💧Kegels or No Kegels for Bladder Leaking? The Truth You Need to Know.
One of the most common questions I hear all the time: “Should I do Kegels for bladder leaking?”
It’s a great question—and the answer might surprise you.
Let’s use a simple analogy: If your leg hurts, do you immediately go for a run to fix it? Or do you see a doctor, get an X-ray, and find out if there’s a strain or fracture?
So why do we assume Kegels are the automatic fix for bladder leaks? and Why did Kegels Became the Go-To Solution
There are a few reasons why Kegels are often the first thing people try:
- Historical roots: Dr. Arnold Kegel introduced these exercises over 50 years ago, and for a long time, they were the only known option.
- Quick-fix culture: We’re busy and want fast solutions.
- Embarrassment: Many feel uncomfortable discussing bladder issues with their doctor.
But here’s the truth: Kegels aren’t always the right answer.
Bladder leaking deserves a proper evaluation, just like any other health concern.
1. Start with a thorough physical exam. Your annual check-up should include questions about bladder and bowel changes.
2. Don’t be embarrassed. Your bladder is an organ, just like your heart or your head. If it’s not functioning well, it needs care.
3. Understand your pelvic floor. These muscles work 24/7 to support your organs, especially for women who’ve given birth, are sexually active, or exercise regularly.
A Pelvic Floor Physical Therapist Pelvic floor therapists are specially trained to assess these muscles.
We perform:
- Internal pelvic exams
- Diaphragm and abdominal assessments
- Core coordination tests And here’s what we often find: Most women are leaking not because their pelvic floor is weak—but because it’s too tight.
- Tight abdominal muscles
- Restricted diaphragm movement
- Pelvic floor muscle spasms
- Increased intra-abdominal pressure
When we address these issues, release tension, improve breathing, and restore core balance, leaking improves by over 80%.
Once the tension is resolved and the pressure is corrected, then it’s time for Kegels. But doing them too early can make things worse.
Not until your pelvic floor has been properly assessed. Kegels are powerful—but only when used at the right time, for the right reason.
Dina Soliman, PT
Advanced Pelvic Solutions
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