Stress Urinary Incontinence (leaking of urine with coughing, sneezing, laughing, jumping/jarring activities, or with exercise) is most always thought to b
e associated with weak pelvic floor muscles that are “under-active” — not contracting strongly enough to do their job.
However, many times the problem is caused by “over-active” pelvic floor muscles or muscles that are in a constant state of contraction. When these over-active pelvic floor muscles are called upon to help prevent urine leaking, they fail in their job because they are extremely weak and fatigued due to constantly working…. they have nothing left to give.
When individuals are simply told to do “Kegels,” or pelvic floor strengthening exercises, without proper muscle assessment first, they may be misguided and receive no benefit.
Only when a thorough pelvic floor muscle examination is performed can the appropriate treatment be determined. Don’t waste time attempting exercises that may or may not be appropriate for your situation. Seek the help of a pelvic floor physical therapist for proper evaluation and guidance for appropriate treatment for Stress Urinary Incontinence.