A woman walking confidently with her dog after overcoming incontinence through pelvic floor therapy

The Truth About Incontinence: It’s Common, But Not Normal

September 04, 20254 min read

The Truth About Incontinence: It’s Common, But Not Normal

Why Leaking Isn’t a Life Sentence (and What You Can Do About It)
👉 Join our Happy Bladder Challenge here


Hello Supercalifragilisticexpialidocious Friends,

Let’s get real for a minute.
Do you leak a little when you sneeze, laugh, jump, or run?
Do you make a mental note of every bathroom wherever you go?
Do you pee "just in case" multiple times a day—or even skip out on fun things because you're nervous you might not make it in time?

If so, you’re in good company. Millions of people—especially women—experience incontinence. But just because it's common doesn't mean it's normal. And it’s definitely not something you just have to “live with.”

At Practically Perfect Physical Therapy, we help people get to the root cause of leaking so they can ditch the pads, stop planning life around bathrooms, and get their confidence back.

This blog is for you if:

  • You’ve had a baby (recently or decades ago)

  • You’re peri- or post-menopausal

  • You’ve been told “just do Kegels” and still have symptoms

  • You want answers and are ready to take back control

Let’s bust some myths, talk about the science, and—most importantly—give you tools to get started.


What Is Incontinence, Really?

Incontinence is the involuntary loss of urine. There are a few different types:

  • Stress incontinence: Leaking with physical effort like sneezing, coughing, jumping, or lifting

  • Urge incontinence: Sudden, intense urge to go and sometimes not making it in time

  • Mixed incontinence: A combination of the two

  • Overflow incontinence: Bladder doesn’t empty completely, so it leaks later

  • Functional incontinence: Trouble reaching the toilet in time due to physical or cognitive reasons

Many people experience symptoms for years before ever talking to someone about it. And often, they’ve been given vague or ineffective advice: “Just do Kegels,” “That’s normal after kids,” or “Welcome to aging!”

Nope. Not here. Not today.


Why Leaking Happens (Hint: It’s Not Just About a “Weak Bladder”)

Your bladder is a smart, muscular organ, and it's surrounded by a team of muscles called the pelvic floor. These muscles help you stay continent, support your pelvic organs, stabilize your core, and even contribute to sexual function.

Incontinence happens when there’s a breakdown in communication between the brain, bladder, and pelvic floor—or when those structures aren’t working well together.

Some common causes include:

  • Pelvic floor weakness or overactivity

  • Poor coordination of pressure (breath holding, bracing, etc.)

  • Scar tissue or trauma from childbirth or surgery

  • Changes in estrogen levels

  • Chronic constipation or straining

  • Poor bladder habits (like going "just in case" too often)

  • Musculoskeletal issues affecting posture or movement

In short: It’s more complex than just weak muscles. That’s why personalized therapy is key.


What We Do at Practically Perfect

Our pelvic health therapists are specially trained to:

  • Assess your pelvic floor function (yes, gently and professionally)

  • Observe your posture, movement patterns, and breathing mechanics

  • Teach you how to relax and strengthen your pelvic floor

  • Help you build better bladder habits

  • Use tools like biofeedback or dry needling (if needed)

  • Create a step-by-step plan that works with your real life

We don’t just hand you a sheet of Kegels. We give you real insight, real support, and real progress.


Real Story: Meet Mia

Mia came to us six months postpartum. She loved walking her dog, but lately, even that short loop around the block made her anxious—she’d either have to run home to pee or pack a spare pair of underwear just in case.

After a full evaluation, we found her pelvic floor was actually overactive—she was clenching all the time, which created pressure on her bladder and decreased her control.

We worked on breath coordination, pelvic floor relaxation, and proper alignment. Within 4 sessions, she was walking freely, sneezing without worry, and even attending a workout class confidently.

“I thought I’d just have to live like this,” she said. “Now I know I don’t.”


Ready to Take Back Control?

We created a fun, judgment-free way to start your healing journey:

🎉 Join the Happy Bladder Challenge!
It’s a free, 7-day email-based challenge to help you:

  • Understand your bladder signals

  • Ditch the "just in case" habit

  • Learn simple breath + pelvic floor coordination

  • Feel more in control—fast

💻 Sign up here

Or if you’re ready to jump right into personalized care, give us a call.

📞 (609) 300-3963
📍 Practically Perfect Physical Therapy — 311 S New York Road, Galloway, NJ


Final Thoughts

Let’s retire the jokes about peeing when we laugh.
Let’s stop normalizing pads as a long-term solution.
Let’s start giving our bodies the support they need.

You don’t have to earn your healing. You don’t have to be broken enough. If you’re leaking—even a little—it’s worth addressing.

Your bladder deserves better. And so do you.

🧡
Want help spreading this message? Forward this to a friend or tag someone who needs to know: You’re not alone, and help is here.

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