#87. Kegels are NOT the answer: what actually fixes pelvic floor dysfunction — with Dr. Kirsten Harris, PT

Leaking when you laugh, sneeze, or lift. Constipation that won't budge. Pelvic pain nobody's fully explained. Dr. Clayton Dir, PT, DPT sits down with pelvic floor specialist Dr. Kirsten Harris to break down what the pelvic floor actually is, why Kegels alone often don't fix (and can even worsen) dysfunction, and why treating the whole body — not just "down there" — is often the missing piece.

This episode covers postpartum recovery, pelvic pain, incontinence, constipation, core bracing myths, and what a real pelvic floor evaluation actually looks like, straight from a specialist who does this work every day.

In this episode:

• What your pelvic floor actually is (and the "pop can" analogy that makes it click)
• Why Kegels aren't a cure-all — and can sometimes make things worse
• How constipation, low back pain, and hip pain can trace back to pelvic floor dysfunction
• Why "holding in your stomach" all day might be quietly overworking your pelvic floor
• How to actually do a diaphragmatic breath (and why it's harder than it sounds)
• What a real pelvic floor evaluation looks like, step by step
• The most common pelvic floor myths — including why "it's just normal" is never the answer

Frequently asked questions:

What is the pelvic floor?
The pelvic floor is a group of muscles that forms the base of your core — think of your core as a soda can, where your diaphragm is the top, your abs are the sides, and your pelvic floor is the bottom. Everyone has one, not just women.

Do Kegels fix pelvic floor dysfunction?
Not always. Kegels can actually make things worse if your pelvic floor is already tight rather than weak — the right approach depends on whether the issue is strength, coordination, or excess tension.

Can pelvic floor dysfunction cause back or hip pain?
Yes. Tight or spasming pelvic floor muscles can refer pain to the low back, hip, or inner thigh, and may show up even when imaging like an MRI looks completely normal.

How long does pelvic floor physical therapy typically take?
A common starting point is around 12 weeks, often with weekly visits, though this varies based on symptoms, duration, and goals like returning to heavy lifting or running.

Is pelvic floor dysfunction normal?
Common, yes — normal, no. Leaking, pain, or constipation related to the pelvic floor are widespread, but that doesn't mean they should be accepted as unchangeable.

📲 Follow along: @TheDocDir on Instagram, TikTok & YouTube
🌐 Visit TheDocDir.com for more resources
👉 Connect with Dr. Kirsten Harris at Natural Wellness Physiotherapy — mention this podcast for a discounted evaluation, or ask about a free 30-minute consult

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