Incontinence is not just about kegels; many factors impact leaking and it’s important to investigate what’s going on for you. Factors include pelvic floor control and coordination; core stability and pressure from above; diet; pelvic tension like fascial or muscle tightness; and nervous system control of your bladder / rectum.

Physiotherapy can help work out what’s causing your leaking, and help you retrain your body to stop pushing liquid out with pressure, but move and use your muscles in a way to start hold it in. Even jumping on that trampoline! 

Bladder and bowel urgency can be socially debilitating, but there’s lots we can do to fix it. Often we need to work on the nervous system that can be sensitized and sending those urgent signals unnecessarily. This can be mind and habit work. Also we work on local muscle strength and relaxation so you have good support when you need it. Again, many factors impact this so a whole body assessment is key. 

IC or BPS is one of the hardest bladder conditions to have. It can feel relentless and like there’s lots of ‘dead ends’ medically. We see this often and see great results with conservative treatment. It’s import to find the root cause of the pain, which can be a combination of local structural issues, diet components and nervous system sensitization. We work with what looks like the biggest piece, and often there is need for a broad approach covering all these bases and sometimes using additional support like dietician / naturopath.

Chronic constipation is common and as all pelvic health physics know, if someone is contributed we have to tackle that fist before we get anything else better. Constipation is pretty tough on your pelvic floor and system. There is lots we can do to help including looking at why it’s hard to evacuate, help muscles relax, changing postures and helping with habit and nervous system changes that can help things flow more easily.