A common occurrence we hear are clients telling us they practice their pelvic floor contractions, also known as Kegels, while actively urinating.
Understanding Bradley’s Loops and Bladder Function
Bradley’s loops refer to the intricate neural pathways that govern bladder function, including the coordination between the detrusor muscle (which contracts to expel urine) and the external urethral sphincter (which controls the release of urine). When the bladder is filling, the detrusor muscle remains relaxed, while the external urethral sphincter contracts to maintain continence. When it’s time to urinate, the detrusor muscle contracts, and the external urethral sphincter relaxes, allowing urine to flow freely. There are 4 different circuits of Bradley’s Loops.
The Role of Kegels in Bladder Function
While Kegels can be beneficial for strengthening the pelvic floor muscles, practicing them during urination disrupts the natural coordination between the detrusor muscle and the external urethral sphincter. This interruption can lead to several issues:
The Role of Pelvic Floor Physical Therapy
Pelvic floor physical therapy offers a holistic approach to addressing pelvic floor dysfunction and bladder issues:
While Kegels are commonly touted as a solution for pelvic floor weakness, practicing them during urination can have adverse effects on bladder function and pelvic health. By understanding the importance of Bradley’s loops and seeking guidance from a pelvic floor physical therapist, you can address pelvic floor dysfunction and bladder issues effectively and safely. Pelvic floor physical therapy offers a comprehensive approach to restoring bladder function and improving pelvic health, empowering you to regain control and confidence in your bladder habits.
Looking to take control of your bladder and pelvic health? Reach out to us at Pelvic Health Center in Madison, NJ to set up an evaluation and treatment! Feel free to call us at 908-443-9880 or email us at