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Incontinence

Incontinence

Have you ever experienced leakage while laughing or sneezing?
Do you find yourself having to rush to the toilet, although you may have just gone recently?

Incontinence can happen at any age due to a number of causes, additionally there are different types of incontinence. Our physiotherapists will conduct a thorough assessment to identify the type of incontinence and help you understand how you can manage it.

Incontinence

Types of leakage:

Stress incontinence
This is the most common form of incontinence which occurs during physical strain, such as laughing, sneezing or exercise. Our pelvic floor muscles and ligaments support organs such as the bladder, when we have poor control or weak muscles, we may develop stress leakage. Other problems, such as constipation, reduced fitness resulting in reduced muscle bulk, a persistent cough, surgery or being overweight may make it worse.
Urge incontinence
Urgency is the sudden desire to go to the toilet immediately, even if your bladder is not completely full. If you leak on the way to the toilet this is called urge incontinence. This can be due to hyperactivity of your bladder muscles and weak pelvic floor muscles. Caffeine and fizzy drinks, or not drinking enough fluid throughout the day can worse your symptoms.
Mixed incontinence
Mixed incontinence is a combination of urgency and stress incontinence. Our physiotherapist will help identify the cause of your incontinence and create a treatment plan tailored to you.
Anal incontinence
Anal incontinence can include leakage of stool, difficulty in holding in gas, or stool in underwear after a bowel movement. This again can be due to weak muscles supporting the pelvic floor and rectum region.

Incontinence is common and as a society has been accepted as a “normal” for ageing women or post pregnancy. However, just because these symptoms are common it does not mean that you should suffer through it. At ALO, we want to raise awareness on how physiotherapy can help manage your symptoms and enable you to gain control of your body and feel like you again!

How can we help?

Assessment

We will discuss your symptoms in depth and gain a thorough history. Assessment may include an external and internal examination. This will help us formulate a diagnosis and guide our treatment plan to ensure it is individual to your case.

Treatment:

Every case is different and based on your assessment our physiotherapist will discuss the best treatment options for you. Generally, we used a variety of modalities and exercises as part of approach including;

  • Pelvic floor training using biofeedback devices
  • Electrotherapy for bladder control and muscle stimulation
  • Deep electromagnetic therapy for muscle stimulation
  • TECAR therapy (radiofrequency) in conjunction with manual therapy to increase blood flow to promote healing to tissues that support the pelvic floor
  • Manual therapy for contracted or painful tissues.
  • Education and advice regarding lifestyle and training adaptations
  • Safe home exercise plan

TESTIMONIALS

I started seeing Louise three months ago for Women Health because of my Pelvic Prolapse, Hyperactive Bladder and mild Incontinence and I have had since huge results. Louise used Tecar Therapy and Tesla on me and over only the first month the improvement was incredible! Louise also prescribed me a home plan which includes using a Ten's machine for Tibial Nerve Stimulation, to help with my overactive bladder and the Pelvic Tone home kit, to improve my pelvic floor strength. Both have been easy to use, and it has been great that I can keep up with my plan from the comfort of my own home, or while on vacation! Before seeing Louise, I was recommended to have surgery for a grade 3 bladder prolapse. My prolapse has now improved from a grade 3 to a grade 2, which is wonderful news, as there are many risks involved with this surgery! Most importantly, my quality of life has improved greatly - previously I was waking up 2/3 times a night resulting in a terrible sleep pattern. My incontinence has significantly improved that I can now enjoy exercising and the gym again, without worrying about any leakages. As part of my treatment, I have been doing Pilates with Louise with lots of guidance on diaphragmatic and hypopressive breathing. This has given me the confidence in exercising again, and not being worried anymore to do core exercises. As a result, my diastasis (separation of abdominal muscles) has significantly reduced. Louise's professional yet gentle and warm approach has always made me feel comfortable, so that I now look forward to my Women Health sessions rather than dreading them.. I highly recommend Louise and everyone at the ALO Clinic, an amazing team!

Lilly, a very happy customer

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