Pelvic floor pain after exercising: why is this happening?

pelvic-pain-after-exercising

Hey there, fitness enthusiast! Ever finished a workout feeling great, only to be hit with unexpected pelvic pain later? You are not the only one in this situation. Many people experience discomfort down there after exercising, and it can be frustrating and confusing. Whether you're dealing with a dull ache, sharp twinges, or persistent soreness, pelvic pain after working out is more common than you might think. In this article, we'll dive into the causes, symptoms, and solutions for post-exercise pelvic floor issues. We'll also explore ways to strengthen your core and pelvic muscles without overdoing it, so you can keep crushing those workouts pain-free. Let's get to the bottom of this!

What causes pelvic pain after exercise?

Experiencing pelvic pain after working out can be frustrating and concerning. Several factors can contribute to this discomfort, ranging from muscle strain to underlying health conditions.

Muscle overexertion and strain

One common cause of pelvic pain after exercise is overexertion of the pelvic floor muscles. Certain exercises, especially core-strengthening activities like Pilates or sit-ups (1), can exacerbate pelvic muscle pain. This type of discomfort may feel like a persistent cramp or even cause sharp, shooting pain. If your pelvic floor is weak and you engage in high-level strength training, the pelvic floor muscles may not be strong enough to keep up with intensity, potentially leading to pain and soreness after your workout. 

Underlying health conditions

Sometimes, pelvic pain after exercise can be a sign of an underlying issue. Conditions (2) such as endometriosis, ovarian cysts, or pelvic inflammatory disease can cause pain that worsens with physical activity. Additionally, digestive problems like irritable bowel syndrome or urinary tract infections may contribute to pelvic discomfort during or after exercise.

Improper form or technique

Using incorrect form during workouts can lead to pelvic pain. Overexertion or improper engagement of the pelvic floor muscles, particularly when doing Kegel exercises, can cause discomfort. It's crucial to learn how to strengthen pelvic floor muscles without Kegels if you're experiencing pain.

If you're dealing with persistent pelvic pain after exercise, it's important to consult a healthcare provider. They can help identify the underlying cause and recommend appropriate treatment options to alleviate your discomfort and improve your overall pelvic health.

Which exercises should you avoid if you have pelvic pain?

When dealing with pelvic pain after exercise, it's crucial to be mindful of activities that may exacerbate your condition. High-impact exercises can put excessive strain on your pelvic floor, potentially worsening discomfort.

High-impact activities to avoid

  • Running and jumping
  • Skipping or playing high-intensity sports
  • Heavy weightlifting, especially overhead
  • Full squats with legs wider than shoulder-width apart

These exercises can increase intra-abdominal pressure, potentially leading to pelvic pain after working out. It's essential to listen to your body and avoid any movements that cause increased tension or pain in your pelvic region. 

💡 Please be mindful of your breathing when doing weight lifting. You should breathe in and lift on the exhale to prevent increasing intra abdominal pressure and unnecessary downward pressure on the pelvic floor.

Core exercises to reconsider

Certain core-strengthening exercises can also strain the pelvic floor. It's best to avoid:

  • Traditional sit-ups and crunches
  • Plank positions on hands and feet
  • Double leg lowers
  • V-sits

💡 Instead, focus on pelvic floor-friendly exercises like modified planks, wall push-ups, and gentle core work on a stability ball. Remember, the key is to strengthen your core without overstressing your pelvic floor muscles.

How can I prevent pelvic pain during my workouts?

Strengthen your pelvic floor

To prevent pelvic pain after exercise, start by strengthening your pelvic floor muscles. Incorporate Kegel exercises into your routine, aiming for 3 sets of 10-15 repetitions daily. Remember to engage these muscles before and during resistance exercises, and fully relax them between sets.

Modify your workout routine

Adjust your exercise routine to be more pelvic floor-friendly. Keep weights manageable and avoid heavy lifting. Perform resistance exercises in supported positions like sitting or lying down. Maintain good posture with a natural lower back curve during all exercises. When standing, keep your feet no wider than hip-width apart to better activate the pelvic floor.

Practice proper breathing and recovery

Exhale with every effort to reduce downward pressure on your pelvic floor. Avoid holding your breath or strongly pulling in your stomach. Allow for adequate rest between sets to let your pelvic floor muscles recover. Stay hydrated and maintain a fiber-rich diet to prevent digestive issues that may contribute to pelvic discomfort.

How do you relieve pelvic pain after a workout?

Experiencing pelvic pain after exercise can be frustrating, but there are several ways to find relief. Here are some effective strategies to help ease discomfort:

Apply heat or ice and rest

One of the simplest methods to alleviate pelvic pain after working out is applying heat or ice (whichever you prefer) to the affected area. Use a heating pad or take a warm bath to increase blood flow and relax tense muscles. Remember to give your body time to recover by resting and elevating your legs.

Gentle stretching and low-impact exercises

Engaging in gentle stretches or low-impact activities like walking can help improve circulation and reduce muscle tension. Yoga and pelvic floor stretches can be particularly beneficial. However, avoid intense core exercises, which may exacerbate the pain.

Over-the-counter pain relief

Non-steroidal anti-inflammatory drugs (NSAIDs) (3) such as ibuprofen can help reduce inflammation and ease discomfort. Always follow the recommended dosage and consult with a healthcare provider if pain persists.

Should you stop exercising if you experience pelvic pain?

Experiencing pelvic pain after exercise can be concerning, but it doesn't necessarily mean you should stop all physical activity. In fact, regular exercise can help reduce pelvic pain by increasing blood flow and alleviating discomfort. However, it's crucial to approach exercise carefully when dealing with pelvic pain after working out.

Listen to your body

Pay attention to how your body responds to different activities. If you experience sharp or severe pain during exercise, it's important to stop and reassess. Some discomfort from working unused muscles is normal, but pain flare-ups should be avoided.

Modify your routine

Instead of completely stopping exercise, consider modifying your routine. Low-impact activities like swimming, walking, or gentle yoga can be beneficial for managing pelvic pain. Avoid high-impact exercises or activities that require prolonged standing or walking, as these may exacerbate symptoms.

When should you see a doctor for pelvic pain after exercise?

If you experience sudden, severe pelvic pain after exercise, it's crucial to seek immediate medical care. This is especially important if the pain is accompanied by symptoms like nausea, vomiting, fever, or loss of consciousness. These could indicate a serious underlying condition requiring urgent attention.

See a doctor if you experience any of these other concerning symptoms along with pelvic pain:

  • Difficulty urinating or having bowel movements
  • Blood in urine or stool
  • Inability to stand up straight
  • Pain during sexual activity

Early intervention is key to preventing potential complications and ensuring your overall pelvic health. Don't hesitate to consult a healthcare professional if you're concerned about pelvic pain after exercise.

 

So, there you have it - the lowdown on pelvic pain after exercise. Remember, your body is unique, and what works for others might not work for you. Don't be afraid to speak up if something doesn't feel right. Whether you're dealing with discomfort after a workout or looking to strengthen your pelvic floor without traditional kegels, there are plenty of options to explore. Listen to your body, take it slow, and don't hesitate to reach out to a healthcare pro if things aren't improving. With the right approach, you can keep moving, stay active, and kiss that pesky pelvic pain goodbye. You've got this!

 

Sources:

  1. https://www.jeanhailes.org.au/news/pelvic-pain-know-the-differences-and-when-to-seek-help 
  2. https://www.mayoclinic.org/symptoms/pelvic-pain/basics/causes/sym-20050898 
  3. https://my.clevelandclinic.org/health/symptoms/12106-pelvic-pain
Tiffany SURMIK
Pelvic Health Educator and CEO of My Core Harmony
Mother of two with firsthand experience as a pelvic health therapist and patient. Her specialties are pediatric and women’s health.

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