22/02/2023
Q: How do I train my pelvic floor?
A: Pelvic floor training can be split into two parts, relaxing and strengthening.
Relaxing
Start in a quiet environment, sitting comfortably and practice diaphragmatic breathing. Gently allow your belly and ribs to flare out to the side. As you breathe in, allow your pelvic floor to open and relax, as you breath out let your belly, diaphragm and pelvic floor fall. Repeat this practice with 5 long and gently diaphragmatic breaths.
Inhale for 3 to 5 seconds, hold for 1 second
Exhale for 3-5 seconds, hold for 1 seconds
And repeat gently and slowly.
Strengthening
There are two basic strength practices you can try at home. The first is to hold a contraction while completing diaphragmatic breathing. The second is to practice short quick contractions, this is to help prevent sudden leakage.
When starting, make sure you’re in a comfortable position either seated or lying down. Visualize where the muscles are, this can be done by imagining that you’re trying to stop yourself from passing urine or wind at the same time. Avoid squeezing your thighs, buttocks or tummy as these are a different set of muscles.
The first exercise is a 10 second hold, scooping up the muscles you will start to feel a contraction from the very front of your pelvic floor all the way to the back. Breath out to contract and hold the contraction as you continue to gently breathe in and out. Be kind to yourself, at first you may only be able to hold the contraction for 2-3 seconds, but over time you can increase endurance and aim to hold for 10 seconds. Make sure you completely relax between contractions and rest before repeating the practice.
The second exercise is a set of 10 quick contractions, holding each contraction for approximately 1 second. Continue with gentle breathing and avoid contracting your thighs, buttocks or tummy muscles. Ensure you fully relax the pelvic floor and rest before completing another set of 10. When you start it may be challenging to reach 10 contractions, if that’s the case start with 3 and slowly build up from there.
There are many a**logies to help visualize the pelvic floor contracting, here is one that might help;
‘Imagine you’re on I’m a Celebrity Get Get Me Out of Here’, they have put you on a time trial, in a box full of ants. Now scoop up your pelvic floor and hold to prevent the ants in your pants from going anywhere you don’t want them to go’,
Finding an a**logy that works for you is an ideal start to training your pelvic floor. If you are experiencing problems with your bladder or bowel control, it is important to be properly assessed, as weak pelvic floor is only one of the many causes of incontinence. These types of exercises should become a part of your daily routine as it is recommended they’re practiced two to three times per day. The joy of Pelvic floor exercises is that they are invisible to everyone around you, which means you can complete them anywhere at any time and no one will know. It is good to start sitting or lying down but as you improve you can complete them while standing or walking.