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Women's Care

Incontinence

National guidelines regarding urinary incontinence treatment from the Agency for Health Care Policy and Research state the non-surgical treatment options should be tried before surgery and are effective in 70-80% of all women with incontinence.  Both stress and urge incontinence can be complicated by weak pelvic floor and abdominal muscles.  Because the abdominal muscles are one of the main supports of the pelvic organs, weakness from continued separation after pregnancy, abdominal surgery, or abdominal weight gain needs to be corrected.

Physical therapy treatment includes:
  • Pelvic muscle strengthening exercises
  • Enhanced pelvic muscle education using biofeedback training, a technique that utilizes visual and auditory signals to measure the patient's ability to perform a muscle contraction and to relax the same muscle.
  • When severe muscle weakness or hyperactive bladder contractions exist then electric stimulation to the pelvic muscles may be used.  This is a painless electrical current via vaginal or surface electrodes that produces a muscle contraction which strengthens the muscle and teaches the patient to reproduce this important muscle function.  In the case of a hyperactive bladder, an inhibiting stimuli can be used to relax the bladder.
Additional treatments include:
  • Techniques to utilize the pelvic muscle to control urge and stress incontinence.
  • Myosfascial release and massage to pelvic floor, hip and back musculature.
  • Education in correct exercise and movement techniques to avoid stressing the pelvic muscle during lifting, sitting, working, sports, et.
  • Nutritional education to decrease bladder irritation.