Let’s Talk About The Pelvic Floor and Pelvic Health

The pelvic floor is a sling of muscles that spans the bottom of the pelvis. These muscles support the bladder, uterus and bowel. Much like other muscle groups in the body, we want the pelvic floor muscles to be strong, flexible and coordinated. 


Your pelvic floor plays an important role in:

  • core control of the back and pelvis
  • support of the internal pelvic organs
  • proper bowel and bladder control
  • sexual health

These muscles can become over-active, under-active, or work in an uncoordinated manner. When this happens over a longer period of time, you may start to experience the impact of these changes in your life.

When you cough, sneeze, jump or carry something heavy, your core and pelvic floor musculature must contract to stabilize and fight the downward pressure on your organs. The pelvic floor muscles have to have the strength, flexibility and coordination to withstand this pressure to prevent any leakage, heaviness or pelvic pain.

Hints that your Pelvic Floor may not be working properly:

• Incontinence

• Urgency that is difficult to manage

• Heaviness/pressure/bulging in the pelvic region

• Pain with intercourse

• Pain with bowel movements

• Stubborn low back or hip pain that isn’t responding to traditional treatment

A Pelvic Health Physiotherapist has specialized training in the assessment and treatment of the pelvic floor. They can perform an internal assessment if needed to give a more detailed perspective. Your assessment helps you understand and develop a treatment plan, which may include pelvic floor exercises, hip and core stability, muscle release techniques, and lifestyle/dietary changes.