Many pelvic floor conditions (for both men and women) can be managed and treated without surgery. Seeing a physical therapist who is trained as a pelvic floor therapist may help you better understand your symptoms and design a personalized program to help alleviate your symptoms. A pelvic floor therapist may assess strength and flexibility, create a specialized exercise and self-care program, assist with learning to do a Kegel exercises correctly, and give personalized guidance for maintaining pelvic floor health.

The Surprising Link Between Physical Therapy and Urinary Incontinence

Incontinence is an embarrassing condition that affects men, women and children of all ages. A common symptom is the loss of bladder control when coughing, sneezing, lifting and laughing.

Incontinence can be temporary or persistent. Temporary loss of bladder control is related to diet, alcohol, caffeine and prescription medications. Underlying medical conditions such as urinary tract infections and chronic constipation also play a role.

Persistent loss of bladder control may be related to pregnancy, age-related changes in the bladder, menopause and enlarged prostate. Disorders of the brain and spinal cord like stroke and Parkinson’s disease can also cause loss of bladder control.

This has vast social implications for patients, who turn to adult diapers, medications and even surgical interventions.

Getting Back the ‘Mind-Muscle’ Link

Incontinence can be treated effectively with a variety of physical therapy techniques including, but not limited to:

Kegel Exercises – This involves controlled contractions of the pelvic floor muscles, using a hold and release pattern for a designated number of repetitions and sets. The frequency and intensity is gradually increased over time.

Clinical Pilates – These specialized exercises help strengthen the core and pelvic floor muscles.

Electrical Stimulation – The use of mild electrical currents to stimulate the pelvic floor muscles tends to mimic the ‘hold and relax’ pattern of Kegel exercises.

Biofeedback – A technique used to build the ‘mind-body’ connection between the brain and the muscles of the pelvic floor. This helps patients identify, contract and control specific muscles surrounding the urinary tract.

Your physical therapist may use a combination of techniques, and may design a home exercise program to help you achieve results as quickly as possible.

Regaining Control of your Life..

Incontinence can take an emotional toll on a patient. Social implications include feeling of guilt, shame, and depression in some cases. Family members and physical therapists must work together to support and help the patient prepare for ‘accidents’ by planning ahead prior to outdoor activities.

Incontinence is more prevalent than most people realize. It can be treated with a combination of traditional medicine and physical therapy. Mental health counseling may be required in some cases.

Physical therapy, in particular, plays an important role in the strengthening and retraining of the pelvic floor muscles. Therapy can also strengthen the lower back and realign posture to dramatically improve the quality of life.

If you or someone you know is suffering from incontinence, schedule a consult with us. Physical therapy will help you regain control of your life in more ways than one.

The Take-away–Treatment plan, Goals and Timeline:

During the first appointment, you may receive some initial advice and education and discuss a complete treatment plan. Your physical therapist should be able to give you an approximate timeline, though rehabilitation and healing is not always predictable. We recommend collaborating with your therapist to set specific treatment goals, such as having comfortable sex, alleviating back pain, managing incontinence, etc…