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You’re kidding right?! Hip muscle strength helps bladder prolapse AND knee pain

Who knew?  The obtruator internus, a hip and pelvic floor muscle both, supports the bladder from below.  

When the bladder begins to slip down into the vagina that is called prolapse, and the obtruator internus, a HIP muscles can help support the bladder.

Ideally the pelvic floor muscles will lift the bladder…but another muscle supports the bladder, too. It is the obtruator internus which is a supporting pelvic floor muscles as well as a hip stability muscle. Look at the picture of a bladder to the right and below.

obtruator internus muscle next to bone

obtruator internus muscle next to bone

The bladder is the balloon looking object in the middle of the picture, and you can see the hip joints. The OI wings are the obtruator internus muscle underneath the bladder, helping to lift it. This particular picture is of a man, but the obtruator internus muscle lays the same way in a women. Look down and to the left to see the obtruator internus (in green) in the pelvis:
obtruator internus connection to pelvic floor

obtruator internus connection to pelvic floor

Interestingly, the obtruator internus muscle is very important for preventing knee pain as well as preventing plantarfascia. “Why?” See how the obtruator muscle wraps around the sit bone and attaches to the hip? It turns the hip and thigh out, which helps prevent the knee from rolling in (which causes kneecap pain).

obtruator internus posterior view attachment to hip

obtruator internus posterior view attachment to hip

The picture to the right is of the hip and thigh rolling in…the obtruator internus stops that movement AND helps the bladder.
knee cap pain due to hip weakness

knee cap pain due to hip weakness

If you have bladder prolapse, knee pain, or hip pain, or all 3, come to Comstock Physical Therapy to be evaluated by a therapist to get the help you need.