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Writer's pictureDr. Sarah Kaderka

The Importance of Breathing

Updated: Nov 18

A man taking a deep breath.

Breathing is an automatic process that we often take for granted, yet it plays a crucial role in our overall health and well-being. When it comes to physical exercise, especially lifting weights and engaging in intense workouts, the way we breathe can significantly impact our performance. One area that is particularly influenced by breathing is the pelvic floor—a group of muscles that support the pelvic organs and play a vital role in core stability. Understanding the connection between breathing and the pelvic floor can help you optimize your workouts, prevent injuries, and improve your overall strength.



The Anatomy of Breathing and the Pelvic Floor

To grasp how breathing affects the pelvic floor, it's essential to understand the basic anatomy involved. The diaphragm, a dome-shaped muscle located just below the lungs, is the primary muscle responsible for breathing. When you inhale, the diaphragm contracts and moves downward, creating a vacuum that allows the lungs to expand and fill with air. As you exhale, the diaphragm relaxes and moves upward, pushing air out of the lungs.

The pelvic floor muscles, located at the base of the pelvis, work in conjunction with the diaphragm and the deep abdominal and back muscles to form a supportive and dynamic core. This group of muscles not only supports the bladder, intestines, and (in women) the uterus, but also helps maintain intra-abdominal pressure, which is crucial for stability during physical activity.


The Role of Intra-Abdominal Pressure

Intra-abdominal pressure (IAP) is the pressure within the abdominal cavity. It plays a key role in stabilizing the spine and pelvis during movement and lifting. When you inhale deeply, the diaphragm moves downwards, increasing the pressure in the abdominal cavity. This pressure, if properly managed, can help support and stabilize the spine and pelvis, reducing the risk of injury. However, improper breathing techniques can lead to excessive pressure on the pelvic floor, potentially causing issues such as pelvic organ prolapse, urinary incontinence, or diastasis recti (a separation of the abdominal muscles).


Breathing Techniques for Pelvic Floor Health

  1. Diaphragmatic (Belly) Breathing This technique involves breathing deeply into your diaphragm rather than shallowly into your chest. By expanding your belly as you inhale, you allow the diaphragm to move down and the pelvic floor to relax. As you exhale, the diaphragm moves up, and the pelvic floor gently contracts. Practicing diaphragmatic breathing can enhance your awareness of these muscle groups and improve their coordination.

  2. Exhale on Effort

    A safer and more pelvic floor-friendly approach is to exhale during the exertion phase of a lift. For example, when performing a squat or deadlift, inhale before you begin the movement and exhale as you lift the weight. This helps manage intra-abdominal pressure and reduces the strain on the pelvic floor.

  3. The Valsalva Maneuver This technique is often used during heavy lifting to create a rigid and stable core. It involves taking a deep breath and holding it while exerting force. However, excessive use of the Valsalva maneuver can increase intra-abdominal pressure and strain the pelvic floor. It's essential to use this technique judiciously and be aware of its impact on your body.

Practical Tips for Integrating Proper Breathing into Your Workouts

Dr. Sarah assisting a client with a back squat.
  1. Warm-Up with Breathing Exercises Start your workout with a few minutes of diaphragmatic breathing to activate your diaphragm and pelvic floor muscles. This can help you become more mindful of your breathing patterns during exercise.

  2. Listen to Your Body Pay attention to any signs of pelvic floor discomfort or dysfunction, such as urinary leakage, pressure, or pain. If you experience any of these symptoms, consider consulting a pelvic floor physical therapist for personalized guidance.

  3. Gradual Progression Increase the intensity and weight of your exercises gradually to give your pelvic floor time to adapt and strengthen. Avoid sudden jumps in weight or intensity, which can overwhelm the pelvic floor muscles.

Conclusion

Breathing is more than just a means to oxygenate your body; it is a powerful tool that can influence your pelvic floor health and overall workout effectiveness. By adopting proper breathing techniques and becoming mindful of how you manage intra-abdominal pressure, you can protect your pelvic floor, enhance core stability, and improve your performance in lifting and exercise. Remember, a strong and healthy pelvic floor is an integral part of a strong and healthy body. Breathe deeply, lift wisely, and listen to your body’s signals to achieve your fitness goals safely and effectively.


If you want to learn more, book your appointment at The Health Lab today!



The Health Lab sign.

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