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Feeling Vaginal Pressure After Running? It Could Be Pelvic Organ Prolapse

Experiencing vaginal pressure after running or working out can be unsettling. While temporary strain is common, persistent pressure might signal a condition called pelvic organ prolapse (POP). This blog explores what POP is, its causes, and how pelvic floor physical therapy (PFPT) can help.


What is Pelvic Organ Prolapse?

Pelvic organ prolapse occurs when pelvic organs—such as the bladder, uterus, or rectum—drop from their normal positions and press into the vaginal canal. This happens when pelvic floor muscles and connective tissues weaken or stretch, losing their ability to provide adequate support.


Types of Pelvic Organ Prolapse

  • Cystocele: Bladder bulges into the front wall of the vagina.
  • Rectocele: Rectum bulges into the back wall of the vagina.
  • Uterine Prolapse: Uterus descends into the vaginal canal.
  • Enterocele: Small intestine bulges into the vaginal space, often post-hysterectomy.

Common Causes of POP

  • Weak Pelvic Floor Muscles:
    • Vaginal childbirth or aging weakens these muscles over time.
  • Overly Tight Pelvic Floor Muscles:
    • Chronic tension leads to muscle fatigue and compromised support.
  • Pressure Management Issues:
    • Improper breathing or poor body mechanics during activities can increase intra-abdominal pressure, straining pelvic organs.

How Pelvic Floor Physical Therapy Can Help

PFPT focuses on restoring strength, balance, and function in the pelvic floor through tailored interventions.

1. Comprehensive Evaluation

  • Assessment:
    Thorough review of symptoms, medical history, and pelvic floor muscle function.
  • Root Cause Analysis:
    Identifying whether weak or tight muscles, poor pressure management, or other factors contribute to prolapse.

2. Targeted Interventions

  • Pelvic Floor Muscle Training:
    • Strengthening: Exercises to support pelvic organs.
    • Relaxation: Stretching, deep breathing, and manual therapy to release tension.
  • Core & Pressure Management:
    • Strengthening core muscles, such as the transverse abdominis, to stabilize the pelvis.
    • Diaphragmatic breathing to manage intra-abdominal pressure.

3. Postural & Movement Education

  • Proper posture and movement techniques to minimize pelvic floor strain during daily activities and exercise.

4. Lifestyle Modifications

  • Healthy Bladder & Bowel Habits: Prevent straining to reduce POP risk.
  • Weight Management: Maintaining a healthy weight to ease pressure on the pelvic floor.

5. Supportive Devices

  • Pessaries: Vaginal devices that support pelvic organs, offering relief from symptoms.

Take Control of Your Pelvic Health
Persistent vaginal pressure after running or working out may indicate pelvic organ prolapse. PFPT provides a personalized, effective approach to managing and alleviating symptoms, enabling women to regain strength, function, and confidence.

If you’re experiencing these symptoms, schedule a consultation with a pelvic floor physical therapist to start your journey to recovery.

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