Pelvic Floor Pilates: Strengthening And Restoring Through Movement

Pilates-based pelvic floor exercises are a key part of rehabilitation for a range of different conditions that affect the pelvic floor. As weakness or dysfunction of the pelvic floor can lead to a variety of issues, including urinary incontinence, pelvic pain, and prolapse, these exercises have a potential to improve quality of life and function.

Keep reading to explore the benefits of incorporating Pilates exercises into an exercise routine to strengthen and restore the pelvic floor. Additionally, the different types of Pilates and how to use a Pilates ring as a tool to enhance pelvic floor engagement during Pilates workouts. To learn more, speak to our team of Pilates-trained physical therapists at Ironhorse Physical Therapy & Pilates.

Understanding The Pelvic Floor

Before delving into the benefits of Pilates for the pelvic floor, it's important to understand the function of these muscles. The pelvic floor is a group of muscles located at the base of the pelvis that play a crucial role in supporting the bladder, uterus, and rectum. Together, the pelvic floor muscles act as a sling, supporting the pelvic organs and maintaining continence. 

Pregnancy, childbirth, aging, and high-impact activities can weaken the pelvic floor muscles, leading to various issues. Pelvic floor dysfunction affects both women and men and can significantly impact quality of life. Pilates is a gentle and effective form of exercise that can retrain the pelvic sling and improve function throughout daily activities.

Pelvic Floor Dysfunction And Pilates 

Pelvic floor dysfunction is a broad term encompassing various conditions, including urinary incontinence, pelvic organ prolapse, and pelvic pain. These conditions can make it difficult to live day-to-day life normally, affecting social interactions and even work. 

Pilates can be beneficial for people experiencing pelvic floor dysfunction, as it focuses on gentle and controlled movements that promote stability and strength in the pelvic floor region. For people with urinary incontinence, Pilates exercises that target the deep core muscles and pelvic floor can help improve bladder control. The mindful engagement of the pelvic floor muscles during specific movements can train these muscles to activate at the right time, reducing instances of leakage. Additionally, the improved core strength and stability gained through Pilates can provide support to the pelvic organs, reducing the risk of prolapse.

Pilates can also be effective in relieving pelvic pain caused by muscle tension or trigger points. By incorporating stretches and relaxation techniques into the routine, Pilates helps release tension in the pelvic floor muscles, promoting relaxation and alleviating discomfort.

The Role Of Pilates In Physical Therapy 

Physical therapists often incorporate Pilates into the management of pelvic floor dysfunction. To effectively manage the condition, physical therapy focuses on the assessment, diagnosis, and treatment, including addressing the symptoms, understanding the medical history, and viewing the patient holistically. Physical therapists utilize a variety of treatment techniques, including manual therapy, therapeutic exercises, and modalities, to address specific patient needs.  

The controlled movement and focus on core strength in Pilates can complement the goals of physical therapy by promoting stability, improving postural alignment, and enhancing overall movement mechanics. Pilates can provide significant benefits to patients undergoing rehabilitation of the pelvic floor or those seeking to improve overall physical well-being.

Pelvic Floor Exercises In Pilates, San Ramon 

Pilates focuses on core strength, flexibility, and overall body alignment. These principles can be applied to treat the pelvic floor, as many Pilates exercises inherently engage the pelvic floor muscles, making it an ideal form of exercise to target this area. By combining breath control, precise movements, and mindful awareness, Pilates can effectively strengthen and restore the pelvic floor.

Types Of Pilates 

There are several types of Pilates that have developed over time, each with its own variations and focuses. The following are some of the most popular types of Pilates:

• Classical Pilates: Also known as traditional Pilates, this is the original method developed by Joseph Pilates in the early 20th century. It follows the specific exercises and principles created by Pilates himself. Classical Pilates emphasizes precision, control, and flowing movements. 
• Contemporary Pilates: This is a modernized version of Pilates that incorporates elements from other fitness disciplines and incorporates more variations and modifications. Contemporary Pilates often focuses on functional movement patterns and individualized adaptations to suit different body types and abilities.

• Clinical Pilates: Clinical Pilates is a modified version of Pilates used in rehabilitation settings, guided by a physical therapist. It focuses on addressing specific injuries or conditions. Clinical Pilates can be performed on a mat or with equipment, such as the reformer or Pilates ring. The equipment adds resistance, assistance, and stability, allowing for a more targeted and challenging workout. 

The Pilates Ring

The Pilates ring is a popular accessory used by physical therapists to target the pelvic floor muscles. So, does the Pilates ring help the pelvic floor? Below outlines some of the ways the Pilates ring can be used for the pelvic floor. 

Using The Pilates Ring For Pelvic Floor Engagement

One popular tool used in Pilates for pelvic floor engagement is the Pilates ring. The Pilates ring is a flexible circle made of metal or rubber with padded handles. It provides resistance to enhance muscle activation and engagement. Incorporating the Pilates ring into pelvic floor exercises can help deepen the connection to these muscles and improve their strength and endurance.

How To Use A Pilates Ring For The Pelvic Floor

It’s best to be guided by a trained physical therapist when using the Pilates ring. The physical therapist will prescribe the right exercise and dosage, and correct any technique issues. For example, the physical therapist may start the patient in a comfortable seated or lying position. Placing the ring between the inner knees, and encouraging a gentle and steady breath, they will then direct the patient to slowly engage the deep core muscles and pelvic floor. The ring is then squeezed using the inner thighs whilst maintaining a neutral spine and relaxed shoulders. This can be repeated at the direction of the physical therapist.

The Benefits Of Pilates For Pelvic Floor Strengthening

Pilates offers numerous benefits for pelvic floor strengthening. Firstly, it helps improve overall core strength, which includes the muscles of the pelvic floor. By targeting the deep abdominal muscles, such as the transverse abdominis, Pilates helps stabilize the pelvis, reducing the risk of pelvic floor dysfunction. Regular Pilates practice also improves posture, alignment, and body awareness, which can prevent unnecessary strain on the pelvic floor muscles.

Furthermore, Pilates exercises emphasize controlled movements and precise muscle activation. This attention to detail allows individuals to develop a better understanding of their pelvic floor muscles and learn how to engage and release them effectively. This increased awareness is particularly useful for those experiencing pelvic floor dysfunction, as it can aid in restoring normal muscle function and reducing symptoms.

Is Pilates Good For Pelvic Floor?

Yes, Pilates is generally considered good for the pelvic floor. The controlled and low-impact nature of Pilates exercises makes it suitable for individuals of various fitness levels, including those with pelvic floor issues. However, it's essential to work with a qualified Pilates instructor who has knowledge and experience in addressing pelvic floor concerns. They can provide guidance on modifying exercises and ensuring proper alignment and technique to prevent any additional strain on the pelvic floor.

Incorporating Pelvic Floor Pilates An Exercise Routine

For those interested in incorporating Pelvic Floor Pilates into their fitness routine, here are some key considerations:

• Seek professional guidance: Consult with a certified Pilates physical therapist who specializes in pelvic floor exercises. This is important to assess each patient’s individual needs and prescribe the exercises that specifically target the pelvic floor muscles.
• Gradual progression: It’s a good idea to start with basic Pilates exercises that emphasize core engagement and gradually progress to more advanced movements. Always listen to the signals from the body and not push beyond safe limits, especially for those with existing pelvic floor issues. Ask for help or direction from the physical therapist as needed.
• Consistency: Like any form of exercise, consistency is key. Aim for regular Pilates sessions to maximize the benefits to the pelvic floor.

Pilates For The Future At Ironhorse Physical Therapy & Pilates

Pilates can serve as a bridge between rehabilitation and long-term wellness. Once patients have completed their physical therapy program, transitioning into a Pilates practice can help them maintain and further enhance their gains. Pilates exercises can continue to strengthen the body. Consult our physical therapists at Ironhorse Physical Therapy & Pilates in San Ramon, CA, for improved flexibility and enhanced body awareness, reducing the risk of future injuries and promoting overall fitness and well-being. 

Pilates At Ironhorse Physical Therapy & Pilates In San Ramon, CA

Does Pilates strengthen pelvic floor muscles? Yes, absolutely! Pilates is a great form of exercise for the pelvic floor. Pelvic Floor Pilates offers a holistic approach to strengthening and restoring the pelvic floor muscles. By incorporating mindful movements, breath control, and the use of tools like the Pilates ring, patients can develop a stronger connection to their pelvic floor.

Whether seeking to prevent pelvic floor issues, address existing dysfunction, or simply enhance overall core strength and stability, Pelvic floor Pilates can be a valuable addition to any fitness routine under the guidance of a physical therapist. 

Consult our qualified physical therapists at Ironhorse Physical Therapy & Pilates in San Ramon, CA, to get the best Pilates exercises for a stronger pelvic floor.

References

• Physiopedia. Pilates. Available from: https://www.physio-pedia.com/Pilates 
• Health Direct. Health benefits of yoga and Pilates. Available from: https://www.healthdirect.gov.au/health-benefits-of-yoga-and-pilates