Regain Control: How Pelvic Floor Physical Therapy Can Help You Manage Incontinence
Dr. Caitlin Long, PT, DPT, CSCS
Urinary incontinence is a common yet often under-discussed issue that affects millions of women, impacting their physical and emotional well-being. The good news? Pelvic floor physical therapy (PFPT) offers a non-invasive, effective solution.
What is Urinary Incontinence?
Urinary incontinence is by definition the “involuntary leakage of urine, commonly triggered by activities like coughing, sneezing, or exercise (stress incontinence), or by a sudden, strong urge to urinate (urge incontinence). While things like this are common, it’s not an inevitable part of aging or post-pregnancy recovery—there are proven ways to manage and even overcome it.
The Role of the Pelvic Floor
The pelvic floor is a group of muscles and connective tissues that support the bladder, uterus, and rectum. When these muscles are weakened after childbirth, hormonal changes, aging or even high impact activites, it can lead to difficulties in controlling urine flow.
The Science Behind Pelvic Floor Physical Therapy
Research consistently supports PFPT as a highly effective intervention for incontinence. A systematic review and meta-analysis (1) showcased how targeted pelvic floor muscle training significantly improved the quality of life for women dealing with urinary incontinence. Participants not only reported fewer episodes of leakage but also regained confidence in their daily activities and social engagements.
What Happens During a PFPT Session?
Assessment: Your therapist will start by assessing your pelvic floor’s current strength and function through a detailed consultation.
Customized Training Plan: You’ll learn specific exercises that target the pelvic floor, such as Kegels, but under professional guidance to ensure proper technique.
Progression: These exercises might include incorporating more complex activities as your muscle control improves. Biofeedback devices may also be used to help visualize muscle engagement.
Education: PFPT also emphasizes lifestyle modifications and education, such as bladder training strategies and advice on dietary adjustments.
Long-Term Benefits
People who particiapte in PFPT usually expereience a reduction in symptoms or even a full recovery, allowing them to enjoy activities without the fear of leaks (meaning you can stop only wearing black leggings!)
There is also an emotional component to lessening or getting rid of incontinence all together. It allows you to feel in control of your body again, improving your self essteem and overall quality of life.
Is PFPT Right for You?
If you’re experiencing any form of urinary incontinence, consulting with a pelvic floor physical therapist can be the first step toward reclaiming control and confidence. PFPT is suitable for women at various stages of life, including post-partum recovery and peri-menopause.
Conclusion
Urinary incontinence can be life-disrupting, but at Built to Move Physical Therapy and Wellness, I specialize in evidence-based solutions to help you regain control and confidence.
I make sure that each client receives exercises, education, and strategies specific to their needs. This comprehensive care enhances strength, reduces leakage, and restores the freedom to move and live fully.
If you’re ready to take the next step in overcoming incontinence, Caitlin at Built to Move PT is here to guide you every step of the way.
Schedule a free discovery call or if you’re ready to book, you can schedule here.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10301414/
