Strength isn’t the key to fixing urinary incontinence.

Welcome back to another episode from the Rising Vault—where we bring back some of our most impactful episodes to highlight The Missing Piece in common pelvic health conditions.

Today, we’re tackling urinary incontinence—and the one thing that’s often overlooked:
🟢 The focus on task and timing.

Most of us were taught to assess voluntary pelvic floor strength first—but here’s the problem:
👉 Pelvic floor strength isn’t correlated with incontinence.
👉 A patient can test weak and have no symptoms at all.
👉 A patient can test strong and still have massive incontinence issues.

So instead of focusing on isolated strength, we need to ask:
 ✅ What task are they struggling with?
✅ When does the pelvic floor fail to meet the demand?
✅ How does the pelvic floor function in real-world situations?

This means prioritizing standing and dynamic assessments—not just lying-down muscle testing. (For a deep dive into this, check out Not Your Mama’s Kegels at www.pelvicptrising.com/kegels).

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About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! 

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!