Foot to Floor: How Your FOOT Mechanics May Be Contributing to Your Pelvic FLOOR Dysfunction

Written by:
Dr. Erica Dekle
July 12, 2024

The human body is an intricate web of connections between seemingly unrelated parts that often reveal fascinating insights into our overall health and well-being. One such intriguing link exists between your pelvic floor and your foot mechanics. Although the feet are not directly connected to the pelvic floor, they are closely connected via bone and ligamentous structures making up your lower kinetic chain. Understanding this relationship not only sheds light on the body's holistic functioning but also underscores the importance of comprehensive health care.

The Pelvic Floor: Foundation of Stability

Let's start with the pelvic floor—a group of muscles, ligaments, and tissues that form a hammock-like structure at the base of the pelvis. The pelvic floor functions to provide support to the pelvic organs, this includes the bladder, intestines, rectum, and the uterus in females). The pelvic floor also helps us maintain posture by supporting the spine and pelvis, it contributes to core stability, and plays a role in breathing, lymphatic/blood circulation, and sexual function.

Imagine the pelvic floor as the foundation of a building. Just like a strong foundation supports the entire structure above it, a well-functioning pelvic floor supports the organs of the lower abdomen and maintains alignment in the pelvis. This stability extends upward through the spine, affecting overall posture and movement patterns.

Foot Mechanics: The Base of Movement

Now, shift your focus downward to your feet. They are not just ends of your legs but complex structures comprising bones, muscles, tendons, and ligaments that work together to support your body weight, absorb shock, and propel you forward during movement. How your feet interact with the ground influences your gait (how you walk), balance, and overall biomechanics.

The way your feet strike the ground—whether you have a normal arch, flat feet, or high arches—affects the distribution of forces throughout your body. Misalignment or dysfunction in the feet can lead to compensatory movements elsewhere, potentially causing issues in the ankles, knees, hips, and even the lower back.

Connecting The Dots: How The Foot and Pelvic Floor Influence Each Other

Here’s where the magic happens: the pelvic floor and foot mechanics are intricately linked through the myofascial connections and fascial chains that run throughout the body. The myofascial system is a three-dimensional network of connective tissue that surrounds and supports muscles, linking distant parts of the body in a continuous web.

Research suggests that dysfunction in one area—such as a weakened pelvic floor or poor foot mechanics—can affect the other. For instance, chronic pelvic pain or instability may alter gait patterns, leading to foot pronation or supination issues. Conversely, foot problems like overpronation can create imbalances that contribute to pelvic misalignment or increased tension in the pelvic floor muscles. Understanding this concept for patient populations such as those that fall on the hypermobility spectrum (i.e. Ehlors Danlos Syndrome, Marfan’s syndrome, etc) may not get better if you’re solely treating one of these areas and ignoring the other.

A Holistic Appoach To Physical Therapy

Understanding the interconnectedness of the pelvic floor and foot mechanics emphasizes the importance of holistic health practices. Addressing issues in one area often requires considering the whole body’s biomechanics and alignment. This approach is fundamental in fields like physical therapy, where treatments aim not just to alleviate symptoms but to restore optimal function and prevent future issues.

For individuals experiencing chronic pelvic pain, back pain, or foot discomfort, seeking integrated care that considers both pelvic floor health and foot mechanics can lead to more effective outcomes. Physical therapists, podiatrists, and other healthcare professionals trained in biomechanics can provide targeted interventions to improve posture, strengthen muscles, and restore balance throughout the body.

Simple Exercises for Happy Feet (and Pelvic Floor)

Best done barefoot...

  • Arch Lifts/Lowers: With your foot flat on the floor, raise up JUST the arch of your foot while maintaining your big toe, ball of your foot, and heel on the floor the entire time. Hold for 5 seconds. Repeat 20 times on both feet.


  • Lunge Rotations: Stand in a lunge position with one foot forward and one foot back. Rotate your trunk towards your front leg and feel your arch lift. Then rotate your trunk towards your back leg and feel your arch drop. Repeat 10 times to each side.


  • Toe Yoga: With your foot flat on the floor, lift JUST your big toe up while maintaining the rest of your toes spread out on the floor. Make sure you are not curling your other toes. Next try keeping the big toes down and lifting and spreading toes 2-5. Repeat 20 times.


  • Plantar Fascia Rolling: Stand with a tennis ball or lacrosse ball under your foot (holding onto to something for balance, if needed). Roll the soft tissues on the bottom of your foot that extend from your heel bone towards your toes. Start gently and then increase pressure as tolerated. You can also use the ball to stretch your toes as well. Perform 2-3 minutes per side.

The connection between the pelvic floor and foot mechanics serves as a powerful reminder of the body’s interconnectedness. From maintaining stability and posture to influencing how we move and walk, these two areas play crucial roles in our overall health and well-being. By understanding and addressing these connections, we can better appreciate the complexity of the human body and take proactive steps toward optimal health. Scientific literature is still developing surrounding this topic, but clinically we see this connection often. So don’t be surprised when you see your pelvic floor physical therapist looking at your feet!

Need help? If you live in the Atlanta area, contact me at Activcore Druid Hills to schedule an appointment.

Disclaimer:  The views expressed in this post are based on the opinion of the author, unless otherwise noted, and should not be taken as personal medical advice. The information provided is intended to help readers make their own informed health and wellness decisions.

Dr. Erica Dekle

Physical Therapist
Erica Dekle is a Doctor of Physical Therapy (DPT) who is passionate about all aspects of exercise, sports rehabilitation (especially for swimmers), and women's health for pregnant and postpartum moms. She works at Activcore in Atlanta, Georgia, located just 2 miles from Emory University.
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