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Navigating Pelvic Floor Tightness

Updated: Dec 7, 2023

As a pelvic floor and orthopedic physical therapist, I have had the privilege of working closely with individuals who face a range of pelvic floor challenges. One common issue that many individuals encounter is pelvic floor tightness. In this blog post, we'll delve into the world of pelvic floor tightness, exploring its causes, symptoms, and effective strategies for managing and finding relief.

pelvic floor tightness treatment


The pelvic floor is a group of muscles that plays a crucial role in supporting the organs within the pelvis, maintaining continence and sexual functions. Pelvic floor tightness, also known as hypertonicity, occurs when these muscles become overly tense and contracted. The pelvic floor is like any tense muscle in our body. While the pelvic floor is designed to have varying levels of muscle tone, excessive tightness can lead to a host of uncomfortable and sometimes debilitating symptoms.


Several factors can contribute to pelvic floor tightness, including:

  1. Stress and Anxiety: Emotional stress and anxiety can lead to muscle tension, and the pelvic floor is often an area of the body that responds to stress.

  2. High-Impact Activities: Repetitive high-impact activities such as running, HIIT or heavy lifting can cause pelvic floor muscles to become tight.

  3. Poor Posture: Incorrect sitting or standing postures can lead to muscle imbalances, including pelvic floor tension.

  4. Previous Trauma or Surgery: Trauma or surgery in the pelvic region can result in increased muscle tension as a protective mechanism.

  5. Chronic Constipation: Straining during bowel movements can contribute to pelvic floor muscle tightness.

  6. Pregnancy: The demand of our pelvic floor increases during pregnancy due to the weight of the baby putting pressure down. This can lead to overworking muscles creating tension in postpartum.


Pelvic floor tightness can manifest in various ways, such as:

  • Pain: Unexplained pelvic, genital, or rectal pain.

  • Discomfort: A feeling of pressure or fullness in the pelvic region.

  • Urinary Symptoms: Frequent urination, urgency, or difficulty emptying the bladder.

  • Sexual Dysfunction: Pain during intercourse (dyspareunia) or difficulty achieving orgasm.

  • Bowel/Bladder Issues: Leaking, constipation, straining, or incomplete bowel movements.


As a pelvic floor physical therapist, my goal is to provide comprehensive support and strategies to manage pelvic floor tightness with the ultimate goal of you managing your symptoms on your own.

  1. Pelvic Floor Exercises: Tailored exercises can help improve muscle coordination, balance, and relaxation.

  2. Manual Therapy: Techniques like myofascial release and trigger point therapy can release muscle tension. This can be performed externally or internally.

  3. Breathing and Relaxation: Teaching proper breathing techniques and relaxation exercises to ease muscle tension.

  4. Posture Correction: Providing guidance on maintaining optimal postures to prevent additional tension.

  5. Behavioral Modifications: Addressing lifestyle factors like stress and high-impact activities that contribute to tightness.

Pelvic floor tightness is a common concern that can significantly impact an individual's quality of life. As a pelvic floor physical therapist, I am dedicated to helping individuals overcome pelvic floor challenges and find relief. If you're experiencing symptoms of pelvic floor tightness, seeking professional guidance can empower you to take control of your well-being, improve your comfort, and regain a sense of balance and confidence in your body. Remember, you're not alone on this journey, and there are effective strategies to support your pelvic floor health.

Reach out today and schedule a free consult at 615-982-4062 or email

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