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Showing posts with the label hypertonic

The Problem with Kegels

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"Kegel" is the term used in North America for a pelvic floor contraction, named after gynaecologist Dr. Arnold Kegel (I hadn't heard the term before I moved to Canada!) and they are often taught (world-wide) as a strengthening exercise pre and post natally, or for anybody who has a pelvic floor-related problem.  Performing isolated “ Kegels ” (pelvic floor contractions) can be helpful in the short term, especially early postpartum (eg. within the first 48hrs) to improve the control and awareness of the muscle. However, when performed by already hypertonic muscles, Kegels can lead to an even tighter pelvic floor and cause more serious problems to occur throughout the body. Most people with pelvic floor issues are not simply suffering from muscle weakness, but rather from a  tightness  or  shortening  of the pelvic floor muscles (See  Too Long, Too Short or Just Right?  for more info) .  Most often, the muscles need to be relea...

Too short, too long or just right?

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I realise that I've been going on and on about shortened pelvic floor muscles, but what are they really?  Muscles have a very specific length that allows them to function optimally according to a length-tension (strength) relationship.  Length-Tension Relationship* This demonstrates that a muscle that is too short or too long has a decreased ability to contract compared to when it is within it's ideal range. A tight muscle is not necessarily a strong muscle, instead it is unable to function and respond appropriately to required demands because it is never able to contract through its full range.  Shortened pelvic floor muscles can manifest in many different ways: Stress urinary incontinence - leaking with cough/sneezing, laughing, running and jumping Pelvic pain - tailbone , pubic bone, SIJ or lower back pain Pain with sex Decreased sensation or difficulty achieving orgasm with sex Constipation Higher risk of perineal tearing with a vagina...