7 Essential Facts About the Pelvis

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The human body is an amazing thing. For each one of us, it’s the most intimate object we know. And yet most of us don’t know enough about it: its features, functions, quirks, and mysteries. Our series The Body explores human anatomy, part by part. Think of it as a mini digital encyclopedia with a dose of wow.

The pelvis, which crooner Elvis was famous for thrusting around in ways that raised eyebrows, is not actually a single body part but a term that refers to a collection of bones, muscles and organs below the waist. We spoke to Katherine Gillogley, department chair of obstetrics and gynecology with Mercy Medical Group in Sacramento, California, for these seven facts about the pelvis.

1. SO WHAT IS THE PELVIS, EXACTLY?

"The pelvis refers to the lower abdominal area in both men and women," Gillogley says. "An important function of the pelvis region is to protect organs used for digestion and reproduction, though all its functions are crucial," she says. It protects the bladder, both large and small intestines, and male and female reproductive organs. Another key role is to support the hip joints.

2. THE PELVIC BONES FORM A BASIN.

Four bones come together to form a bowl-like shape, or basin: the two hip bones, the sacrum (the triangle-shaped bone at the low back) and the coccyx (also known as the tailbone).

3. YOUR PELVIC FLOOR IS LIKE A TRAMPOLINE.

At the bottom of the pelvis lies your pelvic floor. You don't have to worry about sweeping it, but you might want to do Kegel exercises to keep it strong. The pelvic floor is like a "mini-trampoline made of firm muscle," according the Continence Foundation of Australia. Just like a trampoline, the pelvic floor is flexible and can move up and down. It also creates a surface (floor) for the pelvic organs to lie upon: the bladder, uterus, and bowels. It has holes, too, for vagina, urethra, and anus to pass through.

4. IT PLAYS A KEY PART IN WALKING.

Anyone who has ever broken a pelvic bone or pulled a pelvic muscle will know just how key a role the pelvis plays in such functions as walking and standing. "The pelvis also acts as a solid foundation for the attachment of the spinal column and legs," says Gillogley.

5. THE FEMALE PELVIS STARTS OUT LARGER, BUT NARROWS OVER TIME.

Gillogley says that the female pelvis "tends to be larger and wider" than the male, most likely to accommodate a baby during pregnancy and to make childbirth possible. However, women's pelvises narrow as they age, suggesting that they start out wider to accommodate childbearing and then shift when that is no longer necessary. A shifting pelvis shape is thought to be a key part of our evolutionary history, as it changed as when we began walking upright.    

6. PREGNANCY CHANGES THE PELVIS FOREVER.

During pregnancy the body secretes a hormone known as relaxin to help the body accommodate the growing baby and soften the cervix. However, what happens is, "the joints between the pelvic bones actually loosen and slightly separate during pregnancy and childbirth," Gillogley says. Sometimes, however, relaxin can make the joints too loose, causing a painful syndrome known as symphysis pubis dysfunction (SPD), causing the pelvic joint to become unstable, causing pain and weakness in the pelvis, perineum and even upper thighs during walking and other activities. Many women with the condition have to wear a pelvic belt. It usually resolves after pregnancy is over, though physical therapy may be necessary.

7. IT'S ACCIDENT PRONE.

According to the American Association for the Surgery of Trauma, about 8 to 9 percent of blunt trauma includes pelvic injury, Gillogley says. "These accidents include falls, motor vehicle crashes, bicycle accidents, and pedestrians being struck by moving vehicles. With these serious injuries, pelvic bones can fracture or dislocate and sometimes bladder injury even occurs." So take care with your pelvis—in worse-case scenarios, breaks of the pelvic bones can require pins, rods, and surgery to fix.

10 Facts About Your Tonsils

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iStock/Neustockimages

Most of us only become aware of our tonsils if they become swollen or infected. But these masses of lymphatic tissue in the mouth and throat are important immunological gatekeepers at the start of the airways and digestive tract, grabbing pathogens and warding off diseases before they reach the rest of your body. Here are some essential answers about these often-overlooked tissues—like what to do when your tonsils are swollen, and whether you should get your tonsils removed.

1. People actually have four kinds of tonsils.

The term tonsils usually refers to your palatine tonsils, the ones that can be seen at the back of your throat. But tonsillar tissue also includes the lingual tonsil (located in the base of the tongue), tubal tonsils, and the adenoid tonsil (often just called adenoids). "Collectively, these are referred to as Waldeyer's ring," says Raja Seethala, the director of head and neck pathology at the University of Pittsburgh Medical Center and a member of the College of American Pathologists Cancer Committee.

2. Tonsils are one of the body's first responders to pathogens.

The tonsils are a key barrier to inhaled or ingested pathogens that can cause infection or other harm, Seethala tells Mental Floss. "These pathogens bind to specialized immune cells in the lining—epithelium—to elicit an immune response in the lymphoid T and B cells of the tonsil," he says. Essentially, they help jumpstart your immune response.

3. Adenoid tonsils can obstruct breathing and cause facial deformities.

If the adenoid tonsils are swollen, they can block breathing and clog up your sinus drainage, which can cause sinus and ear infections. If adenoids are too big, it forces a person to breathe through their mouth. In children, frequent mouth breathing has the potential to cause facial deformities by stressing developing facial bones. "If the tonsils are too large and cause airway obstruction, snoring, or obstructive sleep apnea, then removal is important," says Donald Levine, an ear, nose, and throat specialist in Nyack, New York. Fortunately, the adenoids tend to get smaller naturally in adulthood.

4. As many of us know, sometimes tonsils are removed.

Even though your tonsils are part of your immune system, Levine tells Mental Floss, "when they become obstructive or chronically infected, then they need to be removed." The rest of your immune system steps in to handle further attacks by pathogens. Another reason to remove tonsils besides size, Levine says, is "chronic tonsillitis due to the failure of the immune system to remove residual bacteria from the tonsils, despite multiple antibiotic therapies."

5. Tonsillectomies have been performed for thousands of years ...

Tonsil removal is believed to have been a phenomenon for three millennia. The procedure is found in ancient Ayurvedic texts, says Seethala, "making it one of the older documented surgical procedures." But though the scientific understanding of the surgery has changed dramatically since then, "the benefits versus harm of tonsillectomy have been continually debated over the centuries," he says.

6. ... and they were probably quite painful.

The first known reported case of tonsillectomy surgery, according to a 2006 paper in Otorhinolaryngology, is by Cornélio Celsus, a Roman "encylopaediest" and dabbler in medicine, who authored a medical encyclopedia titled Of Medicine in the 1st century BCE. Thanks to his work, we can surmise that a tonsillectomy probably was an agonizing procedure for the patient: "Celsus applied a mixture of vinegar and milk in the surgical specimen to hemostasis [stanch bleeding] and also described his difficulty doing that due to lack of proper anesthesia."

7. Tonsil removal was performed for unlikely reasons.

The same paper reveals that among some of the more outlandish reasons for removing tonsils were conditions like "night enuresis (bed-wetting), convulsions, laryngeal stridor, hoarseness, chronic bronchitis, and asthma."

8. An early treatment for swollen tonsils included frog fat.

As early practitioners struggled to perfect techniques for removing tonsils effectively, another early physician, Aetius de Amida, recommended "ointment, oils, and corrosive formulas with frog fat to treat infections."

9. Modern tonsillectomy is much more sophisticated.

A common technique today for removing the tonsils, according to Levine, is a far cry from the painful early attempts. Under brief general anesthesia, Levine uses a process called coblation. "[It's] a kind of cold cautery, so there is almost no bleeding, less post operative pain, and quicker healing. You can return to normal activities 10 days later," Levine says.

10. Sexually-transmitted HPV can cause tonsil cancer.

The incidence of tonsillar cancers is increasing, according to Seethala. "Unlike other head and neck cancers, which are commonly associated with smoking and alcohol, tonsillar cancers are driven by high-risk human papillomavirus (HPV)," he says. "HPV-related tonsillar cancer can be considered sexually transmitted."

26 Amazing Facts About the Human Body

Mental Floss via YouTube
Mental Floss via YouTube

At some point in your life, you've probably wondered: What is belly button lint, anyway? The answer, according to Mental Floss editor-in-chief Erin McCarthy, is that it's "fibers that rub off of clothing over time." And hairy people are more prone to getting it for a very specific (and kind of gross-sounding) reason. A group of scientists who formed the Belly Button Biodiversity Project in 2011 have also discovered that there's a whole lot of bacteria going on in there.

In this week's all-new edition of The List Show, Erin is sharing 26 amazing facts about the human body, from your philtrum (the dent under your nose) to your feet. You can watch the full episode below.

For more episodes like this one, be sure to subscribe here.

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