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Running with poor pelvic floor- what is your solution

329 replies

Runlikeareindeer · 21/12/2013 10:52

So my pelvic floor isn't great after two vaginal deliveries, one that was forceps. I do my exercises (prob too late)

I'm running again and it is often difficult to control. I've tried tena lady (well the Aldi version) but sometimes that becomes sodden and then I have a great lump in my pants.

Is there anything I can do?

OP posts:
Finabhear · 20/01/2014 18:40

I have recently, quite by coincidence, been doing a bit of googleing on this subject and found this article in the Huffington post about dancing and the pelvic floor and this my privates have a personal trainer

The second link is a great read Grin

gussiegrips · 20/01/2014 21:24

Blooming heck - this thread's brilliant for making me think! It's hard to remember what's not immediately obvious if you're not knee deep in fanjoes all day, so, thanks.

Penguin - well spotted, there are two main types of muscle contraction from your pf. Some muscles have lots of slow twitch fibres (marathon runners) which are the ones that let you "hold on", whereas some of them are full of fast twitch muscle fibres (sprinters) which are the ones which kick in when you do something that causes a sudden spike in your intra-abd pressure - coughing, sneezing, laughing, puking, shouting, jumping.

That's why the first exercise is a long hold, and the second one is fast twitches.

If you don't leak, apart from when sneezing etc, then, you probably need to concentrate on the 10 quick twitches.

Try to really clench, and then really relax, about one second apart, ten in a row. And, when you get the hang of it, you can clench along to music on the radio. Passes long car journeys rather nicely.

Aquaflex is good, but, tends to work the slow twitch fibres as you hold the cones in place.

Katnip - yep, toilet posture is an issue, but, I don't think I've seen anything saying it's a cause. I'll have a look through the papers I've got. Squatting helps straighten out the "kink" in your rectum, so poo comes out straight down. Sitting means the "kink" stays in place, so you have to work against gravity - which can be a problem if you are constipated or have a rectocele (prolapse at the back of the vagina) when part of the rectum can sag forwards into the vagina. That just wreaks havoc with your pooing. There's stuff you can do to help - but, the easiest thing is to adapt posture into a squat, either a couple of yellow pages under your feet, or a squatty potty yep, that's a thing if you're feeling flush baboom tssssh

Good luck in your race!

But, yep, the anatomy's flawed. It's the evolutionary price we pay for bipedal gait and big brains inside our not-very-developed babies' heads.

At least in the West there is help available. Watch any footage of women in developing countries and you'll see someone sitting with the heel of her foot wedged into her crotch. That's how women support their prolapse in places where there's no one to hoick it back to where it belongs. In some cultures these women are shunned. Really sad.

And, don't get me started on fistulae www.fistulafoundation.org/

That's partly why I witter on about this so much. If women's health had a higher profile in the West then these charities who do so much abroad would find it easier to fundraise. Well, I assume they would.

Milly O' - yep, some people DO find it improves. That's partly because of increased general muscle tone and weight loss, and also because when you run your core muscles are working hard (assuming you have good posture). In general though, most women find the opposite. Am pleased for you - but, still, #doyerblardyexercises!

TracyK - the work that these folk are doing is great. It's old news from a medical perspective, but, presented in a really engaging and accessible way with quite a lot of appealing products you can buy to support you. It's perfectly valid, but, I'm wary of anything that says "do this, it's good for everyone".

You could argue that runners would benefit from really working on their warm up/stretch/train/cool down/stretch/stretch/stretch - that would sort out a whole lot of gait issues. Without having to resort to fugly shoes. Honestly, I just can't take people seriously with their weird big rubber feet shoe things on. I get the theory, and I understand it works for loads of folk. Looks daft.

Fin - these are great links. Huff post are really good at promoting Cinderella issues. Why look, here's a blog from last August's Fringe....(listed in reverse order) (says pretty much everything I've said here, only, in the Huff Post, which makes me awfully chuffed with myself) www.huffingtonpost.co.uk/elaine-miller/

gussiegrips · 20/01/2014 21:27

Good graphic on good toileting:

Florida Hospital link

PenguinsDontEatKale · 20/01/2014 21:39

Thank you Gussie. That's really useful. Yes, generally it is sneezing, when I had a vomiting bug, sudden sprinting, jumping. Weirdly laughing has never been a problem. Nor is it an issue other than if I'm standing up (except the few times I've vomited).

I am still trying to get through the physiotherapists (not physics, blooming autocorrect) but it is brilliant to have some advice whilst I try. Really appreciate it.

TheDoctrineOf2014 · 20/01/2014 23:16

Ah, I think I am like penguins. I can be bursting for the loo but forget about it and remember two hours later, no problems - but I truly hate vomiting bugs now Sad.

Which fibres does the lift exercise work, Gussie?

gussiegrips · 21/01/2014 07:41

The lift's a yoga move, Doctrine (I think that's the Mula Bhanda, but, I'd better check for fear of disinformation!)

It's not for specific fibres, but rather to engage all the muscles.

Usually folk find they can clench round their bumhole, but, the front's a bit dull. All the lift is an increasingly strong clench, which encourages you to use all the muscles. The visualisation of a lift helps you contract.

Front muscles are longer and thinner, more gristly and not used as often (we hold in more farts than pees) so can be harder to identify.

The other way of engaging the front muscles, if you're not sure, is to do a clench in standing and then lift up onto your tiptoes (still clenching). You should feel something in the front.

Also, a handy trick for when you're bursting in a queue, stand on your tippy toes.

OohAahBird · 21/01/2014 08:08

I had a prolapse, after 2 years of doing lots of pf work and lots of core strength work with Pilates. At my recent internal it was considered to be so minor it was no longer an issue.

I was very pleasantly surprised, however I know that it isn't cured it is just being managed so I need to keep up the work. Which sucks in that I will have to do this level of work for the rest of my life, but far better than feeling like my bits are trying to fall out on a regular basis!

Mine was always really noticeable when I had my period, especially when I went to the loo.

But you can help yourself feel better through the right exercise, I hope this helps

MillyRules · 21/01/2014 09:07

Ooahh really inspiring post. Smile

Finabhear · 21/01/2014 09:38

Try this to help engage the pelvic floor a bit more.

Stand with your feet hip width apart, now reorganise your weight distribution so that you have 50% on the balls of your feet and 50% on your heals (most people stand on their heals) and plant your big toes as if you are trying to push something away from you with your toes. Next you can either visualise or actually place an empty bottle of water between your heals and hold it there so that it doesn't drop.

This exercise engages your deep hip external rotators (Gemellu's and obturator internus), it is not a buttock clenching exercise as that just activates your glutes, you should just feel the deep muscles at the base of your bottom activate. Now try the PF exercises :)

The great thing about your deep hip external rotators is that they are also anti saggy bottom muscles that will help to give you an nice, round, pert bum when they are toned (which takes a while as I think they are mainly slow twitch muscle fibres).

KatnipEvergreen · 21/01/2014 09:44

I get constipated two days a month on my period, but I never sit there and strain. Rest of the time, really soft healthy poo (sorry if TMI). I am ready for it now with diet and taking senna for two nights helps a lot.

I can do all the pf exercises but what I always find more difficult is isolating areas to do one bit at a time. It's like learning to waggle your ears a bit though :)

This DVD was good when I was pregnant and immediately afterwards, but she got you to isolate 3 areas. I could only ever manage two!

www.amazon.co.uk/The-Pregnancy-And-Postnatal-Workout/dp/B0002FR01U/ref=sr_1_20?ie=UTF8&qid=1390297073&sr=8-20&keywords=antenatal+dvd

MillyRules · 21/01/2014 12:10

Thinking about it we don't give birth in a pf friendly manner ....do we....squatting or on all fours would put less strain on our pelvis as the baby would be in a more natural exit position

runningLou · 21/01/2014 14:44

Anyone know whether Tai Chi can help with pf strength?? Am thinking of taking a class at the gym - my pf has got so much worse recently and I can't work out why :(

MillyRules · 21/01/2014 14:49

How old are you running?

Finabhear · 21/01/2014 15:15

Milly you have a point about birthing positions, you can give birth in Amy position you choirboy it's not always encouraged. My midwife was horrified when I wanted to squat to deliver ds2Grin

learnasyougo · 21/01/2014 16:15

I'm not surprised! I'd be as shocked as she was if you'd wanted to squat on a choirboy while giving birth. Shock

MillyRules · 21/01/2014 16:22

ha ha ha ha ha omg ha ha!!!! That was funny Finabhear....have you read what you said about choirboys and poor Amy....lol

Finabhear · 21/01/2014 17:00

Bloody phone!! [Blush]

Finabhear · 21/01/2014 17:01
Blush I'll never use the app again Blush
MillyRules · 21/01/2014 18:03

ha ha.

runningLou · 21/01/2014 21:33

Just turned 34 Milly.

gussiegrips · 22/01/2014 07:03

Running - I don't know of any specific studies on tai chi - but, it makes sense. It's all about control, balance, breathing and is low impact. Certainly wouldn't do any harm.

Nor am I aware of any research looking at the benefits or otherwise of choirboys...

learnasyougo · 22/01/2014 12:26

having been very diligent at 60-100 per day of pfe, I have had an entire week of no leaks.

I don't think I could run or jump yet, and I've only sneezed a couple of times, clenching my pf when I do, but no more just dribbling when I'm standing up and no leaks when I lift my toddler.

Marvellous improvement in the last month or so.

TheDoctrineOfSnatch · 24/01/2014 10:25

Cycling at the gym today. So glad I know the best exercises now.

gussiegrips · 27/01/2014 12:32

Learn, that's absolutely brilliant! This sort of news makes me very happy!

Leaking less than your toddler is a real mental lift, I remember it well!

Keep going!

gussiegrips · 27/01/2014 12:32

Doctrine, how did you get on with the cycling?