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Writer's pictureCinzia Stavrevski

Pelvic Floor Pilates: Strengthening and Restoring Through Movement

If you can't sneeze, laugh, or cough without leaking a little urine, you're not alone. Pelvic floor problems are common and can happen to anyone, men and women.

 


Pilates-based pelvic floor exercises are a key part of rehabilitation for a range of conditions affecting the pelvic floor. Because weakness or dysfunction of the pelvic floor can lead to issues like urinary incontinence, pelvic pain, and prolapse, these exercises can significantly improve your quality of life.



Lady stretching on pilates reformer

 

Understanding The Pelvic Floor

Before we dive into the benefits of Pilates, let's understand the pelvic floor's function. It's a group of muscles at the base of your pelvis that support your bladder, uterus, and rectum. Think of them as a sling that holds everything in place and helps you control your bladder and bowels.

 

Pregnancy, childbirth, aging, and high-impact activities can weaken these muscles. This is where Pilates comes in! It’s a gentle and effective form of exercise that can retrain the pelvic sling and improve function throughout daily activities.

 


Pelvic Floor Dysfunction and Pilates

Pelvic floor dysfunction covers a range of conditions, including:

  • Urinary incontinence: Leaking urine when you sneeze, cough, or exercise.

  • Pelvic organ prolapse: When pelvic organs descend into the vagina.

  • Pelvic pain: Pain in the pelvic region.

 

These conditions can make it difficult to live day-to-day life normally, affecting social interactions and even work. 

 

Pilates can be incredibly beneficial for these conditions. It focuses on gentle, controlled movements that strengthen your core and pelvic floor. This can help improve bladder control, reduce the risk of prolapse, and relieve pelvic pain.

 

The mindful engagement of the pelvic floor muscles during specific movements can train these muscles to activate at the right time, reducing instances of leakage. Additionally, the improved core strength and stability gained through Pilates can provide support to the pelvic organs, reducing the risk of prolapse.

Pilates can also be effective in relieving pelvic pain caused by muscle tension or trigger points. By incorporating stretches and relaxation techniques into the routine, Pilates helps release tension in the pelvic floor muscles, promoting relaxation and alleviating discomfort.

 

 

The Role of Pilates in Physical Therapy

Physical therapists often use Pilates to help manage pelvic floor dysfunction. To effectively manage the condition, physical therapy focuses on the assessment, diagnosis, and treatment, including addressing the symptoms, understanding the medical history, and viewing the person holistically. Physical therapists utilise a variety of treatment techniques, including manual therapy, therapeutic exercises, and modalities, to address specific needs.  

 

Pilates complements physical therapy goals by:

  • Promoting stability

  • Improving postural alignment

  • Enhancing overall movement

 

Pilates can provide significant benefits to people undergoing rehabilitation of the pelvic floor or those seeking to improve overall physical well-being.

 


Pelvic Floor Exercises in Pilates

Pilates focuses on core strength, flexibility, and overall body alignment. These principles can be applied to treat the pelvic floor, as many Pilates exercises inherently engage the pelvic floor muscles, making it an ideal form of exercise to target this area. By combining breath control, precise movements, and mindful awareness, Pilates can effectively assist in strengthening and restoring the pelvic floor.

 


Types Of Pilates

Reformer Pilates

There are several types of Pilates that have developed over time, each with its own variations and focuses.


The following are some of the most popular types of Pilates:


  • Classical Pilates: Also known as traditional Pilates, this is the original method developed by Joseph Pilates in the early 20th century. It follows the specific exercises and principles created by Pilates himself. Classical Pilates emphasises precision, control, and flowing movements. 

  • Contemporary Pilates: This is a modernised version of Pilates that incorporates elements from other fitness disciplines and incorporates more variations and modifications. Contemporary Pilates often focuses on functional movement patterns and individualised adaptations to suit different body types and abilities.

  • Clinical Pilates: Clinical Pilates is a modified version of Pilates used in rehabilitation settings, guided by a Clinical Pilates Instructor. It focuses on addressing specific injuries or conditions. Clinical Pilates can be performed on a mat or with equipment, such as the reformer or Pilates ring. The equipment adds resistance, assistance, and stability, allowing for a more targeted and challenging workout. 

 


The Benefits of Pilates For Pelvic Floor Strengthening

  • Improves overall core strength, including your pelvic floor muscles.

  • Improves posture and body awareness.

 

By targeting the deep abdominal muscles, such as the transverse abdominis, Pilates helps stabilize the pelvis, reducing the risk of pelvic floor dysfunction. Regular Pilates practice also improves posture, alignment, and body awareness, which can prevent unnecessary strain on the pelvic floor muscles.

 


Is Pilates Good for the Pelvic Floor?

Yes! Pilates is generally considered good for the pelvic floor. The controlled and low-impact nature of Pilates exercises makes it suitable for individuals of various fitness levels, including those with pelvic floor issues.

 

However, it's essential to work with a qualified Pilates instructor who has knowledge and experience in addressing pelvic floor concerns. They can provide guidance on modifying exercises and ensuring proper alignment and technique to prevent any additional strain on the pelvic floor.

 


Incorporating Pelvic Floor Pilates into Your Exercise Routine

For those interested in incorporating Pelvic Floor Pilates into their fitness routine, here are some key considerations:

  • Seek professional guidance: Consult with a certified Clinical Pilates instructor who specialises in pelvic floor exercises. This is important to assess each persons individual needs and prescribe the exercises that specifically target the pelvic floor muscles.

  • Gradual progression: It’s a good idea to start with basic Pilates exercises that emphasise core engagement and gradually progress to more advanced movements. Always listen to the signals from the body and not push beyond safe limits, especially for those with existing pelvic floor issues. Ask for help or direction from your instructor as needed.

  • Consistency: Like any form of exercise, consistency is key. Aim for regular Pilates sessions to maximise the benefits to the pelvic floor.

 

Move Better with Cinzia

If you're ready to strengthen your pelvic floor and improve your quality of life, contact Move Better with Cinzia today. I offer specialised Pilates programs designed to address pelvic floor dysfunction and help you achieve your wellness goals.

 

Resources:

  • Pelvic floor exercises you can do at home, for everyone, from Healthline.




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