What This Video Covers
Sheree answers this question directly: pelvic floor exercises should not cause constipation when they are done appropriately. The problem is that the wrong position, too much butt squeezing, or too much strengthening without relaxation can irritate an already tight sphincter system.
Key takeaway: The issue is not pelvic floor exercise itself. The issue is doing the wrong kind of work for a pelvic floor or anal sphincter that already needs length, release, and pliability.
The External Anal Sphincter Has Layers
Sheree explains that the external anal sphincter has three rings, each with different jobs and attachments. A strong sphincter matters, but it also needs to relax fully so the internal and external sphincters can communicate.
If the sphincter is already short and tight, repeated squeezing can make it shorter and tighter. That is why position and relaxation matter.
Why Heavy Lifting Can Change Symptoms
The transcript includes an example of a heavy weight lifter who became backed up after increasing lifting load. Sheree explains that stronger glutes can also cinch around the anal sphincter, increasing tightness if stretching and relaxation are missing.
For people who lift, train hard, or hold glute tension, pelvic floor work may need to include elongated positions, adductor stretching, anterior pelvic tilt, and sphincter relaxation practice.
Train Strength in a Lengthened Position
Sheree suggests that if the sphincter is tight, training should happen in positions that stretch or open the posterior floor rather than always shortening it. That way, you can build strength without losing pliability.
This is a more nuanced approach than simply doing more Kegels. The goal is a sphincter that can contract, relax fully, and coordinate with bowel reflexes.
What to Watch For
Transcript-informed checkpoints
- Pelvic floor exercises are not the problem when done appropriately
- Wrong positions can irritate an already tight sphincter
- Butt squeezing and glute gripping can worsen constipation patterns
- Adductor and posterior floor stretching may help restore pliability
- Strength should be paired with full relaxation
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How to Use This Guidance Safely
This page summarizes the video for education and search visibility. It should not replace a diagnosis, prescription, or individualized pelvic floor physical therapy plan.
When to Get Help
Stop exercises that increase pain, pressure, or bowel difficulty and seek guidance from a pelvic health professional.
Frequently Asked Questions
Can pelvic floor exercises cause constipation?
Sheree says no when they are done appropriately, but the wrong exercises or positions can make tightness and constipation feel worse.
Why can butt squeezing be a problem?
Constant glute gripping can keep the anal sphincter area short and tight, which may interfere with full release during bowel movements.
Should I still strengthen the sphincter?
Possibly, but Sheree emphasizes strengthening in elongated positions when the sphincter is already tight.
What should I do after heavy workouts?
The transcript suggests stretching muscles that affect the sphincter, including positions that open the posterior floor and adductors.
Sheree DiBiase
Sheree DiBiase has been a physical therapist for over 40 years, with specialized expertise in pelvic floor rehabilitation, pelvic health education, and whole-person recovery. She is the founder of Lake City Physical Therapy and the creator of the Pelvic Floor Pro app.
