Physiotherapy & Stress Incontinence

Stress incontinence refers mainly to the involuntary and non-controlled dribbling and urination of urine in people who are prone to coughing, sneezing or laughing loudly (or engage in any activity that causes an increase in intra-abdominal Pressure and ultimately pressure within the bladder) differdange kine.

Normal conditions will allow the urinary bladder to hold urine long enough for the person to relax the bladder. But, there are certain conditions that can affect the stability pelvic floor muscles. These conditions could affect the primary position and function of the urinary bladder within the pelvic cavity.

Stress incontinence can result from any condition that may affect the stability, strength, or stability of your pelvic floor muscles. The strength of the urinary bladder muscles in the pelvic area is affected by injury. This is five times more frequent in women than for men.

Pregnancy and vaginal deliver are the most common risk factors. Long-term labor, particularly multiple vaginal deliveries, can cause significant weakening or damage of pelvic muscles.

Other risk factors that increase the likelihood of stress incontinence include work that involves lifting heavy items, such as porters, obese, chronic untreated, and obesity, as well repetitive straining during urine or bowel movement (for ex., prostatic hyperplasia), long-term constipation, and history of urinary bladder stones.

Stress incontinence can be a common problem in middle-aged or elderly females. Research indicates that around 20% of all women over 40 years old have some level of stress incontinence. This condition is very embarrassing for many women, and it is rarely reported.

Physiotherapy, which can be used to treat stress incontinence, is probably the most useful aid. Physiotherapy exercises are a great way to strengthen your pelvic floor muscles. This helps prevent stress incontinence from happening and also prevents you from getting into an accident. If untreated, stress-related incontinence might lead to multiple urinary tract infections, impaired social life, depression, mood disorders, isolation dueto embarrassing accidents, and the risk of prolapse or uterus.

  1. M. Castleden carried out a study with 19 female patients suffering from moderate to severe stress incontinence.14 of the 19 patients were able to report complete relief after only 4 weeks of regular therapy.These patients didn’t show signs of incontinence and dribbling when they were subject to a stress test.

Klarskov conducted a comparison study of 50 women suffering from significant stress-related incontinence. The two groups were divided based upon the preference of the women for surgery or therapy. The primary nature or pathology of the patient was considered for surgery. The second group received physiotherapy five times per week. Results indicated that nearly 42% patients who received physiotherapy had significant improvement in their symptoms, and almost half of them refused to seek other types of therapy.

There are many options for physiotherapy for patients with this condition. Some of these include using bio-feedback devices and electric stimulation therapy for pelvic muscles to increase contractility, strength and endurance to withstand higher abdominal pressure. Other options include pelvic ground exercises that can strengthen the pelvic facia and tissue to better support bladder and rectum and against intra-abdominalpressure.

Physiotherapy exercises can provide long-term relief from stress incontinence. The symptoms could reappear after a short time if surgery was attempted. A weak pelvic area is an indicator of prolapse in the uterus or rectum.

Physiotherapy can also be used to treat fecal or urge incontinence. Physical therapy is simple, cost-effective and pain-free.


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