Peeing yourself during heavy lifting is not okay

No, peeing yourself by lifting heavy weights is not normal! There are numerous posts floating around social media that are making light of the fact that women (and men) performing heavy lifting are peeing themselves. This is purely information that we need more pelvic health education.

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We have three different layers of the pelvic floor which are part of the intrinsic stabilizing unit of our core. This system is based on pressure management.

At the top of our core, we have our diaphragm. As we inhale, the intra-abdominal pressure that’s built up from the diaphragm as it descends continues to move down to the pelvic floor. Initially, as we inhale, the pelvic floor relaxes. As we exhale, the pelvic floor is gently lifting (contracting). This is simply a normal function of our diaphragm and pelvic floor. It also involves our transverse abdominis, which is our natural weight belt. As we inhale, the transverse abdominis lengthen and eccentrically contract. As we exhale, we’re creating a corset as it contracts.

If there is an imbalance in the pressure management in the core at a basic level, then when going under heavy loads, the pelvic floor cannot support this amount of pressure.

3 Key Reasons Why You Have Dysfunctional Pelvic Floor During Lifting

There are three key reasons why you have dysfunction of the pelvic floor during lifting. If you can understand and appreciate the anatomy, then these are all going to make sense. 

1. Shallow Breathing

We breathe about 25,000 times a day. If you are breathing from your neck and shoulders on a day-to-day basis, then this will create downward pressure on the pelvic floor.

Breathing from the neck and shoulders creates a reverse breathing pattern. When you inhale, everything is lifting, and as you exhale, the belly comes out. We have to be able to breathe optimally, which means as you inhale, you have 360 degrees of pressure in the abdomen, all the way down to the pelvic floor.

During exhalation, allow the abdomen to contract and bring the belly button towards the spine. Coordinating your breathing pattern during dynamic movements or heavy lifting is essential. 

2. Breath Holding

When doing something like a heavy deadlift or squat, you are performing a Valsalva maneuver which can effectively increase intra-abdominal pressure and can help with spine stability and trunk rigidity.

If you have an over dominance of your outer core muscles (think six-pack muscles) and a lack of stability in our deep stabilizers, which are the diaphragm, pelvic floor, transverse abdominis, and the multifidi, then that can create significant downward pressure on the pelvic floor. That can cause dysfunction in our pelvic floor and result in urination during lifting.

3. Doming 

This is also caused by instability in the deep core. The way that we would test this is to lie on your back, bring your knees up, and see what happens to your abdomen. Many times the abdomen will dome immediately. Sometimes that could be due to diastasis recti. It can simply be that there is poor intrinsic stabilization (deep core).  If you’re trying to do heavy lifting without proper stabilization and coordination of intraabdominal pressure, then, unfortunately, it can result in a lot of pelvic floor dysfunction. 

What can you do

One of your easiest takehomes from this is to begin working on breathing coordination with your deep core. As you breathe in through the nose, allow the abdomen to expand 360 degrees all the way down to the pelvic floor. As you exhale, you can focus on an active exhalation, pulling the belly button towards the spine.

This creates more of an abdominal brace. Work on the coordination, sequencing, and timing of all of these important muscles. Then begin to integrate that into dynamic movements. When you get into heavy lifting, you will need to learn how to maintain your pressure while you are doing a lift.

If you don’t have good coordination, to begin with, and you’re trying to manage pressure at a high level, it’s not going to work out so well.  If you have been lifting for years, implement this newfound knowledge and awareness of your pelvic floor, diaphragm, and coordination among all of your deep core muscles. 

I hope this is helpful. If it was, please give it a like, share it, and subscribe to our Youtube Channel — The Movement Paradigm — for weekly tips on mindset, nutrition, and movement.

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Why should you lift heavy weights

Why should you lift weights, but more importantly, why should you lift heavy weights? It can be so profound in not only your physical strength but also your mental and emotional strength.

Strength training can help improve your self-awareness, your confidence, your overall ability to create, to explore, to move through the world differently, and in a way that you are more resilient. You have better adaptability to change, stress, and loads. It can have a profound difference on your overall well-being.

Let’s dive into eight ways that lifting heavy can improve your health. 

1. Boost confidence

Lifting heavy weights has been shown to decrease anxiety and depression, and improve self-awareness and confidence. When you are lifting heavy and you are strong, you are going to move through the world differently. If you haven’t tried it, and you know someone that has, take a look at them and ask them about their experience with strength training and you will find the same thing. 

2. Increase power and muscle mass

When you are strength training you are increasing your muscle mass. Many women will say that they want to get “toned.” In essence, that is increasing muscle mass. When we are stronger, that means that we can produce more force and we’re able to adapt to different loads more effectively. You will find that moving a heavy box or moving a couch is much easier because you have generated the ability, over time, to adapt to these loads and forces. 

3. Burn fat

We often think about burning calories. You’ll jump on the elliptical or go for a run and you’re thinking about how many calories you’ll burn during that session, for example. Instead, we want to be thinking about burning fat, and also burning calories well beyond that particular exercise session. This does not mean that cardiovascular activity is bad. It just means that we can get a ton of benefit from strength training well after the actual session.

After a session, our body still has to continue to repair the muscle, and it’s still burning energy. Therefore, we’re burning more calories and fat after an exercise session than we are in an aerobics session, for example, that we’re only doing that in that particular session. 

4. Increase in muscle size, i.e., hypertrophy

For each pound of muscle we have, we’re going to burn an additional six to 10 calories per day just for it to maintain itself. This can be powerful in fat loss. This is the reason you want to start strength training early.

So, if you have kids that are just getting into fitness you want them to start strength training early because it can have a profound impact on their bodies later in life. This is because the more muscle they gain, over the years, the better their metabolism is going to be and the more muscle mass they’re going to have. It can be so powerful to start early in life, but it’s never too late. 

5. Improve bone density 

This is one of the most powerful things that we can do for our bone health. If you’ve been diagnosed with osteopenia or osteoporosis, please don’t hesitate to start a strength training program. Of course, you also want to prevent these things. Strength training can help our bone mass as we age, to prevent things like fractures and things that can completely impact our quality of life. 

6. Fight aging

Each decade after the age of 35, we are losing anywhere from 3-10% of our lean body mass. However, if we are lifting heavy weights we can preserve that lean body mass and even reverse some muscle loss. 

7. Improve our brain health

Lifting heavy weights can increase our growth hormone which can help with cognitive processing and function. It can help to decrease the cognitive changes that we may experience as we age. 

8. Improve our resilience

It can help us to decrease and prevent injuries by improving the adaptability of our tissues. We’re loading tissues so that we can become more resilient. In life, we constantly have to load and stress our tissues for them to remain healthy, strong, and elastic. If we don’t load them properly that’s when we begin to get into an injury cycle. So one of the most important things to preventing injury is lifting weights and specifically heavyweights. 

Hopefully, this was enough to get you started lifting weights if you’re not already, and if you are please continue on that journey and remember to keep challenging yourself. You don’t want to do the same weights over and over again because you want your body to continue to adapt to new stresses. Make sure that you’re challenging yourself with heavier weights and variability.

This goes without saying, but make sure not to add fitness on top of dysfunction. Get your movement patterns assessed and cleaned up before you start to load heavy.

Reach out for a 15-minute FREE discovery session to see how we can help you on your journey.

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