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
Personal Trainer Reveals the No. 1 Exercise to Do Daily for a Strong Deep Core
There’s more to your core than you might realize. There are the muscles that make up the visible topmost layer of abs — the ones responsible for the chiseled six-pack — and then there are the deep core muscles.
Among these deep core muscles is the transversus abdominis, the deepest layer of the abdominals. Think of them like a corset that wraps around your entire midsection, explains personal trainer, TODAY.com health editor and Start TODAY producer Brianna Steinhilber.
The muscles of the transversus abdominis control your posture and the way you move, TODAY.com previously reported. They act as the foundation for the rest of your abdominal muscles, supporting mobility and functional strength across the entire body. For that reason, they deserve as much attention as the superficial ab muscles that tend to get all the glory.
“Working these deep core muscles is really what’s going to help you lose inches off your waist, build core strength and stability, and even reduce lower back pain,” says Steinhilber. Improve your strength and stability with the one deep core move that stands out above the rest.
Fitness Tip of the Day: Perfect Your Pelvic Tilt for a Strong Deep Core
While there are many exercises that target the transversus abdominis, the “pelvic tilt is definitely the most important thing to master before doing any other ab exercise or, arguably, any exercise,” says Steinhilber.
Why It Matters
On its own, the pelvic tilt strengthens the innermost ab muscles, but it also acts as the foundation for every other workout you do.
“It’s a position that should become second nature,” says Steinhilber, because it stabilizes and braces your core whether you’re doing an abs circuit, Pilates or strength training.
By activating and engaging your deep core muscle with a pelvic tilt, you’ll be recruiting these innermost ab muscles to protect your back, prevent injury and support your posture with every move you do, TODAY.com previously reported.
How To Get Started
Start by lying on your back with your knees bent and your feet hip-width apart, TODAY.com previously reported. Place your arms at your side and point them toward your heels. Inhale, then, as you exhale, “think about pulling your belly button to your spine and tucking the tailbone under,” says Steinhilber.
It can help initially to exaggerate the movement by rounding your lower back so that it touches the ground as your tailbone remains in place. Then, tilt your pelvis toward your ribs. Repeat these pelvic tilts forward and back 10 times.
When performing other exercises, whether or not they require you to lie on your back, maintain the pelvic tilt position to ward off injury and make the workout more effective, TODAY.com previously reported.
TODAY’s Expert Tip of the Day series is all about simple strategies to make life a little easier. Every Monday through Friday, different qualified experts share their best advice on diet, fitness, heart health, mental wellness and more.
Fitness
Huge 30-Year Study Finds Exercise Variety Can Help You Live Longer – Here’s the Ideal Mix
Everyone knows the importance of staying active as you age, with those who exercise more likely to improve their longevity by staying fitter and healthier. But new research suggests exercise variety counts for a lot, too.
It might be time to add a bit more spice to your activity mix.
The Study
The study, published in BMJ Medicine, tracked the weekly exercise habits of 110,000 people – 70,000 men and 40,000 women – over the course of 30 years. Researchers wanted to determine whether there was an association between variation in physical activity and risk of death.
Participants reported how much time per week they spent doing activities such as walking, running, cycling, swimming, rowing, strength training, playing sports, lower-intensity exercises like yoga, outdoor work such as gardening or chopping wood, and even climbing the stairs. Researchers then scored participants according to the variety of physical activity they undertook, which was only measured if it was something they engaged in consistently – playing badminton just once a year doesn’t quite count here.
The Results
Those who engaged in the greatest variety of exercise had a 19% lower risk of all-cause mortality than those who engaged in the least variety. The relationship also held true at every level of physical activity – for example, someone who took part in four different activities had a lower mortality risk than someone who completed only three.
Researchers also highlighted that people who resistance trained for 120 minutes or more per week saw their mortality risk plateau, regardless of exercise variety.
What Does This Mean for You?
It’s all about variety. The research suggests taking part in a wide range of activities is better for you than doing the same amount of exercise in just one discipline, so start mixing things up and reap the benefits. Rather than being extremely regimented week to week and sticking to the same one or two activities, this approach gives you greater freedom to try new things, safe in the knowledge that doing so may be better for your overall health. But don’t go all guns blazing just yet.
‘For people who are less active, the key message is that small amounts can still matter,’ the researchers say. ‘Building a routine gradually may be more important than trying to do a lot at once.’
It’s also fair to assume that combining strength training with cardiovascular exercise, such as running or hiking, will help optimise those benefits even further. Both are associated with greater longevity, so pairing them together is likely to help keep you fitter and healthier for longer.
That said, total exercise volume is still king when it comes to longevity – five hours of strength training beats four hours split between swimming, running and cycling, for example. The NHS recommends that adults over 65 do at least 150 minutes of moderate-intensity activity, or 75 minutes of vigorous-intensity activity, each week to improve health and reduce the risk of heart disease and stroke.
The main message? Lift some weights, get outside as much as you can, and keep your heart pumping with a bit of intensity each week – it’ll help you stay in rude health.
If there’s one thing Kori Sampson knows, it’s how to optimise your body composition for performance. To tap into his knowledge as an elite athlete and coach, we asked him to create a 4-week plan to help you move faster, recover quicker and keep pushing when the fatigue sets in – all while improving your muscle-to-fat ratio.
Ready to build muscle, burn fat and come out the other side looking, feeling and performing better? Click here to get 14 days of free access to the plan via the Men’s Health app.
Ryan is a Senior Writer at Men’s Health UK with a passion for storytelling, health and fitness. Having graduated from Cardiff University in 2020, and later obtaining his NCTJ qualification, Ryan started his career as a Trainee News Writer for sports titles Golf Monthly, Cycling Weekly and Rugby World before progressing to Staff Writer and subsequently Senior Writer with football magazine FourFourTwo.
During his two-and-a-half years there he wrote news stories for the website and features for the magazine, while he also interviewed names such as Les Ferdinand, Ally McCoist, Jamie Redknapp and Antonio Rudiger, among many others. His standout memory, though, came when getting the opportunity to speak to then-Plymouth Argyle manager Steven Schumacher as the club won League One in 2023.
Having grown up a keen footballer and playing for his boyhood side until the age of 16, Ryan got the opportunity to represent Northern Ireland national futsal team eight times, scoring three goals against England, Scotland and Gibraltar. Now past his peak, Ryan prefers to mix weightlifting with running – he achieved a marathon PB of 3:31:49 at Manchester in April 2025, but credits the heat for failing to get below the coveted 3:30 mark…
You can follow Ryan on Instagram or on X
Fitness
Fitness Experts Reveal Walking Exercises That May Help You Build Muscle
No matter your age, walking is one of the best exercises you can do for your body. Still, the same-old stroll every day can start to feel boring. By incorporating some creative walking exercises to build muscle into your session, you can bust boredom as well as maximize the benefits of your walk.
“Any repetitive motion in one plane of motion, such as walking forward, will activate the same muscles each time,” said Amy West, M.D., a sports medicine physician at Northwell Health in New York. While the muscles you use to walk forward (like the quads, hamstrings, glutes, and calves) are certainly smart to strengthen, there are other muscles in the lower body and core that are important to keep strong as you age. “Our muscles support our joints, so by improving muscle strength you can help reduce impact on your joints,” Dr. West said. “When you use different walking methods, different muscles are activated each time, which promotes balanced muscle development and postural alignment—and could potentially prevent future aches and pains.”
Meet the experts: Amy West, M.D., a sports medicine physician at Northwell Health in New York; Lindsey Benoit O’Connell, C.S.C.S., a certified trainer, a meditation teacher, and the founder of The LAB Wellness; Janet S. Dufek, Ph.D., a professor in the department of kinesiology and nutrition sciences at the University of Nevada, Las Vegas; Samantha Pinkston, P.T., D.P.T., a senior physical therapist at Montefiore Medical Center in New York City; Latreal Mitchell, a personal trainer and health coach.
Lindsey Benoit O’Connell, C.S.C.S., a certified trainer, a meditation teacher, and the founder of The LAB Wellness, agreed: “Different walking styles can help improve balance, coordination, and agility,” she said. Aside from building strength throughout your body, using different walking styles “challenges your brain to work harder to coordinate the steps,” O’Connell added. Then, once you can confidently do all of these, you can add high-intensity intervals or extra resistance. “Mix up your walks during the week by doing different styles on different days,” O’Connell suggested. “Over time, you’ll see big payoffs!”
Read on for fitness experts’ favorite walking variations, plus how each can help you get stronger and improve mobility and balance as you age.
How to walk to build muscle
Backward Walking
Physical therapists often incorporate backward walking (also called “retro walking”) into treatment plans for various leg injuries and stroke rehabilitation because it helps improve balance, coordination, and range of motion in the hips, leading to better mobility and stability, said backward-walking researcher Janet S. Dufek, Ph.D., a professor in the department of kinesiology and nutrition sciences at the University of Nevada, Las Vegas. Walking backward may also help you maintain a healthy weight (varying the exercises you do helps prevent you from plateauing) and reduce your levels of C-reactive protein, a marker of chronic inflammation, based on a study in which overweight individuals walked backward on a treadmill four times a week.
Muscles Worked:
Try It: Simply take steps backward instead of forward. Because you won’t be able to see where you’re going, it’s smart to do this in a safe, controlled environment—ideally on a treadmill at a slow speed so you can use the rails for balance if necessary. If you don’t have access to a treadmill, then your driveway, a flat and even area of sidewalk, or your local track should work. If you’re not walking on a treadmill, Dufek suggested recruiting a partner—they can be your eyes, and you can hold hands with them for additional support while you master this skill. Start with short bouts so your muscles can get used to the new way of moving (and don’t be surprised if they feel fatigued faster than with regular walking): “Begin with 30-second intervals and gradually extend them as you gain confidence and endurance,” O’Connell advised.
Criss-Cross Walking
Ever watch a clip of supermodels strutting along the runway? They lift one foot, cross it in front of the other to take a step, and continue that pattern. This is essentially how you walk criss-cross style. Walking in this manner strengthens muscles that can help you maintain good coordination, hip mobility, and balance, leading to better overall mobility and less risk of injury, said Samantha Pinkston, P.T., D.P.T., a senior physical therapist at Montefiore Medical Center in New York City.
Muscles Worked:
- Hip adductors (in your inner thigh region)
- Hip abductors (in your buttocks)
- Quads
- Calves
Try It: Start by standing with your feet hip-width apart. Lift your right foot and cross it diagonally in front of your left before lowering it to the ground. Then lift your left foot, kick out your knee, and cross it diagonally in front of your right foot in the same way. Think of it as if you’re making an “X” as you stride. Tighten your buttock muscles and breathe to engage your core. “Practice on flat surfaces and avoid overexaggerating your steps to maintain your balance,” suggested O’Connell.
Nanba Walking
You may not have heard of Nanba walking, but you’ve probably seen it in movies featuring samurai warriors who walk by moving the same arm and leg in sync—a more stilted, less fluid stride than traditional walking. Old research from Singapore has found that this style of walking, which originated in Japan, is more stable and energy-efficient than traditional walking, partly because it involves less twisting of the body and promotes greater integration between the upper body and the lower body. It can also promote mindfulness because it causes you to really focus on your movements, said Latreal Mitchell, a personal trainer and health coach.
Muscles Worked:
Try It: Stand with your feet hip-width apart and your arms hanging loosely by your sides. Bend your knees slightly, as if you were holding a mini squat. Try to stay in this position as you move, as “it’s key for engaging the glutes and keeping the focus there so you don’t end up relying on bigger muscles in your legs to do all the work,” said O’Connell. Step forward with your right leg, moving your right arm forward with it; then step forward with your left leg and bring your left arm forward. Focus on your posture, engaging your core and maintaining an open chest, Mitchell advised. “It’s going to feel awkward at first,” O’Connell said, so practice slowly, and then ramp up. This is a great movement to incorporate into a warm-up before or a cooldown following your usual walking workout.
Side-Stepping
Also known as lateral walking, it’s when you walk sideways with relatively small steps, similarly to how a crab scuttles across the sand. You can boost the effort by placing a resistance band around your calves or thighs once you’ve gotten the form down. Side-stepping improves balance, flexibility, and pelvic stability, which can help prevent falls and injuries that could interrupt your lifestyle and walking routine.
Muscles Worked:
- Hips
- Inner thigh muscles
- Lower leg muscles
- Core
- Glutes
Try It: Stand up straight with your feet nearly touching, knees slightly bent, and your chest lifted. Keeping your feet facing forward, step to the side with your right foot and quickly bring the left one to meet it. Continue this pattern, taking 10 steps to the right and pausing, then taking 10 steps to the left. “Keep the steps small to maintain control,” O’Connell suggested. When you’re ready to add a resistance band, position it around your ankles or right above your knees and then perform the steps above. Having the band around your ankles works your lower leg muscles more, whereas placing it above your knees makes your glutes and hips work harder.
Skipping
Conjure your inner child and spend some time skipping. “It provides cardiovascular benefits and is good for bone density,” Mitchell said. “It’s like a gentler form of running.” In fact, East Carolina University researchers found that skipping was lower-impact and reduced the load on the joints compared with running. “Skipping also involves coordination and balance—very important as we age,” Dr. West noted.
Muscles Worked:
- Quads
- Glutes
- Core—plus, cardio!
Try It: Start by standing with your feet hip-width apart. Step forward and hop on your right foot as you lift your left foot off the ground, then step forward and hop on your left foot as you lift your right foot. Continue the pattern from there. During a regular forward walk, you can try incorporating 15-second bursts of skipping every block or two, O’Connell said. As you get stronger and more comfortable, you can lengthen your skipping stride to increase the challenge—and the benefits.
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