Ingrid Harm-Ernandes, PT, WCS, BCB-PMD

On this episode of Bone Talk, BHOF CEO Claire Gill is joined by Ingrid Harm-Ernandes, PT, WCS, BCB-PMD to unpack a topic many overlook in bone health conversations: the pelvic floor. Their discussion reveals how this hidden muscle system plays a critical role in strength, balance, mobility, and fall prevention.

The pelvic floor is more than just a support structure. It acts as a foundation for the body, working in coordination with the core, hips, and spine. When functioning properly, it supports organs, controls bladder and bowel function, contributes to sexual health, and stabilizes movement. When it is weak or not functioning correctly, it can increase the risk of falls and fractures.

Key Insights

• The pelvic floor is part of the core system and directly impacts balance and fall risk

• Pelvic floor symptoms can be early warning signs of bone density loss

• Incontinence and discomfort often prevent people from exercising, which further impacts bone health

• Exercise is one of the most effective ways to improve both pelvic floor function and bone density

• Pelvic floor dysfunction is common but treatable at any age

• Proper training matters. Doing exercises incorrectly can worsen symptoms rather than improve them

• Education and self-advocacy are critical to getting the right care

A major takeaway is that pelvic floor health should be viewed as part of a lifelong continuum, not something addressed only after symptoms worsen. Early intervention leads to better outcomes, but it is never too late to see improvement.

Ultimately, this conversation reinforces that the body works as a system. Bone health, muscle strength, and pelvic floor function are interconnected, and addressing them together leads to stronger outcomes and better quality of life.

• About Ingrid Harm-Ernandes, PT, WCS, BCB-PMD

• The Musculoskeletal Mystery: How to Solve Your Pelvic Floor Symptoms

• Bone Health & Osteoporosis Foundation (BHOF) Website