Running with Prolapse: Tips to Help with Pelvic Heaviness
I'm about to say something controversial: You don't necessarily need to give up running if you have a prolapse or symptoms of pelvic heaviness. Depending on the extent of the prolapse and your ability to manage intra-abdominal pressure and the forces on the pelvic organs, some women are able to continue high impact activities such as running without worsening pelvic heaviness or prolapse. Here are some of the basics that I often assess first with my clients who have a symptomatic prolapse who wish to continue running:
Cadence- This is the amount of steps you take per minute while running. 180 steps/minute (count each time one foot lands for one minute during your run and then double it) is thought to be “ideal” in terms of impact and efficiency, however there is definitely room for variation depending on height, speed etc. I recommend getting a baseline for yourself and monitoring symptoms such as pelvic heaviness when playing with adjusting cadence. Even working toward increasing cadence by 5% compared to your own baseline can help your foot land underneath you and decease ground reaction force up through the pelvic organs.
Breathing- Getting in a rhythm with your breathing pattern while running and timing breath to foot strike can help manage intra-abdominal pressure down on the pelvic floor.
Posture- Staying in alignment including a slightly tucked chin, head balanced over shoulders, ribcage stacked over pelvis, neutral lumbar spine, and slight anterior pelvic tilt will take strain off the muscles and put them in an optimal position for supporting pelvic organs
Incline- Adding some incline to your treadmill run may help alleviate symptoms as running uphill puts less force on the joints and organs than running downhill. Be mindful that you are not bearing down onto your pelvic floor in order to power up the hill though!
Footwear- Investing in quality, supportive footwear can change how forces load through the body from the ground up. Women with higher arches may consider a shoe with increased cushioning to help shock absorption, whereas those with a flat arch may benefit from a stability shoe to help provide support up the chain into the knees, hips, and pelvic floor.
Still experiencing pelvic heaviness on your runs or have questions about how to implement these tips? Would you like a personalized running assessment and progressive return to running plan? Click on the button below to fill out an appointment request!