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How To Massage Pelvic Floor Muscles Internally?

How To Massage Pelvic Floor Muscles Internally?

Internal pelvic floor massage is a gentle, hands-on technique used to release tension, improve circulation, & restore muscle balance in the pelvic region. It’s often recommended for those dealing with pelvic pain, tightness, or dysfunction, especially after childbirth or surgery.

Although professional guidance is best, many people also ask how to perform this massage at home. Let’s break it down step by step.

When Should You Use Internal Massage?

Internal pelvic floor massage can help if you experience…

  • Chronic pelvic pain

  • Painful intercourse

  • Urinary urgency or incomplete emptying

  • Constipation

  • Postpartum discomfort

  • Tight or overactive pelvic floor muscles

It’s important to consult with a pelvic floor physical therapist before trying it on your own. They’ll help you determine if it’s the right approach for your condition.

Step-by-Step; How To Massage Internally

  • Set Up a Calm Space

Choose a quiet, private place where you can relax. A warm bath beforehand can help your muscles loosen up.

  • Wash Your Hands & Use Lubrication

Trim your nails & wash your hands thoroughly. Use a water-based lubricant to reduce friction & enhance comfort.

  • Get Into a Comfortable Position

Lie on your back with your knees bent or on your side with a pillow between your legs. Breathe deeply to relax your muscles.

  • Insert Gently

Slowly insert one clean, lubricated index finger about one knuckle deep into the vagina (or rectum, as advised by your therapist). Move gently & never force anything.

  • Locate & Release Tension

Feel along the vaginal wall for tight or tender areas. Gently press or massage in circular motions for 1-2 minutes. Focus on slow, relaxed breathing to help the muscle release.

  • Rest Afterward

Remove your finger slowly & take a moment to rest. You might feel emotional release, muscle fatigue, or deep relaxation, that’s normal.

How Often Should You Do It?

Usually  2–3 times per week is enough. But always follow your therapist’s recommendation based on your specific needs.


When to Avoid Internal Massage

Avoid internal massage if you…

  • Have a vaginal or rectal infection

  • Are currently bleeding or have open wounds

  • Feel anxious, unsafe, or emotionally distressed

  • Haven’t been assessed by a pelvic floor specialist

Partner With a Pelvic Floor Specialist

While internal massage can offer relief, it’s most effective when guided by a professional. At Physical Therapy by Phoenix in Springfield, MO, our experienced therapists create a safe, supportive space & tailor every treatment to your needs.

Location – 1839 E. Independence, Ste R, Springfield, MO 65804
Phone –
(417) 708-5174
Website –
ptphoenixspringfield.com