Should I leak when I run?

Running is great for mental health, being outdoors provides fresh air, a new perspective and the pounding of your feet in a rhythm can help your thought processes.

However it is also known that the impact of running can elicit symptoms of stress urinary incontinence. That little bit of leaking that you get when you run, or the need to wear a pantyliner/pad is not how our bodies were designed to function and is a symptom that there is a bigger issue.

So should you run whilst you leak?

A review of 28 studies on continent and stress incontinent women showed the timing of pelvic floor activity in relation to movement was key. What does this mean? It means that co-ordinating your pelvic floor with your movement is crucial. This is something that comes with practice. Like any muscle the pelvic floor is one that needs training, but not just on it’s own via kegels. Don’t get me wrong, kegels are definitely useful and have a big role, but these need to be integrated into movement. So if your pelvic floor is not functioning properly when you run, it’s all about practicing moves to prepare for running using pelvic floor cues as well.

Does this mean you may need to stop running whilst you train your pelvic floor? Yes it may do, for a short period of time. Now whilst I completely understand that it is so hard to stop doing an exercise that you love and that is so helpful to you, there is a bigger picture to be seen. If you have the symptoms of leakage then continuing to put impact through a weak muscle can lead to it worsening. This could lead to prolapse, a condition where the pelvic organs descend… and you having to stop running for longer.

Think about it this way, if you had an injury in another muscle, such as a hamstring, then you would seek advice, possibly have some physio, work on exercises to rehabilitate and take time out from running whilst it healed. So why is the pelvic floor any different?

I’m running some brilliant courses that will help you get your pelvic floor up to speed.

Everywoman is a 12 week course with 6 weeks of in person classes and homework, then 6 weeks of online classes. Full support provided including some help with nutrition and stress regulation.

Next course starts in November

Athlete 12 is for you if your pelvic floor is already ok (no leaks) and you have already done come core work first. If you want to get stronger and fitter, it is a brilliant aid to improving your performance and having coached support without paying for a PT each week. This is a 12 week online course with workouts delivered to you and support from myself.

Want to sign up? Drop me an email priya@pilateswithpriya.co.uk

Top Tips from our Teachers

Priya

Do some practice at home. Pilates is like learning a new language, the more you practice, the more you learn.

Now it is common sense that the more often you practice something the better you become at it. Therefore doing some Pilates practice between classes will help you massively. If you can practice lying in neutral and breathing, correcting your posture and a move that you enjoyed in class it will help. Check out our youtube channel for videos and sequences you can try.

Jo

Slow down and breathe, breathe, breathe. Pilates is a marathon and not a sprint.

Breathing is obviously something that we do all the time but we don’t always take the time to do properly. Focus on the breath going into your ribs, so they expand out to the side. The breath also expands your tummy and your back too.

Mandie

I always talk about rib cage placement. In all posts avoid the ribs flaring out, instead bury them down towards your hipbones so the abdominals engage.

If your ribs flare up when you lift your arms or legs, concentrate on there being a heaviness on your chest and your core engaging more. It may also be you need to reduce the range of movement in your shoulders and legs.

Faye

Check in with yourself from time to time through your day. How are you standing or sitting? Are you shallow breathing? When you can only attend one class a week, it’s these daily tweaks that really help to make a difference”

A focus on your posture is so key. What you do in class is a tiny fragment of your week, so finding the posture cues you need to work on is totally crucial. Whether it is adjusting your head position or bringing your pelvis into neutral more often. It all makes a difference.

Pilates and Self-Care

Self care is the new buzz word. Personally I love it. It is something I know I need to do more of. I work my body hard in the week running from clients to classes to clinics. I don’t always build in enough time to relax, never mind time to look after my body in the way it needs, but I’m working on it. One of my new years aims was to have a spa day this year. My older girl actually laughed when I said that… as in “that won’t happen mummy”, but thanks to a lovely friend turning 30, I’m booked on a spa day with some girls – YES. Jokes aside, I am totally lucky that I teach Pilates and can incorporate some self-care into the sessions I teach. Pilates has been shown to help with mental health conditions such as depression and anxiety – why? It centres and focuses the mind in a similar way to mindfulness. I swear Pilates keeps my body working and my mind sane. Here are some tips on how you can make self-care part of your Pilates lifestyle.

Massage:

Seen by some as a luxury (including myself for many years) I’m not meaning that spa aromatherapy style massage (though bring that on too). Instead it’s the the dig deep and release the tight areas kind of massage that helps fix your body. We all get certain, recurrent tight spots in the body. Often these are due to posture or over-using the body in certain ways. Either way a decent sport massage can make a big difference. When the tight muscles are released you can move your body in a new pattern. I know I have certain areas that would benefit from a course of massage treatments (hint hint) – you only get one body.

Breathing:

I’ve totally fallen in love with breathing this year. A lot of time devoted to studying this deeply has impacted my practice as a teacher and my own day to day practice. I find myself pausing at points in the day to breath and reconnect. Just 10 minutes of deep breathing can help calm your mind, work your core and ground you. My personal preference is to teach people to lie down in neutral posture and breath as it helps you relax into it with good posture, however this isn’t always possible in the middle of the day! So sitting on a chair with a high back, breathing into your back, sides and tummy with a relaxation on the inhale and engagement of the core on the exhale.

Move:

We all know too much sitting is not good for us. So building movement into your day is key. This doesn’t have to be a massive workout. Move your body in the way that feels good. I don’t think there need to be any rules, the rules confine people. Instead just know that moving is good for your body, your mind, your soul. Stretching after a busy day, changing postures at work, a 15 minute walk – it all helps.

 

Stretching:

There are times my body is just too darn tired to do a teaser and thats ok. On those occasions it is good to listen. It all depends on how in tune you are with your body. Is it your head telling you not to bother moving today and to sit on the sofa or is it your body letting yoou know it is tired, it needs a rest? We all need a rest day in our week, even God took time to rest in creating the world. I have weeks as a teacher when people turn up to class and they all look tired out. Those weeks we change the pace and although there will still be plenty of core work and a sneaky teaser, there will also be plenty of stretching and release work built in too.

Sleep:

Not something I’ve managed to do much of over the past few years, for which I blame my children 😉 There is so much research now showing us how important sleep is. To be fair it’s pretty obvious isn’t it. When we sleep it’s the time our bodies renew, replenish and restore themselves. So it’s a time of new growth but also a time part of us gets to unplug and switch off. If you are not asleep at night then your body can’t do all its jobs, you are just making it extra hard work! So commit to getting to bed and resting.

Nutrition:

I cannot emphasis enough how key getting good nutrition into your body and nourishing it is. I’m totally biased, confession I’m a dietitian too… which means I have seen first hand how nutrition plays a vital role in healing and in health. Simple things like ensuring you eat plenty of fruit and veggies, stay hydrated and have your cupboard/fridge stocked with nuts, seeds, dried fruit, yoghurt, oats, nut butter to keep you out of biscuit tin on some occasions. I live by the 80/20 rule which states you eat healthily 80% of the time and you relax your approach 20% of the time. There is always room for cake!

 

However self-care works for you, try to build it into your week, your day, your life.

Why fixing diastasis recti is not all about movement.

So often I hear the phrase movement heals. Whilst I agree with that there is also a point where movement is not the first point of call. There are so many programs out there now and so much advice on what to do if you have a pelvic floor concern or abdominal separation. The over flow of information is confusing and can just add to the noise in peoples head. How do you know who to listen to? How do you know which advice is correct? As someone who has spent a number of years doing advanced study in this area I’d like to share my top tips. I certainly know that a new mum I did not get it right first or second time around… but third time lucky.
If you can you always want to get somebody who can put their hands on you and give you a thorough assessment. That might not mean that they do an internal assessment but you do you want somebody who can physically I do your body, what you move, and placed their hands on you whilst you breathe and use their hands to correct you and to release you. Now that might not always be possible, and I’m not knocking The online program set out there. However I do think if you can get a one-to-one hands on assessment with the women’s have physio or a very experienced fixed price that you want to do that before moving on to any other form of program.
When looking at a program always look at how rounded it is. If it just focuses on the movement then I would say it’s not a full program. There is so much work to be done before you get to the movement, for example:
I want to woman to be able to breathe properly In a full 360° breath.
I want them to be able to connect the pelvic floor, lower abdominals and feel their back expand as they breathe.
In order to correct your posture work is going to need to be done.
This is going to involve some release moves, possibly some soft tissue work.
It needs to be a daily approach. What you do in a class needs to spill out into your daily life.
It’s also really important to focus on you. Self-care cannot be underestimated. Finding ways to make yourself out of that highly stressed fight/flight state into the calm zen like parasympathetic nervous system is absolutely 100% important. This could involve meditation, mindfulness, breathing exercises, along path, or otherwise of chilling out. However you do it it’s important. If you are living in stress and tension you’re not going to be able to heal your body.
It’s only when all of this has been accomplished movement can be layered on top. That’s why I love doing what I do. I get to work with people either 1-1 or in  class and bring them back to that chilled out relaxed state.
If you want to get involved and get some help that focuses not just on the issues in your body but also on healing all of you, then get in touch.
What is best for you? Hard to say as I work on a person by person basis, we are all different.
If you have a significant diatasis recti or significant pelvic floor issues you are likely to need some 1-1 sessions.
If you have some concerns with leaking, a small separation or feel like your whole system needs a tune up then our Holistic Core Restore EVERYWOMAN 6 week course is for you.
If you want ongoing classes then our pilates classes are the best bet.

The secret sect

Since starting specialising in postnatal womens recovery I feel like I’ve discovered a secret sect. An un-talked about condition that is just normalised by ladies and it shouldn’t be. It has become something these ladies accept and life their life around. Why? Often I think life is busy, most of these ladies are mums and when you are a mum you are no longer at the top of the pecking order. The children come first, there is a lot less time for focusing on yourself and you learn to put up with those annoying niggles and problems.

Incontinence, leaking and those accidental moments should not be a normal part of life. Whether it be having to avoid the trampoline, “sneeze pee”, not being able to wait until you get in the door for the toilet or needing to wear a pad when you run, it is not how your body is built to function and it can be improved upon.

Maybe you have had some help in the past and it has not worked? Or you have squeezed your lady parts over and over with no improvements? Well it’s time to start over. Yes those kegels/pelvic floor exercises are important but if you are not doing them correctly they won’t work and there can also be other muscular imbalances in your body that are the sticking point. Our bodies are connected from head to toe, this means that your foot position and your neck position impact your pelvic floor! So if you feel you need a fresh approach then here are my tips:

  1. If you have any heaviness or dragging in your pelvic floor region go and get checked out by a womens health Physiotherapist. Yes this costs money but it is well worth knowing what is happening in your body. I recommend a Mummy MOT for ladies who want a once-over post baby.
  2. Be committed. Your pelvic floor is a group of muscles like any other in your body and it takes time to see progress. However after a few weeks you should be noticing improvements. It takes work all of your week and not just the session you work with someone. I encourage people to do daily, focused work using the exercises we do in a session and to also focus on their posture as much as they can in the day, plus some dedicated breathing time. So you need to carve some time into your day to do all of this.
  3.  It is NOT all about the work however. For some people it is all about the RELAXATION. Over-working a muscle leads to it being tight and weak. So if you live life in your stressed place the relaxation phase can be the key.
  4. Get your breathing assessed. Oh my days, so many of us do not breath properly and all kinds of funky things go on connected with this. It could be you are pushing down on your pelvic floor when you breath out and it needs a re-train.
  5. If you aren’t a fan of lying on your back doing Pilates moves then it doesn’t have to be that way. There are plenty of ways to incorporate your pelvic floor rehab work into variations of the exercises you like.
  6. Find a practitioner who you can work with, someone you like, who really knows their stuff, who has worked with lots of ladies with success and who you be open with. Facebook can be a great place to get recommendations. I work with women on a 1-1 basis and via the Holistic Core Restore courses.

Get in touch if you need to chat or to find someone who can help. Most importantly do not suffer in silence and get some support.