Kegel exercises
strengthen the pelvic floor muscles to help improve bladder control for people suffering
from stress urinary incontinence. The name of the muscle group strengthened through Kegel
exercises is the pubococcygeus muscle group. These muscles relax under your command, to
control the opening and closing of your urethral sphincter: in other words, they are the
muscles that give you urinary control. When they are weak, leakage occurs. Through regular
exercise, however, you can build up their strength and endurance and, in many cases,
regain control. The first step is to properly identify the
muscle group to be exercised.
1. As you begin urinating, try to stop the flow of
urine without tensing the muscles of your legs. It is very important not to use these
other muscles, because only the pelvic floor muscles help with bladder control.
2. When you are able to slow or stop the stream of
urine you have located the correct muscles. Feel the sensation of the muscles pulling
inward and upward.
Helpful hint...If you squeeze the rectal area as if not to pass gas,
you will be using the correct muscles.
Now you are ready to begin exercising regularly.
Once you have located the correct muscle, set aside two times each
day for exercising. Morning and evening are good times for most people, but the important
thing is to choose times that are convenient for you so you can develop a routine.
Set 1: Quick Contractions (QC) -- tighten and relax
the sphincter muscle as rapidly as you can.
Set 2: Slow Contractions (SC) -- contract the
sphincter muscle and hold to a count of 3 (gradually work at increasing the count to 10).
Make sure you relax completely between contractions.
In the beginning you should check yourself frequently by placing a
hand over your abdomen and buttocks during your exercises. You should not feel the muscles
of your abdomen, buttocks, or thighs tighten. If there is movement of these muscles you
should continue experimenting until you are able to isolate the pelvic floor muscles.
You should see improvement of your bladder control in 3 to 6 weeks.
Keep a record of urine leakage to monitor your progress.
Make pelvic exercises a part of your daily routine. Whether you are
doing pelvic exercises to improve or maintain bladder control you must make them regularly
on a routine basis. Use daily routines such as watching TV, reading, waiting at stoplights
and waiting in the grocery store checkout line as cues to perform a few exercises.
