Speciality:

Urinary Leakage

Embarrassed to exercise in public?

Frustrated by having to change pads or clothing?

Scared to leave the house or do movements that might make you leak?

Dealing with urinary leakage can be frustrating and hold you back from living the way you want. You don’t have to manage it alone. We’ll work with you to understand the root causes and help you regain control, so you can move through life with confidence.

Problem:

You’re struggling with embarrassment about leakage, worry over what to wear or needing a change of clothes, anxiety about leaving the house, or avoiding movements that might cause it.

DiagnosEs:

  • Stress Urinary Incontinence
  • Urge Urinary Incontinence
  • Urgency
  • Frequency
  • Difficulty Emptying Bladder

Problem:

You’re struggling with embarrassment about leakage, worry over what to wear or needing a change of clothes, anxiety about leaving the house, or avoiding movements that might cause it.

DiagnosEs:

  • Stress Urinary Incontinence
  • Urge Urinary Incontinence
  • Urgency
  • Frequency
  • Difficulty Emptying Bladder

How It's Treated:

Leakage may be caused by a variety of factors such as pelvic floor weakness, pelvic floor overactivity, hip or glute weakness, core weakness, straining, poor pressure management, stress, and/or prolapse. Your Doctor of Physical Therapy will do an assessment to determine what are the root causes of the leakage you are experiencing. Once your Doctor of Physical Therapy has done this, she will target any areas of poor functioning muscles to retrain them so that you can be leak-free again using our signature 3-step method. In the final phase of our method, your Doctor of Physical Therapy will reintroduce any activities or movements (leak-free!) you have had to avoid due to the leakage!

STep 1: Breakdown

  1. Determine root causes of your leakage
  2. Address any pelvic floor or abdominal muscle tension causing leakage through hands-on therapy and exercises
  3. Learn correct core management to prevent leakage from worsening

STep 2: Build Up

  1. Address root causes of your leakage
  2. Retrain muscle imbalances causing leakage
  3. Strengthen pelvic floor muscles, hips/glutes, and core to prevent leakage from coming back

Step 3: Be Confident

  1. Add back activities that previously caused leakage like jumping, running, and exercise so that they are leak-free now
  2. Return to activities and spending time with friends and family

FAQs

Is it normal to accidentally pee myself?
Is it normal to accidentally pee myself?

No, it’s not normal to accidentally pee yourself. While it’s often joked about and sometimes even normalized (how many times have you seen a movie where a mom laughs about peeing herself?), the truth is that your muscles are supposed to prevent leakage. If you’re experiencing leakage, it means those muscles aren’t doing their job effectively.

That’s where pelvic PT comes in. Pelvic physical therapists can examine and treat these muscles, helping to retrain them so they function properly and stop the leaks. You don’t have to just live with it—there’s help available!

What does treatment look like for leakage?
What does treatment look like for leakage?

Treatment for leakage can vary depending on the type of leakage you’re experiencing and its root cause. There are two main types:

  • Urge incontinence: Leakage happens when you feel the urge to urinate and experience leakage while trying to get to the bathroom.
  • Stress incontinence: Leakage occurs during activities like sneezing, coughing, laughing, jumping, running, or lifting.

Some people experience both types of leakage. Common causes can include a heightened fight-or-flight response, sensitive bladder-filling sensors, tension or weakness in pelvic floor muscles, poor pressure management, or even abnormal posture.

What does treatment involve? 
What does treatment involve? 

Your therapy may include hands-on techniques to address any muscle imbalances in your pelvic floor or other areas. We’ll work on retraining your muscles using hands-on cueing to ensure they are learning to function correctly. Strengthening exercises for your pelvic floor and surrounding muscles are also key to providing support and preventing future leakage. Your treatment is tailored to your specific needs for the best possible outcome.

Will my leakage get better on its own?
Will my leakage get better on its own?

That’s why we advocate for early intervention and preventative pelvic health care to avoid years of frustration and embarrassment. It’s like having a knee injury and ignoring it for seven years while continuing to walk on it—it rarely just goes away on its own! Seeking help sooner can make a big difference in your recovery.

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