08/04/2026
Leaking during a run may be common, but it isn’t something you have to accept or cover up with black leggings.
Running requires your pelvic floor, core, hips, feet, and breathing system to work together with every step.
When that system isn’t managing impact or pressure well, leaking can be one of the first signs. 💦
Here are 5 things that may help:
1. Stop Holding Your Breath
Your breath helps your core and pelvic floor manage pressure. If you hold your breath, brace too hard, or constantly “suck in” your stomach while running, you may place more pressure on your pelvic floor. Practice steady, relaxed breathing instead of gripping through your entire run.
2. Adjust Your Cadence
Overstriding can increase braking forces and impact with each step. Taking slightly shorter, quicker steps may help your body absorb force more efficiently. You don’t need to completely change your running form overnight—small adjustments can make a meaningful difference.
3. Build Strength
Running is essentially a series of single-leg landings. Your glutes, hips, calves, and feet help absorb impact before it reaches your pelvic floor. Exercises can help build the strength running requires.
4. Consider Your Bladder Habits
Peeing “just in case” before every run can train your bladder to signal urgency before it is actually full. On the other hand, running with an overly full bladder may also increase symptoms. Hydrate normally, notice your patterns, and avoid drastically limiting fluids just to prevent leaking.
5. Stop Assuming You Only Need More Kegels
Leaking doesn’t always mean your pelvic floor is weak. It may be tight, fatigued, poorly coordinated, or struggling to respond quickly enough to impact. A pelvic PT can determine what your body actually needs instead of giving you a one-size-fits-all exercise plan.
You shouldn’t have to stop running, plan every route around a bathroom, or worry about leaking through your clothes.
At AK Pelvic Health & Wellness, we help runners improve pelvic floor coordination, manage impact, build strength, and return to running with confidence. 💜