Pelvic Pain While Exercising

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Published:  June 17, 2024

With expert input from Dr. Tayyaba Ahmed, Pelvic Pain and Endometriosis Specialist in New York

Hypertonic pelvic pain can be a challenging condition, especially for those who are active and enjoy regular physical activity. Understanding which exercises contribute to hypertonic pelvic pain, as well as identifying safer alternatives, is crucial for managing symptoms and maintaining overall well-being. In this blog post, we will explore the relationship between exercise and hypertonic pelvic pain, strategies to manage pain during workouts, warning signs that indicate a more serious issue, and the importance of incorporating pelvic floor-focused exercises and lifestyle modifications.

 Learn more about chronic pelvic pain

Exercises That May Contribute to Hypertonic Pelvic Pain

We tend to see a lot of patients who engage in heavy weight lifting or aggressive core workouts often experience hypertonic pelvic pain. These activities can increase tension in the pelvic floor muscles, exacerbating pain. While it can be disheartening to avoid workouts that you enjoy, especially if you rely on the endorphin boost they provide, it’s essential to consider safer alternatives.

Lifestyle and dietary choices can also impact hypertonic pelvic pain. An anti-inflammatory diet and proper hydration are beneficial for reducing inflammation and maintaining overall health.

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What is the impact of a hypertonic pelvic floor on exercise?

Hypertonic pelvic pain can significantly affect exercise performance and overall physical well-being. Just as an overused bicep muscle can become stuck in a state of contraction, a hypertonic pelvic floor muscle experiences increased tension and pain when engaged in certain exercises.

When should I seek medical attention for pelvic pain during exercise?

It’s crucial to recognize when pelvic pain during exercise may indicate a more serious issue. Chronic symptoms, such as pain at the tip of the penis or pain with ejaculation, warrant immediate medical attention. Delaying treatment can lead to more chronic and challenging conditions.

Warning Signs:

  • Persistent pain despite modifications
  • Urinary, bowel, and sexual symptoms
  • Sensation of a pop or tear during exercise

If you experience any of these symptoms, seek medical evaluation promptly and allow your body time to rest and heal.

How can pelvic pain during exercise be treated?

Depending on the underlying cause of pelvic pain experienced while exercising, different treatments are available. These may include:

  • Treatment through the PRM Protocol™, which directly targets inflamed nerves and spastic muscles within the pelvic floor
  • Pelvic floor physical therapy, which tailors exercises to relax and strengthen pelvic muscles
  • Lifestyle and dietary changes including hydration and eating anti-inflammatory foods that aim to reduce inflammation in the body
  • If necessary, medication as prescribed by a healthcare provider to manage symptoms

Additionally, reducing tension in the pelvic floor is essential for managing hypertonia. Tightness in the groin, thighs, glutes, and lower back often accompanies hypertonic pelvic pain. This can be managed by:

  • Decrease Muscle Tension: Focus on relaxation techniques and stretching exercises to reduce muscle spasms.
  • Modify Exercises: Choose low-impact activities and adjust the intensity of your workouts.
  • Correct Technique: Ensure proper form to avoid exacerbating symptoms.

What are some safer exercises for pelvic pain?

  • Swimming: Provides a full-body workout without placing undue stress on the pelvic floor.
  • Yoga: Promotes relaxation and flexibility, which can help reduce pelvic muscle tension.
  • Pilates: Focuses on core strength and stability, often incorporating modifications that are gentle on the pelvic floor.
  • For those who prefer weight lifting, it may be beneficial to limit the amount of weight used and pay close attention to proper posture and technique. Consulting with your pelvic pain specialist can help ensure you are performing exercises safely.

Conclusion

Managing hypertonic pelvic pain requires a multifaceted approach that includes modifying exercise routines, recognizing warning signs, incorporating pelvic floor-focused exercises, and making lifestyle adjustments. By understanding and implementing these strategies, individuals with hypertonic pelvic pain can maintain an active lifestyle and improve their overall well-being.

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