Examples of Hypertonic (Tight/Gripping) Pelvic Floor Muscles & Hypotonic (Weak/Lax) Pelvic Floor Muscles*

Below are some examples of hypertonic and hypotonic pelvic floor symptoms. If you aren’t sure which you are, please schedule a free consultation on my contact page and we can chat.

*Hypertonic Pelvic Floor Muscles are not strong.  They are held in a constantly contracted state which need to be released.  Once released, they then need to be properly strengthened and balanced.

Hypertonic Symptoms

  • Constipation, Incomplete Emptying Of The Bowels
  • Straining When Emptying The Bowels
  • Pelvic Pain, Low Back Pain, Hip Pain, Tail bone Pain
  • Painful Sex
  • Vaginismus (the involuntary tensing or contracting of muscles around the vagina)
  • Urinary Incontinence, Incomplete Emptying Of The Bladder
  • Slow Flow Of Urine, Hesitancy Or Delayed Start Of Urine Stream
  • Urinary Urgency, Frequency and/or Painful Urination


Hypotonic Symptoms

  • A Feeling of Pressure and/or Heaviness in the Vagina
  • Vaginal Bleeding, Outside Of Menstruation
  • Widened Vaginal Walls (Tampons Don’t Stay In Place)
  • Discomfort/Pain During Sex and/or Loss Of Feeling Or Tightness When Having Sex
  • Unexplained Pelvic Or Lower Back Pain
  • Urinary Stress Incontinence – Leaking When You Cough, Sneeze, Laugh, Exercise Or Lift Heavy Objects
  • A Frequent Need To Urinate and/or Difficulty Passing Urine

Pelvic Organ Prolapse (bladder, uterus or rectum falling into vagina)


  • A Dragging Feeling That Something Is Going To Fall Out (Usually Associated With A Pelvic Organ Prolapse)
  • Noticeable Tissue Protruding From The Vagina, That May Also Be Painful And Bleed (Usually Associated With A Pelvic Organ Prolapse)

“Alicia has been great to work with. I really enjoy our sessions and I am learning so much. She is very in tune with my goals and has been very encouraging... It truly has been a great experience overall!”

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