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Incontinence
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Incontinence is the inability to control bodily functions resulting in the loss of urine or feces.

Physical therapy treatments are important to restore the normal bladder and bowel functions through strengthening, use of behavioral modification strategies, correction of faulty patterns and habits and use of biofeedback and electrical stimulation as appropriate to enhance pelvic floor rehabilitation.

  1. Stress Urinary Incontinence is an involuntary loss of urine with physical exertion (while coughing, sneezing, lifting, positional changes etc.) This occurs due to a weak urethral sphincter mechanism during a rise in intra-abdominal pressure.
  2. Urge Urinary Incontinence is an involuntary loss of urine accompanied or preceded by a strong urge to urinate. The bladder is unstable or overactive.
    Mixed Urinary Incontinence is the combination of both stress and urge symptoms.
  3. Overflow Incontinence is a loss of urine associated with an over distension of the bladder.  Some symptoms include reduced urine stream, difficulty initiating a stream, and tenderness above the pubic region.
  4. Fecal Incontinence or Accidental Bowel Leakage is an involuntary loss of solid or liquid stool or gas from the anus. Causes of fecal incontinence can be related to sphincter weakness, neurological and/or musculoskeletal dysfunction or damage, radiation, and cognitive impairment.
  5. Light Bladder Leakage is a mild form of incontinence, that results in little loss of urine. This can still be conservatively managed with pelvic floor physical therapy in most instances.

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    • Testimonial by R.M., Age 40

      I can’t speak highly enough of Nancy, and how much she has helped me grow, discover, and love my body. I had had painful sex for my entire life, and didn’t know that there was anything that could be done about it. It was at the point where my husband and I were not having sex for MONTHs, because it was just too frustrating, and I hated feeling like I was the ONLY woman out there who had this problem, especially at my age. I finally brought it up to my doctor because I was turning 40 and my...

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    • Testimonial by Rosanna R., age 35

      Heather has affected my life in the MOST POSITIVE way and I am forever grateful.  My husband refers to her as the "sex doctor" so you can only imagine how happy he is with my therapy outcome.  After the birth of my son I suffered from "Vaginismus", however, at the time I just thought I was broken. My "broken vagina" affected me physically but it was an emotional struggle as well. Many women in my life also suffered with pain from sex after their babies were born so I knew I wasn't alone.  They...

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