174- Help! I’m Tight AND Weak — What Do I Actually Do? // My Rehab Approach For Women Who Want to Get Stronger Without Making Things Tighter

174- Help! I’m Tight AND Weak — What Do I Actually Do? // My Rehab Approach For Women Who Want to Get Stronger Without Making Things Tighter

Author: Dr. Desiree Cassell | Pelvic Floor Physical Therapist, Women’s Health Specialist, Strong and Fit Momma March 11, 2026 Duration: 29:51
Have you ever been told your pelvic floor is weak, so you start doing kegels… but things actually feel worse? Maybe you feel tight, tense, or guarded, yet you’re still experiencing symptoms like leaking, pelvic pressure, pain, or instability. You’re not crazy — and your body isn’t broken. One of the most common patterns pelvic floor physical therapists see is tight AND weak muscles at the same time. When muscles are constantly gripping or guarding, they often become fatigued, poorly coordinated, and unable to generate true strength. In this episode, Dr. Des breaks down why tightness and weakness often coexist and walks you through the step-by-step rehab process for restoring pelvic floor and core function safely. If you’ve ever wondered whether you should stretch more, strengthen more, or rest, this episode will help you understand what your body actually needs. In This Episode You’ll Learn ✔ Why pelvic floor muscles can be tight and weak at the same time ✔ The biggest mistake women make when trying to strengthen their core ✔ Why doing more kegels isn’t always the answer ✔ The step-by-step rehab progression pelvic floor PTs use ✔ How to move from pain and tension → strength and confidence The Pelvic Floor RESTORE Rehab Roadmap Healing the pelvic floor isn’t about jumping straight into strengthening. True recovery follows a sequence: Release → Restore → Rebuild → Reload 1️⃣ Release Reduce tension and guarding through breathwork, mobility, and nervous system regulation. 2️⃣ Restore Rebuild coordination between the diaphragm, pelvic floor, and core through 360 breathing and gentle activation. 3️⃣ Rebuild Strength Progress into functional strength exercises that integrate the whole body. 4️⃣ Reload Return to higher-impact activities like running, jumping, lifting, and sports safely. Skipping these steps is one of the biggest reasons women stay stuck in cycles of pain, leaking, or pelvic pressure. Signs Your Body Is Moving In The Right Direction As your system heals you may notice: Less pelvic heaviness or pressure • Improved bladder control • Easier breathing during exercise • Better coordination and stability • Reduced pain and tension Remember: coordination comes before strength.   🌀 Ready to feel stronger, more confident, and in tune with what it needs? If you’re done guessing and googling… If you’re ready to stop modifying your workouts out of fear… If you’re ready to move, lift, run, and LIVE without leaking, pain, or pressure... Then it’s time for RESTORE — my 12-week signature pelvic floor & core rehab program Evidence-based. Nervous system-informed. Holistically healing. Inside RESTORE you’ll get: ✔️ 12 weeks of progressive breathwork, mobility & strength ✔️ 5- and 20-minute workouts to fit your life ✔️ Deep pelvic floor education (with zero fluff) ✔️ Real-life tools to reduce pain, improve leaks, and feel like YOU again ✔️ Access to our private community and support Inside RESTORE, we cover: Breathwork + pelvic floor connection Mobility + posture Nervous system regulation Core control + strength building Real-life application to everyday movement And how to stop leaking, rushing to the bathroom, or feeling disconnected from your core You’ll walk away from RESTORE with clarity, confidence, and a body you trust again. JOIN RESTORE NOW FOR INSTANT ACCESS TO LESSONS AND EXERCISES!!  JOIN NOW AND SAVE $500!! https://pelvic-floor-core-more.passion.io/checkout/86181d29-9811-4a33-80df-a82de21fa8fe Or  💎 Learn More About RESTORE below, my 12-week program that walks you step by step through pelvic floor and core healing — so you can stop leaking, reduce prolapse symptoms, and feel strong again.  https://balancedmomtality.com/restore  💖 Or Want Personalized 1:1 Coaching and Support? Book a virtual or in-person women’s health coaching/pelvic floor physical therapy session tailored to YOU. 📧 Email: PTDes@balancedmomtality.com ✨ Next Steps: 📲 Download the Pelvic Floor, Core & More App →  for guid

Navigating motherhood brings immense joy alongside unique physical challenges that often go unspoken. Pelvic Floor, Core & More | Healing Beyond Kegels is a space where those conversations happen, guided by Dr. Desiree Cassell, a pelvic floor physical therapist and women’s health specialist who is also a strong and fit mom herself. This podcast moves far beyond basic Kegel exercises, delving into the interconnected systems of the body that support a woman’s health through pregnancy, birth, and the many phases of postpartum life. You’ll find discussions on practical, functional core rehabilitation, preparing your body for birth with confidence, and navigating recovery with a focus on sustainable strength. Each episode integrates understanding of nervous system regulation and holistic self-care, recognizing that true wellness for moms is multifaceted. The aim is to provide actionable, evidence-based strategies that fit into a busy life, helping you move without fear of pain or dysfunction, and ultimately feel resilient in your own body. Tune in for a compassionate, expert-led dialogue that redefines postpartum care as a lifelong journey of healing and strength. This is the supportive resource you’ve been looking for, offering clarity and empowerment one episode at a time.
Author: Language: English Episodes: 100

Pelvic Floor, Core & More | Healing Beyond Kegels: Core Rehab, Prenatal Fitness, Birth Prep, Postpartum Recovery, Nervous System Regulation, and Holistic Self-Care for Moms
Podcast Episodes
189- Why You Might Feel Worse Before You Feel Better in Rehab [not-audio_url] [/not-audio_url]

Duration: 19:58
Have you ever started doing the “right” exercises… only to feel more sore, more aware of symptoms, or more discouraged? It can be easy to assume something is wrong or that your program isn’t working — but that’s not alwa…
181- You’re Not Starting Over — You’re Starting From Experience [not-audio_url] [/not-audio_url]

Duration: 15:14
If you’ve ever felt like you keep having to “start over” with your body, your workouts, or your healing… this episode is for you. So many women feel frustrated when symptoms come back, routines fall off, or progress does…