Why kegels aren’t for everyone!

MIchelle DeMarchiBlog0 Comments

The pelvic floor muscles are a group of muscles situated from your tailbone to your pubic bone and attach to the sides of your pelvic bones.  They are described as a hammock or bottom of a basket that support your abdominal contents, stabilize the boney pelvis, maintain urinary and fecal continence and contribute to orgasm.  If these muscles are too tight they can contribute to:

  • painful intercourse, orgasm, or sexual stimulation
  • constipation, painful bowel movements or straining for bowel movements
  • urinary urgency and frequency, hesitancy, stopping and starting of the urine stream, painful urination, or incomplete emptying
  • unexplained low back pain, hip pain or pelvic pain

Pelvic floor physiotherapists specialize in hands-on manual techniques to assess and treat internal and external muscles of the pelvis.  We will assess your ability to contract (kegal) and relax (reverse kegal) these muscles and feel for trigger points (tight bands) in the muscles.  If the muscles are hypertonic (too much tension) we manually release the muscles to create an optimal length-tension in the muscles.  We also develop strategies for you to maintain the optimal level of tension in the muscles.  Below are some of our tips to consider:

  • Avoid pushing or straining when urinating
  • Practice regular deep breathing into your diaphragm
  • Warm baths can aid in relaxing the pelvic floor muscles
  • Avoid slouching or over-arching your low back when sitting
  • Practice a regular stretching routine to reduce tension in your low back, hips and pelvis
  • Aim to reduce stressors in your life

We recommend booking in with a pelvic health physiotherapist to have your specific situation assessed and treated.  If you are uncomfortable with internal assessment, we are able to assess and work on external connective tissue that may also be contributing to your issues.  We look forward to helping you!

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