Physical Therapists Using Clinical Analysis To Discuss The Art And Science Behind Running and The Stuff We Put On Our Feet

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DOR Podcast #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 Myers and Megan Flynn 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.

Listen to This Week's Podcast Here!

Direct Links: Apple | Spotify | Anchor


About Beth Shelly

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 at and or find her on Facebook and Instagram.

The Subjective:
 What's the biggest running-related myth you've heard?

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 specialist
1:09:26 - Wrap-up

Science Weekly: Lateral Forefoot Wear
By Matt Klein

Excessive lateral forefoot wear is a fairly common thing that I see. Usually this means that someone is supinating or inverting excessively during toe-off.  This could come from a fibularis longus weakness and the body is avoiding putting pressure on the first metatarsal.  It could come from excessive tightness of the calves or the posterior tibalis.  It could also be coming from a forefoot striker landing very hard on the lateral aspect of the shoe, which is fairly normal for their gait.  This is similar to landing on the posterior lateral side of the heel.  Most people will land on the outside first to prepare themselves for pronation, which again is a normal method of shock absorption.

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Asics Novablast 3

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