“Never do Kegels” might be the most shareable pelvic floor advice online and it can also be one of the most misleading. We’re digging into the anti-Kegel trend and why it frustrates us as clinicians who care about evidence-based pelvic floor physical therapy, especially for pregnant athletes, postpartum moms, and anyone dealing with stress urinary incontinence.
We walk through how pelvic floor rehabilitation got so “squeeze” focused in the first place, and why the backlash makes sense emotionally. Then we get specific about what the research actually supports: pelvic floor muscle training has some of the strongest and most consistent data in rehab, and blanket statements like “nobody needs Kegels” erase the reality that many people do improve when training is prescribed well.
We also unpack the viral EMG argument. Yes, planks and bracing can light up the pelvic floor as part of the core canister, but activation is not the same thing as an intervention that reliably stops leaking with coughing, sneezing, or jumping. That’s where specificity matters: sometimes you need the pelvic floor to work as part of the whole system, and sometimes you need to be able to contract and coordinate it in isolation, on demand, in real life.
If you’re tired of clickbait rehab and want practical, nuanced pelvic floor guidance you can trust, listen through and join the conversation. Subscribe, share this with a training partner, and leave a review so more people can find evidence-based postpartum and pelvic floor health info.
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