Today we are talking all about the pelvic floor. Did you know there is so much more that goes into pelvic floor physical therapy than simply doing kegels? Did you know you may actually have a tight pelvic floor causing your problems versus a weak one thus perhaps kegels are not the best thing for you?
In this episode we will review pelvic floor anatomy, how the pelvic floor functions, and how it connects to other parts of our body, specifically the diaphragm. We will cover how to actually perform a proper kegel while connecting it to your breath and functional body movements.
We will cover signs and symptoms of weak versus tight pelvic floor so you can see what category you might fall into.
Signs of a hypotonic or weak pelvic floor
- Leaking with sneezing, coughing or jumping
- Tampons may fall out
- sex does not feel as it used to
- heavy feeling
- SIJ, hip pain
Signs and symptoms of a tight pelvic floor
-difficulty starting to pee or second pee ( feeling as if you have to go shortly after you just went)
- constipation
- painful sex
- increased UTI risk due to retention
- leaking with sneezing, coughing, jumping, heaving lifting
- difficulty getting a good contraction
- difficulty getting a full deep breath in
- holding a kegel makes it worse
- SIJ or hip pain
We will then cover treatment strategies for a weak pelvic floor as well as what to do if you have pelvic floor tightness.
Treating a weak pelvic floor:
For a weak pelvic floor, try to work on kegels most days of the week and work on contracting on the exhale as outlined below.
Let’s go over some tips for a proper kegel.
- Try it sitting comfortably first so you can isolate the pelvic floor
- Work with your breath. Inhale as you relax your pelvic floor and exhale on the contraction
- You rotate forward into and anterior pelvic tilt (arch your back) to make it easier to isolate the front of your pelvic floor ( think stopping flow of urine)
- You can rotate back into a posterior pelvic tilt ( flatten your back) to make it easier to target the back of your pelvic floor ( think stopping gas)
Once you are able to get a good pelvic floor contraction in isolation you can start to work in other muscle groups. This is important because our pelvic floor contracts quite a bit during activities such as a deep squat, heavy lifting and sex. If you are having trouble getting a good pelvic floor contraction, it is a good idea to see a pelvic PT!
How do you treat a tight pelvic floor?
- see a pelvic floor PT for manual release
- work on the inhale. Focus on relaxing
- On the exhale, don’t force a pelvic floor contraction just try to return to normal resting tone
- meditation
- Strengthen the muscle surrounding the pelvic floor: the hips, glutes, core
- self release techniques
- work on deep breathing
- yoga
- squats: focus on the inhale on the way down to let go of the pelvic floor
Once you are able to release the pelvic floor and symptoms get better, you can start to reintroduce kegels as outlined above. You want to slowly progress, start by working on a small tighten on your exhale instead of full contraction. Then you build up to a full contraction.
I hope these tips help you on your pelvic floor journey. Please contact us with any questions. Follow me on instragram for more videos, tips and advice! DrallieflowersPT.