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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. |
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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.
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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.
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