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Nicole Laird

80% of Trampolinists Leak. Almost None of Them Have Had a Baby.

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There’s a belief so widespread that most people have never questioned it: bladder leaking is what happens to women after childbirth, and eventually to older women. Here’s a set of figures that complicates that considerably. Athletes are almost three times more likely to experience urinary incontinence than sedentary women. Prevalence ranges from around 10.9% in low-impact sports such as cycling to 80% in high-impact activities like trampoline gymnastics.

Two Kinds of Leaking, Two Opposite Solutions

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Most people with bladder leaks are given the same advice regardless of what’s actually happening: do your Kegels, cut back on fluids, and manage. That advice helps one group considerably, does very little for another, and actively makes a third group worse. Because “leaking” isn’t one problem. There are two main types, they have different mechanisms, and the strategies that fix one can worsen the other. Working out which you have is the single most useful thing you can do about it.

What Actually Happens at a Pelvic Floor Appointment

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There’s a specific reason people put off booking this appointment, and almost nobody says it out loud. They don’t know what they’re walking into. They’ve heard there might be an internal examination. They don’t know whether they can say no, whether they’ll be expected to undress, whether they’ll have to explain things they’ve never said aloud to anyone, or whether the whole thing will be as awkward as they’re imagining. So they wait. Frequently for years. This article exists to remove that uncertainty. Here’s exactly what happens, what’s optional, and what you’re entitled to ask for.

Men Have a Pelvic Floor Too, and Half of Them Have Never Heard That

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Pelvic floor therapy has a reputation as something for women after childbirth. That reputation is costing a lot of men a great deal. Men have exactly the same group of muscles, performing exactly the same jobs — supporting the pelvic organs, controlling bladder and bowel, and contributing to sexual function. And when those muscles stop working properly, the results are just as disruptive. The conditions involved are common, the evidence for treating them is reasonably strong, and most men affected have never been told any of this exists.

The Menopause Symptoms Nobody Puts on the List

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Ask most women what menopause involves and you’ll get a fairly standard answer. Hot flashes. Night sweats. Mood changes. Sleep problems. Brain fog. There’s another set of symptoms that affects a large proportion of women, that tends to be more persistent than any of the above, and that a great many women never mention to anyone at all. They involve the bladder, the pelvic floor, and sex. And the silence around them is the main reason they go untreated.

Why Everything Started Hurting at 48

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There’s a specific experience women describe, and it’s remarkably consistent. Nothing happened. There was no injury, no accident, no obvious change in activity. But somewhere in your forties, your body started behaving differently. Your joints ache in the morning. Your shoulder has stopped moving properly. A tendon you’d never thought about is now a daily consideration. You feel, as one orthopedic surgeon put it describing her own experience, like you’ve been run over by a truck. And when you mention it, the response is usually some version of “well, that’s your age.” There’s a considerably better explanation, and it has only recently been given a name.

Why Urinary Incontinence During Menopause Is Not Just a Pelvic Floor Problem

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If you’re going through menopause and experiencing bladder leaks, urgency, or a constant need to know where the nearest bathroom is, you’ve probably been told the same thing: “Just do your Kegels.” In this blog, we’re going to take a different perspective. Instead of focusing only on hormones or isolated muscles, we’ll show you how your breathing, posture, movement patterns, and nervous system all play a role in bladder control.

How Menopause Causes Urinary Incontinence and What You Can Do About It

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If you’ve started noticing bladder leaks, urgency, or a sudden change in control during or after menopause, you are not alone and you are not imagining it. At Hays County Physical Therapy & Wellness, we regularly work with women who are frustrated, confused, and often told this is just something they have to live with. In this blog, we’ll walk you through how menopause causes urinary incontinence, why symptoms show up when they do, and what you can do to regain control and confidence.