Pelvic Pain? Been told to do Kegel’s and that’s it? Is it working for you?

So you’ve been told to do Kegel’s. Why? Possibly because you’ve been told you have incontinence or overactive bladder syndrome. But what if there is more to the story? What if you have pain “down there?” Or what if you have low back pain (LBP) or sacroiliac joint (SIJ) pain? Kegel’s, or contracting and strengthening the pelvic floor may not be appropriate for you. Sometimes the muscles of the pelvic floor are overworked, or tense or hyperactive (you choose). And this imbalance between short/tight muscles may be at the source of your issue (pain, incontinence, etc).

Let’s put it this way: if you have a muscle that is already tight, and you try to contract it even more, you won’t have a lot of force behind it. Imagine if my elbow was bent and the biceps muscle was contracted all day. Then when I went to lift up that bag of groceries with that one arm in that same bent position, there wouldn’t be any power behind it. Same thing with the pelvic floor. If I’m contracting my pelvic floor all day (due to learned holding patterns, stress, anxiety, faulty breath habits, memories of old traumas or loss, etc), then when I go to contract it to hold back my urine flow, wa-la, I don’t have the power to hold onto those voluntary sphincters and muscles that keep my pee and poo off the floor. Or maybe I’m holding tight all day and then I want to go to the bathroom and I can’t go pee or have a bowel movement because the muscles just won’t release.

So Kegel’s are not necessarily the end all to all pelvic floor issues. There are a whole host of issues to consider, which I won’t get too much into here.

I wanted to present this short post to provide a video of 3 poses/ practices to assist with pelvic floor awareness (#1) and also relaxation, which is key to have first prior to contraction of these muscles.

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I welcome your feedback and if you find this information helpful, please share with your colleagues and your friends. I would love to hear or see how you’re doing at relaxing your nether regions. However, if you’re still having trouble getting rid of the grip,  Contact Tianna to see how she can help you with pelvic floor pain/issues. We’ll work together to help you get to the root of your symptoms and return you to doing the things you love!

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