🚨 Are we still using the biceps analogy for the pelvic floor? It’s time for an upgrade.
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🚨 Are we still using the biceps analogy for the pelvic floor? It’s time for an upgrade.
When explaining pelvic floor strength, many of us were taught to compare it to a bicep—contracting, strengthening, and controlling movement in a straightforward way. But this analogy doesn’t quite capture the full picture.
This is one of our favorite episodes from the past 500+ we’ve recorded! While I’m out on maternity leave, we’re replaying some of the most impactful conversations we’ve had on the podcast over the years.
Instead, I teach the trampoline analogy in my Essential Pelvic Strengthening: Not Your Mama’s Kegels course.
Here’s why it works better:
✅ Explains resting tone – The pelvic floor isn’t just about contraction; it has a natural resting position.
✅ Shows how surrounding structures matter – Just like a trampoline depends on its frame, the pelvic floor is influenced by the core, glutes, and breath.
✅ Highlights involuntary movement – The pelvic floor reacts automatically to forces like pressure and movement, just like a trampoline responding to weight.
This analogy helps patients better understand their bodies, making it easier to explain treatment and exercises in a way that actually clicks.
Tune in to hear why I think the trampoline analogy should replace the old-school biceps analogy—for both clinicians and patients!
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
Learn more about pelvic health with our Clinical Courses
All of the Rising clinical courses are designed to:
Challenge the way you think
Make you more confident in your clinical practice. Â
Allow you to go-at-your-own pace (all online!)
Let you go back to your work: you'll have lifetime access to the lectures and handouts. Check out all the clinical courses we offer (www.pelvicptrising.com/clinical).
Curious about private practice? Check out our Business Resources
We've now helped more than 200 cash-based pelvic health practices start and grow. Â
We want to make sure you're building a business that works for you (instead of vice-versa) and actually enjoy the process along the way! Â
See all the business resources we offer (www.pelvicptrising.com/business), tailored specifically to pelvic health!

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.