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  • Writer's pictureNicole Cozean

Stress Urinary Incontinence: A Missing Piece

Updated: Feb 14

One thing we often miss with stress urinary incontinence is a focus on the task and timing of our patient's issues.

Often we jump right to voluntary pelvic floor strength.

After all, that's what we're taught in our introductory pelvic health courses.

Stress Urinary Incontinence: A Missing Piece

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But pelvic health strength isn't really correlated with urinary incontinence.

A patient can have a pelvic floor that tests as weak but not have any symptoms. A patient can have an pelvic floor testing as strong with massive urinary incontinence problems. Isolated strength alone tells us almost nothing about how the pelvic floor performs in real-world situations.

So what task are they struggling with? And when does the pelvic floor not meet the demand? Often this requires standing and dynamic assessment.

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"A Missing Piece" Series

In this series, we're taking a single aspect of a condition or symptom we feel is often overlooked, dismissed or 'just checked'. If you're already doing this consistently, then great! If you're doing it periodically, it might be something to prioritize higher. And if you're not doing it at all, it's another tool in your toolbox.

Not Your Mama's Kegels Course

If you're interested in learning about why a standing assessment is critical and how to actually perform them in the clinic, make sure to check out the Not Your Mama's Kegels: Essential Pelvic Strengthening ( course!

As Nicole said in the full 'sode of the podcast on this topic...

"The way that we're taught is that if we fix the strength problem, then we're going to fix the incontinence problem. That is simply not true." -Nicole Cozean, Pelvic PT Rising Podcast

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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.

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