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Thread: Pelvic muscle tightness

  1. #11
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    Quote Originally Posted by Mark Rippetoe View Post
    How are "tight pelvic muscles" detected on an MRI? I think we have a troll here, or a new record in practitioner incompetence.
    Never said it was detected on an MRI. MRI was used to rule out any issues with my spine, nerves, etc.

    by the way but "tight pelvic muscles" I mean that they are over-stressed and inflamed

  2. #12
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    How was it determined that the pelvic muscles were over-stressed and inflamed?

  3. #13
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    Quote Originally Posted by Mark Rippetoe View Post
    How are "tight pelvic muscles" detected on an MRI? I think we have a troll here, or a new record in practitioner incompetence.
    see also: Testicular movement while performing overhead press

    has a real knack for acquiring anomalies of the genital region(s)

  4. #14
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    What’s your stance like during your lifts? Shoulder width? Toes out about how many degrees? Not a coach, but I’ve done some stupid stuff before.

  5. #15
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    Quote Originally Posted by Mark Rippetoe View Post
    How was it determined that the pelvic muscles were over-stressed and inflamed?
    Tissue biopsy demonstrated presence of inflammatory cells.

  6. #16
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    Quote Originally Posted by Mark Rippetoe View Post
    How was it determined that the pelvic muscles were over-stressed and inflamed?
    rectal exam of the prostate and surrounding tissues/muscles

    the ultrasound and MRI of the pelvis also showed "strong" muscles which I interpret as tight, non-relaxing muscles but I could be wrong here

    obviously I do not know the solution, that's why I was seeking help on this forum hoping that someone else might have experienced something similar

    there's no trolling here, I've been to many doctors and this is all I was told. I'm trying a physical therapist next for relaxing the muscles

    Quote Originally Posted by Fulcrum View Post
    see also: Testicular movement while performing overhead press

    has a real knack for acquiring anomalies of the genital region(s)

    just so you know: the pelvic muscles can irritate the nerves in the inguinal area causing a pulling sensation. the two things are most likely connected. see for example: Physiotherapy for Chronic Testicular Pain | Lakeview Physiotherapy

    Quote Originally Posted by Mark Rippetoe View Post
    How was it determined that the pelvic muscles were over-stressed and inflamed?
    P.S. if you don't believe in the diagnosis and think it's bullshit I'm fine with that - the doctors didn't really help with anything besides ruling out serious conditions.

    if you have a hunch of what else might be causing this, what kind of tests I should get I'd appreciate any thoughts

  7. #17
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    I detect a weak biker

  8. #18
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    Quote Originally Posted by david1981 View Post
    rectal exam of the prostate and surrounding tissues/muscles

    the ultrasound and MRI of the pelvis also showed "strong" muscles which I interpret as tight, non-relaxing muscles but I could be wrong here
    Do you know what happens when you relax your pelvic floor muscles?

  9. #19
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    Long time lurker, rarely a poster here. Love starting strength and it has done wonders for my physical fitness, confidence, etc. I'm going on the assumption OP is not trolling...

    A few years ago I switched to a much more stressful job. 6 or 7 months later I felt a massive stabbing pain right in center of the pelvic area. Doubled me over and then went away after after a few seconds. Thought maybe it was a stone. Went about my business only to have it happen again, and then more frequently. Next thing you know it hurt to urinate and there was just general pain in the urethra so I went to a urologist. No sign of infection but took the antibiotic since at that point it was really interfering with life. The antibiotic did nothing. I continued to struggle and search the internet. Same stuff about pelvic floor blah blah blah but I can assure you that if you are doing Starting Strength then the pelvic floor isn't weak. Eventually stumbled across "A Headache in the Pelvis" which I admit might look like total BS to most folks. However, I was willing to explore all options and also had seen how real chronic migraines can mess up a loved one. Bought the book and it was a good start. The book itself is fine, but you can probably get all the basic stretches you need from googling. That led me to purchasing a trigger point massage book and my eventual recovery. After reading the trigger point book and exploring various points, I ended up finding a knot that gave immediate relief. Then I noticed pain would come back at work. I was internalizing my stress and unconsciously clenching my stomach and pelvic area all day. Once I realized that, I made a constant effort to stay relaxed. More big improvements followed. Eventually, removing stress, getting some cardio to get the blood flowing followed by stretching and looking for trigger points all combined to solve the problem. Massive improvement in 1-2 months, essentially gone after 5 months, and full recovery once I left the high stress job.

    I will say that when I was fighting through the issue, heavy lifting made it worse. I would have charley horse like spasms in the pelvic area at night. So I did have to relax a bit on the lifting until I got stress and trigger points under control. Once they were under control I resumed heavy lifting without problems.

    My 2 cents: remove stress, get blood flow moving, look up the basic stretches, and read up on trigger points (or go see someone that knows about it). Best of luck.

  10. #20
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    starting strength coach development program
    My tango teacher has a cue to get her students to relax the pelvic floor: “Go pee-pee.” Maybe you should try that.

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