Urinary Incontinence
What is it? How do we treat it?
Stress Urinary Incontinence is when urine “escapes” when laughing, coughing, jumping, etc. A strong desire to urinate making it difficult to get to the toilet on time is called Urge Incontinence.
Physiotherapy treatment includes taking a detailed history and subjective examination. An objective examination involves assessment of the lumbar spine, pelvis, perineal tissues and the function of the pelvic floor muscles.
The treatment program may consist of patient education, musculoskeletal treatment, muscle re-education and strengthening exercises, bladder retraining and management, dietary management, and biofeedback and/or muscle stimulation. During biofeedback or muscle stimulation sessions, a personalized internal vaginal or anal sensor is used.
Difficulty with bladder control is not a normal part of aging or childbearing.
Urinary incontinence can almost always be successfully cured, treated or managed. Fecal incontinence is also treatable by physiotherapy.
Many patients no longer need pads and are able to resume active lifestyles with the confidence of control. With physiotherapy treatment and a conscientious adherence to a home program, some patients may be able to avoid surgery or avoid the use of a pessary.
Martha Nihls is a physiotherapist with a keen interest in the treatment of incontinence. She has completed specialized training and continuing education qualifications in both this field and orthopaedic manipulation physiotherapy. She works collaboratively with physicians and other health care professionals in a team approach. The sensitive nature of pelvic dysfunction disorders is considered with understanding and with respect for privacy and dignity.
Contact Comox Physiotherapy Clinic:
Phone: (250) 339 - 6221
Fax: (250) 339 - 6379
Email: Comox Physiotherapy Clinic
Mail: 1822 - Unit C, Comox Ave., Comox, B.C., V9M 3M7
Location: Vancouver Island, British Columbia, Canada