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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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While pregnant with my twins, Heather took care with keeping me on my feet and pain free. She saved my back, my sanity and the holidays! I would recommend her to every “mom” looking to stay on her feet during pregnancy and post-partum.

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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.

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Femina PT (née Fusion Wellness & Physical Therapy) has been such an answer to prayer, i'm so glad I found them! I've been struggling with vaginismus my whole life, but didn't have a name for it until about 6 or 7 months ago. Even once I did have a name for it though, I didn't know where to begin in getting help. My OB/GYN had me get a set of dilators, but I couldn't even insert the smallest one by myself. Most times I tried I just ended up frustrated and in tears. I felt really alone, like I was broken and didn't have the energy to keep trying. When I got engaged a few months ago though, I realized I needed to get answers so i wasn't dreading my honeymoon.

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No one could tell me why I was having pain during sex--sharp pain, not just uncomfortable, pain. I was referred to Heather Jeffcoat after researching several different options. I had seen a specialist who told me physical therapy would not help and my only option was surgery. I really didn't want to go that route, so when we got a referral, I decided to try it--it can't hurt, I thought. I am so glad I did. She diagnosed the problem right away, which was a relief in itself.

To know why I was having pain eased my mind immensely. And to hear that she could fix it without surgery was another relief. She said she could fix the problem in 6 weeks. I think it was actually 4 for me. She was very methodical, and treated me as an intelligent human being capable of participating in my own recovery. I would absolutely recommend her to anyone. She did not try to prolong my session numbers, she worked hard to accommodate my schedule (and the fact that I had to bring a baby to sessions), and she was completely honest the entire time. It is so hard to find someone with these characteristics, much less a professional who is so good at what she does. She has my highest respect.

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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.

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It's because of you that my marriage is on the right track, that I can get pregnant and that this part of my life is finally over. I really feel that Fusion Wellness is a team of people you can call family and are there to root for you and cheer you on until you reach your goals. There is nothing better than knowing I accomplished this with you guys by my side and as calmly and patiently as I needed. Thank you from the bottom of my heart for always being there and helping me reach my goals.

S.H., age 24

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