At Nashville Physical Therapy & Performance, we see summer athletes experiencing pelvic symptoms from unfamiliar activities - a runner who starts cycling, a hiker trying new trails, someone ramping up fitness class attendance. They're surprised to learn that pelvic floor demands differ across activities.

At Nashville Physical Therapy & Performance, we specialize in pelvic floor physical therapy for both men and women. We work with men experiencing post-prostatectomy incontinence, pelvic pain from cycling or running, and erectile dysfunction related to pelvic floor muscle tension. Many of these men have suffered for years thinking their symptoms were inevitable or untreatable.

Many active adults experience pelvic symptoms related to exercise but hesitate to discuss them. They assume it's just how their body responds to hard training or an inevitable part of being active. But pelvic pain or pressure during or after exercise typically signals something specific that deserves professional attention.

At Nashville Physical Therapy & Performance, we work with runners - men and women - who've done months of Kegels without improvement. Often we discover their pelvic floor is actually overactive and tight, not weak. Doing more Kegels actually worsens their symptoms.

At Nashville Physical Therapy & Performance, we specialize in pelvic floor physical therapy for active adults, including runners. We work with both women experiencing postpartum or perimenopausal leaking and men dealing with post-prostatectomy incontinence. The underlying mechanism is similar: the pelvic floor can't maintain continence under the impact forces of running.

What if the problem isn't your training at all? For women, hormonal fluctuations throughout the menstrual cycle significantly affect training response, recovery capacity, and performance - yet most training programs completely ignore this reality.

You assume your core is weak and needs more work. But here's what most people don't realize: your core includes your pelvic floor, and if your pelvic floor isn't functioning properly, your entire core system breaks down - no matter how many planks you do.

You might assume you're burned out and need a complete break from training. But here's what's often overlooked: for women, the line between productive training and under-recovery is narrower than for men, and hormonal factors play a significant role that most training programs ignore completely.

Here's what you need to know: leaking during exercise is common, but it's not normal, and it's definitely not something you have to accept. It's a signal that your pelvic floor isn't coordinating properly with the demands of high-impact activity, and it requires professional evaluation to identify the specific dysfunction and appropriate treatment.

Here's what you need to know: pelvic pressure during long runs is common, but it's not normal or something you should accept as part of being a female athlete. It's a signal from your body that needs professional evaluation to determine the underlying cause and appropriate treatment.

At Nashville Physical Therapy & Performance, we see this pattern regularly in the weeks following major races. The good news? Post-race worsening of pelvic floor symptoms is common, usually temporary, and treatable. But it does require attention, not just rest and hope.

At Nashville Physical Therapy & Performance, we work with female runners facing this exact dilemma every spring. The good news? In most cases, you can continue training for your goal race while simultaneously addressing pelvic floor dysfunction. But it requires a strategic approach, not just pushing through symptoms.

Many female runners experience pelvic pressure or heaviness during long runs, especially as mileage increases during spring marathon training. But most don't talk about it, unsure whether it's normal or a sign of something more serious.

At Nashville Physical Therapy & Performance, we have physical therapists who specialize in pelvic floor physical therapy for active adults, including runners. Every spring, as women ramp up training for races like the Country Music Marathon, we see athletes who've been silently dealing with pelvic floor dysfunction for months or years, thinking there's nothing that can be done about it.

At Nashville Physical Therapy & Performance, we specialize in pelvic floor physical therapy for active adults, including runners. Every spring, we see athletes who've been silently dealing with pelvic floor dysfunction for months or years, thinking there's nothing that can be done about it. That's simply not true.

Let's talk about why "just in case" peeing is problematic, what it does to your bladder over time, and how to retrain healthier habits.

Sit bone pain (pain in your ischial tuberosity, the bony prominence you sit on) is more common than you might think, and it can have several different causes. At Nashville Physical Therapy & Performance, we regularly evaluate and treat sit bone pain, and we find that the cause is often not what people expect.

If you've noticed your body feeling tighter, achier, or just... crankier as we head into March, you're not imagining it. Every spring, we see a wave of patients at Nashville Physical Therapy & Performance describing the same thing: "I don't know why, but everything just feels stiff." The good news? This seasonal stiffness is normal, predictable, and—with the right approach—fixable in about a week. Let's talk about why this happens and what you can do about it.

When we talk about “loving your body,” most conversations focus on strength, cardio, or flexibility. But there’s one critical system that often gets overlooked—until something goes wrong. Your pelvic floor . Pelvic health is not just about pregnancy, postpartum recovery, or aging. It’s about how your body supports you every single day , whether you’re lifting weights, running, managing stress, or simply trying to feel confident and comfortable in your own body. At Nashville P

When people think about physical therapy, they often picture backs, knees, or shoulders. But one of the most important—and commonly overlooked—areas we treat is the pelvic floor . Pelvic floor dysfunction is far more common than most people realize, affecting adults across genders, ages, and activity levels. And yet, many people live with symptoms for years before realizing that physical therapy is often the best first-line treatment . January is about resetting habits, rebui