Stress Urinary Incontinence: Why It Happens and How Pelvic PT Can Help

Written By Maggie Curtis

Urinary incontinence is one of the most common reasons people seek out pelvic floor physical therapy. Whether it’s leaking a few drops when sneezing or completely emptying your bladder before you can reach the bathroom, urinary incontinence can significantly impact daily life.

There are several types of urinary incontinence. This article focuses on stress urinary incontinence, which is leaking urine due to increased pressure on the bladder (such as coughing, sneezing, running, jumping or lifting weights).

Stress urinary incontinence can be caused by a variety of pelvic floor factors. Some people have pelvic floor muscles that are too weak (unable to contract effectively to stop urine flow when needed), while others have muscles that are too tight (contracting more often than they should). A pelvic floor physical therapist can help determine the specific cause and recommend targeted exercises based on an individualized assessment. 

It is important to note that leaking urine is not just a pelvic floor issue. Muscles above and below the pelvic floor play a key role in continence.

Other important muscle groups that should be assessed by a pelvic floor physical therapist include: 

  • Core muscles

  • Glutes

  • Calf muscles

  • Breath coordination

Depending on the strength and coordination of these areas, specific exercises can help improve symptoms.

Some common activities that may cause leaking include:

  • Jumping jacks

  • Running

  • Box jumps

  • Jumping rope

  • Coughing or sneezing

  • Lifting weights

Every person is different, and the underlying cause of urinary incontinence can vary. If you are experiencing any of these symptoms, know that you are not alone- and leaking does not have to be something that you simply “live with”. Pelvic floor physical therapy can help you feel stronger, more confident, and more in control in your everyday life and during the activities you love.

If you are experiencing any of these symptoms, we’d love to help. Contact our office to learn more about pelvic floor physical therapy or to get started with an evaluation.

Maggie Curtis
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