Hypertonic Pelvic Floor Dysfunction: Why Kegels Can Worsen Pelvic Pain
For decades, women have been universally advised to perform Kegel exercises for pelvic wellness. However, clinical pelvic physical therapists estimate that over 50% of pelvic pain cases stem from chronically tight (hypertonic) musculature.
When muscles of the levator ani remain in a persistent spasm, blood flow is restricted and nerve endings become sensitized. Treatment requires down-training: diaphragmatic breathwork, myofascial release, and progressive lengthening rather than repetitive tightening.
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