One of the possible causes of incontinence is pelvic floor problems. National guidelines recommend that physiotherapy and pelvic floor exercises should be the first treatment of choice.
Physiotherapists who are experienced in this area are able to assess and treat both male incontinence and female incontinence. They can:
- teach you how to work your pelvic floor muscles correctly
- give you advice on what and how much to drink
- discuss some simple lifestyle changes which will help reduce the impact that this distressing condition can have on your life
What will happen when I see a physiotherapist?
Your first session with a physiotherapist will usually include a detailed assessment. Everything you tell the physiotherapist will be kept completely confidential. They may ask you questions about your:
- symptoms of bladder problems
- bowel symptoms
- medical history
- health, fitness levels and lifestyle
Next your physiotherapist will need to find out how your pelvic floor muscles are working. If you consent to this examination being carried out, you will be asked to remove some clothing so that the physiotherapist can see and feel these muscles. It’s a good idea to wear loose fitting, comfortable clothing to your appointment.
At the end of this appointment your physiotherapist will discuss and agree with you a treatment plan to suit you. They will arrange any follow up appointments, and link closely with other healthcare professionals involved with your treatment.
Some physiotherapists use equipment such as ultrasound scanners or biofeedback machines to measure how the muscles are working at the beginning of your treatment. This assessment can be carried out again once you have had some treatment to show how you have improved.
Your treatment for incontinence plan is likely to include:
- an exercise programme to do at home, including pelvic floor exercises
- advice on eating and drinking habits, so that you can avoid any food and drink which may worsen your symptoms
- advice on lifestyle changes and general exercise to help you achieve your treatment goals
- electrical stimulation
- biofeedback
It may take up to three months of exercising your pelvic floor muscles before you see a real improvement in your symptoms.
