Your pelvic floor muscles play a vital role in bladder control, core stability, sexual function, and overall pelvic health. But when these muscles become too tight or too weak, a variety of uncomfortable symptoms can occur. So how can you tell which one you’re dealing with tightness or weakness?

Signs of a Tight Pelvic Floor

A tight pelvic floor means the muscles are overly tense & can’t relax fully. While this may sound like strength, the reality is that chronically contracted muscles can lead to dysfunction.

Common signs of tightness include…

• Pelvic pain or pressure

• Pain during sex (dyspareunia)

• Difficulty starting or fully emptying the bladder

• Constipation or straining during bowel movements

• A constant feeling of needing to urinate

• Low back or hip pain

If your muscles stay clenched too often, they can become weak over time due to fatigue & lack of flexibility.

Signs of a Weak Pelvic Floor

On the other hand, a weak pelvic floor lacks the tone and strength needed to support pelvic organs & control bodily functions.

You might notice…

• Urine leakage when coughing, sneezing, or laughing

• Frequent bathroom trips or a sudden urge to urinate

• A heavy or dragging feeling in the pelvic area

• Reduced sexual sensation or difficulty achieving orgasm

• Trouble controlling gas or stool

Weakness often occurs postpartum, after surgery, or with aging, but it can affect anyone.

Can You Have Both Tightness & Weakness?

Yes. It’s possible to have tight & weak pelvic floor muscles at the same time. For example, if your muscles are always contracted, they may lose strength over time because they never get a chance to fully relax & engage properly.

How a Pelvic Floor Physical Therapist Can Help

The best way to determine if your pelvic floor is tight, weak, or both is through a professional evaluation. At Physical Therapy by Phoenix, we perform a thorough assessment to understand your symptoms, muscle tone, & functional strength.

From there, we create a customized treatment plan that may include…

• Targeted stretches & relaxation techniques

• Strength-building exercises

• Biofeedback training

• Manual therapy (external or internal, with your consent)

• Education on posture, breathing, & daily habits

Your Comfort Comes First

At Physical Therapy by Phoenix, we understand that pelvic health is personal. We prioritize your comfort, privacy, & dignity in every session. Regardless if you’re dealing with pain, leakage, or uncertainty about your symptoms, we’re here to guide you with compassion & clinical expertise.

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