Overactive Pelvic Floor is the latest terminology used to describe a hypertonic pelvic floor, in which the pelvic floor muscles do not relax and instead stay in a tight or gripping contracted state.

As mentioned in Pelvic Floor 101: Part 2, when our pelvic floor isn’t doing its job or is causing pain, it is called Pelvic Floor Dysfunction. And it comes with a variety of issues, including Hypertonic muscles or overactive muscles.

Overactive or Hypertonic Pelvic Floor

This is a result of the body continually contracting and tightening the muscles of the pelvic floor. Please be aware: A TIGHT FLOOR IS NOT A STRONG FLOOR. It must be relaxed and released and THEN strengthened to work properly.

Some symptoms of an Overactive Pelvic Floor are the same as with a Hypertonic Floor and can include:

  • Frequent urination,
  • Feeling like you aren’t going to make it to the bathroom in time (urge incontinence),
  • Painful urination,
  • Feeling like you have to force urination,
  • Leaking (incontinence of either/both urine and stool),
  • Constipation (straining hard to pass a bowel movement),
  • Pain in the pelvic region,
  • Pain during sex,
  • The inability to insert a tampon or have sex,
  • Unexplained back pain and/or leg pain.

This is not an exhaustive list. Many people with overactive pelvic floor muscles only experience some of the symptoms above, and some experience their own symptoms not listed.

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