Pelvic floor

The pelvic floor is a group of muscles, ligaments, and connective tissue forming the base of the pelvis that supports the bladder, bowel, and uterus, controls continence, and plays a critical role in core stability and sexual function.

What your pelvic floor does and what happens when it's not functioning well

Your pelvic floor spans the base of your pelvis like a hammock, attaching to the pubic bone in front, the tailbone in back, and the sit bones on either side. It works in coordination with the diaphragm, deep abdominal muscles, and spinal muscles to manage pressure inside the abdomen during every movement — breathing, lifting, coughing, and exercise all create pressure changes that the pelvic floor must respond to. When pelvic floor muscles are too weak, they can't generate enough pressure to maintain continence or support pelvic organs under load. When they're too tight, they contribute to pelvic pain, painful intercourse, difficulty emptying the bladder or bowel, and discomfort that doesn't have an obvious explanation. Both patterns — and combinations of both — are common and respond well to targeted physical therapy.

Why pelvic floor problems are so often left untreated

Many people assume that leaking, pelvic pressure, or pelvic pain is just something to manage quietly or accept as an inevitable part of pregnancy, postpartum recovery, or aging. Effective, evidence-based care for pelvic floor dysfunction exists and is more accessible than most people realize. Starting that care sooner rather than later makes a real difference in outcomes.

Why Kegel exercises alone don't always help

Kegels — isolated pelvic floor contractions — are often the only guidance people receive for pelvic floor problems. But they're only appropriate when the pelvic floor is underactive. For someone with a hypertonic (too-tight) pelvic floor, Kegels can worsen symptoms. A physical therapist can assess your specific pelvic floor function and prescribe the right approach.

How Sword Health can help

A physical therapist with specialized training in pelvic care can evaluate how your pelvic floor is functioning and build a targeted program that addresses the actual problem — not just a generic exercise prescription. Sword connects you with that specialist-level care from home, making it easier to take the first step toward real relief.