Experiencing Bladder Pain During Pull-Up Exercises: What to Do? - Urology

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Experiencing a sharp pain near the bladder while doing pull-ups?


Hello Doctor, as mentioned, while doing pull-ups with my legs together, bent, and thighs raised, I felt a strange sensation near my bladder after the 18th repetition.
Since then, I've had an odd feeling in that area and a frequent urge to urinate.
What should I do?

Nìmíng zhě, 30~39 year old female. Ask Date: 2022/10/31

Dr. Chen Jiansheng reply Urology


Please seek medical attention.

Reply Date: 2022/10/31

More Info


Experiencing bladder pain during pull-up exercises can be concerning, and it's important to address this issue carefully. The sensation you describe—feeling discomfort in the bladder area while performing pull-ups—could be attributed to several factors, including improper technique, excessive strain, or even underlying medical conditions. Here’s a comprehensive approach to understanding and addressing your situation.


Understanding the Pain
1. Muscle Strain: During pull-ups, especially if you're engaging your core and legs by raising your thighs, you may inadvertently strain the muscles around your pelvic region. This can lead to discomfort that may feel like it's coming from the bladder.

2. Intra-abdominal Pressure: Pull-ups require significant core engagement, which increases intra-abdominal pressure. This pressure can affect the bladder, especially if it is already sensitive or if you have a full bladder during the exercise.

3. Bladder Sensitivity: If you have a history of urinary tract infections (UTIs) or other bladder issues, the physical exertion might exacerbate sensitivity in that area, leading to discomfort or an increased urge to urinate.

4. Hydration and Urination: Ensure that you are adequately hydrated before exercising. However, avoid drinking large amounts of water right before your workout, as this can lead to a full bladder during exercises that engage the core.


Recommendations
1. Modify Your Technique:
- Ensure that your form is correct during pull-ups. Engage your core without excessively straining your pelvic area. Consider consulting a trainer to review your technique.

- Try to keep your legs straight or only slightly bent rather than pulling them up too high, which may reduce the strain on your bladder.

2. Warm-Up and Stretch:
- Incorporate a proper warm-up routine that includes stretching the abdominal and pelvic areas. This can help prepare your muscles for the workout and reduce the risk of strain.

3. Listen to Your Body:
- If you feel discomfort during an exercise, stop immediately. Pushing through pain can lead to further injury or complications.

4. Rest and Recovery:
- Allow your body time to recover after workouts. If the discomfort persists, consider taking a break from pull-ups and other core-intensive exercises until you feel better.

5. Consult a Healthcare Professional:
- If the pain continues or worsens, it’s essential to consult a healthcare provider. They can assess whether there is an underlying issue, such as a urinary tract infection, pelvic floor dysfunction, or other medical conditions that may need attention.

6. Pelvic Floor Exercises:
- Consider incorporating pelvic floor exercises (like Kegel exercises) into your routine. Strengthening these muscles can help support bladder function and reduce discomfort during physical activities.


Conclusion
Experiencing bladder pain during pull-ups is not uncommon, but it should not be ignored. By modifying your technique, ensuring proper warm-up, and listening to your body, you can minimize discomfort. However, if the issue persists, seeking medical advice is crucial to rule out any underlying conditions. Remember, your health and comfort during exercise should always come first.

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