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Popsugar Features Heather Jeffcoat
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butt clenching

Butt Clenching: Understanding the Causes and Solutions

In my interview at PopSugar, writer Gabrielle Kassel asked, "Are You a Butt Clencher?", and she contacted me about the topic's relation to pelvic health. Here is an overview of the subject along with solutions to improve the condition, with a link to the full article below.
- Heather Jeffcoat, DPT

As a physical therapist specializing in pelvic-floor physical therapy, it is crucial to address the issue of butt clenching, which can lead to various musculature issues and discomfort.

In this article, we will explore the different types of butt clenching, the reasons behind its occurrence, and effective strategies to overcome this habit.

Butt clenching refers to two distinct pelvic-floor positions known as "the true clench" and "butt tucking." The true clench involves an overly contracted state of the glute muscles, while butt tucking refers to a posterior pelvic tilt.

"Having a pelvic tilt can contribute to the weakness of deep core muscles, causing other muscle groups like the glutes to overly engage to do the job.” - Heather Jeffcoat, DPT

These positions often occur simultaneously and can lead to a range of physical symptoms. Butt clenching is commonly caused by prolonged standing or sitting positions, incorrect exercise techniques, and as a protective response to trauma. It can result in back pain, urinary urgency, constipation, and painful penetration. However, butt clenching can be addressed through increased awareness, posture correction, warm-up exercises, yoga, and targeted attention to the glute muscles.

Causes of Butt Clenching

Prolonged standing or sitting positions: Individuals who spend long hours in static positions may develop a posterior pelvic tilt or a slumped-over posture. An example I mention in the article is when one’s core muscles are fatigued, they can begin to sit with their back rolled back toward their tailbone. Repetition of these positions leads to butt clenching.

Incorrect exercise techniques: Athletes who engage their core excessively during workouts may inadvertently clench their glute muscles, resulting in butt clenching.

Trauma response: In the article, I mention:

People can also begin butt clenching as a protective response to physical or emotional trauma.” Survivors of abuse or individuals who recently gave birth may exhibit butt clenching as a protective response to physical or emotional trauma. 

Negative Effects of Butt Clenching

Muscular issues: Butt clenching can cause an overactive pelvic floor, leading to back pain, anterior hip or groin pain, and an increased risk of urinary urgency and frequency.

Altered movement patterns: Butt clenching can shorten the glute muscles and affect movement during activities such as sitting, walking, running, and hinging.

Identifying Butt Clenching

Self-assessment: Observing one's posture from the side, checking for lower back curvature, locked knees and hips, and squeezing in the glutes can indicate butt clenching.

Clothing fit: Wrinkles or creases below the buttocks in non-workout attire may suggest butt clenching.

Strategies to Overcome Butt Clenching

"The first step to stop butt clenching is to increase your awareness of tension in this area. Even though it's occurring subconsciously, once you are made aware, you can take steps to change it to reduce your pain and improve your daily and sexual function." - Heather Jeffcoat, DPT

Consult a pelvic floor physical therapist: Working with a professional can help assess individual movement patterns, musculature, and symptoms to develop a personalized treatment plan.

Correct posture: Seeking guidance from a physical therapist specializing in postural alignment can improve standing posture, increase body awareness, and enhance hamstring and glute flexibility.

Warm-up exercises: Prioritize dynamic warm-up routines that activate and stretch the glutes, hamstrings, and hips before engaging in physical activity.

Yoga practice: Under the guidance of an experienced instructor, yoga can help reverse the effects of butt clenching by focusing on proper alignment and avoiding compensatory movements.

Mindful attention: Regularly bringing attention to the glute muscles and consciously releasing tension through specific exercises can help unlearn the habit of butt clenching.

Conclusion

Butt clenching, whether due to prolonged standing or sitting, incorrect exercise techniques, or trauma response, can lead to various musculoskeletal issues and discomfort. However, with increased awareness, posture correction, warm-up exercises, yoga, and targeted attention to the glute muscles, individuals can overcome this habit and alleviate associated symptoms. By working with pelvic-floor therapists and implementing the suggested strategies, individuals can improve their daily and sexual function while reducing pain and discomfort caused by butt clenching.

Our highly trained and caring group of pelvic health physical therapists at Femina Physical Therapy can help you on your journey to improve and strengthen these muscles - tailoring an exercise routine specific to your needs. Our therapists also assess your body as a whole and take into account other injuries or pain you may have to integrate into your routine. Connect with us today and initiate this empowering conversation!

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Testimonial by S.B.

As someone who suffered the debilitating physical and emotional effects of vaginismus (as well as a complicated history of back injuries) for more than 15 years, I thought a "normal" life was just a fantasy. Then I found Heather.

Read more: Testimonial by S.B.

Testimonial by T.H.

I started seeing Heather in October 2014. For more than two years, I had been suffering from painful urinary tract infection type symptoms after my bartholins gland surgery which included constant burning and urinary frequency sensation that led to more and more painful intercourse. I had made multiple visits to internist, obgyn and urologist's offices, went through a range of treatment with UTI and bladder frequency medication that included antibiotics, vesicare, estrogen cream, but nothing worked.

Read more: Testimonial by T.H.

Testimonial by Julie T.

Femina PT (née Fusion Wellness & Physical Therapy) has honestly changed my life. Before receiving treatment at Femina, I was going doctor to doctor to try and find the answer to my pelvic pain. It has taken me YEARS to find someone that can help fix this. It wasn't until my gynecologist recommended your clinic that I finally felt relief. My pelvic pain is almost gone, and granted I still have a lot more to work on with Laureen (my PT), my original problem is nearly cured. I am so grateful to her.

What is even better is she gave me practical exercises to do at home that were not tedious and provided instant (and lasting) relief. Although I mainly work with Laureen, my interaction with the owner (Heather) has been great. She is very generous, kind, and committed to her business.

It hurts to know there are women out there suffering who will never know or have the opportunity to work with women like Laureen and Heather because this issue is hardly talked about and this field is so rare. I hope more doctors and physical therapists see the value in this work and can relieve more woman of their pain.

-- Julie T., 12/4/16 via Yelp!

Testimonial by Ann V.

I wish i could give this place 10 stars!! 
I have been suffering from vaginismus for 5 years and never found the cure to it. I had seen an ob/gyn and he diagnosed me with vaginismus and told me i needed a surgery to cure my condition, which i refused to do. He also referred me to a PT that he works with, i had given them multiple calls and they never responded back to me, so i started searching yelp for another PT. I am SO HAPPY I found Heather's office! I was working with Laureen, and with her guidance and techniques i was able to be cured from vaginismus in only 2 1/2 short months!!! I couldn't believe how quickly their program worked for me! I am forever grateful and thankful from Heather, and Laureen! They are the absolute best at what they do!

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Testimonial by Alexandra B.

Heather is without exaggerating AMAZING! After years of trouble with a certain part of my body, in no time, she made everything change back to equilibrium and to what would be considered normal. She explains everything in detail and therefore gives you a better understanding of why things are the way they are, and how you can work towards turning things around. I would highly recommend Heather for any type of Physical Therapy. She has created her own "Method/Therapy" through years of studying (with some of the greatest practitioners), practice and breaking down the issues of her past patients, enabling her to fine tune her own system. I'm so thankful to have found her, and I'm especially grateful for the quick recovery I've achieved, after years of distress. If you cannot afford her, I recommend you purchase her book. Although it may not be Heather in person, it can still help you to get on the right path to recovery!

-- Alexandra B., 5/20/2015 via Yelp!

Testimonial by Fritzette H.

I went to Heather after the birth of my third child. It was lucky, really, that I was referred to her, because my doctor had referred me to a surgeon for a possible hysterectomy or pelvic wall rebuild. Thankfully, I went to Heather before undergoing either surgery, she was able to fix the problem. She has studied extensively in women's health--even written a book about it--and was able to diagnose my problem, suggest a course of treatment (6 weeks), and then follow through with said treatment. By the end, as she said, I was as good as gold. Boy, was it worth it! Though uncomfortable to talk about, much less write about, it is worth getting the word out there. If you have painful intercourse, especially after birth or other trauma, the treatment may be as simple as Physical Therapy (with Heather, of course). I highly recommend her.

-- Fritzette H., 3/24/16 via Yelp!

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