If you notice leakage when you exercise, jump, run, or lift weights, you are not alone.
This is something we see regularly in clinic, and many women experience it at some point, particularly after pregnancy or as activity levels increase.
The problem is that many assume this is normal and something they just have to put up with.
It is common, but it is not something you should ignore.
Leakage during exercise is usually linked to how the pelvic floor is functioning.
The pelvic floor muscles support the bladder and help control continence. When these muscles are not working effectively, pressure from activities like running, jumping, or lifting can lead to leakage.
In many cases, the issue is not just weakness.
It can also be due to poor coordination, timing, or even muscles that are too tight and not working properly.
This is why simply doing pelvic floor exercises without guidance does not always solve the problem.
Another key factor is how pressure is managed through the body.
When you exercise, pressure increases within the abdomen. If this pressure is not well controlled, it can place extra strain on the pelvic floor and contribute to leakage.
Breathing patterns, core control, and movement all play a role here.
We often see this in women who are returning to exercise after pregnancy, increasing their training load, or pushing intensity without the right support.
At Harborne Physiotherapy, we take a structured approach.
Assessment focuses on understanding your symptoms, how your pelvic floor is functioning, and how you move and exercise.
Treatment may include:
Pelvic floor retraining
Improving coordination and timing
Breathing and pressure management
Guidance on returning to exercise safely
Progressive strengthening where appropriate
The aim is not just to reduce leakage, but to help you return to exercise with confidence.
Most women improve significantly with the right approach.
If you are experiencing leakage when exercising, it is worth getting it assessed rather than trying to manage it on your own.
If you would like help with this, you can book an appointment here:
https://www.harbornephysio.co.uk
