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squat and hover to pee
Photo by Mitchell Orr on Unsplash

Don’t squat and hover to pee!

Sit down and relax your pelvic floor muscles.

Ok, ok so this tip is always met with some pushback, but to those of you who prefer to squat and hover to pee rather than sit should be aware that this habit is not good for your pelvic floor! Sit down and relax!

Why is it so bad for you to squat and hover to pee?

When you are in a partial squat, hovering over the toilet, the muscles of your glutes, legs, abs, back, and pelvic floor are activated and cannot fully relax. For urine to flow easily and fully, the pelvic floor muscles and the muscles surrounding your pelvis have to relax.

If you squat and hover to pee and your muscles are tense, chances are that you will have to bear down to initiate your urine flow or make your pee come out faster. This is not good and can contribute to issues like pelvic organ prolapse, urine retention, and a greater risk for bladder infections. All in all, a good reason to take a seat and relax!

But what about the GERMS?

Use a toilet seat cover if you’re worried about germs, or use toilet paper to line the seat. Or get creative, carry some alcohol spray and spray down the surfaces that freak you out (honestly the door handles and toilet seat handles have more germs than the toilet seat).

And what about coming to a FULL SQUAT?

I am a big fan of using a foot stool or top of a small trash can to put the body into a full squat position for bowel movements and urination alike. Why? Because resting in a full squat is much different than a squat and hover to pee because your muscles can fully relax in a full, restful squat.

Stop Straining in the Bathroom

Constantly straining to make a bowel movement or to empty your bladder in a hurry is not only pushing your waste out, it is also pushing your organs downward.

Don’t strain! Avoid straining, no pushing your pee out or holding your breath to force out a BM. Take your time and visualize the pelvic floor getting soft and heavy. Deep breathing, when done correctly, is much more efficient at emptying the bladder and bowel than straining and pushing.

Getting into an ergonomic toileting position will help you go without straining.

Don't Squat and Hover to Pee

The best position to sit on the toilet:

  • Always sit on the toilet seat. No hovering!
  • Feet firmly planted on a step stool
  • Legs are separated to hip width’s distance or wider, elbows resting on thighs
  • Lean forward with your knees higher than your hips
  • Allow belly to get soft, floppy, and relaxed
  • Stay relaxed on the toilet; relax your breathing and practice deep breathing exercise as outlined above.
  • Allow yourself time. Don’t rush. Don’t strain.
  • Don’t ignore urges to use your bladder or bowel.

Rather than doing the "squat and hover to pee", taking the time to sit and pee will make a difference on the strain that your pelvic floor muscles are taking and can help you regain some muscle coordination and strength to help with your bladder control issues.

Call us at Femina Physical Therapy to set up an appointment to get you back to doing the things you love, symptom free.

**This information is for educational purposes only and is not intended to replace the advice of your doctor.

What Our Patients Have to Say

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Testimonial by Amanda W.

Heather's unique physical therapy program literally changed my life! After years of struggling with vaginismus, a condition that made it impossible for me to have intercourse and very difficult to use tampons without pain, a gynecologist referred me to Heather. I was nervous for my first appointment, but Heather's professional and friendly demeanor put me at ease. She did a great job explaining each technique she was using to help my muscles relax. Heather uses a combination of internal and external stretches and exercises to relax the pelvic floor and build muscle strength. Her specially developed home program helped me quickly recover from an issue that seemed insurmountable before meeting Heather. She was optimistic about my progress and incredibly encouraging. Less than 6 months after my first session, I was able to have pain-free sex for the first time in my life! If you are suffering from vaginismus or any other pelvic floor issues, I highly recommend making an appointment with Heather and reading her book!

-- Amanda W., 2/15/16 via Yelp!

Testimonial by P.M.

I was hopeful but frankly skeptical when the doctor treating me for Interstitial Cystitis recommended that I go to Heather for physical therapy. Medication and diet helped control my IC symptoms, but I had never heard of physical therapy being used to treat IC. The education and treatment I received from Heather was a revelation. She explained that the pain I experienced with IC had helped create a cycle of muscle guarding which affected the entire pelvic area. I had no idea of the amount of tension being held there. No wonder my husband and I had not been able to have sexual intercourse for years!

Read more: Testimonial by P.M.

Testimonial by Jackie W.

I was in multiple car accidents a decade ago, and I have been to many physical therapists through the years without success. They found the root of my lower back pain problems and after nearly a decade of barely being able to walk I finally can again without pain. They are also the best pelvic floor pts and the only ones who found the connection between my pelvic floor and lower back problems. If you need help with physical pain, they are your answer.

-- Jackie W., 1/19/17 via Yelp!

Testimonial by M.M.

My husband and I were married for 5 years and unable to have intercourse, but I never knew why. After numerous awful experiences at doctor’s offices (where many doctors told me I “just needed to relax”), a surgery that didn’t fix the problem, and a year of owning dilators that didn’t get me anywhere, someone finally referred me to Heather for Physical Therapy. I finally had answers and information from someone who knew exactly what I was dealing with!

Read more: Testimonial by M.M.

Testimonial by S.S., age 54

Heather is the best! I saw her today for terrible hip/groin pain. I was so impressed with the safety measures in place and felt completely safe . Thanks for the healing hands.

S.S., age 54

Testimonial by Jamie M.

I have been going to see Heather for a while now, and I can't tell you enough how much she has improved my quality of life. Heather specializes in issues like pelvic floor, but I see her for other orthopedic issues.

I have a lot of chronic joint pain and dysfunction issues (back, hips, neck) that require that have ongoing physical therapy maintenance. The effects of my problem joints/areas overlap and interconnect with each other in complex ways, so helping me requires really having a complete understanding of the entire skeletal and muscular system. Pain does not always appear where the problem actually is, the human body is a twisty, many-layered puzzle. I have an exercise program I do at home and I am very functional, but there are just something things I need a PT to help me out with.

Read more: Testimonial by Jamie M.

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