Leaking Isn’t “Just Part of Life”: How Pelvic Floor Physical Therapy Can Help

Bladder leakage—also called urinary incontinence—is common, but it is not something you have to live with. Leaking with coughing, sneezing, running, or jumping often signals that the pelvic floor isn’t managing pressure effectively. Pelvic floor physical therapy can help.

What Causes Bladder Leakage?

Bladder leakage may be linked to:

• Pelvic floor muscle weakness or tension

• Hormonal changes (perimenopause or menopause)

• High-impact exercise

• Poor breathing or pressure management

• Pregnancy and postpartum changes

Leakage is not always caused by weak muscles—coordination and timing matter just as much.

How Pelvic Floor Physical Therapy Helps

Pelvic floor physical therapy treats the root cause of leakage by assessing:

• Pelvic floor muscle strength and coordination

• Breathing and core support

• Daily habits and movement patterns

Treatment may include targeted exercises, bladder education, relaxation techniques, and strategies to return to exercise without leaking.

Is Leakage Normal?

Leakage is common, but it is not normal to accept it as part of aging, childbirth, or exercise. Even occasional leakage can often be improved with pelvic floor physical therapy.

When to Seek Help

If leakage affects your comfort, confidence, or activity level, pelvic floor PT can help you feel more in control of your body again.

Take the Next Step

Pelvic floor physical therapy offers an evidence-based, respectful approach to treating bladder leakage. You don’t have to plan your life around the nearest bathroom.