Stress Urinary Incontinence: A Missing Piece

Strength isn’t the key to fixing urinary incontinence.

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Welcome back to another episode from the Rising Vault—where we bring back some of our most impactful episodes to highlight The Missing Piece in common pelvic health conditions.

Today, we’re tackling urinary incontinence—and the one thing that’s often overlooked:

🟢 The focus on task and timing.

Most of us were taught to assess voluntary pelvic floor strength first—but here’s the problem:

👉 Pelvic floor strength isn’t correlated with incontinence.

👉 A patient can test weak and have no symptoms at all.

👉 A patient can test strong and still have massive incontinence issues.

So instead of focusing on isolated strength, we need to ask: 

✅ What task are they struggling with?

✅ When does the pelvic floor fail to meet the demand?

✅ How does the pelvic floor function in real-world situations?

This means prioritizing standing and dynamic assessments—not just lying-down muscle testing. (For a deep dive into this, check out Not Your Mama’s Kegels at www.pelvicptrising.com/kegels).

If you're loving this Missing Piece series, please consider leaving a 5-star review—we love hearing your feedback and how the podcast has helped you!

🎧 Click here to listen now!

Essential Pelvic Strengthening

If you're looking for more information on how to strengthen the pelvic floor without relying on Kegel exercises and how to make this more functional for patients, make sure to check out the Not Your Mama's Kegels course! www.pelvicptrising.com/kegels

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• Challenge the way you think

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• Allow you to go-at-your-own pace (all online!)

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Nicole Cozean, PT, DPT, WCS

Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.

Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.

Jesse Cozean, MBA

Co-founder of the Pelvic PT Rising and the Rising Podcast.

Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.