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Urinary incontinence means you lose urine when you don’t want to. Along with leakage, there may be other symptoms:
Urgency: A strong desire to urinate, even when the bladder is not full. This is sometimes accompanied by pelvic discomfort or pressure.
Frequency: Urinating more than six to eight times a day or more than once every two hours (with normal fluid intake).
Nocturia: Awakening from sleep because of the urge to urinate. This can vary with age and is not necessarily abnormal unless it occurs regularly more than two or three times a night.

Treating Urinary Incontinence
Knowing that you can do something about incontinence, that you don’t have to just learn to live with it, puts you on the path to regaining control over your bladder.

First, and this is the hardest step for many people to take, you must discuss your problem with a health care professional. It is important to find a health care practitioner who is knowledgeable in evaluating and treating incontinence.
Get a thorough examination from your physician to rule out any medical conditions that may be causing your loss of bladder control. The initial screening should include your health history regarding incontinence, a physical examination, including a pelvic exam, analysis of your urine, and a measurement of the amount of urine left in your bladder after you urinate. Then you’ll be ready for the next step,an individualized treatment program that works best for your type of incontinence.

What services and equipment do we offer at North Boulder Physical Therapy, LLC?

1)Evaluation
  • Bladder Diary: Used to check for adequate intake, amount and interval of voiding, consumption of bladder irritants, and for frequency of leakage
  • Physical Assessment:
    • Posture/Low Back / Lower Quadrant Screening, including check for diastasis and abdominal strength
    • Pelvic Floor Muscle Exam: Includes an external exam to assess resting position, response to cough, response to contraction and to assess for muscle substitution. Also includes an internal muscle exam to assess sensation, muscle tone and strength
    • Biofeedback Assessment: May be done with an internal or external vaginal electrode. Helps to quantify power, endurance and strength of pelvic floor musculature, assess overflow into surrounding muscles and gives feedback to the patient. (We use a Prometheus dual channel system with Microsoft software)
2)Treatment
  • Pelvic floor rehabilitation:
         A) Utilizing state of the art EMG/Biofeedback computer system and digital assessment to teach proper pelvic           floor contraction to improve strength, and stability and resting tone of the pelvic floor. Includes functional           progression to standing, lifting, etc.
         B) Intravaginal or surface electrical stimulation (used when patient strength is greatly diminished) We use the           "Liberty" unit.
         C) Use of vaginal weights/cones
  • Postural Corrections/Strengthening abdominal musculature
  • Patient Education: Physiology of urination - What is normal? What are good bladder habits?
  • Fluid/Dietary Adjustment
  • Bladder Retraining/Timed Voids for patients with Urge Incontinence
    • Incontinence Article