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What You Don’t Know About Your Pelvic Floor But Should Know

Discover why your pelvic floor matters and how to keep it healthy for optimal function, preventing common injuries while improving your overall core strength and well-being.

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Published September 14, 2015

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Understanding Core Strength and the Pelvic Floor

The core is often referred to as the foundation of your body’s stability and function. A common analogy describes the core as resembling a cylinder or a can of soft drink. In this analogy, the deep abdominal muscles (transverse abdominis) create the cylindrical walls, the pelvic floor resembles the base of the cylinder, and the diaphragm represents the roof.

While much attention is paid to the transverse abdominis in rehabilitation and fitness programs, the pelvic floor—the muscles at the base of your pelvis—is equally critical to overall core function and health.

What is the Pelvic Floor?

The pelvic floor is a group of muscles and connective tissues that form a supportive “hammock” at the base of your pelvis. These muscles extend from the pubic bone at the front to the tailbone at the back, and from one sitting bone to the other.

The pelvic floor is responsible for several essential functions:

  • Supporting the weight of your pelvic organs (bladder, uterus or prostate, and bowel)
  • Maintaining bladder and bowel control
  • Contributing to sexual function and sensation
  • Providing core stability and supporting the spine
  • Stiffness and soreness in the heel area
  • Helping to regulate intra-abdominal pressure

When Pelvic Floor Problems Occur

Pelvic floor dysfunction can happen at any stage of life, though certain periods carry higher risk:

Pre- and Post-Pregnancy: Pregnancy places significant stress on the pelvic floor as the weight of the growing baby increases pressure on these muscles. During childbirth, these muscles stretch significantly. Recovery after delivery requires rehabilitation.

All Life Stages: Aging, chronic straining (from coughing, constipation, or heavy lifting), hormonal changes, and sedentary lifestyles can all contribute to pelvic floor dysfunction.

Men and women at any age can experience pelvic floor issues, though they often go undiagnosed because people don’t know what to look for.

Common Symptoms of Pelvic Floor Dysfunction

If your pelvic floor muscles are not functioning optimally, you may experience:

  • Urinary incontinence (leaking with coughing, sneezing, or exercise)
  • Difficulty voiding (incomplete emptying of the bladder)
  • Urinary urgency (sudden, strong need to urinate)
  • Fecal incontinence or difficulty with bowel control
  • Pelvic pain or pressure
  • Pain during or after sexual intercourse
  • Feeling of heaviness or bulging in the pelvic area
  • Lower back pain
  • Difficulty with core stability during exercise

These symptoms are more common than you might think, but they’re not something you have to live with.

The Common Misconception: Weakness Isn't the Only Problem

Most people assume pelvic floor dysfunction means the muscles are weak. However, this is only part of the picture. Just as other muscles in your body can become tight and overactive, the pelvic floor muscles can also develop excessive tension or hypertonicity. This means the muscles are chronically tight and unable to relax properly.

Overactive pelvic floor muscles can cause:

  • Pelvic pain
  • Pain with intercourse
  • Difficulty with bowel or bladder function
  • A feeling of pressure or heaviness in the pelvis

The solution for an overactive pelvic floor is very different from treating a weak one. That’s why proper assessment by a specialist is so important—you need to know what you’re dealing with before treatment can be effective.

4 Methods to Keep Your Pelvic Floor Healthy

1. Decrease Sitting Time and Sit on Your Sit Bones

Prolonged sitting puts continuous pressure on your pelvic floor and glutes. Modern lifestyles—desk jobs, car commutes, sedentary evenings—contribute to pelvic floor dysfunction.

Action: Take regular breaks to stand and move. When sitting, focus on sitting on your sit bones (ischial tuberosities) rather than slouching back into your glutes. This position reduces pressure on the pelvic floor and promotes better posture and spinal alignment.

2. Learn Proper Squatting Technique

Squatting is a natural human movement, but many of us have lost the ability to squat properly due to sedentary habits and tight muscles.

Proper squatting engages the pelvic floor correctly and builds functional strength throughout your lower body. Poor squatting technique—like allowing the knees to cave inward or rounding the lower back—can create excessive stress on the pelvic floor.

Action: Work with a physiotherapist or coach to learn proper squat mechanics. Practice daily for functional strength.

3. Get Moving with Balanced Exercise

Exercise is essential for pelvic floor health, but the type matters. High-impact activities without proper pelvic floor control can exacerbate dysfunction.

Balanced exercise should include:

  • Cardiovascular work (walking, cycling, swimming)
  • Strength training with proper core engagement
  • Flexibility and mobility work
  • Pelvic floor-specific exercises

Avoid excessive high-impact activities if you have pelvic floor symptoms until you’ve addressed the underlying issue.

4. Fix Your Posture

Your posture directly affects pelvic floor function. Poor posture—forward head position, rounded shoulders, excessive spinal curve—changes the position of your pelvis and creates unnecessary strain on pelvic floor muscles.

Action: Assess your posture throughout the day. Focus on standing tall with shoulders back, ribs stacked over pelvis, and neutral spine alignment. Consider working with a physiotherapist on postural correction exercises.

Ready to Improve Your Pelvic Floor?

If you’re experiencing any of the symptoms mentioned above, or if you simply want to optimize your pelvic floor function, a specialist can help. Our physiotherapists at Peak Sports & Spine Centre specialize in pelvic floor assessment and treatment. We can:

  • Assess your pelvic floor strength and tension
  • Identify whether you need strengthening, relaxation, or both
  • Teach you proper exercise technique and lifestyle modifications
  • Provide personalized rehabilitation strategies
  • Monitor your progress and adjust your program as needed

Take Action Today

Your pelvic floor health affects your quality of life—from daily comfort to athletic performance to intimacy. Don’t ignore symptoms or assume they’ll resolve on their own. Request an appointment with one of our physiotherapists today and take the first step toward better pelvic floor health and overall wellness. Our team at Peak Sports & Spine Centre has the expertise to assess your pelvic floor, identify the root cause of your symptoms, and guide you toward lasting improvement.

Take the first step toward better pelvic floor health.

Frequently Asked Questions

Can pelvic floor problems affect men too?

Yes. While pelvic floor dysfunction is often associated with women, men can experience these issues too—particularly after prostate surgery or due to chronic straining. Men may experience symptoms like urinary hesitancy, urgency, or lower pelvic pain.

Can I treat pelvic floor issues on my own?

While some lifestyle modifications help, professional assessment is important. A physiotherapist can determine whether your pelvic floor needs strengthening or relaxation—doing the wrong exercises can make things worse.

How long does it take to see improvement?

Recovery timelines vary depending on the severity and type of dysfunction. Most people see improvement within 4-8 weeks of consistent, properly guided exercise. More complex cases may require longer treatment.

Is pelvic floor therapy only for women?

No. Pelvic floor dysfunction affects both men and women across all ages. Our therapists work with all clients on assessment and rehabilitation.

What if my symptoms are severe?

Severe symptoms warrant professional evaluation. Don’t wait—contact us to schedule an assessment. Treatment is most effective when started early.

Can I do pelvic floor exercises during pregnancy?

Yes. Appropriate pelvic floor exercises during pregnancy can help prepare for childbirth and reduce postpartum recovery time. Always work with a pregnancy-specialized physiotherapist for guidance.

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