How Underfueling, Stress, And Misinformation Create Pelvic Floor Problems—and What Actually Works
Leaking during double-unders, sharp glute pain at the bottom of a deadlift, or waking to pee all night? We sat down with Ashley from Breeze Pelvic Health to unpack what’s really going on when the pelvic floor keeps stealing your PRs and your peace of mind. Her story starts as a driven teen runner balancing hard training with academic pressure and not nearly enough food—cue missed periods, stress fractures, and pelvic symptoms that birth control couldn’t fix. That experience shaped a career devoted to treating the whole system, not just prescribing more Kegels.
Ashley explains why the pelvic floor rarely acts alone. Tight, overactive muscles often masquerade as “weakness,” especially in lifters and runners who brace through every rep. She shows how breath, ribs, hips, and the spine share load so the floor doesn’t overwork, and why the first step is often lengthening and downtraining before building strength and timing. We dig into REDs—relative energy deficiency in sport—and how underfueling, poor sleep, and high stress derail periods, bone health, and performance while amplifying urgency, frequency, and pain.
You’ll learn the real benchmarks of “normal”: peeing every two to four hours, zero to one nighttime wake-up, daily easy bowel movements, and pain-free sex. We cover why social media shortcuts fall short, how to assess leaks with jumping and lifting, and when to bring in nutrition pros. We also explore the growing breadth of pelvic PT—from postpartum return to sport and high-tone dysfunctions to men’s pelvic pain, nerve-driven symptoms, and even pessary fitting for prolapse and incontinence.
If your back pain isn’t responding, your training leaks energy, or you’re tired of planning workouts around the bathroom, this conversation offers clear next steps and real hope. Subscribe, share with a teammate, and leave a review telling us what surprised you most—your story might be the key that helps someone else get their life back.
Check Dr. Ashley Murray, DPT, PT and Breeze Pelvic Health in Vero Beach, FL.
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