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  • Writer's pictureSusan Winograd PT

Tight Pelvic Floor? 4 Common Causes

Updated: Nov 4, 2020

When it comes to pelvic health..... tighter does not always mean better.

For pelvic floor muscles to function optimally there must be a healthy length- tension relationship.

YES ...... Our pelvic floor muscles need to be able to contract, recoil and engage in order to maintain continence and support our pelvic organs.

However, these muscles also need to be able to relax, lengthen, and broaden in order to have healthy bowel, bladder and sexual function. 

The urethra, vagina and rectum all pass through the pelvic floor muscles.

The pelvic floor muscles have to relax in order to have good bowel, bladder and sexual function.

Weak pelvic floor can lead to incontinence, pressure in the perineum, fecal incontinence, inability to hold back gas, sexual dysfunction, hip pain, groin pain and/or back pain and needs to be strengthened.

Tight ( or overactive/ hypertonic) pelvic floor muscles can lead to constipation, incomplete evacuation, leaking, pain with intercourse and/or hip, groin and back pain.

Tight muscles lose range of motion, they become chronically shortened and lose the ability to contract over the full length of the muscle. They need to be lengthened!

A hypertonic muscle = a weak muscle.

For people with an overactive pelvic floor performing kegels is NOT a good idea. These muscles need to be lengthened before they are strengthened in order to support pelvic function efficiently

Keep your pelvic floor healthy !!

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Tight Pelvic Floor ?? 4 Common Causes 

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Check Out these great videos on pelvic health:

The Breath ,The Core and the Pelvic Floor: Part 1

https://www.youtube.com/watch?v=ttmaIVG0Nic&t=52s



The Breath ,The Core and the Pelvic Floor: Part 2

https://www.youtube.com/watch?v=wzX2M9udgMk&t=6s


The Breath, The Core and the Pelvic Floor Part 3

https://www.youtube.com/watch?v=iH3fPc_BhyA


3 Strategies for Better breathing

https://www.youtube.com/watch?v=PlG9ocQ5uY0


Understanding Pelvic Organ Prolapse

https://www.youtube.com/watch?v=zrKPWjYyhxE




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