NorthStar Physical Therapy

#57: To Kegel or Not to Kegel: The Debate Continues

Dr. Shirlea North, PT, DPT, GCS, CLT

Welcome to the NorthStar Physical Therapy Podcast — your go-to resource for understanding lymphedema, lipedema, pelvic health dysfunctions, and empowering you to take control of your health and advocate for yourself. 

In this episode, Dr. Shirlea North, PT, DPT, revisits the debate surrounding Kegels — a common but often misunderstood recommendation for pelvic floor health. Are Kegels really the answer for everyone? Dr. North explores when Kegels are beneficial, when they may cause harm, and alternative approaches to strengthen or relax the pelvic floor.

If you’ve been told to do Kegels or you’re struggling with issues like urinary leakage, pelvic pain, or core instability, this episode will guide you through a more personalized approach to pelvic health.


In this episode, you’ll also learn:

  • What Kegels are and how they became a go-to solution 
  • The difference between a tight (hypertonic) and weak (hypotonic) pelvic floor 
  • Who should benefit from Kegels, and who should avoid them 
  • Alternatives to Kegels for pelvic health and functional strength 
  • The role of Kegels in postpartum recovery and prostatectomy rehabilitation 
  • The truth about machines that promise Kegel exercises without effort 
  • When to seek professional help from a pelvic floor therapist

Tune in to understand when Kegels are helpful and when they’re not, and learn the best strategies for your unique pelvic health needs.