15/07/2026
DO YOU GET YOUR SYMPTOMS WHEN LYING DOWN? Probably not.
As pelvic health physios, we need to assess your pelvic floor in ALL THE POSITIONS. Especially symptomatic positions.
The pelvic floor muscles work together with your breathing, abdominal muscles, hips, spine, posture, and respond to the FORCES OF GRAVITY.
A pelvic floor assessed in lying, may behave very differently when you’re standing, squatting, lifting, bending, or walking.
We are assessing;
1. Strength (can it contract?)
2. Relaxation (can it let go?)
3. Endurance (can it hold support?)
4. Coordination (does it work with breathing and movement?)
5. Reflexes (can it contract and relax quickly?)
6. Function under load (does it work when gravity, pressure and movement challenge it?)
Our assessment needs to understand how your pelvic floor and whole body manages pressure and movement in the positions that matter to your symptoms.
does a fantastic course about this subject and has a brilliant chapter in her new book about the pelvic floor load capacity.
