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Pelvic Floor Care: Is Kegels Alone Ever Enough?

When it comes to pelvic floor health, many might have heard of Kegels. It is often the go-to exercise for strengthening the pelvic floor muscles. However, while Kegels can be quite effective, they simply may not be a comprehensive solution for all pelvic floor issues. The role of physical therapy and additional exercises that target the pelvic floor can offer a broader scope of benefits that Kegels alone may not.

Getting to know your pelvic floor:

Think of your pelvic floor as a key muscle network in your body, extending like a hammock from the pubic bone to the tailbone. These muscles play a crucial role in supporting your pelvic organs, ensuring bladder and bowel control, and even enhancing your sex life!

Beyond Kegels: A Holistic Approach

It’s time to broaden our perspective beyond Kegels when it comes to pelvic floor care, and here’s why:

  • Personalized Attention: Physical therapy involves a thorough assessment and tailored treatment plan to meet individual needs.
  • Anatomical Understanding: Therapeutic interventions help individuals grasp their pelvic floor anatomy, going beyond general exercise advice.
  • Improved Functionality: Therapy and exercises boost muscle strength, coordination, and endurance.
  • Symptom Relief: Addressing incontinence or pelvic organ prolapse goes beyond Kegels, providing significant symptom reduction.
  • Support and Stability: Effective care enhances pelvic organ support, reducing the risk of future dysfunctions.
  • Posture and Breath: Focus on body mechanics and breathing techniques for optimal pelvic floor performance.
  • Holistic Care: Therapies target issues like muscle tension, scar tissue, or nerve problems that generic exercises may miss.
  • Preventative Measures: Education and ongoing support are key for preventing and managing pelvic floor concerns in the long term.

Exercises That Complement Kegels

In addition to Kegel exercises, there are numerous other exercises that can further enhance pelvic floor care:

  1. Deep Squats: These engage not just your pelvic floor but also your core and leg muscles.
  2. Bridge Pose Variations: Activating your glutes and hamstrings can indirectly aid pelvic floor muscles.
  3. Dead Bug Exercise: Enhances coordination between your core muscles and pelvic floor.
  4. Hip Hinge Exercises: Strengthen your posterior chain, aligning and improving pelvic function.
  5. Diaphragmatic Breathing with Pelvic Floor Engagement: Improves your breathing mechanics in unison with pelvic muscle control.
  6. Side-Lying Leg Lifts: Fortifies the muscles that support lateral movement of hips along with the pelvis.
  7. Pelvic Tilts and Rolls: Cultivates mobility, essential for a flexible and functional pelvic floor.
  8. Kettlebell Swings (with proper form): Engages the core inclusively, fostering strength and endurance in your pelvic floor.

The Role of Personalized Assessment

Uncovering the specific needs of your pelvic floor is not something left to guesswork. You want a guided, assessed approach. Depending on what your physical therapist finds, they can craft an exercise regimen that targets the priority issues instead of relying on general recommendations from non-personalized sources.


While Kegels are valuable, they are just one part of a broad spectrum of strategies for maintaining a healthy pelvic floor. Coupling Kegels with other exercises and the insightful guidance of physical therapy can lead to a proactive, dynamic, and impactful pelvic floor care routine that resonates not just with the body’s needs but also with the goals for long-term wellness and quality of life.

Shamaine Physiophyx PT

Dr. Sharmaine Longsworth

DPT, CIDN, Owner and Founder of Physiophyx PT

"We Help People Get Rid of Pain & Injuries and Return to an Active Lifestyle Without Pain Meds, Injections, or Surgery."
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