You go for a run and notice a small amount of urine leakage. Perhaps it only happens during sprints. Or skipping. Or box jumps. Maybe you are completely fine through most of your Pilates class but leak when the class includes repeated jumping. Exercise-related urinary leakage is common, but assessment can help identify the factors contributing to your symptoms. For some women, it begins during pregnancy or after having a baby. For others, it appears years later. Some first no

As Pilates instructors, we often see clients returning to the studio eager to get their core back" after pregnancy. However, the transition from obstetric clearance to a full-intensity Reformer class is rarely a straight line. Many instructors feel a sense of hesitation when a client mentions symptoms like heaviness or stress incontinence, unsure of how to modify without stripping the challenge from the workout. Understanding the functional relationship between the diaphragm