5 Things I Wish All Women Knew About Their Pelvic Floor

As a women’s health physiotherapist, I am a massive advocate for pelvic health. Regular pelvic floor assessments can help improve quality of life, confidence, and overall health as women progress through the stages of womanhood. Here are five things I wish all women knew about their pelvic floor.

But first, what is the pelvic floor?

The pelvic floor muscles are often overlooked but play a vital role in supporting your bladder, bowel, and uterus in women. They act like a strong foundation, keeping everything in place and functioning properly. These muscles are necessary for maintaining control over your bathroom visits, providing support to your organs, and contributing to your core strength. When they are functioning well, you won’t even be aware of them. However, if they become weak or strained, they can lead to issues such as leaks or back discomfort.

Here are five things I want you to know about your pelvic floor muscles …

1. Your Pelvic Floor Doesn’t Work Alone

The deep lower core is made up of several important muscles that work together to support our body. It includes the diaphragm, which helps us breathe, the transverse abdominis, the multifidi, and the pelvic floor. These muscles form a cylindrical shape, with the diaphragm at the top, the pelvic floor at the bottom, the transverse abdominis wrapping around the sides and front, and the multifidi supporting the back. By effectively utilising this system, we can achieve stability in our body. Think of the deep lower core as the base that allows our outer system (arms, legs, head) to move efficiently. A strong foundation enables greater mobility. The pelvic floor is especially important as it supports our posture and even the weight of our head. When our posture is correct, the pelvic floor and diaphragm are aligned with each other. Having proper posture means your pelvic floor and diaphragm are aligned, with the diaphragm directly above the pelvic floor and your head above the diaphragm. It is important to consider the function of the pelvic floor and how it relates to the rest of the body in order to achieve ideal posture.

2. Losing Control Of Your Bladder Isn’t Normal

We are often led to believe that as we grow older, it is natural to lose control of our bladder and bowels. We are told that due to childbirth, we may experience leaks when jumping, laughing, coughing, or sneezing. Some women are told that sex can be painful and that they should find a way to enjoy it more!

There are products and surgeries available to assist us, and this is considered the best option. However, this is not the case. When dealing with weakness or tightness in the ankle, surgery is rarely the initial solution (though it may be necessary in some cases). The pelvic floor should be treated in a similar way. While these issues are common in our society, they are not normal, and there is no need to simply accept them!

Working with a women’s health physiotherapist and attending a pelvic floor assessment will help you overcome these problems and start living life without worrying about leakages. 

3. The Common Symptoms Of Pelvic Floor Dysfunction

Some signs of pelvic floor dysfunction include:

  • Urinary leakage when coughing, sneezing, laughing, or exercising
  • Difficulty reaching the toilet in time
  • Passing gas from the anus or vagina when bending over or lifting
  • Decreased feeling in the vagina
  • Tampons slipping out or falling out
  • A noticeable protrusion at the vaginal opening
  • Feeling of heaviness in the vagina
  • Heaviness or pressure in the pelvis or lower back
  • Repeated urinary tract infections or yeast infections
  • Pain in the vulva, painful intercourse, or inability to climax

4. The Postpartum Period Is An Ideal Time To Prioritise Your Pelvic Floor Health

The period after giving birth, known as the “fourth trimester,” is a good time to discuss any changes you may be experiencing in your pelvic muscles with a women’s health physiotherapist or gynaecologist. It is crucial to remember that your pelvic floor health plays a significant role in your overall well-being. By working closely with a women’s health physiotherapist, you can ensure that your pelvic floor receives the care and attention it needs. During this time, you may be experiencing issues such as pelvic pain, incontinence, or pelvic organ prolapse.

These symptoms are common after childbirth but should not be ignored. A women’s health physiotherapist can help you strengthen your pelvic floor muscles through exercises and techniques that are specific to your needs.

It is important to address these issues sooner rather than later to prevent them from becoming more serious or affecting your quality of life. By seeking help from a women’s health physiotherapist, you can receive the support and guidance you need to improve your pelvic floor health and overall well-being.

5. It Doesn’t Have To Be This Way – You Can Improve Your Pelvic Floor Function

The most important thing I want you to know!  If you are struggling with any of the symptoms mentioned earlier, know that you don’t have to accept them as a part of your everyday life. Take charge, and don’t settle for living with discomfort. One of the most rewarding aspects of addressing these issues is realising the power you have to build a strong connection with this part of your body. It goes beyond just physical strength; it plays a significant role in our overall well-being – both physically and emotionally. Let’s work towards a healthier, happier you!

Book A Pelvic Floor Assessment With The Mum Physio

Wondering what to do next? Go on a quest to find a pelvic health physical therapist or a women’s health physical therapist. Don’t hesitate to contact me if you need assistance in finding one. Additionally, don’t be afraid to discuss this with your friends, family, and doctor. Communication is key when it comes to pelvic health, and it’s crucial that we all have the knowledge and awareness about it. Let’s talk about it!

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Sophie Newburn
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I saw Rebecca when I was 12w pregnant and again 7w postpartum. Training in CrossFit and running was a huge part of my life pre-pregnancy. It was important to me to get through pregnancy safely, but also in a way that allowed me to get back to my training. I’d heard so many horrible stories of postpartum issues and really wanted to put myself in the best position. Rebecca gave me all the information I needed to look after my pelvic floor and core. The assessment appointments are so thorough and cover EVERYTHING you could think of. Including things that women are sometimes too embarrassed to talk about. I am now 7w postpartum and able to go back to training. I am so grateful for the advice and reassurance. Rebecca is SO knowledgable and I left my postpartum appointment feeling super positive and confident. I’d recommend these appointments to anyone, especially fellow fitness lovers.
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Stacey Price
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Rebecca, Has been amazing she help me understand my condition. The only person that’s really helped me answer any questions to ease my mind and knows more about my condition then any doctor I’ve been to xxx
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Melanie Charmer
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Mummy MOT - worth every penny. Rebecca gave me a personalised plan for my diastasis recti post birth and I also had scar massage done. I’m now 4 months postpartum continuing targeted exercises and able to return to the gym comfortably without worrying. My scar also looks and feels miles better - Thank you Rebecca!!
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Connah price
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Wow what can I say The mum physio is the best place to go. I first went to my GP who wanted me to wait 3-6 months before referring me for any physio. I knew I couldn’t wait that long with the pain I was suffering. I suffered during pregnancy which midwife’s would just say “it’s babies position it will pass”. I was fed up with the pain so I googled and found the mum physio, straight away booked in with Rebecca for a mummy MOT and at my first appointment my pain improved with my lower back. I was reassured that things will improve and was given the best advice possible. Rebecca also emailed me the advice which was super helpful. I have felt so welcome and at ease during my appointments. Rebecca always kept me smiling and laughing when I needed to shed some tears. She would listen to anything I wanted to talk about and I can’t thank her enough, her compassion, knowledge and expertise is beyond words. After four sessions with Rebecca for my episiotomy scar and two with Christine for a deep tissue massage I am now feeling back to myself physically and mentally. Until baby number two, I will see you again Rebecca, xx
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Charlotte Logue
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I'm so glad I found The mum physio. I was in a lot of pain for a really long time, I couldn't really move well at all. The first thing we did was work towards closing the stomach gap and then went onto deep tissue massage plus scar therapy. My stomach gap has closed and I feel like I've been let out of a straight jacket! I can move and I don't suffer from the pain anymore! I'm so thankful to the girls at The Mum Physio, you've changed my life!! Thank you so much :) would absolutely recommend to other mums who are suffering with the same thing.
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Laura Selby
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I wanted to say a huge thank you to Rebecca at TheMumPhysio. I have been struggling for a while with lower back pain and other symptoms. I had been to the GP who referred me to MSK treatment but I knew my issues were related more to my nervous system. Rebecca was kind , patient and understanding. It felt so good to know that the symptoms were real and not just in my head. Thank you for showing me so much time and compassion. I loved our chats and geeking out about the Polyvagal theory, podcasts we both enjoy and so much more! I saw improvements very quickly using breathing exercises along with pelvic floor work. The c section massages are out of this world and I feel much less tense in my tummy and pelvic floor.
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Megan Greening
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I had my first deep tissue massage with Christine and WOW. I could not recommend enough, the experience from start to finish left me feeling so zen. I have been struggling with upper back and neck pain for weeks now and since the massage my pain has completely subsided. Christine was so knowledgeable, we started off with a consultation before the massage and from that she was able to identify what could be causing the pain and gave me tips on how to fix it. Best money I have ever spent and can't wait to be back in a few weeks!
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Kornelia Raczkowska
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I found the service amazing! Rebecca has done wonders and not just for my physical health but mental health too! There were many times where I wanted to cry and she was my personal therapist! Couldn’t thank her enough! I really struggled with episiotomy scarring and waited over a year for gyno appointment which was then a horrendous experience but Rebecca was amazing and supported me through it! I feel like I have my life back together again! Xx
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Rachel Perry
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I have now been to The Mum Physio twice - with Christine. I would highly recommend this to any pregnant ladies, the pregnancy massage relieved so much tension in my body and really helped me relax (even at 37 weeks pregnant). You are made to feel very welcome, relaxed and comfortable throughout. Thank you Christine!
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Alison Joyce
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Rebecca has been amazing - I have learnt so much from her. She makes you feel so comfortable and confident discussing your personal symptoms - it’s been a journey but I am getting there with her help. I wouldn’t hesitate contacting Themumphysio to see what they can do for you.
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