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Why Your Stress Incontinence Deserves More than Just Kegels

Article by Dr. Kristine Godsil, PT, DPT

Photography by Lynn Townsend

Ever experienced that sudden leak of urine while doing something active? This is called stress incontinence. Surprisingly, it’s not just about being weak down there! Stress incontinence boils down to three things: weakness, high tension, and/or a lack of coordination in the pelvic floor.

Weakness can occur after an injury or just happen gradually over time. Imagine your pelvic floor as a net that should hold things together. If it’s weak, the net doesn’t hold well when you cough, sneeze, or laugh, leading to leaks.

Increased tone is like a muscle always on standby, a bit too tense even when it should relax. These muscles, snug between your tailbone and pubic bone, might lack the strength to prevent leaks when the abdominals exerts pressure.

Now, lack of coordination means the muscles contract when they should relax, and vice versa. For instance, they should slightly contract to stop leaks when you sneeze, but if they relax, it adds to the problem.

The pelvic floor can be a bit mysterious and doesn’t get much attention until there are symptoms. The pelvic floor also doesn’t work by itself, so why doing a hundred Kegels a day won’t solve the whole problem. Consulting a pelvic floor therapist is vital to find out what’s causing the issue. This way, you can keep doing what you love without any unwelcome leaks!

At SparqPT, you'll get one-on-one personal attention. We'll create a plan tailored to your needs to help you feel better in fewer visits. Together, we can manage your symptoms and bring back your quality of life!

Please note that the thoughts and ideas presented in this article reflect the author's viewpoint, unless stated otherwise. This content should not be considered as individual medical guidance. The details shared are designed to assist readers in making well-informed choices regarding their own health and well-being.

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