Is Your Life Planned Around Your Bladder?

Urinary incontinence is a common problem that affects both men and women. According to the Canadian Continence Foundation, 1 in 3 women and 1 in 9 men experience incontinence at some point in their lives. It can be a distressing and embarrassing condition that affects many aspects of your life: work, social activities, recreation, travel and intimacy.

What is Incontinence?

Urinary incontinence means any involuntary loss of urine. It is a misconception to assume that it is normal to have urinary leakage after childbirth or as you age and that there is nothing you can do about it.

There are different types of incontinence:

Stress Incontinence, the most common, occurs when urine leaks from the bladder when pressure is applied to it suddenly. Activities such as coughing, laughing, running or sexual intercourse can put pressure on the pelvic floor muscles, which may be already under stress by obesity and constipation.
Urge Incontinence is the inability to control urine leaking from the bladder when the “urge” to urinate occurs.
Mixed Incontinence occurs when Stress and Urge Incontinence appear at the same time or in different circumstances.
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More about Urinary Incontinence for women:

Urinary incontinence in women usually occurs at two times in a woman’s life – at childbirth and then again at menopause. At child birth there may be overstretching or trauma to the pelvic floor.

At menopause, the pelvic floor muscles change and may be weaken. As woman age, it is important to keep the pelvic floor muscles strong. A pelvic floor exercise routine helps minimize the effects of menopause on pelvic support and bladder control.

How Can Physiotherapy Help?

It is imperative for both men and women to maintain the strength of their pelvic floor muscles. As a physical therapist with specialized training in this area, I can prescribe specific exercises for the pelvic floor. These exercises have numerous benefits including maintaining continence, helping the bladder to hold the urge to urinate and increased satisfaction in sexual relationships.

I will design a personalized exercise program for your specific problem, involving muscle re-education, bladder retraining and strengthening the pelvic floor muscles. If the muscles are very weak, a physiotherapist may use EMG/Biofeedback or electrical stimulation of the pelvic floor muscles.

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What conditions do we treat in Pelvic Floor Physiotherapy?

Pelvic Floor Physiotherapy is a specialized service that can help you with a variety of medical conditions such as:

  • Pre and Post Natal – Pelvic Floor Health
  • Pelvic Organ Prolapse
  • Pelvic Congestion
  • Pelvic Pain

In addition, various types of incontinence:

  • Stress Urinary Incontinence
  • Fecal Incontinence
  • Mixed Urinary Incontinence
  • Urge Urinary Incontinence

What should I expect from Pelvic Floor Physiotherapy services?

Pelvic Floor Physiotherapy is comprehensive and involves:

  • Postural assessment, correction and education
  • Lumbar spine, Sacroiliac and Hip joint(s) assessment
  • Pelvic Floor Muscle resting and dynamic tone assessment
  • Diaphragmatic Breathing pattern identification
  • Abdominal soft tissue assessment including Diastasis Recti identification and correction program
  • Internal Pelvic and Perineal area assessment of the Connective Tissue
  • Identification, assessment and release of Trigger points
  • Specific, individualized Pelvic Floor Muscle retraining and much more…
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Andra Schonfeld MSc.PT
Registered Physiotherapist, Specialized in Pelvic Floor Rehabilitation