Hiperton’to soil pélvico

When talking about dysfunctions in the pelvic floor we all think of hypotonia or weak muscles. The hypertonicity of the pelvic floor is the opposite, the pelvic muscles have too much tone. Do you want to know what it is, what its symptoms are, and what exercises are best to fix it? Continue reading...


The problems and dysfunctions of the pelvic floor are not only due to muscles weakened or hypotonia (lack of tone) and its consequent urinary incontinence. The hypertonicity of the pelvic ground is the opposite, it is an excess of tension in the musculature of the perineum. This excess pitch can cause problems like urinary incontinence or pain. These are only some of the symptoms that are often confused with the hypotonia of the pelvic floor, but which correspond to the excess of muscle tone in the area.

Not to be confused with the concept that a muscle is better the more tension present. A muscle is hypertonic it is not able to relax, and it is not a healthy muscle in any case.

The muscles are excessively tense is not an muscles healthy.

A healthy muscle must be able to contract and relax. And that's why the excess of tone in the perineum is a dysfunction.

The perineum or pelvic floor is the musculature that is located on the bottom of the pelvis. This set of muscles presents a romboidea, and is formed between the branches isquiopubianas, the ischia and the coccyx. In cases of hypertonia, this musculature is not able to relax, and always has excessive tension. People who have this dysfunction, you notice the sore points during the assessment.


The main symptoms of hypertonia of the pelvic floor are those associated with urination such as frequency or urgency-sudden desire to go to urinate, and of a sexual nature, such as pain during sex or the inability of penetration.

How do I know if I have hypertension? These are the symptoms of alarm:

  • Urinary frequency.
  • Urgency or sudden desire to urinate.
  • Incontinence urinary urgency
  • Urination choppy, because the pelvic floor muscles can't relax to pee.
  • Feeling of incomplete emptying of the bladder.
  • Anal incontinence
  • Pain during or after defecation.
  • Constipation.
  • Pain during intercourse (dyspareunia).
  • Inability to carry out penetration during sexual intercourse.
  • Lumbar pain
  • Inability or pain during the insertion of a tampon.
  • Pain in the hips

Although these are the symptoms that correspond to the hypertonia, can also occur from other causes, thus it is always recommended to consult a especialita. A fisioterapauta specialized in pelvic floor, a midwife, or a gyn should be consulted, because these symptoms may not be related to the hypertonicity.


The hypertonicity of the pelvic floor muscles of women can lead to some complications. Among the possible complications associated to this hypertonia include the following: bladder hiperactica, vaginismus, neuralgia pudendal, cystitis, or prostatitis. In addition to the above, the excess of tone in the perineum can cause lower back problems, pains, and problems in the hips.


The causes for which can be suffering from this dysfunction of the perineum are varied. The most common in women are related with birth trauma and those related to psychological causes such as stress or anxiety. These are the causes of hypertonia:

  • Births traumatic in the used instrumental
  • Episiotomy in childbirth
  • Tearing during childbirth
  • Irregularities in the hip
  • Pathologies in the lumbar
  • Injuries in the pelvic area
  • Stress
  • Anxiety
  • Trauma

In some of these cases there is an injury that little by little will increase. The more time passes and you resume normal activities and sexual intercourse, the muscles will try to "protect" tensándose increasingly. This produces a vicious circle or loop that is necessary to sarlir.

At this point, the kegel exercises reverse or relaxation of the pelvic floor are not sufficient. In these cases it is necessary to manual therapy performed by physiotherapists-specialists in pelvic floor.

Treatment to improve the hypertonia

The treatment for this dysfunction is to relax the perineal muscles is noted. There are a number of practices to carry out in order to improve the hypertonicity of the pelvic floor, to avoid not to go to more.

  • Physiotherapy manual in the points painful.
  • Techniques of myofascial release in that area
  • Osteopathy
  • Relaxation techniques

The person with the pelvic floor hypertonic you should avoid those practices that may increase the tension, as the famous Kegel exercises, which in this case are contraindicated (not to be concerned of Kegel inverse, which we will talk more about that later). Also those abdominal exercises that increase the intra-abdominal pressure, such as the crunch abdominal.

Therefore, the solution is to avoid increasing tension in the pelvic floor is hypertonic happens by relaxing the muscles. To do this, you can perform the following tips:

  1. Kegel exercises. Avoid practices that may increase more tension as the kegel exercises. In this case they are contraindicated, the goal is to relax the muscles.
  2. Avoid exercises with chinese balls.
  3. It should make exercises of contraction and relaxation of the pelvic oor muscles. Hypertonia worse with the exercises of contraction and relaxation. Before doing this type of exercise, you should consult a physio, doctor, gynecologist or midwife.
  4. You should avoid abdominal exercises (which increase the intra-abdominal pressure) classics such as the crunch abdominal.
  5. Avoid apneas per effort. That is to say, avoid holding your breath and pushing, as for example when we go to the service. The musculature must be relaxed. Do not hold your breath during the effort.
  6. Avoid clothes that are too tight, as it encourages excess tension in the pelvic area.
  7. You must also avoid the bad postures that extended over a period of time.

Exercises for a pelvic floor hypertonic

Should always be exercises that help to relax.

Diaphragmatic breathing. The diaphragmatic breathing is used to reduce tension in the abdominal muscles, diaphragm, and perineum. This breathing, in addition, serves to reduce blood pressure, stress and anxiety. You can practice diaphragmatic breathing at home, but you should also know that it is the breath that is used to perform the exercises method, which are also very effective in this case and we will discuss them below.

Some classes can help you relax the pelvic oor muscles:

  • Abdominal method
  • Yoga to relax the pelvic floor
  • Pilates (if the source of the hypertonicity is a problem postural)

As relax the pelvic floor

In the video below you'll learn with all detail as to relax the musculature of the perineum:

Kegel exercises reverse

The main aim of Kegel exercises is to strengthen the muscles of the pelvic floor. In the case of the Kegel reverse, the goal is the relaxation to compensate for the excess produced by the hypertonicity. The best way to learn these exercises is with the help of a physiotherapist specialized in pelvic floor. These Kegel exercises inverses consist of developing the conscious ability to relax the pelvic muscles.