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Taut muscle
I pulled a muscle very aggressively 4 5 times 5 nd half year back of my pelvic floor during my normal delivery. It has literally caused muscle imbalance nd distorted feeling. I hv been diagnosed with taut muscle nd taut bands. The muscle feel me so steel. Very rigid. I fear I hv pulled it so aggressively that no one in the world would hv damage their body themselves. Nor even atleast would hv such injury nd taut muscle. I am straining for stools from 5 years now causing related strain.I fear it can never heal now. Normal manual release is not working. I am thinking to go for dry needling. I don't know why people keep saying it's short term but I will combine it with rehab. Some doctors offering botox but I am very scared as i do not have pain nd can tolerate therapy. Please tell meuscles are treateable even if so aggressively pulled nd feel like steel
Answers (7)
Consult with a pelvic floor specialized physiotherapist near you and also who knows about dry needling and advance magnetic equipment. With all these expertise your pelvic muscles can be corrected again and you will feel back to normal.
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Yes, taut pelvic floor muscles can be treated, even when the tightness has been present for several years. Please do not assume that your muscles are permanently damaged.
Following childbirth, pelvic floor muscles may develop increased tension, reduced flexibility and altered coordination. However, a feeling of rigidity does not necessarily indicate irreversible muscle damage.
As a physiotherapist, I would recommend a detailed pelvic floor assessment to identify the exact muscles involved and determine whether the problem is muscular, related to scar tissue, or associated with pelvic floor dysfunction.
Dry needling may provide relief in selected cases, but evidence for its long-term effectiveness in pelvic floor dysfunction is limited. It should not be considered a standalone treatment. A structured pelvic floor rehabilitation programme focusing on muscle relaxation, coordination and gradual strengthening, when appropriate, is essential.
Dr. Abhimanyu Kumar (PT)
Physiotherapist
Next Steps
1. Consult a physiotherapist specialising in women's health and pelvic floor rehabilitation for a comprehensive assessment.
2. Get evaluated for pelvic floor muscle overactivity, trigger points, scar tissue restrictions and possible coordination problems.
3. Begin supervised pelvic floor relaxation exercises, diaphragmatic breathing and gentle mobility exercises.
4. Address your chronic constipation and straining through appropriate medical evaluation, bowel management and toileting techniques. Repeated straining can contribute to pelvic floor dysfunction.
5. Consider pelvic floor biofeedback to improve muscle awareness, relaxation and coordination.
6. Dry needling may be considered only after proper assessment by a suitably trained clinician experienced in pelvic floor conditions.
Health Tips
Please remember that muscle tightness does not automatically mean permanent damage. Even longstanding pelvic floor dysfunction may improve with appropriate rehabilitation.
Avoid aggressive stretching, repeated self-manipulation and excessive Kegel exercises until your pelvic floor muscle tone has been assessed. Strengthening an already overactive pelvic floor without addressing relaxation may worsen symptoms.
Since you have been straining during bowel movements for five years, addressing the underlying bowel dysfunction is particularly important. A gastroenterologist may assess for constipation or dyssynergic defecation.
Dry needling is not necessarily required, especially since you report no pain. Treatment should focus on restoring normal muscle function rather than simply releasing taut bands.
Most importantly, recovery is possible, but the treatment must be individualised, gradual and based on proper assessment.
Dr. Abhimanyu Kumar (PT)
Maple Physiotherapy
Tagore Garden, New Delhi
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Hey there!
Calm down.
I need to talk you personally. There is something wrong with the diagnosis. Human body has power to recover and we health professionals are there to help you. Feel free to connect with me.
Regards
Your physio
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Do pelvic floor relaxation exercise deep diaphragmatic breathing exercise , use foot stool while sitting in washroom and do deep breathing focus on relaxation , manual muscle release technique by physiotherapist and biofeedback therapy if serve constipation u have , avoid stress
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Taut, tight pelvic floor muscles after a vaginal delivery are a real and recognised condition, and they are treatable even years later. What you're describing, muscle tightness, distorted sensation and straining with stools, fits a pattern pelvic floor specialists see and work with regularly. This isn't a sign of permanent, unfixable damage.
Next Steps
A pelvic floor physiotherapist or urogynaecologist who manages postpartum pelvic floor dysfunction can guide you between manual release, dry needling and other options based on how your muscles respond. Progress is usually gradual, so give any approach several weeks before judging it.
Health Tips
Please see a gynaecologist or pelvic floor specialist in person so your plan is built around your own exam findings, not a general description.
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