In this episode of From the Ground Up, Dr. Becky Allen explains that joints—and the pelvic floor—need three essentials to function: adequate range of motion, control of that range (especially eccentric control while lengthening under load), and strength/power to recoil and move out of the loaded range (concentric propulsion). Applying this to pelvic health, Dr. Becky argues the pelvic floor is not simply “tight” or “weak,” but must lengthen, load, recoil, and manage pressure in coordination with the pelvis, ribcage, feet, hips, and the entire kinetic chain. Limited pelvic motion (internal/external rotation, expansion/compression) reduces pelvic floor options, contributing to symptoms such as heaviness, pressure, prolapse, leaking, tailbone/back/hip pain, and painful intercourse. Clinicians are encouraged to assess top-down and ground-up influences and to share and discuss these ideas to advance pelvic health practice.

(00:00) - Pelvic Floor Big Picture

(01:34) - Joint Range of Motion

(03:50) - Control and Eccentrics

(06:32) - Strength, Power, and Recoil out of Load

(08:17) - Better Clinical Questions

(10:11) - Zoom Out Kinetic Chain

(14:38) - Symptoms and Root Causes

(15:40) - Share and Keep Learning

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Grab your free guides:

* From the Ground Up: The Foot + Pelvic Floor Connection: https://www.thepelvicpowerhouse.com/fromthegroundup

* From the Top Down: From the Ribcage to the Pelvic Floor: https://www.thepelvicpowerhouse.com/fromthetopdown

Clinicians, be sure to learn about Dr. Becky and Dr. Corrie’s Pelvic Powerhouse Clinical Mastermind: https://www.thepelvicpowerhouse.com/group-clinical-mastermind-2026-live

Follow Becky on Instagram: https://www.instagram.com/drbeckypelvicpt/

Follow Genesis PT and Wellness on Instagram: https://www.instagram.com/genesisptwellness

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Pelvic health professionals, if you want to grow your practice, provide great patient care, and create the life and business you love, then visit The Pelvic Powerhouse: https://www.thepelvicpowerhouse.com/

"From the Ground Up with Dr. Becky Allen” is the podcast for pelvic health pros who are done playing small in the clinic or in business. Your host is Dr. Becky Allen, a physical therapist and the founder and visionary of Genesis PT & Wellness. As your coach, Becky will share with you what it really takes to lead a mission-driven, team-powered, game-changing pelvic health practice.