Boulder Women’s Health Incontinence Therapy

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Women’s Health Incontinence Therapy

North Boulder Physical Therapy, Boulder, Colorado

Patients of North Boulder Physical Therapy have discovered that there is something you can do about incontinence – and that it’s nothing to be embarrassed about. If you’re just living with bladder control issues, it’s time to get on the path to regaining that control. While it’s often the hardest step to take, your first step in the right direction is to speak with your doctor or a health care professional.

What Is Urinary Incontinence?

If you lose urine when you don’t want to, you may have urinary incontinence. Along with leakage, you may be experiencing one or more of the following:

  • 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.

Diagnosing Urinary Incontinence

Start by getting 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, along with a full 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.

Women’s Health Incontinence Therapy

By coming to North Boulder Physical Therapy, we can provide a personalized program that meets your doctor’s criteria and helps you regain control. An evaluation is first:

  • 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)

Treatment & Pelvic Floor Rehabilitation

The next step is to implement your women’s health incontinence therapy:

  • 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.
  • Intravaginal or surface electrical stimulation (used when patient strength is greatly diminished) We use the “Liberty” unit.
  • Use of vaginal weights/cones
  • Postural corrections/strengthening abdominal musculature
  • Patient education on physiology of urination – What’s normal? What are good bladder habits?
  • Fluid/dietary adjustment

Looking for Women’s Health Incontinence Therapy?

Contact North Boulder Physical Therapy Today.