Why Postural Changes Affect Pelvic Floor Health in Women

By Dr. Christine Martirez PT, DPT on 4/2/2024


Posture plays a pivotal role in overall musculoskeletal health, and its impact extends beyond the realms of spinal alignment and joint function. In women, poor posture can significantly influence pelvic floor health, contributing to a range of dysfunctions. In this blog post, we'll explore the relationship between posture and pelvic floor function, focusing on the effects of a posteriorly pelvic tilted position. We'll also discuss how pelvic floor physical therapy can offer relief and restoration for individuals experiencing pelvic floor dysfunctions related to poor posture.

Understanding the Impact of Posture on Pelvic Floor Health

  • Posterior Pelvic Tilt and Pelvic Floor Tension:

    A posteriorly pelvic tilted position, where the pelvis and tailbone sits in a tucked position, can lead to increased tension in the pelvic floor muscles. This prolonged tension can contribute to muscle imbalances, weakness, and dysfunction within the pelvic floor.

  • Altered Pelvic Alignment:

    Chronically altered posture, such as slouching or excessive lumbar curvature, can disrupt the natural alignment of the pelvis by influencing the surrounding musculature. This misalignment places uneven pressure on the pelvic floor muscles, potentially exacerbating issues such as pelvic organ prolapse, urinary incontinence, and pelvic pain.

  • Impact on Muscle Coordination:

    Inefficient posture can interfere with the coordination of pelvic floor muscles, hindering their ability to contract and relax optimally. This disruption in muscle coordination may contribute to urinary urgency, frequency, and difficulty with bladder emptying.

How Pelvic Floor Physical Therapy Can Help

  • Postural Assessment:

    Pelvic floor physical therapists conduct thorough postural assessments to identify deviations from optimal alignment. This assessment includes evaluating pelvic tilt, spinal curvature, and alignment of the hips and pelvis.

  • Targeted Muscle Release Techniques:

    Therapists utilize manual therapy techniques to release tension in the pelvic floor muscles affected by poor posture. This may include myofascial release, trigger point therapy, and soft tissue mobilization to alleviate muscular tightness and discomfort.

  • Pelvic Floor Strengthening Exercises:

    Specific exercises are prescribed to strengthen and retrain the pelvic floor muscles in coordination with proper posture. These exercises focus on improving muscle tone, endurance, and coordination to support optimal pelvic floor function.

  • Postural Education and Correction:

    Pelvic floor physical therapy includes education on proper posture and ergonomics in daily activities. Therapists provide guidance on maintaining neutral spine alignment, engaging core muscles, and incorporating postural corrections into daily routines.

  • Integration of Whole-Body Movement Patterns:

    Therapists integrate whole-body movement patterns into pelvic floor rehabilitation to address underlying postural imbalances. By promoting optimal alignment and movement mechanics, individuals can reduce strain on the pelvic floor muscles and enhance overall musculoskeletal health.

Empowering Women Through Postural Awareness:

  • Mind-Body Connection:

    Pelvic floor physical therapy emphasizes the mind-body connection, encouraging individuals to cultivate awareness of their posture and movement habits. Through mindful movement practices, individuals can develop greater proprioception and make conscious adjustments to support pelvic floor health.

  • Lifestyle Modifications:

    Therapists collaborate with individuals to implement lifestyle modifications that promote optimal posture and pelvic floor function. This may include ergonomic adjustments in the workplace, proper body mechanics during activities of daily living, and strategies for maintaining postural awareness throughout the day.

Embracing Alignment for Pelvic Floor Wellness

Posture serves as the foundation for pelvic floor health, and optimizing alignment is essential for preventing and managing pelvic floor dysfunctions in women. By addressing postural imbalances and integrating pelvic floor physical therapy into comprehensive treatment plans, individuals can reclaim control over their pelvic health and enhance overall well-being. Embrace the power of posture, prioritize pelvic floor alignment, and embark on a journey towards optimal pelvic health and vitality.

If you're experiencing pelvic floor dysfunctions related to poor posture, please reach out to us at Pelvic Health Center in Madison, NJ to set up an evaluation and treatment! Feel free to call us at 908-443-9880 or email us at

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