External Pelvic Floor Treatment: What Is It and Can It Help You?

External pelvic floor treatment as part of osteopathy care
July 9, 2026

When people hear the words pelvic floor treatment, many immediately think of internal examinations. While internal assessment is an important tool for some healthcare professionals, it's not the only way to assess and treat pelvic floor dysfunction.

In many cases, external pelvic floor treatment can be highly effective and is often the first step in helping people reduce pain, improve movement, and regain confidence.

What is the pelvic floor?

The pelvic floor is a group of muscles that sit at the base of your pelvis like a supportive hammock. These muscles help to:

  • Support the bladder, bowel and reproductive organs
  • Assist with bladder and bowel control
  • Contribute to core stability
  • Support healthy sexual function
  • Work with your diaphragm, abdominal muscles and lower back to provide stability during movement

Like any muscle in the body, the pelvic floor can become too tight, too weak, poorly coordinated, or painful.

What is external pelvic floor treatment?

External pelvic floor treatment involves assessing and treating the muscles, joints and connective tissues surrounding the pelvis without an internal examination.

An osteopath may assess:

  • Hip movement and strength
  • Lower back and sacroiliac joints
  • Pelvic alignment and mobility
  • Abdominal muscles
  • Gluteal muscles
  • Inner thigh (adductor) muscles
  • Breathing mechanics and diaphragm function
  • Posture and movement patterns

Treatment may include:

  • Soft tissue massage
  • Myofascial release
  • Joint mobilisation
  • Dry needling (where appropriate)
  • Stretching
  • Strengthening exercises
  • Breathing retraining
  • Education on movement, lifting and exercise

Because the pelvic floor works closely with surrounding muscles, improving the function of these areas can significantly reduce pelvic floor symptoms.

What conditions can external treatment help?

External treatment may benefit people experiencing:

  • Pelvic pain
  • Pain during or after pregnancy
  • Postpartum recovery
  • Lower back pain associated with pelvic dysfunction
  • Hip pain
  • Tailbone (coccyx) pain
  • Groin pain
  • Pelvic girdle pain
  • Pain with sitting
  • A feeling of pelvic tightness
  • Mild stress urinary leakage related to movement or exercise
  • Core weakness after pregnancy

Every person is different, so treatment is tailored to your symptoms and goals.

Why does breathing matter?

One of the most overlooked aspects of pelvic floor function is breathing.

The diaphragm and pelvic floor move together every time you breathe. Poor breathing patterns, chronic stress or constantly "holding your tummy in" can increase tension through the pelvic floor.

Learning to breathe more efficiently can help reduce muscle tension, improve coordination and support recovery.

Exercise is still important

Rest alone rarely resolves pelvic floor dysfunction.

The right exercise program can improve:

  • Strength
  • Endurance
  • Muscle coordination
  • Hip stability
  • Core control
  • Confidence returning to sport or daily activities

Your osteopath can guide you through a progressive rehabilitation program suited to your stage of recovery.

What should I expect during an appointment?

Your appointment will begin with a detailed discussion about your symptoms, medical history and goals.

Your osteopath may then assess:

  • Your posture
  • Walking and movement
  • Hip mobility
  • Core control
  • Breathing
  • Pelvic movement
  • Muscle strength

Treatment is always explained beforehand, and your comfort and consent remain the priority throughout the appointment.

When should you seek help?

Pelvic floor symptoms are common—but they are not something you simply have to put up with.

If you're experiencing pelvic pain, persistent lower back or hip pain, postpartum concerns, or bladder symptoms that are affecting your quality of life, an assessment may help identify contributing factors and provide a plan to support your recovery.

How The Osteo Centre Can Help

At The Osteo Centre, we take a whole-body approach to pelvic health. Rather than focusing solely on the pelvic floor itself, we assess how your spine, hips, breathing, core and movement patterns work together.

Our goal is to reduce pain, improve function and help you return to the activities you enjoy with confidence.

If you're unsure whether osteopathy is right for your symptoms, we're happy to discuss your concerns and help determine the most appropriate pathway for your care.

Latest Articles
1 2 3

At The Osteo Centre, we extend our expertise to a diverse range of patients, offering customised care for various needs.

© 2025 The Osteo Centre. All rights reserved. 
Web Design Adelaide
Get in touch
0431 488 008
hello@theosteocentre.com.au
3GC/15 Claremont Street South Yarra 3141
Opening Hours
Monday - Thursday: 7:00 AM - 8:00 PM
Friday: 7:00 AM - 5:00 PM
Saturday: 8:00 AM - 2:00 PM
Osteopathy logo representing osteo care at South Yarra osteopathic clinicMedicare logo accepted at South Yarra osteopathic clinic for osteopathy careAHPRA registered osteopath at South Yarra osteopathic clinic for osteopathy careDoctify reviews for osteopath near me at South Yarra osteopathic clinic
Affiliates
Osteopath near me providing osteo treatment at South Yarra osteopathic clinicPartner logo supporting osteopathy services at South Yarra osteopathic clinic
cross-circle