Still Having Symptoms After Pelvic Floor Therapy?
If you have already tried pelvic floor therapy but still feel like something is not quite right, you’re not alone!
Maybe you have done:
- Pelvic floor strengthening (like Kegels)
- Stretching
- Mobility work
- Even internal pelvic floor treatment
These approaches can absolutely help.
But for many people, they don’t fully resolve the problem.
So what is missing?
The Pelvic Floor Doesn’t Work Alone!
One of the most common things we see in the clinic is this:
👉 The pelvic floor is being treated as an isolated muscle.
But in reality, it is part of a much larger system.
Your pelvic floor is designed to work in coordination with:
- Your breathing (diaphragm)
- Your abdominal pressure system
- Your overall movement patterns
When this coordination breaks down, symptoms can persist.
When Coordination Is Off, Symptoms Show Up Differently
Instead of pure weakness, people often describe things like:
- Feeling “tight but weak”
- Difficulty fully relaxing
- Symptoms that show up during movement, not just at rest
This is why simply strengthening the pelvic floor doesn’t always solve the issue.
Because it’s not just a strength problem.
A DNS Perspective: It’s About the System
From a Dynamic Neuromuscular Stabilization (DNS) perspective, pelvic floor dysfunction often reflects:
👉 Altered coordination between breathing, pressure, and movement
In other words, the issue isn’t just the muscle itself;
instead, it is how the entire system works together.
This includes how you:
- Breathe
- Stabilize your core
- Transfer force during movement
If you’re curious to learn more about DNS approach, you can read more here:
👉 https://funcphysio.com/dynamic-neuromuscular-stabilization-dns-developed-by-the-prague-school-of-rehabilitation/
And specifically how DNS applies to pelvic floor therapy:
👉 https://funcphysio.com/dns-approach-for-pelvic-floor-therapy/
What Treatment Should Actually Address
A more comprehensive approach often includes a combination of:
- Hands-on treatment
- Muscle activation (not just strengthening)
- Breathing retraining
- Full-body movement integration
The goal is not just symptom relief.
It is to restore how your body functions as a whole.
Takeaway
If you have been doing “all the right things” but still have symptoms,
it doesn’t mean you have failed, or that your body is broken.
It may simply mean the approach hasn’t addressed the coordination of the system yet.
About the Author
Dr. Rowan Huang, PT, DPT, MS, CSCS specializes in pelvic health, chronic pain, and movement-based rehabilitation.
Her approach integrates Dynamic Neuromuscular Stabilization (DNS) with hands-on therapy and movement retraining to address not just symptoms, but the underlying coordination of the body as a whole.
Rowan works with individuals experiencing persistent pelvic floor dysfunction, movement-related pain, and complex cases that have not fully resolved with traditional approaches.
Learn more about her background and treatment philosophy here:
👉 https://funcphysio.com/dr-rowan-huang-yu-ting-huang/
If you are ready to get a more comprehensive evaluation and treatment approach, you can book an appointment here:
👉 https://funcphysio.com/appointment/
