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The Pelvic Floor: Why Athletes Should Pay Attention During and After Pregnancy

Picture of Written by <bs> Dr. Megan Jensen, PT, DPT

Written by Dr. Megan Jensen, PT, DPT

The Pelvic Floor Why Athletes Should Pay Attention During and After Pregnancy
 
Pregnancy and childbirth are incredible experiences, but they can also put the body through significant changes and stresses. For athletes, these changes aren’t just a matter of dealing with a new routine; they can impact performance, recovery, and overall well-being. One crucial yet often overlooked aspect of this transition is the pelvic floor.
 

Understanding the Pelvic Floor

The pelvic floor consists of a group of muscles and connective tissues at the bottom of the pelvis. It supports the bladder, uterus, and intestines, plays a role in sexual function, and aids in core stability. For athletes, maintaining a strong and functional pelvic floor is essential not just for daily comfort but also for optimizing performance and preventing injuries.
 

The Impact of Pregnancy on the Pelvic Floor  

During pregnancy, the pelvic floor undergoes significant changes. The growing uterus puts pressure on the pelvic organs, significantly increasing the pressure on the pelvic floor muscles. Hormonal changes also contribute to the relaxation of connective tissues, further impacting muscle strength and support.
 
For athletes, these changes can manifest in various ways:
  • Increased Urinary Leakage: Stress incontinence, or leakage during activities like running or jumping, is a common issue.
  • Pelvic Pain: Discomfort or pain in the pelvic region can affect movement and performance.
  • Core Stability Challenges: A weakened pelvic floor can compromise core stability, impacting overall strength and athletic performance.

Postpartum Recovery and the Pelvic Floor

Postpartum recovery involves addressing both the physical and emotional challenges of caring for a newborn. For athletes, a focus on pelvic floor recovery is critical:
  • Diastasis Recti: The distance between the recti muscles of the stomach will increase throughout pregnancy. It’s important to return to core strengthening postpartum.
  • Pelvic Floor Rehabilitation: Exercises aimed at strengthening the pelvic floor can help alleviate symptoms like incontinence and pelvic pain. These may include Kegel exercises, which involve contracting and relaxing the pelvic floor muscles.

Returning to Sport: A Gradual Approach

Athletes need to approach their return to sport with a strategy that takes their pelvic floor health into account. Here are a few tips for an effective return to training:
1. Start with Core and Pelvic Floor Exercises: Before diving back into high-impact activities, focus on rebuilding strength in the pelvic floor and core muscles. Exercises like pelvic tilts, bridges, and deep abdominal breathing can be beneficial.
2. Seek Professional Guidance: Working with a physical therapist who specializes in pelvic floor health can provide personalized advice and exercises tailored to your needs. Dr. Megan and Dr. Katie at RecoverRx Physical Therapy are here to help!
3. Listen to Your Body: Pay attention to any signs of discomfort or pain during and after exercise. It’s important to address these issues early to prevent long-term problems.
4. Gradual Progression: Ease back into your sport with low-impact activities before progressing to more intense exercises. This approach helps your body adapt and reduces the risk of injury.
5. Incorporate Rest and Recovery: Ensure that you give yourself adequate time to recover between workouts. Your body, including your pelvic floor, needs time to adapt and strengthen.

Long-Term Pelvic Floor Health

Maintaining pelvic floor health is a lifelong commitment, especially for athletes. Incorporating pelvic floor exercises into your regular routine, even after you’ve returned to peak performance, can help sustain your overall well-being and athletic prowess. 
By prioritizing pelvic floor health during and after pregnancy, athletes can enhance their recovery, improve their performance, and enjoy a healthier, more balanced life. Embracing a proactive approach to pelvic floor care is not just about addressing immediate concerns but also about supporting long-term physical health and athletic success.
To learn more about the best exercises for the pelvic floor, connect with us at Recover RX Physical Therapy. We offer pelvic health physical therapy in Oakbrook Terrace. Visit our website to learn more about our services and how we can help strengthen your pelvic floor before pregnancy, during pregnancy or postpartum.
author avatar
Luas Greenwell

AUTHORS

Dr. Luke Greenwell, Dr. Sarah Greenwell, Dr. David Bokermann, Dr. Katie Hillen, Penelope Reyes, B.A, M.S., and Dr. Megan Jensen are Performance Based Physical Therapists with extensive backgrounds in optimizing movement, performance, & recovery.

RecoverRx

We help Athletes and Active Adults Recover from Pain and Injury, Rebuild Functional Movement Patterns, and Redefine their Future Performance,  for a Return to the Sports and Activities they Love

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