Pelvic pain can be difficult to live with, but there are ways to effectively manage your symptoms and improve your quality of life. Exercise, specifically strength training can be a useful tool that can help reduce pain, build muscle, and enhance your overall well-being. By incorporating the right type of exercise into your routine, you can gain more control over your symptoms and feel stronger both physically and mentally. This handout outlines the specific benefits of strength training in managing pelvic pain and provides an overview of how it can improve your overall health. Strength training is not just about lifting heavy weights. Strength training should focus on building muscle and providing support and stability. It can help regulate pain, reduce inflammation, and improve your quality of life in multiple ways.
Strength training helps your body manage pain by stimulating natural pain-relief systems. It regulates
serotonin and opioid receptors, which reduces the sensitivity of your pain receptors, making your body
less reactive to pain over time.
Your pelvic floor works closely with the muscles around it. Muscle groups such as your gluteal, hamstrings
and adductors around the hips. By improving the function of these muscles, it can help to reduce the loads
placed on the pelvic floor muscle. When done correctly and under guidance, strength training can relieve
tension, provide support, and reduce discomfort in the pelvic region.
Chronic inflammation is a major cause of pain. Strength training increases circulation and helps reduce the
levels of inflammatory chemicals in your body, leading to less swelling and pain over time.
Fatigue is a common issue for women experiencing pelvic pain. Strength training and exercise can improve
muscle efficiency and endurance, helping you feel more energised and capable in your daily life. With
consistent training, you’ll find it easier to manage both physical and mental fatigue.
Dealing with chronic pain over a long period of time can take a toll on our mental health. For some people
there may be a link to anxiety and stress, which can make your pain worse. Strength training releases
endorphins, your body’s natural mood boosters, which can help reduce stress, elevate your mood, and
break the pain-stress cycle.
Exercise and strength training has been shown to reduce the growth of pain receptors in the body, which
means it may help make your body less sensitive to pain over time. This can result in a more manageable
experience with chronic pain.
If you’re new to exercise and strength training or have concerns about exercising with pelvic pain, follow these tips to get started:
Begin with light, low-impact exercise. Focus on controlled, gentle
movements, and gradually increase intensity as you build strength
and confidence. It is not unusual to have some generalised muscle
soreness after strength training. This is also known as delayed onset
muscle soreness (DOMS).
Consulting a pelvic health physiotherapist or exercise physiologist is
highly recommended. They can help create a personalised strength
training plan, ensuring you’re doing exercises that support your pelvic
pain management safely. In some cases you may have muscles that
need to ‘relax’ or ‘lengthen’. You may be given stretches for these
muscles. It is important to remember that ‘tight’ muscles are not always
strong muscles, so it is key that the exercises you are performing are
suited to your individual needs.