
Physiotherapist: Squeezing Can Make Urinary Incontinence Worse
If you leak urine while running, jumping, or coughing, this video explains why simply squeezing harder often isn't the fix.
Drawing on national treatment guidelines, Janne covers spinal anatomy, classifies low back pain (non-specific, sciatica, and serious/red-flag causes), lists factors that slow healing, and explains the direct-access physiotherapy assessment process, pain medication use, sleep, stress and daily-life recommendations.
Eight out of ten adults experience back pain at some point in their lives, and it's very common for episodes of back pain to recur. I've had back pain myself, and I know how to live with it when it occurs, and later you'll get great tips on how to cope with back pain when it occurs. Back pain is a bit like a cold, and certain factors contribute to its prevalence. In this video I'll present how back pain can be treated and what factors underlie back pain. The material for this video is based on a guide, and the link is down in the description.
The back is an incredibly resilient superstructure of the body, and it's something you should use and maintain. The back structure includes seven cervical vertebrae, twelve thoracic vertebrae, and five lumbar vertebrae, and there is also the sacrum and coccyx (tailbone). Between the cervical, thoracic and lumbar vertebrae there are intervertebral discs, which are gel-like masses whose purpose is to act as shock absorbers and enable spinal movement. The vertebrae of the spine are connected to each other through facet joints, and the orientation of these joints changes as you go down from the cervical to the lumbar spine - facet joints stabilize spinal movement.
Changes in the structures of the spine are inevitable as we age, much like wrinkles - we can't determine someone's health solely based on wrinkles. Similarly, for example, concerning the lumbar spine, an MRI reveals a significant number of findings that are entirely normal - if a client's imaging findings align with their symptoms, then it becomes relevant.
Low back symptoms - pain, muscle tension and stiffness - are localized between the lower ribs and the buttock creases; often radiating symptoms may occur in the lower extremity such as tingling, numbness, or muscle weakness. This indicates irritation of a nerve root originating from the spine - in this case it's good to investigate during a physio consultation whether there is a way to reduce the irritation of the lower extremity nerve through some means. ---
Drawing on national treatment guidelines, Janne covers spinal anatomy, classifies low back pain (non-specific, sciatica, and serious/red-flag causes), lists factors that slow healing, and explains the direct-access physiotherapy assessment process, pain medication use, sleep, stress and daily-life recommendations.
The video demonstrates specific movement patterns and clinical exercise progressions: Eight out of ten adults experience back pain at some point in their lives, and it's very common for episodes of back pain to recur. I've had back pain myself, and I know how to live with it when it occurs, and later you'...
If symptoms relating to "Chronic back pain that won't quit — a physio's fix that isn't rest" persist for more than 1–2 weeks, interfere with sleep or daily function, an in-person OMT evaluation is recommended to identify the root cause and ensure proper rehabilitation.

If you leak urine while running, jumping, or coughing, this video explains why simply squeezing harder often isn't the fix.

Explains how chronic low-grade inflammation slows healing and increases pain sensitivity, and gives three practical dietary changes (fatty fish, colorful vegetables, olive oil) to help calm it.

Breaks down five key facts about knee osteoarthritis, emphasizing that pain doesn't equal joint damage and that movement, not rest, is the best way to manage and improve the condition.
Get instant access to Janne Sakkinen's official Google Drive folder with exercise guides and rehabilitation protocols.
Get Free PDF Guides (Google Drive)Medical Disclaimer: The information presented in this article is strictly for educational purposes and does not replace a clinical physical therapy evaluation, medical diagnosis, or individualized treatment plan.