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Surprising Places You Hold Tension That Affect Your Pelvic Floor


Your pelvic floor is part of a pressure and tension system. When stress becomes chronic — emotionally or physically — the body adapts by gripping.


That gripping doesn’t always show up where you expect.


Instead, it can sneak into other areas of the body and quietly feed pelvic floor dysfunction over time.


This is especially common if you:

  • Live in “go mode”

  • Hold your breath when stressed

  • Clench without realizing it

  • Sit for long periods

  • Have a history of pain, injury, or postpartum changes


Now let’s break down the most common tension-holding spots.


1. Your Jaw: The Clench You Don’t Notice

Ever catch yourself clenching your teeth while driving, working, or scrolling your phone?

Your jaw and pelvic floor are neurologically connected. When the jaw is constantly tight, the pelvic floor often mirrors that tension.


What this can show up as:

  • Difficulty fully relaxing your pelvic floor

  • Pain with penetration or pelvic exams

  • A sense of “holding” or guarding in the pelvis


Quick self-check: Right now, notice your teeth. Are they touching?

A relaxed jaw = lips together, teeth apart.


Gentle release:

  • Let your tongue rest on the floor of your mouth

  • Gently massage your cheeks and temples

  • Pair jaw relaxation with slow nasal breathing


2. Your Neck: The Stress Signal Hub

A tight neck often means a stressed nervous system.


When your nervous system is on high alert, your pelvic floor doesn’t feel safe enough to let go — even if you’re stretching or doing kegels.


What this can show up as:

  • Urgency or frequent bathroom trips

  • Difficulty coordinating breathing with movement

  • Pelvic floor tension that won’t budge


Quick self-check: Do your shoulders live near your ears?


Gentle release:

  • Slow head turns side to side

  • Shoulder rolls with long exhales

  • Breathing into the ribs instead of the chest


3. Your Glutes: Overworking to Compensate

Strong glutes are great — until they’re doing the pelvic floor’s job.


Many women unconsciously clench their glutes when standing, walking, exercising, or even resting. Over time, this can limit pelvic floor mobility.


What this can show up as:

  • Tailbone pain

  • Pelvic pressure

  • Leaking during movement


Quick self-check: When you’re standing, lightly squeeze your glutes… then fully relax them.

Were they already clenched?


Gentle release:

  • Supported deep squat or child’s pose

  • Slow bridges focusing on relaxation at the top

  • Gentle hip rocking


4. Inner Thighs: The Quiet Contributors

Your inner thighs (adductors) have a close anatomical relationship with the pelvic floor. Chronic tightness here often equals pelvic floor overactivity.


What this can show up as:

  • Pain with sitting

  • Difficulty relaxing during bowel movements

  • Pelvic floor pain that feels deep or hard to pinpoint


Quick self-check: How does it feel to sit cross-legged or butterfly stretch?


Gentle release:

  • Butterfly stretch with pillows for support

  • Side-lying leg slides

  • Slow, relaxed breathing into the pelvis


Why This Matters

If you’ve been told to “just strengthen” your pelvic floor but things aren’t improving — this is often why.


A pelvic floor that’s always holding tension doesn’t need more gripping.


It needs:

  • Safety

  • Awareness

  • Gentle release

  • Nervous system support

This is where a whole-body approach makes all the difference.


Ready for Support That Looks at the Whole Picture

If this post resonated, it’s often a sign that your symptoms aren’t just about the pelvic floor itself — they’re about how your whole body is responding to stress, posture, movement, and daily habits.


In a whole-body pelvic health assessment, we look beyond Kegels and strengthening to understand:

  • Where your body is holding tension

  • How your breathing and nervous system are involved

  • How daily movements, stress, and posture are influencing your symptoms


From there, we create a gentle, personalized plan that helps your pelvic floor feel safer, more supported, and better able to do its job — without pushing or forcing.


If you’re ready for individualized, whole-body support, you can book a pelvic health assessment.

You don’t have to keep guessing or pushing through symptoms. With the right approach, meaningful change is possible.



 
 
 

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© 2025 by Melissa Leisenring

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Suncoast Pelvic Therapy & Wellness

706 The Rialto

Venice, FL 34285-3524

Phone (call/text): (941) 294-7995

Fax: (941) 219-5310

Email:

melissa@suncoastpelvictherapy..com

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Monday 8:00 am-2:30 pm

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