Hypermobility And The Pelvic Floor

June 29, 2026

Hypermobility disorders, such as EDS (Ehler's Danlos Syndrome)  is estimated to affect approximately 1 in every 5000 people.  However, disorders such as EDS tend to be significantly underdiagnosed and therefore, the rate of affeted persons is likely quite a bit higher.  

There are quite a range of symptoms related to hypermobility disorders, but I would like to highlight the pelvic floor related issues specifically in this blog post.  Persons with hypermobility may experience some of the following issues:

• urinary incontinence

• pelvic organ prolapse

• pelvic pain

• bowel related issues

• sexual dysfunction

These issues are often thought to be caused primarily by weak muscles, but it's actually quite a bit more complex.  The pelvic floor can become overactive as it works hard to stabilize various parts of the body that may be lacking good stability.  As a result of the increased demand on the pelvic floor, it can become what is often referred to as hypertonic or non-relaxing.  This increase in muscle tension, can ultimately be what drives the symptoms mentioned above.  

Pelvic floor physical therapy can be an effective form of therapy for those people experiencing hypermobility.  Treatment often focuses on improving muscle tone, coordination, breath control and core stabilization.  Sometimes, strengthening the muscles of the pelvic floor, at least initially, can worsen symptoms.  This is why it is so important to be evaluated by a pelvic health therapist.  

If you experience hypermobility and have any symptoms related to the pelvic floor, know that you are not alone, and help is available. PT can help identify the underlying issues and create a treatment plan specific to your unique needs.