Reverse Kegel exercises are the opposite of traditional Kegel exercises — instead of contracting and strengthening the pelvic floor, they focus on releasing and lengthening these muscles. While regular Kegels are beneficial for people with a weak pelvic floor, urinary incontinence, or pelvic organ prolapse, they’re not the right exercise for everyone. For those with a tight or overactive pelvic floor, doing more Kegels can actually make symptoms worse. That’s where reverse Kegels come in.
How to Do Reverse Kegel Exercises: Step-by-Step
Reverse kegels are simple to learn but require body awareness and practice. Follow these steps:
- Find a comfortable position. Start lying down on your back with knees bent, or sitting in a chair with feet flat on the floor.
- Take a deep breath in. As you inhale, allow your belly to expand naturally — don’t force it.
- Focus on your pelvic floor. Imagine the muscles between your sit bones and from your pubic bone to your tailbone.
- Let go and release. As you exhale, consciously relax and gently bulge or “open” those muscles downward — like you’re making space. Do not bear down or strain.
- Hold for 3-5 seconds. Then release completely and rest.
- Repeat 10 times. Do 2-3 sets daily for best results.
It can be challenging to connect with a group of muscles that we can’t see from the outside of the body. However, if our brain has a picture or a feeling to connect with it can help to perform the correct movement more easily and more effectively. For example, imagine the feeling you have as you are releasing a bowel movement or starting the flow of urine. This is the feeling of the pelvic floor relaxing and “letting go.”
Tip: If you’re unsure whether you’re doing it correctly, place one hand on your lower belly. You should feel a subtle softening or expansion with each reverse kegel.
Who Benefits from Reverse Kegel Exercises?
Reverse kegels are especially helpful for people with a hypertonic (too tight) pelvic floor. You may benefit if you experience:
- Pelvic pain or pressure
- Pain during intercourse
- Difficulty with penetration (vaginismus)
- Chronic constipation or straining with bowel movements
- Urinary urgency or frequency
- Tailbone pain
- Hip or lower back tension
Note: If you have a weak or hypotonic pelvic floor, traditional kegels may be more appropriate. A pelvic floor physical therapist can assess which exercises are right for you.
Reverse Kegels vs. Regular Kegels: What’s the Difference?
Many people have heard of kegels — exercises that strengthen the pelvic floor by contracting the muscles. Reverse kegels do the opposite: they train the pelvic floor to relax and lengthen.
Both types of exercises are important for a healthy, functional pelvic floor. Think of it like any other muscle group — you need both strength and flexibility. Doing only one type can create an imbalance.
Common Mistakes to Avoid
- Holding your breath. Always breathe naturally throughout the exercise.
- Bearing down too forcefully. This is not a Valsalva maneuver — the movement should be subtle and controlled.
- Tensing your glutes or thighs. Try to isolate the pelvic floor as much as possible.
- Expecting instant results. Like any physical therapy exercise, consistency over several weeks is key.
How Often Should You Do Reverse Kegels?
Start with 10 repetitions, 2-3 times per day. As you become more comfortable with the movement, you can increase to 3 sets of 15. Many people notice improvement in pelvic tension and pain within 4-6 weeks of consistent practice.
When to See a Pelvic Floor Physical Therapist
While reverse kegels can be done at home, working with a trained pelvic floor physical therapist ensures you’re performing them correctly and addressing the root cause of your symptoms. At Pelvicore Rehab & Wellness in Boca Raton, our therapists use hands-on assessment to create a personalized treatment plan tailored to your pelvic floor needs.
If you’re experiencing pelvic pain, discomfort during intimacy, or bladder issues, book a free consultation with our Boca Raton pelvic floor specialists today.
