referral to a site that explains how to properly do keigel excercises
hi
@@maryannevanoff4464
i can listen to you all day long without being bored you're a genius
The iliococcygeus arises from the arcus tendineus on the surface of the obturator internus, i.e., from the ilial part of the pelvic basin. THAT is why it's called, iliococcygeus. The coccygeus, which you gloss over in your presentation, arises from the ischial spine (it is intimately associated with the sacrospinous ligament) and inserts on the sacrum and coccyx. Otherwise, great presentation.
I have been exploring anatomy videos for years to support my yoga teaching and yours are the bestest!!!!!! Thanks a ton❣️
I'm a physical therapy student and your videos help me alot in learning anatomy..also very well said that it is worth trying to keep pelvic muscle strong because its important and can save you from greater damage
Thank you for another brilliant review!
As practicing gynecologist , I care for many patients with significant QOL issues from weak pelvic floor ..some women have difficulty isolating (contracting) these muscles . Am now excited to work w/ new RF device which induces muscle contractions … FDA approved. Office procedure x 20 min…. patient can learn how to do Kegel’s on her own :-)
Thank you so much! Your explanations are excellent and easy to understand. I cannot express how much you have helped me in understanding human anatomy
Thank you so so much, you are making anatomy interesting for me, your videos are so understandable, thanks Sam
Fantastic! Thank you so much, great to have all of the models handy. I'll be sharing!
You are just great explaining this things!!!! It is very clear and enjoyable. Thank you so much and greatings from Mexico!
Thank you so much, these videos are really helpful for me and the way you explain you make it seem like it’s cool and not that hard by making it funny in a way
I recommend you to all my Med friends
2 minutes into the video and I just keep saying "im in love with you". I'm one of those odd balls that don't like anatomy, but thanks to you it just got so easy to understand! Thank you!
You have made anatomy so easy! Thanks a lot sir!
The best lecture found on youtube on the topic
This is my favourite video of yours :)
Hatts off to your teachings..
keep making such forever helpfull videos..
You are a kind and beautiful being Mr.Webster!
Hello. I am back to this video as yesterday, my physio gave a series of exercises for my pelvic floor. She talked me through the “isolating each muscle” steps...Very interesting. I was thinking about your video a lot as I had watched it earlier this year. I shall now share it with her. I have quite an inwards curve (can’t remember the term now) in my lower back and Mrs Physio told me these exercises along with subtlely tilting my pelvis bone while standing against the wall, with my feet some centimeters away from the wall and without bending the knees, will help reduce the gap. Voilà. Thank you again so much. Kind regards all the way from my home in Mauritius where we are facing quite an ecological disaster with the wreckage of #wakashio #oilspill ...practically at my doorsteps 😞
You are just amazing Anatomist........❣❣
You helped me a lot in Anatomy
you're like the coolest person alive
thank you so much for the easy explanation
Thank you - brilliantly explained as always!
I appreciate you thoroughly. Thank you for doing what you do
Always I searchr your videos while feeling difficulty in learning anatomy ..yuh are simply best 🌺
very useful information. Thank you Sam!!!
loved your teaching... you are amazing.
You are gorgeous Dr. That was amazing.
if i have to say "i am in love with u" to a man..he is u sam..u r making anatomy so easier..and i wish i could get these videos in my first year of med school..u kind of changed my view to anatomy..and these models r extraordinary i m in love with them too..so thanx sam..plz keep posting..
I'm a pelvic floor phyio. Strength of the pelvic floor muscles is important but muscle tension and poor abdominal pressure management are frequently the cause of symptomatic pelvic organ prolapse and stress incontinence. Don't overdo your kegels. It's not that simple.
Thanks for another wonderful video. I was looking for something to aid in my teaching for yoga instructors and this is perfect! :-)
Im contracting mine right now *dirty look* 😂😂
Magnificent video as always Sir Sam
You paint the canvas in my head I cone here with white sheet and you paint he picture in my head of how the muscles be working and where they're innervated from origin and insertion. So so good
Thank you so much! I really appreciate your videos! Kudos
Lord of Anatomy!🔥❤❤❤
Thanks for your great efforts
Don't speak like this if you're a muslim!
Amazing job!!!!!! Thank you for this
Thanks a lot man cant tell u how much u help me
If i could have such a talented nd cute anatomy teacher at my institute😍
Thank-you! I love your accent!
nyc music at starting and at end.....die hard fan of your teaching sir
Thank you very much for making those videos you are making my life in med school so much easier ,, Thank you :)
Great!
Good
thank you so much that was very helpful!
Looks like a glamorous toilet bowl. Love your videos.
This is so much helpfull especially now when we have online classes and can't look on cadavers
Thankyou so much ...this help me a lot🙏🏻🙏🏻
You are amazing well done 👍
Hahaha your facials are legendary, the ‘am doing my PF right now’ part LOL. Never thought a pelvic anatomy video could have potential to be enjoyed as well as learned from.
Cheers!
Thank you sir for your lecture
TOP-NOTCH , as always
YOU ARE AMAZING!
Thank you so much my dr♥️👍
Thank you so much🤍
thank you so much teacher !!!!
You are awesome!! 👍🏻
You should have zoom into the parts you were explaining. Thank you for the excellent lecture.
Thank you so much
Diaphragm etymology: dia ‘through' or 'apart’ + phragma ‘fence’. So a fence that keeps stuff apart... or a fence that runs through?
Thank you sir!
8:40 I laughed so hard this is a genius explanation thank you ♥️
Love the video i have tight pelvic floor muscles whats the best stretches for that and will weight training or running make it worse please please reply thanks
You are amazing
Hey Sam, watching all your videos. In regards to the Kegel exercise, I believe I saw a research paper that said that only about half the people doing the Kegel are doing it right. The other half just can't seem to "find" the muscle properly. Meaning that they are activating nearby muscles and not the intended pelvis floor muscles. I don't think that issue is properly appreciated.
does kegel execises improve all of pelvic floor muscle group or just some of them any
Thanks teacher
You sounded a little bit overwhelmed there for a bit. Broad subject with a little bit of time. Did well Sir. That's why I listen to you. Blessings !
Nice job
Hi, I have had a bowel problem since I was born and I have had to have Botox to freeze my pelvic floor as it was obstructing bowel movements. for years I have struggled with stomach cramping and even have stretch marks on my lower abdomen. The NHS does not take into consideration how much my childhood has been damaged by this. After my operation nearly 2 months ago I haven’t heard anything. No after care, no follow ups. Nothing. Sorry for the long story but I just need some help. Have you got any exercises, medication or just anything that you could recommend me which would help me? Thanks
Josh.
This man is God sent 🙏🙏🙏🙏🙏🙏🙏🙏🙏
thanks sam
hi Sam I find your sessions and lessons very interesting and helpful as to help me with a client that suffers from Spastic Paraparesis and Im sure you are aware of this condition? There isnt much on Google to explain the condition but you get the gest of it?
Im a Rehabilitation Trainer and my passions are special needs patients mostly. i don't know all the finer details of anatomy and get by watching your channel and its a great one.
Her problems with muscle spasms and the pain the spasm create in her body? Her colon her diaphram bladder colon. she is semi mobile and has no control over her lower limbs thats where i come in to move massage and relax these muscles with massaging stretching strengthening and moving her limbs that help with her bowels and colon movement indirectly.
i however have pinpointed a pain she has been having for a while now that turns out to be the diaphram and ribs and the QL muscles. is there any way you could help me with muscle spasm releasing of the those muscles? ive tried my way and maybe you have your way or knows of someone that can help? i will really appreciate it.
Helpful thanks alot
Legend Sam.
Do some Pilates or ballet. Pelvic curls will definitely help to strengthen the pelvic floor muscles.
Thank you so much!!
so clear.
very helpful!
I just did not understand about kinking part.
The puborectalis muscle pulls the rectum anteriorly - this means that it puts a kink in this tube (like kinking a garden hosepipe). That helps with faecal continence. The muscle must relax and lengthen to allow the rectum and anal canal to straighten out for defecation.
Thanks!
as you were speaking I was contracting my muscles
this was funny for some reason...
Hi! Is the stress on the pelvic floor greater when hanging (with legs off the floor) vs when standing? I'm trying to understand why some doctors advise against hanging exercises (pull-ups, dips) if the pelvic floor muscles are weak. Maybe I'm understanding it wrong, but the weight on the PFM should remain the same standing on hanging based on the hip anatomy? Many thanks for your videos!
Just taking a guess at it all- when standing your postural muscles are helping keep everything supported with a very balanced set of contractions. When you're hanging your pelvis is free to swing into different positions, combined with the potentially added downward pressure of the diaphragm this could put even more pressure on the floor muscles. The last piece would be the potential for added pressure from the momentum of downward movement ie: dropping back to the floor after pull-ups. I could be wrong on all counts but here's where my mind takes it.
Nice to hear you sound out the not so sensibly named iliococcygeus, and that you don't know why (I just like it when smart people can admit that they don't know something) Are there many muscles/anatomical structures that are illogically, strangely, unsuitably named? A video on those would be fun.
I've gotten into the habit of exclaiming loudly when my dog wags her tail in happy welcome of my return from somewhere "Levator ani!"
Most structures have contemporary names that generally make sense. Not obvious sense, but there's usually some reasoning when you start digging into it.
This is actually quite tricky. I think the available model of the pelvic floor is incorrect and would like to refer to "Levator Ani Muscle Anatomy Evaluated by Origin-Insertion Pairs" by Rohna Kearney et. al. 2004
I'm dealing with a lot of pelvic floor muscle pain and with your videos is solidified my pudendal nerve pain as well.
I am suffering with sciatica/performis as well
Any idea why I'd have muscle pain in pelvis and groin. No childbirth, have not had kids. Only possible injuries from falls into left side/hip. Negative x-ray of pelvis. Just wondering if you have thoughts
What is the quality of the pain, does it ache, is it sharp, does it burn, is there temperature associated with it? Also, what makes it better or worse?
Million thx 😍😍😍
What kind of class is it? I took few human anatomy courses at a community college about 12 years ago. They didn't teach about pelvic floor muscles.
Sam !! Isn't that pubovaginalis and puborectalis collectively called pubococcygeus and pelvic diaphragm consist of pubococcygeus , iliococcygeus and ischiococcygeus ??
LOL throughout this whole video I was squeezing and squeezing in and out subconsciously and consciously😂❣️❣️🇦🇺
At 09:22, you say that m. coccygeus is not part of the pelvic floor or part of the levator ani. I agree with the levator ani-part, but everywhere I read on the internet, it says that m. coccygeus (also called m. ischiococcygeus) IS part of the pelvic floor. Even my textbook of anatomy (Sobotta, Atlas of Human anatomy Latin Nomenclature, Internal Organs, 15th edition, page 214) includes the muscle as part of the pelvic floor. Am I missing something?
This varies between textbooks and descriptions. I wouldn't worry about it too much. It could be thought of as part of the pelvic floor or as part of the pelvic wall, or you might consider the pelvic walls to be parts of the pelvic floor. You know where it is. You know what it does. You're good.
Can a hypotonic pelvic floor affect upper GI issues im struggling really badly with air coming up to my chest and throat but not out , and I also have many symptoms of hypotinic pelvic floor , really giving up now 😔😔😔 can u advise?
8:35 my sentiments exactly!!! lol
I think I’m in love
So that's how you teach!
You are fab
You ARE KING😁
Mam G plz upload more videos on obs and gynea
What can you do when you have severe constant burning throbbing pain in the opening of vagina! What exercises of the pelvic floor would help? I’ve been suffering since 2005. It really hurts!
Ure healed in the Name of Jesus
Oh God help you 😥
you look like young dr house :))
Iliococcygeus and ischiococcygeus are not the same muscle. Iliococcygeus is a part of levator ani, while the latter is also simply called "coccygeus".
You are correct that kegals do nothing. I lift a free weight with my pelvic floor with a wooden egg and rope attached to it. 👍
Man some anatomist really just decided to make our life hell by calling it iliococcygeus
doc. I used too much tension with a penis extender. I believe those muscles hurt ( I feel pain deep in the perineum). Ultrasound show everything ok. The doc prescribed anti inflammatory. Pain continues. Will I ever get better doc????? I don't want ED and prolapse, please help
Can Pelvic floor muscles cause Varicocele in men?
The blood vessels to and from the testes pass through the anterior abdominal wall via the inguinal canal and not through the pelvic floor. So I don't think so, no.
Okay thank you very much for the response! Saved me a lot of time thinking that I could solve the varicocele that way.
@@thorgrimb5393 Have a look at the venous drainage anatomy back to the left renal vein and inferior vena cava. Best wishes.
Thanks again. Will do!
@@SamWebster i wish in some day i could be like you
i very be happy when i watch your videos
Let's see video so ensure kind of brain tumor and dynamic condition them of interference to do minimize when to expect also. That's it
Love your videos.but very little hard to listen to the smacking.
🙊