Do you leak when you cough, sneeze, bend or lift? With double unders, running and box jumps?
You likely have Stress Urinary Incontinence (SUI), urine leakage that occurs with activity that involves increased intra-abdominal pressure. A diagnosis of SUI doesn’t mean you have to give up movement. I can help you find the root of the problem, whether it is over or under-active pelvic floor muscles, inefficient strategies to control the pressure down on your bladder or improving posture or bladder habits.
Do you leak on the way to the toilet?
You likely have Urge Urinary Incontinence (UUI). UUI can be the result of poor bladder habits, overactive pelvic floor muscles or external triggers that trick your brain into thinking you don’t have control. Sometimes you can be diagnosed with Overactive Bladder (urgency/frequency) as well that might result in leakage. We can work together to identify triggers, retrain your brain and teach your muscles to regain control so you don’t have to know where all the bathrooms are wherever you go!
Do both SUI and UUI sound familiar?
A combination of both symptoms is called Mixed Urinary Incontinence, and yes, we can work together to address this too!
Pain in the bladder can be complicated and frequently misdiagnosed. Symptoms may appear to be be related to stress, diet or activity. Painful bladder can also be referred to as Interstitial cystitis, also referred to as IC, is a bladder condition that usually consists of multiple symptoms. You may be experiencing recurring pelvic pain, pressure, or discomfort in the bladder and pelvic region, and urinary frequency (needing to go often) and urgency (feeling a strong need to go). Physical therapy focuses on the musculoskeletal aspect of the issue, often involving over-active pelvic floor muscles and potentially other associated issues in the hip and back. Our treatment together focuses on reducing symptoms of discomfort, regulating bladder habits and schedules as well as returning you to activities that may have triggered painful episodes.
If you have young children and you’re spending sleepless nights changing sheets and endless laundry, your child might benefit from physical therapy for enuresis.
Urinary incontinence in kids (enuresis) is accidental or intentional urination in children who are at an age that they should have control over their bladder. Girls typically have control sooner than boys, however, it can be diagnosed in girls older than age 5 and boys older than age 6 having issues controlling urine. There are several types of wetting:
- Diurnal enuresis: wetting during the day
- Nocturnal enuresis: wetting during the night
- Primary enuresis: occurs when child has never fully mastered toilet training.
- Secondary enuresis: occurs when child did have a period of dryness, but then returned to having periods of incontinence.
Physical therapy treatment focuses on coordinated efforts with children and their families. Causes can be related to constipation, poor bladder habits or identifying other underlying issues. We can work together in-person or virtually as much of therapy involves education and progression of home exercise programming as well as monitoring of your child’s progress.