We’ve been told that shapewear is a quick fix — smoothing the belly, lifting the bottom, holding everything “in place.” But at what cost?

As a pelvic floor specialist, I see behind the scenes — what’s happening inside the body when it’s tightly wrapped, compressed, and silenced by elasticized control. Spoiler alert: it’s not doing your pelvic health any favours.

Here’s what you need to know.

In the fast pace of modern life, our nervous system plays an incredible role in balancing the demands of daily stress and maintaining a healthy feedback loop between its sympathetic (fight or flight), parasympathetic (rest and digest), and enteric branches. When this balance is intact, challenges are met, traumas integrated, and the body remains resilient, ready to self-regulate. However, when stress overwhelms us and inner reserves dwindle, this balance falters. The autonomic nervous system (ANS) loses its self-regulating ability, and the hypothalamic-pituitary-adrenal (HPA) axis becomes hyperactive—a state often mirrored in the fibers of the psoas muscle.

The pelvic diaphragm is deeply influenced by what happens above and below it. Misalignments in the arches of the feet or tension in the thoracic diaphragm can place extra strain on the pelvic floor, while restricted movement in the cervical diaphragm or pharyngeal diaphragm can create compensatory patterns that ripple down the chain.

Scar tissue in the pelvic region—whether from cesarean births, episiotomies, or abdominal surgeries—adds another layer of complexity. It can limit the natural rise and fall of the pelvic diaphragm, leading to tightness, weakness, or pain.

Breathing mechanics also play a role. Many people with pelvic floor dysfunction unintentionally breathe in a way that increases intra-abdominal pressure, further straining the pelvic diaphragm.

Find a space - where you can just be for a few minutes - use your ribs to breathe - find 'joy' & 'calm' and spend some time breathing in joy and out calm.