The pelvic floor muscles are key players in supporting bladder, bowel, and uterine health. Making them crucial for not just their health but functionality in many different facets.
But here's something incredibly important to remember whether or not a muscle is tight or laxed it is still in a state of weakness. Whether it is that the muscle is incapable of fully contracting or fully relaxing it is not reaching its full range of motion and therefore unable to access its full capacity for Balance and Health. So either excessively tight muscles or excessively relaxed muscles this can lead to discomfort, misalignment, instability, poor balance, poor posture and even pain and further dysfunction.
Let's start to get familiar with our pelvic floor and see if we can tune into if they're experiencing weakness from excessive tension, laxity or some sort of combination.
Indicators of a tight pelvic floor
If these muscles are tight it might have the sensation of a constant grip or clench which could lead to additional symptoms such as
Pelvic pain or discomfort that can go into the lower back
Difficulty in relaxation creating challenges with fully eliminating your bladder or bowel
Pain with penetrative sex tight muscles around the vaginal opening and vaginal canal can create a lot of discomfort when attempting penetration in extreme cases this could lead to something called vaginismus where penetration is not even possible
Frequent urination and urgency with urination even though it seems that the bladder does not get rid of a lot of fluids when in the bathroom
Muscle cramping or even spasms in the pelvis, have you ever had a charlie horse just imagine that in the vagina - agony
Stress incontinence and minor urine leakage under coughing or sneezing could also be an indicator of laxed pelvic floor muscles however, it can also be with the muscles being too tight when the muscles are too tight they are not allowing for that Dynamic movement and adaptability for pressure within the inner abdominal cavity. When there's too much pressure in this area it needs to find some way to release and this will go for the weakest point which could be at the urethral opening or where pee comes out of causing a slight leakage when coughing or sneezing
Vindication of laxity in the pelvic floor muscle
When the muscles of the pelvic floor are laxed and overstretched they're no longer capable of fully supporting the pelvic organs and the structures of the pelvis this could lead to
Incontinence difficulty in controlling and preventing the leakage of urine or even stool
Pelvic organ prolapse which often feels like a heaviness within the pelvis this is when the organs of the pelvis are displaced and start to drop down because they are not properly held and supported within the body
Lower back pain and weakness
Getting to know your pelvic floor
A lot of the symptoms can be interchangeable low back pain can be from the muscle being too tight and clenching or from it being two laxed and unsupportive so how do we assess for tension or laxity?
You can always go see a pelvic floor physical therapist or a healthcare provider to ask them to help with this assessment but if you want to start to get to know this part of your body and become more familiar with your own Anatomy there are some simple assessments you can play with to get started.
Step one start to become aware of and connect with this muscle group.
The pelvic floor is located at the base of our pelvis so this is going to be between our sitting bones and between the pubis bone and the tailbone. In women externally this is that entire vulvar space.
These are the muscles we engage when we want to stop ourselves from peeing or passing gas and the muscles that we allow to relax when we are okay with that happening.
In a relaxed position try to just breathe into this space and notice if you can notice the sensations there. Can you feel the movement of your breath into your pelvic floor? If we are breathing diaphragmatically and optimally for our body we should be able to feel it there but it might take a few rounds of breath to tune in.
Once we have started to connect with this space notice if it feels tense or like it's clenching, familiarize yourself with what it feels like to be tense or clenching in other parts of your body to make a reference.
If while breathing you're able to feel a nice range of motion within this part of your body this indicates a healthy Dynamic pelvic floor if you feel that there is resistance to your inhalation that could be excessive tension in your pelvic floor.
Next, you can start playing with actually activating this muscle group, see if you can fully clench your pelvic floor as if you are trying to stop yourself from peeing or passing gas can you take a full contraction and what does it feel like? Afterward, can you let yourself completely relax and what does that feel like?
If during the contraction you feel any pain or only a small movement this could be due to excess tension if during the relaxation part you find it difficult to relax and there's not a lot of movement this would indicate excessive tension.
If when trying to contract these areas it feels weak, this may indicate a LAX pelvic floor.
Next, try an endurance hold try clenching these muscles and hold for 30 to no more than 60 seconds. If it feels like it's starting to get crampy and spasm this may indicate excessive tension. If it starts to feel fatigued and tired and your glute muscles get sore this is going to indicate LAX to muscles.
Next, you can start to invite some gentle movement into the pelvis, this can be done either seated or lying on your back with your knees up and feet flat.
Pelvic tilts rocking your pelvis forward and back with your breath noticing if there are any restrictions in the movement any clenching or holding even if that is more specific to the left or right side
Pelvic circles start trying circles with your pelvis almost like you're trying to draw a circle with the tailbone go in both directions and notice how that feels if you're able to let your pelvic floor relax fully on your inhale ideally spilling the pelvis forward and how it feels as you gently contract on the exhale
All these assessments and movements are geared to help create a better connection between you and your pelvic floor. The better relationship we have with our body the more we are aware when things are out of balance and potentially progressively getting worse.
Many things with our muscles we can breathe through and bring back to balance with intentional movement and practices however there are times where medical intervention is needed.
If you are experiencing persistent pain, limitations, and movement or challenges with continents it might be valuable to seek a pelvic floor professional to support you in your assessment and approach to bringing back balance.
That may look like working with a pelvic floor physical therapist or even joining us for some private yoga therapy sessions.
Working one-on-one with someone who can help either do an assessment on you or guide you through deeper assessment tools can truly help you understand what's going on in your own body. And once that assessment comes to its conclusions the best course of action is to bring back balance.
Connecting with our body and understanding what is going on will only strengthen our ability to take care of ourselves. Understanding that weakness is not just overstretching and lack of muscle but excessive tension, too, is a type of weakness will help us understand and approach pelvic health in a much more comprehensive and supportive way.