Incontinence
Stress and Urge Urinary Incontinence:
Stress Urinary Incontinence
This is an involuntary leakage of urine where the pelvic floor muscles have insufficient strength to prevent the passing of urine.
This will particularly happen when there is an increased intra-abdominal pressure, e.g. cough, sneeze, or jump.
Treatment
Depending on what is found on evaluation, the following could be treatment options:
- Pelvic floor motor control exercises/Kegel exercises:
Many people think that Kegel exercises are the answer. But there is a catch: Kegels are not necessarily appropriate for all women with incontinence, as women with a tight pelvic floor who start doing Kegels might cause pelvic pain or worsen incontinence. Kegels are difficult to perform correctly without biofeedback and coaching. Research shows about half of women who do Kegel exercises after brief verbal instruction perform them incorrectly! We will be able to coach you correctly.
- Mobilisation of vaginal and neural tissue
- Connective tissue manipulation in and around pelvic region
- Scar tissue mobilisation (from C-section, episiotomy, tear during birth process, or from surgery)
- Neural tissue mobilisation
- Bowel movement e-training with correct voiding position
- Relaxation exercises
- Correct breathing exercises
- Posture re-education
- Pilates
Urge Incontinence
The loss of urine for no reason, with the sudden urge to urinate
Treatment
Depending on what is found on evaluation, the following could be treatment options:
- Bladder retraining (taught to empty bladder at regular intervals)
- Distraction techniques are taught to help overcome sense of urgency
- Electrical stimulation
- Pelvic floor motor control exercises/Kegel exercises: Many people think that Kegel exercises are the answer. But there is a catch: Kegels are not necessarily appropriate for all women with incontinence, as women with a tight pelvic floor who start doing Kegels might cause pelvic pain or worsen incontinence. Kegels are difficult to perform correctly without biofeedback and coaching. Research shows about half of women who do Kegel exercises after brief verbal instruction perform them incorrectly! We will be able to coach you correctly.
- Mobilisation of vaginal and neural tissue
- Connective tissue manipulation in and around pelvic region
- Scar tissue mobilisation (scar tissue can be present from C-section, episiotomy, tear during birth process, or from surgery)
- Neural tissue mobilisation
- Bowel movement re-training with correct voiding position
- Relaxation exercises
- Correct breathing exercises
- Posture re-education
- Pilates
