Reconnecting With the Pelvic Floor: Incontinence

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Season 5 | Episode 17 | October 13, 2026

About this episode

What if the leaking you’ve learned to live with isn’t something you simply have to accept?

For many women, incontinence becomes an accepted part of life. We wear pads, avoid certain activities, plan around bathroom access, and tell ourselves it’s just what happens after childbirth or as we get older.

But common doesn’t always mean normal. And there may be more you can do than you’ve been led to believe.

In this special episode of The Tummy Team Journey Podcast, we’re sharing a conversation originally recorded for The Underlying Answers Podcast, where host Cindy Costley welcomes Kelly Dean to discuss the often-overlooked relationship between functional core strength, pelvic floor health, and the body’s ability to heal.

Headshot of Kelly Dean, MPT—founder of The Tummy Team and expert in functional core rehabilitation and pelvic floor therapy.

Kelly Dean, MPT

Kelly has a Masters in Physical Therapy and focuses her career on Diastasis Recti and core related issues.

What begins as an educational conversation takes an unexpected and deeply personal turn when Cindy opens up about her own struggles with incontinence.

After years of chronic illness, prolonged periods of bed rest, repeated sneezing, and a long journey of healing from trauma, Cindy had come to accept leaking as something she simply had to manage.

But as Kelly begins explaining how the pelvic floor actually works, Cindy realizes something important:

She had spent years healing other parts of her body but had never really learned how to reconnect with her pelvic floor.

And that realization changes the direction of their conversation.

Understanding the Pelvic Floor: It's More Than Kegels

Kelly explains why pelvic floor rehabilitation needs to begin with an understanding of the entire functional core.

Your core isn't just your abdominal muscles. It's a supportive system that includes your transverse abdominis, respiratory diaphragm, back muscles, and pelvic floor—all designed to work together to support your body through everyday movement.

When that system isn't coordinating well, symptoms can show up in ways we don't always associate with core dysfunction.

In this episode, Kelly and Cindy explore:

  • Stress vs. urge incontinence: Understanding different types of leaking and urgency.
  • Why Kegels aren't always the answer: How the pelvic floor works with the rest of your functional core.
  • The impact of posture and alignment: Why the way you sit, stand, and move matters.
  • How prolonged inactivity can affect core strength: Understanding what happens when postural muscles aren't being used regularly.
  • Breathing and pelvic floor connection: How intentional exhalation can help you recognize and coordinate deep core muscles.
  • Why coughing and sneezing can trigger leaking: And how changing your body's response may help.
  • The emotional side of physical dysfunction: Why past experiences can influence how we relate to our bodies.
  • Why it's never too late: How functional pelvic floor rehabilitation can be valuable well beyond the postpartum years, including during menopause and later life.

An Unexpected Real Life Rehab Moment

One of the most powerful parts of this episode happens when Kelly stops explaining and starts guiding Cindy through a few simple techniques.

Together, they explore supported sitting posture, elongating through the spine, intentional breathing, and gently drawing the lower abdomen inward and upward during an exhale.

As Cindy begins to feel her core and pelvic floor working together, something unexpected happens.

She becomes emotional.

Cindy shares that she has spent decades navigating chronic illness and healing from deeply personal trauma. While she has made tremendous progress, she hadn't recognized how disconnected she still felt from this particular part of her body.

That moment of physical awareness brings an emotional release that neither woman anticipated.

Kelly meets her with compassion, explaining why reconnecting with an area of the body associated with difficult experiences can sometimes bring up strong emotions.

Rather than treating her pelvic floor as another problem to fix, Cindy begins to see it as a part of herself that deserves attention, patience, and support.

Healing Is About More Than Fixing a Symptom

Throughout their conversation, Kelly emphasizes that The Tummy Team's approach isn't about completing a list of exercises and moving on.

It's about understanding your body well enough to support it throughout your life.

From lifting your children and grandchildren to navigating menopause, maintaining balance, and staying active as you age, functional core strength is about being able to participate in the life you want to live.

And for those who have been struggling with incontinence for years, Kelly offers an encouraging perspective:

Improvement matters. Even if the first step isn't a complete resolution, meaningful progress is worth pursuing.

Cindy's experience is a reminder that sometimes the most important part of healing begins with a new understanding of what's possible.

You don't have to accept every symptom as inevitable.

You don't have to figure everything out on your own.

And you don't have to wait until your body is struggling more to begin reconnecting with it.

It's never too late to learn how your body works, listen to what it's telling you, and take the next step toward feeling connected again.


Do you have a Tummy Team story to share?

You don't have to be perfect or even done with your journey to have something powerful to share. We want to share your story. We all learn from one another and can be encouraged to learn we are not alone on this journey to heal and be strong for the lives we were meant to live.
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