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The Strength Beneath – Pelvic Floor Rehabilitation Unveiled 

The pelvic floor is the groundwork of core strength. When I do events or treat clients, people are always surprised how much is connected to the pelvic floor. We most commonly hear how it is related to sex and that we should do Kegels. 

But let’s review the truth 

A tight pelvic floor is a weak pelvic floor. 

Core strength stems from a dynamic pelvic floor that can relax, contract and bulge 

The Pelvic Floor is responsible for sexual function, bathroom function, force absorption and supporting the body as a whole 

Pelvic Floor Dysfunction affects 1 in 3 women and is often under reported to healthcare providers because issues are things people see as “normal” 

So what is Pelvic Floor Dysfunction? It is described as too much or not enough tension, also known as high tone or low tone, within the pelvic floor muscles. 

The symptoms of Pelvic Floor Dysfunction are: 

  • Leaking pee
  • Having to pee all the time 
  • Not being able to hold in a fart
  • Leaking or not being able to hold in poop 
  • Queefing or air escaping the vaginal 
  • Pelvic pressure 
  • Sharp pain in the pelvic floor that comes and leaves quickly 
  • Feeling like something is in your vagina, or that your partner is hitting something during sex
  • Pain or discomfort with sex 
  • Vaginal Dryness 
  • Constipation or feeling like you have to force poop out 
  • Dripping urine on the toilet seat when you stand up 
  • Feeling like after you poop you can’t wipe yourself all the way clean 
  • Numbness in the core after a c-section 
  • Feeling like you can’t engage your lower ab muscles 
  • Ab separation or a sort of protrusion on the stomach when you do a crunching motion 
  • Low back pain 
  • Sciatica 
  • Hip pain 

All of these symptoms are rooted in the Pelvic Floor! 

I want to share a client story with you: 

Morgan came to see us 6 months ago. She is 3 years postpartum and had a c-section. She was struggling with leaking pee during her workouts and intense low back pain. She thought it was because she had gained some weight during pregnancy and postpartum, but because of the leaking and back pain, it made working out terrible. She had her Discovery Visit and learned that the c-section and pregnancy had really affected her pelvic floor. Because her pelvic floor was extremely tight it limited her ability to contract her pelvic floor to stop the leaking, and it made it so her pelvic floor wasn’t supporting her core or absorbing the force she was exerting during workouts. So all the pressure was being put on her hip and low back. 

By addressing her pelvic floor internally we were able to help her regain her pelvic floor range of motion, eliminate the tightness within those muscles and stop her from leaking. Externally, we treated her c-section scar so that her abdominal muscles could function properly and help support her back. We also released her low back 

Within 3 weeks of coming in 2 times a week she was going on long walks with her family and had started going to the gym 2 times a week without pain. She found relief not just from getting the treatment but from the knowledge she received regarding her condition and her body and that there is a solution and she doesn’t just have to suffer!  


Allison Feldt

Body Motion Physical Therapy

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