Fitness
How to overcome your exercise fear if you're suffering from pelvic floor weakness
As a new mum, it can feel like there are endless barriers when it comes to working out. From having less free time and spinning lots of plates, to operating on little sleep and being constantly needed by a little person, there are many reasons you might not have time to fit in exercise.
One barrier that personal trainer and post-natal fitness expert Nicole Chapman sees her new-mum clients struggle with is pelvic floor weakness. “As a specialist women’s personal trainer, I get a lot of clients who have urinary incontinence as a result of pelvic floor dysfunction and are told to not exercise,” Nicole says. “I see the psychological effect this has on many women in the way they go about their everyday life and the stigma wrongly attached to such diagnosis considering the amount of women who this affects.”
Indeed, more people than you might realise suffer from pelvic floor weakness. “Almost one-quarter of women at some stage in their life will experience pelvic floor dysfunction to varying degrees – and it will affect women differently at different stages of their life,” says Nicole, before adding: “It is however more commonly seen in women who are pregnant or have given birth, perimenopausal or menopausal women or older women with age degenerative frailty.”
Though pelvic floor issues are a barrier when it comes to working out, Nicole shares her hopes for dispelling the idea that you can’t work out with a weak bladder.
“To see a change we need to start having more open and honest conversations surrounding incontinence and start empowering women to not only seek professional advice but support them with physical activity. There is so much you can do that will actually help your symptoms and that includes lifting weights.
“A lot of women start training with me who have accepted incontinence issues or other symptoms as just ‘part of the result of childbirth’- this absolutely does not have to be accepted as part of your day-to-day life.
“It’s never too late to get help. We really need to change the narrative surrounding acceptance. I have many clients with prolapses and incontinence issues who are now running (even marathons), lifting impressive weights and their symptoms are now functional.”
How to strengthen your pelvic floor, according to a PT
When returning to any exercise after having a baby it is important that you have your GP sign off, Nicole advises. “I would always recommend seeing a women’s physio (Mummy MOT) from six weeks if funds allow,” she adds.
1. Make your pelvic floor your priority
“It is vital you do the groundwork before jumping straight into any high-impact activities – this means working on your pelvic floor as a priority,” says Nicole.
“Your pelvic floor becomes weakened during pregnancy so if you do not take the time to focus on healing and strengthening your pelvic floor it can lead to huge problems including pelvic organ prolapse, pain, incontinence issues and injury.
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“For my clients before returning to higher impact activities such as running or heavier strength training, I spend six weeks working on rehabilitating the pelvic floor through progressive strength training (starting with bodyweight exercises and breathwork), and focussing on building a strong core, glutes and hips to ensure you have pelvic stability.”
Elevated hamstring glute bridge, squats, heel slides, bear holds (isometric holds), and kegel exercises are all great for strengthening your pelvic floor or rehabilitating conditions such as a prolapse, says Nicole. “Building a strong core in through strength training moves will be beneficial,” she adds.
2. Focus on breathing
“Your best friend in all exercises will be your breathing – a top tip is to aim for a deep diaphragmatic breath (not the shallow blowing out of a candle breath). Aim for a loud exhale that enables your rib cage, abdomen and diaphragm to work together to expel the air.
“This engages your core. By working on this deep belly breathing, over time you will strengthen your core function. This is a huge bonus as a strong core enables us to perform daily tasks more easily. And, it gets even better – deep breathing also improves pelvic floor dysfunction by keeping the muscles strong and flexible.”
RELATED: How to work out during menopause according to a PT
3. Lifestyle changes
Lifestyle plays a huge part in your pelvic floor health, according to Nicole. Maintaining a healthy weight, following a balanced diet, reducing caffeine and alcohol intake, not smoking and exercising regularly all have a hand in improving bladder weakness.
To find out more about Nicole’s online strength programmes, designed for all abilities, visit www.nicolechapman.com and follow @iamnicolechapman on Instagram.
Fitness
As cost of living bites, one of the things slipping may be fitness goals
For Hobart teacher Mary Holton, health means everything.
She started feeling the squeeze from cost-of-living pressures when fuel prices spiked again.
“Going out for just fitness alone was a bit much,”
she said.
Mary Holton says since joining the group, her fitness across the board has improved. (ABC News: Jake Grant)
Many Tasmanians are feeling cost-of-living pressures in a very physical way, with locals saying exercise routines are being dropped, health appointments delayed and wellbeing pushed to the bottom of the list as budgets tighten.
Ms Holton relies on multiple physiotherapy sessions each week, but says paid fitness classes simply are not an option.
“That costs … so to actually go to other classes as well, it’s out of my budget really.“
Ollie Mathewson conducts a free workout session. (ABC News: Jake Grant)
National data shows that almost half of Australians already fall short of minimum physical activity guidelines, and rising prices are making even basic care unaffordable for many.
Consultant clinical psychologist academic Kimberley Norris says this is exactly how unhealthy patterns begin.
“We tend to focus on the most stressful thing first … and health is one of those things we don’t think about until things go wrong,”
Professor Norris said.
Kimberley Norris says humans tend to focus on alleviating stress first and foremost, and warns de-prioritising health can become a cycle. (ABC News: Jake Grant)
For Ms Holton, going to a free workout group in her local community was a game-changer.
“Came down and absolutely loved it. It’s really nice to have a group and it just keeps growing,” she said.
Finding a free exercise group has drastically improved her health, as noted by her GP, and she is part of a growing trend.
Free exercise classes become a lifeline
At a community exercise class in South Arm, south-east of Hobart, the mood is upbeat, with laughter, movement, and a sense of relief.
Participation has more than doubled in the past year, with more than 100 Tasmanians now involved.
Trainer Ollie Mathewson said the surge was unmistakable.
“It’s free of charge for everybody … and over the last 12 months I’ve noticed a lot more people starting to come along,”
he said.
Ollie Mathewson says attendance at his classes has almost doubled over the past year. (ABC News: Jake Grant)
Across greater Hobart, free and low-cost alternatives are multiplying and include walking groups, community-run circuits, and morning and afternoon fitness meet-ups.
Tasmanians are increasingly organising their own solutions.
Mr Mathewson said connections drive outcomes.
“A lot of people talk about weight and strength, which are obviously insanely important, having other people there to push you single every week makes it a hundred times easier.“
Professor Norris said one’s health can be prioritised for free.
“What we know about health is, it’s more about sustainable wellbeing, it’s about quality of life,” she said.
“So rather than focusing on how much you can deadlift, how far you can run, it’s about how your life has improved and how close your life is to the way you want to live it.”
She said free options were vital because once people stop moving, it becomes harder to start again.
“If we develop routines in which health is not a priority, then we almost get stuck in this cycle of health always being last.“
Health appointments being delayed or dropped
For some Tasmanians, the financial pressure is forcing even tougher choices.
Amy Dakin says she can’t even think about getting a gym membership with all the other costs of living on her mind. (ABC News: Jake Grant)
Amy Dakin, who lives with a compromised immune system, often has no choice but to delay essential care.
“My health needs to be prioritised, but your bills come first, really,” she said.
Jordyn Rowbottom says she’s not the only one changing her hobbies to save on costs. (ABC News: Jake Grant)
Jordyn Rowbottom has seen the same pattern around her.
“People are being forced to cut what they can access,”
she said.
Professor Norris warns that these short-term decisions can create long-term harm, not just for individuals, but for the broader health system.
She said the combination of financial pressure and reduced physical activity would create a public health challenge.
Trainers adapting to shrinking budgets
Personal trainer Nickola Orr works with clients across different income levels, ages and needs.
She said affordability now shapes almost every program she designs.
“You want to make sure they can get as much help as they can within their price range,”
she said.
Nickola Orr is concerned about access to fitness and health services in the face of rising cost pressures. (ABC News: Jake Grant)
With the median individual spend on fitness in Tasmania sitting at almost $600 last year, Ms Orr said the warning signs were already visible.
“We’re going to see more results of long-term neglect; higher injuries, more need for mental health assistance. It’s going to snowball.”
Her concerns echo Professor Norris’s academic findings that once healthy routines break down, the consequences ripple for years.
“The changes are very small … while they add up over time, there is no immediate impact,”
Ms Orr said.
Calls for more free and low-cost options
Mr Mathewson hopes the success of free community classes will inspire governments and private operators to expand accessible fitness programs.
“More free options would be a great thing. There are a few now, but there should be more,” he said.
The Tasmanian government has said it will release its 20-year preventive health strategy this month, titled The Health Revolution.
A Department of Health spokesperson said the strategy “will address the broader social, economic, and environmental factors that influence health and wellbeing”.
“Specific issues about access to health services and programs are being considered through the Access to Health Services project, a Commonwealth-State partnership.
“The Health Revolution will complement that project by addressing the root causes of poor health and the underlying conditions to make it easier for Tasmanians to live well.“
Fitness
What If Moderate Exercise Isn’t Enough For Women In Midlife?
If you’ve been faithfully logging your 30 minutes of moderate exercise most days of the week, you’re getting the recommended weekly about of cardio. But a new study1 suggests that for women in midlife, that standard benchmark may not be moving the needle on cardiovascular fitness as much as we’ve assumed. Here’s what you need to know.
Fitness
El Monte women’s fitness studio focuses on empowerment and community
EL MONTE, Calif. (KABC) — A boutique fitness gym in the San Gabriel Valley is focused on women’s empowerment, offering everything from dance fitness to pilates, yoga, zumba and circuit training. It’s called “Beastin Beauties” in El Monte.
“ Boutique fitness spaces here, it doesn’t exist here, so I needed to have this for the people in my community here, where I grew up,” said owner Jay Armada.
Members love working on their health and fitness alongside other women.
“You walk in and you feel like you’re able to let loose and inhibit it in a way that you don’t find in other places,” said member Esmeralda Cabral.
“It takes away the stresses of being in a space where you may feel judgment from others. And there’s a certain level of comfort as a woman that you wanna be able, especially if you’re starting a health journey or you’re reigniting it, you wanna have the comfort of being around under supportive women,” said member Ruby Rose Yepez, who also teaches yoga at the studio.
Women empowerment has been the theme all along, from Jay’s humble beginnings…
“ I want people to feel what I felt when I was going through my own journey. I had lost ninety-three pounds in a whole year and I just wanted everyone to feel that,” said Armada.
…to a huge setback in 2020 when the gym’s previous location burned down in a fire.
“ I thought I didn’t wanna do it anymore. Maybe it was a sign from God that you should just quit. But my community held me up and they just really made me believe in it again,” said Armada.
Now, her business is thriving, and she was just named the city’s Woman of the Year!
“ Community and connection here in this space is super, super important. Jay is not just about bringing people here for health. She brings people here to build the connections so that they feel that they’re part of a community,” said Yepez.
“You build a connection without even really trying. You’re all experiencing the same moments together. There’s always just so much fun happening,” said Cabral.
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