Leaking when you run isn’t a badge of honor.

Running groups joke about it. Gym friends trade tips about dark leggings before double-unders. Leaking with impact is so common among active women that it starts to feel like part of the deal. It’s common. It isn’t something you have to accept.

Why it happens

Every stride, jump, or heavy lift sends a spike of pressure down through your abdomen. Your pelvic floor has to meet that pressure fast, at the right moment, over and over. When leaking happens, strength is only one possible reason. Timing, endurance, how you breathe and brace under load, and how your hips and feet absorb impact all play a part. After years of orthopedic practice, I look at the whole chain, not just the pelvic floor.

Signs to get checked

• Leaking during runs, jumps, or lifts, even a little
• Pressure or heaviness in your pelvis during or after exercise
• Holding your breath to get through a lift
• Planning routes or workouts around bathroom access
• Returning to running after having a baby, at any point postpartum

What pelvic PT looks like for athletes

We start with how you move under load: how you breathe, brace, and land. From there, a plan might include pelvic floor strength, speed, and endurance work, hip and core training, breathing and bracing strategies, and a graded return to impact. If related muscles are stubbornly tight, dry needling can be part of in-person care.

Much of this work translates well to video visits, because so much of it is about how you move in your own space. You don’t have to stop training to start. We’ll fit the work around the running and lifting you already love.