Safe Twisting During Pregnancy: A Guide from Fixxed Pelvic Floor PTs in Wakefield

Written By Ariél Hovland

If you Google “twisting during pregnancy,” you’ll find a lot of conflicting advice — often a big, scary “NO.” At Fixxed in Wakefield, we’re here to set the record straight. Safe rotation during pregnancy depends on control and pelvic floor support, not avoiding movement altogether. Upper-body rotation can be incorporated through exercises like thoracic mobility drills, wall-supported windmills, foam roller reach-throughs, and open-book twists — all while maintaining proper intra-abdominal pressure. Movements that challenge control, like Russian twists, bicycle crunches, or V-sit rotations, are better modified or skipped to protect your core and pelvic floor.

Our co-owner and pelvic floor physical therapist, Ariel Edwards, DPT, breaks down exactly what you should (and shouldn’t) be doing during pregnancy in her podcast episode: “The Truth About Working Out During Pregnancy — What You Should Actually Be Doing.” This episode is a step-by-step guide for safe prenatal workouts, core training, and pelvic floor support — whether you’re pregnant, trying, or newly postpartum.

Safe Twisting Options for Pregnancy:

  • Thoracic mobility drills

  • Open-book twists

  • Thread-the-needle on a foam roller

  • Wall-supported windmills

These movements keep your spine mobile, ribs expanding, and breathing efficient — all of which support healthy pelvic floor function.

Twists to Avoid:

  • Russian twists

  • Bicycle crunches

  • Heavy weighted rotational sit-ups

  • V-sit style rotations

These can increase intra-abdominal pressure, contribute to doming or diastasis, and strain your pelvic floor.

Why Strength Training Matters During Pregnancy:
At Fixxed, we prioritize strength work for pregnant clients because it:

  • Maintains core and pelvic floor strength

  • Reduces back, hip, and joint pain

  • Supports better endurance and labor positions

  • Speeds postpartum recovery

  • Boosts mood, energy, and sleep

Most importantly, it keeps you feeling strong, capable, and like yourself.

✅ Looking for Pelvic Floor PT in Wakefield? Our team specializes in prenatal and postpartum care, helping clients stay active, safe, and strong throughout pregnancy. Book a session at Fixxed today and get support from experts who understand what your body truly needs.

Ariél Hovland
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