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Can Pelvic Floor Therapy Improve Bladder and Bowel Control?

Writer's picture: Caleigh CampbellCaleigh Campbell

If you're struggling with bladder leaks, frequent bathroom trips, or difficulty controlling bowel movements, you’re not alone. These issues are more common than many people realize, and they can significantly impact your quality of life. 

Fortunately, pelvic floor therapy offers an effective, non-invasive approach to improving both bladder and bowel control.

At Refine Physical Therapy, we specialize in pelvic floor therapy in Denver, helping patients regain control and confidence. Let’s explore how this targeted therapy works, why pelvic floor health is so critical, and how it can help you overcome bladder and bowel control challenges.


The Role of the Pelvic Floor in Bladder and Bowel Function

The pelvic floor is a group of muscles, ligaments, and tissues at the base of the pelvis that provides support for the bladder, bowel, and (in women) the uterus. These muscles are vital for:

  1. Bladder Control: The pelvic floor muscles work with the urinary sphincter to prevent leaks and allow voluntary control over urination.

  2. Bowel Control: These muscles also help regulate bowel movements by supporting the rectum and coordinating with anal sphincters.

  3. Stability and Support: The pelvic floor contributes to core stability and helps maintain proper organ positioning.

When these muscles become weakened, tight, or uncoordinated, bladder and bowel dysfunction can occur.


Common Symptoms of Pelvic Floor Dysfunction

Bladder and bowel control problems often stem from pelvic floor dysfunction. Symptoms can include:

Bladder Issues:

  • Leaking urine when sneezing, coughing, or laughing (stress incontinence).

  • A sudden, strong urge to urinate (urge incontinence).

  • Difficulty fully emptying the bladder.

Bowel Issues:

  • Difficulty controlling bowel movements (fecal incontinence).

  • Constipation or straining during bowel movements.

  • Pain or discomfort in the pelvic region.


How Pelvic Floor Therapy Improves Bladder and Bowel Control

Pelvic floor therapy focuses on assessing and treating the underlying muscle imbalances that contribute to dysfunction. Through a combination of education, exercises, and hands-on techniques, it can restore strength, coordination, and flexibility to the pelvic floor muscles. Here’s how it works:

1. Strengthening Weak Muscles

If your pelvic floor muscles are weak, they may not provide adequate support for bladder and bowel function. Strengthening exercises like Kegels (contracting and relaxing the pelvic muscles) can help rebuild muscle tone and improve control.

2. Relaxing Overactive Muscles

In some cases, tight or overactive pelvic floor muscles can interfere with normal function, causing symptoms like frequent urination or constipation. Your therapist will guide you through relaxation techniques and stretching exercises to release tension.

3. Biofeedback Training

Biofeedback is a tool used in pelvic floor therapy to help patients learn how to control their pelvic muscles. Sensors provide real-time feedback, allowing you to see how your muscles are working and adjust your technique.

4. Manual Therapy

Hands-on techniques such as myofascial release or trigger point therapy can improve muscle mobility, release tension, and reduce pain.

5. Education and Behavioral Strategies

Your therapist will teach you strategies to improve bladder and bowel habits, such as:

  • Proper toileting posture.

  • Timing bathroom trips to avoid urgency or leakage.

  • Dietary recommendations to support digestive health.


Conditions Pelvic Floor Therapy Can Address

Pelvic floor therapy has been proven effective for a range of bladder and bowel control conditions, including:

1. Stress Incontinence

Leakage that occurs during activities like sneezing or exercise is often caused by weak pelvic floor muscles. Strengthening these muscles can significantly reduce or eliminate leaks.

2. Urge Incontinence

A strong, sudden urge to urinate can result from an overactive bladder or tight pelvic floor muscles. Therapy can help retrain your muscles and calm bladder spasms.

3. Fecal Incontinence

Loss of bowel control can occur due to muscle weakness or damage from childbirth, surgery, or aging. Pelvic floor therapy strengthens the muscles that support bowel control.

4. Chronic Constipation

Constipation may be linked to tight or uncoordinated pelvic floor muscles. Therapy focuses on relaxing the muscles and promoting proper coordination for smoother bowel movements.


The Benefits of Pelvic Floor Therapy for Bladder and Bowel Control

Pelvic floor therapy is a non-surgical, low-risk treatment option that offers numerous benefits for individuals dealing with bladder and bowel control issues:

  1. Improved Control: Strengthening and retraining your pelvic floor muscles can restore control and reduce leakage or urgency.

  2. Reduced Pain and Discomfort: Relaxing tight muscles can relieve pelvic pain and improve comfort.

  3. Better Quality of Life: Regaining bladder and bowel control can boost confidence and allow you to participate in daily activities without fear of accidents.

  4. Support for Postpartum Recovery: Therapy can address issues caused by pregnancy and childbirth, including incontinence and muscle weakness.

  5. Prevention of Further Issues: Strengthening your pelvic floor can reduce the risk of future problems, such as pelvic organ prolapse.


What to Expect During Pelvic Floor Therapy

At Refine Physical Therapy, we provide personalized care to address your specific needs. Here’s what you can expect from the process:

1. Initial Evaluation

Your therapist will begin with a thorough assessment, which may include:

  • A review of your medical history and symptoms.

  • External and internal examinations to evaluate muscle strength, flexibility, and coordination.

2. Customized Treatment Plan

Based on your evaluation, your therapist will create a treatment plan tailored to your goals. This plan may include a mix of manual therapy, biofeedback, and targeted exercises.

3. Progress Monitoring

Throughout your therapy journey, your therapist will monitor your progress, adjust your treatment plan as needed, and provide support to ensure lasting results.



Take Control of Your Bladder and Bowel Health

Bladder and bowel control issues can feel overwhelming, but you don’t have to face them alone. Pelvic floor therapy offers a proven, effective solution to help you regain control and confidence.

Contact Refine Physical Therapy today to schedule your evaluation and take the first step toward improved bladder and bowel health. Together, we can create a plan that works for you and helps you get back to living life to the fullest.

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@refine_pelvicpt


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