Pelvic floordys function is the dysfunction of pelvic floor muscles. It can be hypotonic, where the muscles are extremely lax. Or it can be hypertonic, where the muscles are short, spastic, and weaker, and essentially there is reduce the capacity for the muscles to lengthen. Therefore, they are not supporting thea bove structures, including the bladder, the uterus, and the colon, as well asthe hips and the lower spine and sacrum. In Pelvic floor dysfunction In addition, when the muscles are short, spastic, and weaker,there is less blood flow to the area. And when there is less blood flow,there’s less oxygenation, and this can lead to a drop in pH levels. And this is what stimulates the inflammatory cascade. And when this whole inflammatory cascade is stimulated, you get a release of pro-inflammatory cytokines. And this ultimately leads to neurogenic inflammation, where the nerve of the pelvis then starts to work inappropriately. Symptoms of Pelvic floor dysfunction include pelvic pain, history of pain in lowerback/hip/groin or tailbone, history of sciatica, rectal burning, rectal pain,pain with sitting, burning with intercourse, pain with bowel movement, urinaryurgency/frequency, and burning with urination, feeling unable to completely empty the bowel, difficulty initiating a bowel movement, prolonged sitting increases the symptoms, if and you have to wake up 2 or more times in the night to urinate, etc. Pelvic floor dysfunction can accompanied with erectile dysfunction. Pelvic floor dysfunction caused due to prolonged sitting, lack of walking, lack of exercises, and sedentary lifestyle, or in women after giving delivery. PHYSIOTHERAPY MANAGEMENT OF Pelvic floor dysfunction includes- Training of gluteal and piriformis muscles as it is attached via fascia to pelvic floor muscles. Training of diaphragm as it is also attached to the pelvis and pelvic floor muscles, diaphragm contributes to the gentle movement of the pelvis with the pelvic floor muscles with every breath. Groin muscle training. Hip muscle training. Lower back muscle training. Core muscle training. Functional manual therapy. Functional electrical stimulation. Super inductive System (SIS). Pelvic floor muscle strengthening by following exercises like- Pelvic tilt on supine with hip & knee flexed position(remember to not push your pelvis with your legs and try to flatten your lower back(lumbar spine) and tighten your core while doing exercise and keep breathing). Pelvic tilt clocks (in this exercise combines pelvic tilt exercise with pelvic hiking and dropping exercise at different angles). Ball squeezing exercise (in this you have to keep a football in between your knees or thigh while knees are at 100 degrees, now press the football with both of your knees). Progression of ball squeezing exercise (before squeezing the ball, just tilt your pelvis and maintain that position and now squeeze the ball). Further progression will be bringing your knees & hips at 90 degrees while maintaining the tilt and squeeze. To activate your hip flexors keep maintaining the knee & hip 90-90 position and push your knees with your hand while pressing the ball in between your knee. Activating the obturator internus muscle in the prone position and flex your knee at 90 degrees put a belt/band around the ankle keep your knees together and feet together, now push your ankle out each way likeyou are trying to separate your feet (While pushing out squeeze your core andtuck your tail bone in). and Yoga, etc.