Top 10 Signs Your Pelvic Floor Needs Help (And Why Round Rock Women Overlook Them)

November 24, 20255 min read

Top 10 Signs Your Pelvic Floor Needs Help (And Why Round Rock Women Overlook Them)

Your guide to understanding the symptoms you shouldn’t ignore—and how pelvic floor physical therapy can help.

Pelvic floor issues are incredibly common among women in Round Rock, but they often go unnoticed, dismissed, or mislabeled as “normal.” Whether you’re a mom, an athlete, navigating perimenopause, or simply trying to understand persistent pain or bladder changes, your pelvic floor may be trying to tell you something.

This guide breaks down the top 10 signs your pelvic floor needs support, why so many women overlook them, and how pelvic floor physical therapy can help you finally get answers.


Why Round Rock Women Overlook Pelvic Floor Symptoms

Many women ignore pelvic floor symptoms because:

  • They’ve been told problems are “normal after babies.”

  • Symptoms come and go, so they don’t seem serious.

  • They think Kegels will fix everything.

  • Previous providers dismissed their concerns.

  • They don’t realize back, hip, or abdominal symptoms can be pelvic in origin.

  • They’re too busy caring for others to prioritize themselves.

The result? Women live with symptoms for months—or years—without knowing there’s a proven solution.


Top 10 Signs Your Pelvic Floor Needs Help

These are the most common signs your pelvic floor is struggling—and the ones Round Rock women frequently overlook.


1. You Leak When You Cough, Laugh, Run, or Jump

Stress incontinence is one of the earliest and most common signs of pelvic floor dysfunction.

Leaking—even “just a few drops”—is a sign of pelvic floor coordination issues, pressure mismanagement, or muscle imbalance. It’s incredibly treatable with pelvic floor physical therapy.


2. You Feel Pressure, Heaviness, or a “Falling Out” Sensation

This can be a sign of pelvic organ prolapse, especially postpartum or during perimenopause.

A pelvic PT can help you:

  • Reduce symptoms

  • Improve support

  • Strengthen the surrounding system

  • Return to lifting, running, and daily activity confidently


3. You Have Low Back, Hip, or SI Joint Pain That Doesn’t Go Away

Your pelvic floor is a stabilizing muscle group—so when it’s not functioning well, surrounding areas take on extra load.

If you’ve tried chiropractors, massages, or basic PT and your pain keeps returning, your pelvic floor may be the missing link.


4. Sex Is Painful (Or Has Become Painful Over Time)

Pain with intercourse is common, but not normal.
This may be due to:

  • Pelvic floor muscle tension

  • Scar tissue

  • Hormonal changes

  • Poor blood flow

  • Nervous system sensitivity

Pelvic floor physical therapy offers targeted, gentle solutions.


5. You Struggle With Bladder Urgency or Frequent Bathroom Trips

If you:

  • Pee “just in case,”

  • Go more than 8 times/day, or

  • Feel sudden urges you can’t control,

your pelvic floor and bladder habits may need retraining.


6. You Feel Constipated or Have Trouble Emptying

Straining, difficulty starting your stream, or feeling incomplete after a bowel movement can all be signs of pelvic floor tension or poor coordination.

A pelvic PT can teach strategies to make bowel movements easier and more productive.


7. Your Core Feels Weak, Domes, or Cones With Exercise

This often shows up postpartum or during lifting.
It may indicate:

  • Diastasis recti

  • Poor pressure management

  • Pelvic floor coordination issues

A pelvic PT can help rebuild the deep core system properly.


8. You Experience Tailbone Pain (Sitting, Driving, or After a Fall)

Tailbone pain can be caused by:

  • Pelvic floor muscle tension

  • Scar tissue

  • Nerve irritation

This is highly treatable—and often resolves faster with targeted care.


9. You’re Struggling to Return to Exercise Without Symptoms

Whether you’re running the Brushy Creek Trail, lifting at a local gym, or getting back into high-impact workouts, symptoms like leaking, heaviness, or pain are red flags—not something to “push through.”

Pelvic PT helps ensure you build the right strength and mechanics from the ground up.


10. Pregnancy or Postpartum Recovery Didn’t Go as Expected

Pregnancy and birth place unique demands on the pelvic floor. Signs you’d benefit from pelvic PT include:

  • Abdominal separation

  • Pelvic heaviness

  • Back or hip pain

  • Leaking

  • Painful intercourse

  • Core weakness

It’s never too late—whether you’re 6 weeks or 6 years postpartum.


How Pelvic Floor Physical Therapy Helps Round Rock Women Feel Better

Pelvic floor PT restores function, strength, and confidence by addressing:

  • Muscle tension

  • Weakness or coordination issues

  • Core + pelvic floor connection

  • Breathing + pressure management

  • Hip and spine mobility

  • Nervous system regulation

  • Scar tissue mobility

It’s a holistic, evidence-based approach that treats you, not just your symptoms.


When to Seek Help (Hint: Earlier Is Better)

If you’re experiencing any of these 10 signs—even mildly—it’s worth getting a pelvic floor assessment.

Early care helps prevent:

  • Worsening prolapse

  • Chronic pain

  • Core dysfunction

  • Long-term leaking

  • Movement compensations

You don’t need to wait until symptoms are “bad enough.”


Final Thoughts: You Don’t Have to Live With These Symptoms

Pelvic floor dysfunction is common in Round Rock women, but it’s highly treatable with the right support. Whether you're dealing with pain, leaking, pressure, or recovery challenges, pelvic floor physical therapy offers clear answers and long-term relief.

Your body is not broken—and help is available right here in Round Rock.


Interested in learning more? We'd love to have you stop by our Round Rock location anytime! The best way to learn more about what we do is booking a consultation phone call! During this call, we can talk about whatever you want! Whether it be discussing a current injury you're dealing with, how to better your current fitness program, or if you just want to pick my brain more about pelvic floor physical therapy, I'm always happy to help!

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Keeley Gesch

Orthopelvic physical therapist

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