TMI Talk with Dr. Mary

Episode 49: The Foot–Pelvic Floor Connection: A Missing Link in Rehab


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We explore a connection most clinicians overlook: the link between the feet and the pelvic floor. Whether you treat pelvic health directly or not, understanding this relationship can drastically improve patient outcomes, especially for those with chronic tightness, pain, or pelvic floor dysfunction. You'll learn how fascia, the nervous system, and postural mechanics all play a role—and why traditional Kegels alone often miss the mark.

What You’ll Learn:

  • The fascial connections from feet → diaphragm → pelvic floor
  • Why tight calves, foot swelling, or poor toe mobility may signal deeper pelvic or lymphatic issues
  • How the homunculus explains the foot–genital sensory link 
  • How foot pressure and posture influence pelvic floor contraction
  • Why traditional Kegels often miss the mark, especially for urinary leakage
  • How to use weight distribution cues (big toe, pinky toe, heel) to improve pelvic floor recruitment


0:00 Introduction to Feet and Pelvic Floor Connection

01:00 Fascial Connections: The First Link

07:38 Homunculus: The Brain-Body Map

10:12 Kegels and Pelvic Floor Mechanics

14:34 Practical Tips for Clinicians

18:08 Conclusion and Final Thoughts

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TMI Talk with Dr. MaryBy Dr. Mary Grimberg

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