October 25, 2022


October 25, 2022

Why Pelvic Floor Therapy Is a Must During Postpartum

Many postpartum people can have a variety of pelvic floor issues. Learn how to treat them in this article written by Ruth Health.

Medically reviewed by

Fast Facts:
  • 1 in 3 women experiences pelvic floor dysfunction at some point in their lifetime. 
  • Pelvic floor disorders can develop at any time but are especially common during pregnancy, postpartum, and menopause.
  • Most postpartum pelvic floor issues result from weakened muscles, which can take many forms, including tension, overactive muscles, muscle spasms, and more.
  • Always work with an experienced pelvic floor specialist who can identify the attention your pelvic floor needs — no two bodies are the same!
  • Ruth Health makes it easy to fit pelvic floor therapy into a full life.


Many of us don’t give the pelvic floor too much thought, but we rely on it daily for basic functions. (Thank those pelvic floor muscles next time you have pleasurable sex, or don’t accidentally pee your pants!)

An estimated 1 in 3 women experiences pelvic floor dysfunction at some point in their lifetime. While pelvic floor disorders can develop at any time, they are especially common during pregnancy, postpartum, and menopause. Given the importance of the pelvic floor, symptoms of these disorders can interfere with daily life.

Unfortunately, since pelvic health doesn’t receive nearly the attention it deserves, many birthing people endure the discomfort of pelvic floor dysfunction unnecessarily. Some don’t realize they have an actual condition. Others know there’s a name for the problem but shrug off symptoms as something they have to live with after childbirth.

Let us set the record straight: you never have to live with discomfort of any kind, and pelvic floor issues are both treatable and preventable.  

The best part? You can start healing without leaving the house — pelvic floor training and recovery are more accessible thanks to experienced telehealth providers like Ruth Health

Here’s more on the most common postpartum pelvic floor problems and how to treat them with the right pelvic floor exercises.


What is the pelvic floor?

The pelvic floor is a group of muscles, ligaments, and tissues at the bottom of your torso. It supports your pelvic organs: the bladder, bowels, and uterus. The urethra, vagina, and anus also pass through the female pelvic floor.

The pelvic floor has quite a few jobs to do:

  • Allows you to have pleasurable and comfortable sex
  • Supports healthy bladder and bowel function
  • Keeps your pelvic organs properly positioned
  • Stabilizes your lower back and hips with the help of your abdominal muscles
  • Boosts circulation and reduces swelling by pumping blood to the heart


What are the most common postpartum pelvic floor problems?

Many physical aspects of pregnancy and childbirth can cause trauma to your pelvic floor muscles, leading to issues with the pelvic floor’s primary responsibilities, such as the following. 

Keep in mind that different types of pelvic floor dysfunction may arise. Muscle strength is the ability to fully contract and extend a muscle or group of muscles. In this context, “weakness” refers to overly tense and overstretched muscles, which are more commonly associated with the term.


Urinary incontinence

During pregnancy, your growing uterus compresses your bladder, making it a little more challenging to hold. Additional stretching of and strain on your pelvic floor muscles during childbirth is also a factor.


Fecal incontinence

Tearing in the perineum, the tissue between the vagina and anus, during labor and delivery can lead to issues with bowel control. Childbirth can also strain the anal sphincter, the ring of muscle that opens and closes the anus.



At the other end of the spectrum, overly tense pelvic floor muscles can delay the emptying of your colon after childbirth, leading to constipation.


Pelvic organ prolapse

One of the pelvic floor’s primary functions is to hold your pelvic organs in the right place. Different types of pelvic floor dysfunction may contribute to prolapse or shift these organs from their normal position. 


Overstretched muscles can cause the uterus, bladder, or rectum to fall into your vagina, while overly tight muscles may force organs out of place.


What are the best exercises for postpartum pelvic floor issues?

Different types of pelvic floor dysfunction have other underlying causes which is why it can be helpful to work with a pelvic floor specialist who can help you identify the attention your pelvic floor needs.

Start your recovery with Ruth Health. Learn more.

Generally speaking, most postpartum pelvic floor issues result from muscle dysregulation. Heel slides and toe taps are simple exercises that support the pelvic floor. Follow the steps below to try them at home.


Heel slides

  1. Lie on your back with bent knees and your feet flat on the floor, and a neutral pelvis.
  2. Inhale and exhale and let your ribs compress.
  3. Draw up your pelvic floor slowly with control and engage your core.
  4. Slide your right heel away from you (as far as you can while still engaging your core) and inhale the leg back up.
  5. Repeat 10 times and then switch to the other side.


Toe taps

  1. Lie on your back with bent knees, feet off the floor, and shins parallel to the floor.
  2. Lower your right toes to tap the floor as you inhale.
  3. Exhale to engage the core and pelvic floor muscles and lift your leg back up.
  4.  Do eight reps on each side or alternate legs for 12-20 times.


When should I work with a pelvic floor specialist?

Many women have some degree of damage to the pelvic floor muscles after pregnancy and delivery, including c-section deliveries. For some, the pelvic floor and vaginal muscles gradually strengthen and regain their function during postpartum recovery.

Other birthing people may need physical therapy. If that’s the case, work with a pelvic floor specialist who can recommend a treatment plan just for you. Each of us in unique  and pelvic floor therapy should never be seen as a one-size-fits-all treatment strategy.

Ruth Health takes an personalized approach to pelvic floor training and recovery. As a first step, our providers conduct an external assessment of your body’s mechanical functions. (Yes, this really can be done virtually!) We’ll then combine the assessment with your health history and chief complaints to develop a treatment plan just for you. 

You don’t have to wait for postpartum pelvic floor issues to begin strengthening your pelvic core. Working with a pelvic floor physical specialist during pregnancy may help you avoid some of these issues altogether.


Pelvic floor training and recovery at Ruth Health

Ruth Health is a telehealth clinic and care hub for pregnancy and postpartum. With on-demand services, including pelvic floor training, c-section recovery, and lactation support, we make the journey into parenthood more supported, comfortable, and joyful.

Our one-on-one pelvic floor training and recovery sessions blend physical therapy and fitness to address your specific needs on your time.

Use code ANJA20 to receive 20% off your first Ruth Health package. Expires 12/31/2022.

Ruth Health

Women's Telehealth Clinic

Ruth Health is a nationwide wrap-around virtual Care Hub for pregnant and postpartum patients. We provide crucial services accessibly and affordably to supplement the doctor, including Pelvic Training + Recovery, Lactation Support, C-Section Recovery, and text message support from doulas (in a subscription membership called Ask A Doula). Our beloved providers maintain a 90+ NPS score and have gone viral on TikTok, where we’ve built a community of over 7,000 birthing people. Ruth Health has been featured in Inc Magazine, Fortune, TechCrunch, and on NBC News for supporting women with innovative solutions. We’d love to support your prenatal or postpartum journey.
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