Pelvic Floor Setbacks During Illness: Grace, Awareness & Recovery

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Season 4 | Episode 11 | April 29, 2025

About this episode

In this vulnerable and honest episode of The Tummy Team Journey Podcast, Kelly Dean is joined again by pelvic floor physical therapist Christina Trautman for a candid discussion about pelvic floor challenges that arise during times of illness, stress, and overload — even for professionals.

Headshot of Kelly Dean, MPT—founder of The Tummy Team and expert in functional core rehabilitation and pelvic floor therapy.

Kelly Dean, MPT

Kelly has a Masters in Physical Therapy and focuses her career on Diastasis Recti and core related issues.

When the Experts Struggle Too

Christina opens up about her five-week battle with bronchitis and how the persistent coughing led to unexpected pelvic floor symptoms, including leakage — something she hadn't experienced since childhood. Despite being a trained PT, the experience stirred feelings of shame and frustration. Kelly shares her own recent moments of pelvic floor symptoms brought on by stress, caregiving fatigue, and skipped self-care routines.

What Illness Teaches Us About Our Bodies

Together, they explain how illness, inflammation, fatigue, and poor posture impact muscle coordination — especially in the core and pelvic floor. Even seasoned professionals can be blindsided by symptoms when their bodies are under pressure. “Your whole system is inflamed and fatigued,” Kelly explains, “so muscles simply don’t respond the way they should.”

It’s Not Just You — It’s Capacity

The conversation introduces the concept of capacity — the idea that everyone’s body has a limit, and symptoms like leaking or prolapse are signs that your system is maxed out. Illness, stress, menstruation, and fatigue can all lower that threshold. “You’re not broken — you’re just at capacity,” Christina says.

Perspective and Proactive Healing

Both Christina and Kelly stress the importance of giving yourself grace, recognizing that symptoms during high-stress seasons are often temporary, and learning how to care for your body in those moments without panic. They offer practical advice: modify positions when coughing, prioritize breath work, reduce high-impact movements during flares, and return to functional core connection as symptoms resolve.

Key Takeaways:

  • Pelvic floor symptoms during illness are common — not a sign of failure.

  • Inflammation and fatigue can disrupt muscle function, even in trained bodies.

  • Leaking, heaviness, or prolapse flares are a message, not a catastrophe.

  • Your capacity changes — listen to your body without self-judgment.

  • Give yourself grace and focus on small, functional support strategies.

This episode is a must-listen for anyone who’s felt like their progress has unraveled during illness or high-stress seasons — and a reminder that healing is never a straight line. You are not alone, and setbacks are part of the process.


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