Circulation and Pelvic Health: The Half of the Equation Nobody Trains
By Dr. Chris Cormier, DC — EBOO Prime Search for help with bladder leaks or waking up at night and you will find the same answer everywhere: do your Kegels. That answer is correct, and it is only half of the picture. Because a muscle does not get stronger from contractions alone. It gets stronger from contractions plus the blood supply that lets it recover and rebuild — and the pelvic region is one of the easiest places in the body for circulation to quietly decline. This is the half of pelvic health that almost nobody addresses, and it is the half we work on at EBOO Prime. Why muscle training needs blood supply Here is the sequence that turns effort into strength. You contract a muscle. That creates a demand signal. The muscle then needs oxygen delivered, fuel delivered, metabolic by-products carried away, and raw materials brought in to repair and build tissue. Every one of those steps happens through the microcirculation — the smallest vessels, the ones that actually reach the muscle fibres. When that delivery system is working well, training produces results. When it is sluggish, you can do everything right and progress slowly, which is exactly the frustration we hear from people who have been doing their exercises diligently for months. Your nerves need blood too This part matters just as much for bladder control. Nerves have their own dedicated blood supply — tiny vessels called the vasa nervorum that feed the nerve itself. The sacral nerves running down to the pelvic floor and bladder depend on that supply to carry signals cleanly. So pelvic floor function is really a three-part system: the muscle, the nerve that drives it, and the circulation that keeps both alive. Train the muscle and ignore the other two, and you are working at a fraction of your potential. Where circulation quietly declines A few patterns show up again and again: The encouraging part: microvascular function is responsive. Research on exercise training and microvascular function shows the small-vessel network adapts to being used — which means the circulation side can be improved, not just accepted. What EBOO is EBOO stands for extracorporeal blood oxygenation and ozonation. In a session, blood is drawn from one arm, passed through a specialised filter and oxygenation circuit, and returned through the other arm in a continuous loop over the course of the treatment. It is the most thorough form of oxygen-based therapy we offer, and it sits at the centre of how we think about the delivery side of health. Full detail on the procedure is on our what is EBOO and how it works pages. We describe EBOO as a supportive wellness therapy focused on circulation and oxygenation, used alongside the rest of someone’s plan rather than as a treatment for any specific condition. We are deliberate about that language — it reflects how the therapy is positioned, and it means the conversation at your consultation is an honest one about what we are working on together. The muscular half: where the pelvic floor work actually happens Circulation support is one side. The pelvic floor itself still has to be trained, and there are two routes depending on where you are. At home, starting tonight A properly structured home programme is free and effective, and for most people it is the right place to start. Finding the contraction correctly, pairing the lift with your exhale, getting fluid timing right. Our full four-week programme is at BodyCharger. In clinic, for volume you cannot produce voluntarily At The Nerve Health Institute in Lafayette, the EMSELLA chair uses focused electromagnetic energy to produce 11,200 complete pelvic floor contractions in a 28-minute session, seated and fully clothed. In the published multicentre study of 75 women, 81.33% reported significant symptom improvement after a six-session course, with pad use down 53.68% at three-month follow-up. The full detail is in the clinic’s EMSELLA article. Put the two halves together — train the muscle, support the delivery system — and you are working with the whole system rather than one piece of it. Supporting circulation between sessions Plenty of this is in your own hands, costs nothing, and works whether or not you ever come in for a session. If you take one thing from this page, take this list. Break up sitting every 30 to 45 minutes You do not need a workout — you need interruption. Stand, walk for two minutes, do ten slow squats or simply shift position. The pelvic region responds to being decompressed and moved, and brief frequent breaks do more for local blood flow than one long session at the end of a sedentary day. Add short bursts that raise your heart rate Brisk stairs, a fast walk up a hill, carrying shopping without stopping. A few one-minute efforts spread through the day push blood through the small-vessel network and keep it responsive. This is the simplest form of microvascular training there is. Breathe to move blood, not just air Slow diaphragmatic breathing changes pressure in the abdomen and assists venous return from the lower body. Four counts in through the nose, six counts out, ten breaths, twice a day. It also shifts you toward the parasympathetic side of your nervous system — the side that handles repair. Hydrate properly and keep moving warm Blood volume and viscosity both depend on hydration, so steady fluid intake through the day supports delivery directly. Warmth helps too — gentle heat encourages vessels to open, which is one reason people often feel looser and move better after a warm shower. All of this sits inside the wider at-home system we teach at BodyCharger, alongside the pelvic floor work itself. How we sequence it: the OWL Method Our framework across all three practices is oxygen, water and light, supported by frequency, magnetism and nutrients. Oxygen comes first for a reason — it is the primary ingredient in every one of your roughly 30 trillion cells, and no amount of
