The Kegel debate is heating up… but what are we really disagreeing about?

Over the past few years, the conversation around Kegels has shifted big time. We’ve seen an explosion of “no-Kegel” content, frustration from those pushing back, and even research articles challenging each other in the literature.

In this episode, we break down the three major camps in the Kegel conversation:
🔥 Pro-Kegel – Kegels are the most researched pelvic health tool and should be used for almost everyone.
🔥 Anti-Kegel – There are better, more functional ways to strengthen the pelvic floor. Kegels shouldn’t be a blanket prescription.
🔥 Anti-Anti-Kegel – Stop telling people not to do Kegels! They have limitations but are a valid part of treatment.

But here’s the thing… we actually agree on way more than we disagree on! We all know:
✅ Kegels can be useful—but they’re not for everyone.
✅ Pelvic floor therapy is so much more than Kegels.
✅ Kegels should never be blindly prescribed without assessment.
✅ Movement and functional training are critical for success.

So why all the controversy? A lot of it comes down to how we talk about this on social media—and whether we should be the "Instagram police" calling out others’ content.

Let’s get into the real conversation and find the common ground in the Great Kegel Debate!

Read the Article

Check out the full article referenced in this podcast in the POPG here! https://thepogp.co.uk/_userfiles/pages/files/journals/135/06_solomon_et_al_with_appendix.pdf

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About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health. PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016. It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes. Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!

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Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

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