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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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Heather has affected my life in the MOST POSITIVE way and I am forever grateful. My husband refers to her as the "sex doctor" so you can only imagine how happy he is with my therapy outcome.

After the birth of my son I suffered from "Vaginismus", however, at the time I just thought I was broken. My "broken vagina" affected me physically but it was an emotional struggle as well. Many women in my life also suffered with pain from sex after their babies were born so I knew I wasn't alone. They told me they "just got used to it" but I couldn't see myself living that way.

Sex wasn't just painful, it was literally impossible - IT DIDNT FIT!

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Testimonial by R.M., Age 40

I can’t speak highly enough of the theapists at Femina Physical Therapy and how much they have helped me grow, discover, and love my body. I had had painful sex for my entire life, and didn’t know that there was anything that could be done about it. It was at the point where my husband and I were not having sex for MONTHs, because it was just too frustrating, and I hated feeling like I was the ONLY woman out there who had this problem, especially at my age. I finally brought it up to my doctor because I was turning 40 and my husband and I were barely having enough sex to conceive. And she brought up pelvic floor, PT. I didn’t even know this was a “thing”.

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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!

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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 A.B.

Before I was referred to Heather Jeffcoat I was living in a nightmare. I had been married to my husband for three years and I was suffering from Vaginismus. That all changed when I visited my OBGYN and she said she knew of someone with a great success rate. To be honest I was hesitant at first because my first doctor had already told me that all I needed to do was order dilators from the internet and I should overcome my problem. She was wrong because I had followed the book on how to use the dilators with absolutely no advancements in my condition. However, that all changed when I went in for my first visit and Heather took the time to explain my condition and how we were going to work together to overcome it.

I remember leaving her office with a glimmer of hope that I could live a normal life. As my sessions continued I began to see immediate results. With only four sessions and a strict dedication to my home programs I was cured of Vaginismus. In the beginning of this process I was made aware that my health insurance company might not cover the costs, which was disappointing but today I can say one hundred percent that it was the best money I ever spent. Now thanks to Heather I am finally enjoying my life to the fullest with my husband. Thank you Heather, I can’t begin to tell you how much I appreciate all that you have done for me. I will never forget it. Those who are suffering from these types of conditions don’t be afraid because she makes you feel so comfortable and the end result is worth it. Good luck to you all and I hope you experience the success I have.
-- A.B.

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