#103 Urinary Incontinence (LEAKING) in Runners with Pelvic PT Beth Shelly

#103 Urinary Incontinence (LEAKING) in Runners with Pelvic PT Beth Shelly

Urinary incontinence (leaking) is an incredibly common struggle for runners, both male and female. Specifically for women, more than 50% of athletes report dealing with leakage. Understandably this struggle is underreported and often unaided when people do ask for help. Andrea and Megan interview Dr. Beth Shelly, a pelvic floor specialist. Dr. Shelly dives into the research on leakage, the anatomy of the pelvic floor, risk factors, treatment and more.

Beth Shelly is a Doctor of Physical Therapy board certified in women’s health and biofeedback for pelvic floor dysfunction. She has practiced for over 35 years, specializing in women’s and men’s health. Beth completed her Doctor of Physical Therapy degree at St. Ambrose University in Davenport, Iowa in 2007 with the completion of her research in the methods PTs use to learn PFM examination. Her private practice in Illinois specializes in pelvic health and lymphedema. You can also find her on Facebook and Instagram.

Chapters
00:00 - Intro
08:18 - An overview of urinary incontienance
11:50 - The musulature of the pelvic floor
18:30 - Risk factors for urinary leakage in runners
26:06 - Possible causes of urinary leakage
30:58 - How a pelvic floor physical therapist can help runners
42:03 - Assessing a runner's abdominal and pelvic strength
57:06 - The use of biofeeback technology
1:02:54 - How to find a pelvic floor specalist
1:09:26 - Wrap-up

Jaksot(304)

#290 Buy or Sell: Data is Overrated? Banning Water Cups at Marathons? Super Trainers are Better?

#290 Buy or Sell: Data is Overrated? Banning Water Cups at Marathons? Super Trainers are Better?

Matt and David are back with a new installment of Buy or Sell. They debate the merits of data versus hands-on testing in shoe reviews and make the case that the era of 35-39mm being considered max cus...

22 Huhti 1h 2min

#289 The Science of Walking Shoes

#289 The Science of Walking Shoes

Matt, Nathan, and David lace up for a deep dive into the biomechanics of walking and what they mean for footwear. They break down how the foot moves through the gait cycle, what characteristics make a...

15 Huhti 1h 7min

#288 Mailbag! Best Stable Max Cushion? Shoes for Knee Pain? Training While Sick?

#288 Mailbag! Best Stable Max Cushion? Shoes for Knee Pain? Training While Sick?

Nathan, David, and Matt dig into the mailbag to tackle your questions. They compare the On Cloudmonster Hyper 3 and Saucony Endorphin Azura and help a listener find a road shoe similar to the Puma Dev...

8 Huhti 1h 3min

#287 The Latest on Super Shoe Research 2.0: Matching Up to Your Running, Known Effects on the Body, How to Adapt Appropriately

#287 The Latest on Super Shoe Research 2.0: Matching Up to Your Running, Known Effects on the Body, How to Adapt Appropriately

Matt is joined by Dr. Iain Hunter of Brigham Young University's Exercise Science department for an evidence-based deep dive into the science of super shoes. Drawing on his own research, Dr. Hunter exp...

1 Huhti 1h

#286 Our Favorite Shoes of 2026 So Far, and David’s Running the Boston Marathon!?

#286 Our Favorite Shoes of 2026 So Far, and David’s Running the Boston Marathon!?

The beginning of 2026 has been absolutely loaded with new shoe releases, and David and Andrea are here to pick their Top 3 (plus a few honorable mentions) for the year so far, including picks from On,...

25 Maalis 1h 15min

#285 Sharing Our Strength Routines, Debunking Weightlifting Myths, and What We’re Testing

#285 Sharing Our Strength Routines, Debunking Weightlifting Myths, and What We’re Testing

Weightlifting: runners know it has a myriad of benefits but it can be a struggle to fit it into already full training and life schedules. Matt & Nathan are here to help. They dive into the physiology ...

18 Maalis 56min

#284 Mailbag! Is There Real Science Behind Recovery Shoes? Best Stable Neutral Long Run Shoes? Lightweight vs. Max Cushion?

#284 Mailbag! Is There Real Science Behind Recovery Shoes? Best Stable Neutral Long Run Shoes? Lightweight vs. Max Cushion?

Time to open up our mailbox for your questions! Nathan, Matt, and David join up to tackle questions about recovery runs, compression gear, stable neutral long run shoes, and much more. Want your quest...

11 Maalis 1h 6min

#283 Breaking Down the Cielo X1 with Hoka

#283 Breaking Down the Cielo X1 with Hoka

Hoka's making big strides in 2026 with a big updated to their top-tier distance racing shoe: the Cielo X1 3.0. Matt is joined by Rebekah Broe, Senior Director of Product Performance Footwear at HOKA, ...

4 Maalis 51min

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