Bladder control issues are very common and treatable.
If you experience urine leakage, sudden urgency, or frequent trips to the bathroom, pelvic health physical therapy can help you regain control and confidence.
Common Symptoms
- Leaking urine with laughing, coughing, sneezing, running, or exercise
- Sudden, strong urges to urinate that are hard to delay
- Frequent urination or waking up multiple times at night to urinate
- Feeling unable to fully empty the bladder
- Avoiding activities or social situations due to fear of leakage
These symptoms can happen after pregnancy, during menopause, with aging, after surgery, or even without a clear trigger.
Why Bladder Issues Happen
Bladder control problems are often related to pelvic floor dysfunction, which means the pelvic floor muscles may be:
- Too weak to support the bladder during movement or pressure, or
- Too tight or poorly coordinated, making it difficult to control urgency or fully empty
This is why simply “doing Kegels” isn’t always the right answer.
A proper assessment is key.
How Pelvic Health Physical Therapy Helps
Pelvic health physical therapy focuses on retraining the connection between your bladder, pelvic floor, and core.
Your treatment may include:
- Pelvic floor muscle retraining (strengthening or relaxation)
- Breathing and pressure management strategies
- Bladder retraining and urge-control techniques
- Core and posture integration
- Education on habits, fluid intake, and lifestyle factors
- Biofeedback or ultrasound-guided training
(Click here to learn how ultrasound is used in pelvic floor physical therapy)
All care is one-on-one, private, and tailored to you.
What to Expect
Initial Evaluation
- A detailed discussion of your symptoms and goals
- Assessment of posture, breathing, core, and pelvic floor function
- Clear explanation of what’s contributing to your symptoms
Treatment Plan
- Personalized exercises and strategies
- Progressions that fit your daily life, work, and activities
- Most patients notice improvement within a few weeks with consistency
Frequently Asked Questions
- Is pelvic floor therapy painful?
No. Treatment is gentle and always done at your comfort level.
- Do I need an internal exam?
Internal assessment can be helpful but is never mandatory. We will discuss options and respect your preference.
- Is this only for women who have had babies?
No. Bladder control issues affect people of all ages and backgrounds.
You Don’t Have to Live With It
Bladder leakage and urgency are common, but they are not normal and not something you have to tolerate.
Pelvic health physical therapy offers a conservative, effective approach to improving bladder control and quality of life.
👉 Schedule an evaluation to understand what’s causing your symptoms and start feeling confident again.
