Set 7 — pelvic floor, lumbar pain, and why this actually matters
I’ve just completed my 7th set of pelvic floor exercises on Organic Fit, and I wanted to write this while the sensations are still settling — that quiet intensity, the deep awareness, the reminder that strength doesn’t always announce itself loudly.
One unexpected thing: my lumbar pain is gone.
Not “slightly better.” Gone.
And as a doctor, that’s not something I ignore.
In the comments, someone said: “You’re a doctor, you should already know what to do.”
Others asked me for a tutorial.
And I also found out that there are physiotherapy groups in Mexico.
So here’s my response not only as a doctor, but also as a person with a body.
Being a doctor does not mean your pelvic floor is automatically well trained. Knowledge doesn’t bypass neuromuscular coordination, proprioception, or consistency. Pelvic floor work is subtle, technical, and deeply individual. It’s not just “do Kegels and move on.”
Clinically, the first question is: is the pelvic floor weak, or is it overactive?
Because those are two very different problems.
Not everyone needs to strengthen. Some people need to learn how to let go.
Pain, tension, discomfort with penetration, constipation, or difficulty emptying the bladder can point to an overactive pelvic floor — where endless squeezing can make things worse.
Strengthening has its place. But so does relaxation. And coordination. And breath.
What is clear to me clinically is this:
Pelvic floor work supports core stability, posture, and spinal load management.
Which is likely why my lumbar pain improved — because this is not an isolated muscle group. It’s part of the deep support system of the trunk.
This is also where muscle matters.
With restrictive dieting, eating disorders, or rapid weight loss (including with GLP-1 treatments), people don’t just lose fat — they lose muscle everywhere, including pelvic floor, core, and postural muscles.
That loss has consequences: pain, weakness, incontinence, and reduced support for the spine.
Weight loss without muscle preservation is not health.
And pelvic floor training without adequate protein intake is working against biology.
So if I were advising a patient (or myself), my general recommendations would be:
• Learn to contract and fully release
• Coordinate pelvic floor with breathing
• Avoid over-clenching or bearing down
• Stop training when form is lost
• Eat enough protein to support muscle tissue
• Seek pelvic health physiotherapy if symptoms persist
For those asking for a tutorial: apps can be genuinely helpful if used correctly. Guided routines reduce guesswork and help with consistency. I’ll be sharing the ones I use, with a promo code, because accessibility matters.
And yes — pelvic floor physiotherapy exists in Mexico, the UK, and across Europe. It lives under women’s health physiotherapy, pelvic health physio, urogynecology, and continence services. It is real medicine, not a trend.
This set wasn’t about proving that I “already know.”
It was about listening to my body, reducing pain, and supporting muscle where it actually counts.
#pelvicfloor #protein #pelvicfloorhealth #selflove #AUDHD
