We don’t hear much about urinary incontinence in the media, either, save for the occasional incident involving a music superstar or Olympic athlete. Leaking a few drops or even a stream of urine isn’t something most women are comfortable talking about, yet it’s something quite a few women experience. Urinary Incontinence (UI): A Silent Nuisance Life events such as pregnancy, childbirth, menopause, and certain surgeries can increase a woman’s risk of pelvic floor muscle damage during intense abdominal exercise, as the muscles may already have sustained damage or become weakened from past trauma. Weak pelvic floor muscles can lead to urinary incontinence (UI), a common but underreported problem in women. Located deep in the pelvis, the pelvic floor is made up of muscles, ligaments, and connective tissues that support the bladder, bowel, and uterus. We’ll explore this and other issues ahead. The problem: Without realizing it, you could be causing damage to another set of muscles-those of the pelvic floor-with every intense core workout session. You know your abs are going to be sore tomorrow, but core muscles always seem to recover quickly from an intense workout, you tell yourself. ![]() You lie on the (now soaking wet) hardwood floor of the workout room, thankful it’s over and letting the endorphins wash over you. “FIVE, FOUR, THREE, TWO, ONE, and DONE! Good job, ladies” your instructor praises. Your abdominals sting with each crunch until it’s almost unbearable, but your instructor’s voice keeps you focused and motivates you to push through and finish the last agonizing set. You hear others in your class grunting and gulping for air behind the sound of pulsating music. Your high-octane “core fusion” circuit training class is especially intense this week. ![]() “Push, ladies, push!” exclaims your group exercise instructor. ![]() Exercising Your Core Muscles Without Damaging Your Pelvic Floor
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