Can heavy lifting cause prolapse to worsen?
Yes, regularly lifting heavy objects can increase intra-abdominal pressure and strain the pelvic floor, which may worsen existing prolapse or increase the risk of developing it.
Detailed Medical Explanation
Lifting heavy weights forces the core muscles and pelvic floor to work harder, raising intra-abdominal pressure. Over time, repeated strain can cause pelvic organs to descend further or new prolapse to develop, especially in women with prior childbirth or weak pelvic floor muscles. If heavy lifting is necessary, using proper technique, breathing out during exertion, and keeping weights close to the body can help reduce risk. (NHS: Living with prolapse)
Clinical Context
Women with prolapse or at risk should minimise unnecessary heavy lifting. Work and daily life may need to be adapted, especially after surgery or childbirth.
Evidence-Based Approaches
NHS and NICE recommend pelvic floor protection strategies in work, exercise, and self-care routines. (NICE NG123)