Is pelvic floor physiotherapy uncomfortable?

Some exercises or internal assessments may feel awkward, but they should never be painful when done properly.

Let’s Talk About What Really Happens — And Why It’s Totally Worth It

Pelvic floor physio has a bit of a rep.
You’ve heard it helps with things like:

  • Leaking when you sneeze
  • Pain during sex
  • Postpartum recovery
  • Low back or hip tension
  • That “heaviness” you feel after standing too long

But then someone says something like,

“You know they go inside, right?”

…and suddenly you’re wondering:

“Wait — is pelvic floor physiotherapy actually uncomfortable?”

Short Answer: It Can Be Uncomfortable — But It Should Never Be Painful, Scary, or Traumatizing

Pelvic physio is about understanding and working with your deep core and pelvic muscles — not just treating symptoms. Yes, sometimes that involves internal assessment or treatment. But only if it’s necessary, explained clearly, and you give full consent.

Here’s What That Actually Looks Like:

✅ Step 1: We Talk — Like, Actually Talk

We cover:

  • What’s bothering you
  • Your history (injuries, pregnancies, surgeries, etc.)
  • Your goals (no more leaks? better sex? core control?)
  • What you’re comfortable with

👉 You’re in control from the start.

✅ Step 2: We Assess Your Movement First

Pelvic issues are often connected to:

  • Poor breathing mechanics
  • Hip or low back tension
  • Weak core firing patterns

So we may look at how you squat, breathe, bend, and move before doing anything internal.

✅ Step 3: Internal Assessment — If You Choose It

If internal work is appropriate — and you agree — your therapist may:

  • Gently insert a gloved, lubricated finger vaginally or rectally
  • Assess how your pelvic floor contracts, relaxes, and responds to movement
  • Identify tension, weakness, or coordination issues
  • Teach you how to properly engage (or release!) those muscles

It’s not a pap test. No stirrups. No speculum. No surprises.
And again: It only happens with your full, informed consent.

So… Is It Uncomfortable?

Sometimes, yes — in the same way deep tissue massage or physio on a tight hip can be a little awkward or tender.

But:

  • It should never be painful
  • It should never feel invasive or violating
  • It should always be explained as you go
  • You can stop, pause, or change direction at any time

👉 And if internal work isn’t your thing? Cool. We can still help with external techniques, breathwork, posture, and functional retraining.

Why Bother If It’s a Bit Uncomfortable?

Because honestly? The results are worth it.

Pelvic physio can:

  • Reduce pain during sex
  • Help you sneeze/laugh/run without leaking
  • Improve core stability and posture
  • Ease pressure or heaviness from prolapse
  • Support C-section or tear recovery
  • Help you feel strong and connected to your body again

Final Word: You Deserve a Therapist Who Gets It

At YFS (Your Form Sux), we treat pelvic health with the respect, care, and expertise it deserves.
That means:

  • No shame
  • No rushing
  • No awkwardness we can’t laugh through

Just real, personalized care that works with your body and your boundaries.

Curious but nervous? Let’s talk.
Book a Pelvic Health Consult at YFS and see how we do things differently — with clarity, care, and zero pressure.

Book a Consultation

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