Pregnant woman with bladder leakage

Bladder leakage is a phenomenon that many women encounter, especially following childbirth or during the aging process. It is characterized by involuntary urine loss, which can occur during physical activities like coughing, sneezing, or exercising, or may be associated with a strong, uncontrollable urge to urinate. Although common, understanding the underlying causes and exploring effective solutions, like pelvic health physiotherapy, can be instrumental in managing and even alleviating this condition.

A Closer Examination of Bladder Leakage

Bladder Leakage Post-Pregnancy

Postpartum bladder leakage is often linked to the weakening or injury of pelvic floor muscles during pregnancy and childbirth. The pelvic floor muscles act like a supportive sling for the bladder, uterus, and bowel. When these muscles are compromised, maintaining bladder control can become challenging. Women might experience leakage when laughing, sneezing, lifting heavy objects, or engaging in physical activities.

Age-Related Bladder Challenges

As women age, the body undergoes various changes, including the weakening of the pelvic floor muscles and a reduction in estrogen levels, which can adversely affect the urinary tract and bladder. Consequently, they may experience urge incontinence, characterized by a sudden and strong need to urinate, or stress incontinence, where specific activities like coughing or lifting cause unintended leakage. Understanding these types and employing strategic pelvic health exercises can be pivotal in managing these challenges effectively.

Bladder Leakage and Pelvic Health Physiotherapy

The Significance of the Pelvic Floor

The pelvic floor is integral for a myriad of functions, including supporting pelvic organs, aiding in sexual function, and ensuring control over bladder and bowel activities. A well-coordinated and strengthened pelvic floor is crucial in managing bladder control effectively, making it a focal point in addressing leakage concerns.

Pelvic Health Physiotherapy Techniques

Pelvic health physiotherapy encompasses targeted exercises and techniques aimed at strengthening the pelvic floor muscles and enhancing bladder control. For instance, Kegel exercises, which involve repeated contraction and relaxation of the pelvic floor muscles, can be instrumental in improving muscle tone and strength. Additionally, techniques like biofeedback can help in understanding and effectively engaging the pelvic floor muscles during exercises, ensuring they are performed accurately for optimal benefit.

Tailoring Strategies for Effective Management

Adopting a Personalized Approach

Managing bladder leakage effectively necessitates a tailored approach, considering individual experiences, challenges, and progress. Developing a structured regimen that gradually enhances pelvic floor strength without causing undue stress or strain is crucial in ensuring sustainable improvement and enhanced quality of life.

Navigating through Unique Challenges

Whether addressing postpartum recovery or navigating through the changes aging brings, adopting strategies that are adaptable, gradual, and mindful of individual capacities and challenges is paramount. Recognizing and respecting your body’s signals, and progressively implementing exercises and techniques in a manner that is supportive and non-stressful, ensures the journey towards improved pelvic health is constructive and sustainable.

Your Journey Towards Improved Pelvic Health

Bladder leakage, while common, is not an insurmountable challenge. Armed with knowledge, practical strategies, and when needed, professional guidance, navigating toward improved pelvic health becomes a tangible and achievable goal. At Zen Wellness Clinic, we’re committed to providing you with precise, effective pelvic health physiotherapy, ensuring you navigate through these challenges with confidence, support, and expert care at every step.

Frequently Asked Questions (FAQs)

What causes bladder leakage?

Bladder leakage, or urinary incontinence, can be caused by a variety of factors such as weakened pelvic floor muscles, urinary tract infections, chronic cough, or neurological disorders. For women, particularly, events like childbirth or hormonal changes during menopause can also lead to bladder leakage.

How does the pelvic floor contribute to bladder control?

The pelvic floor muscles form a supportive sling across the base of the pelvis, aiding in controlling the bladder and bowel. When these muscles are strong and coordinated, they ensure the bladder retains urine effectively and releases it in a controlled manner when appropriate.

How can pelvic health physiotherapy assist in managing bladder leakage?

Pelvic health physiotherapy involves a range of techniques and exercises aimed at strengthening the pelvic floor muscles, improving bladder control, and reducing incidents of leakage. Strategies may include Kegel exercises, biofeedback, and tailored exercise regimens to enhance pelvic floor function.

Is pelvic health physiotherapy suitable for all women experiencing bladder leakage?

While pelvic health physiotherapy can be highly beneficial for many women experiencing bladder leakage, the suitability and effectiveness can depend on individual circumstances, existing health conditions, and the underlying causes of the leakage. A healthcare professional can provide insight into the most appropriate management strategies for individual cases.

Can bladder leakage be fully cured with pelvic health physiotherapy?

The effectiveness of pelvic health physiotherapy can vary among individuals. While many women experience significant improvement and even resolution of bladder leakage, others may find it helps in managing and reducing the severity of incidents. Various factors, including the underlying cause, consistency in performing exercises, and individual health, will influence the outcome.

How long does it usually take to see improvements in bladder control through pelvic health physiotherapy?

The timeframe for observing improvements can vary widely among individuals. Consistency in performing pelvic floor exercises and employing recommended strategies is crucial. Some may observe improvements within a few weeks, while for others, it might take several months to notice tangible changes.

Can pelvic health physiotherapy help with other pelvic health issues?

Yes, pelvic health physiotherapy can assist in managing a range of pelvic health issues, including pelvic organ prolapse, pelvic pain, and issues related to bowel control, in addition to bladder leakage.

Is it ever too late to start pelvic health physiotherapy for managing bladder leakage?

No, it’s never too late to start. Women of all ages, whether experiencing issues postpartum or during post-menopausal stages, can derive benefit from pelvic health physiotherapy. Tailoring strategies to individual needs and capacities ensures that the approach is suitable and effective, regardless of age.

Meet our Pelvic Health Physiotherapist


Priyanka, Gulati, PT

Priyanka Gulati, PT

Priyanka is a Registered Physiotherapist and holds a Master’s degree in Women’s Health & Pediatric Physiotherapy. 

She believes in providing a safe and confidential space to truly listen and understand her client’s needs and concerns.

Her training in pelvic floor dysfunction has included courses to assess and treat urinary incontinence, complex pelvic pain, sexual pain, prolapse, pre and postnatal discomforts, preparation for labour and delivery, diastasis recti, post-surgical and post-menopausal care. She joins our team with over 10 years of experience having worked at clinics in Toronto and Oakville. As a resident of Milton, she looks forward to growing a new practice closer to home.

Priyanka believes in providing a safe and confidential space to truly listen and understand her client’s needs and concerns. She is passionate about guiding people to connect back to their bodies using a tailored approach.

Priyanka enjoys teaching Lamaze Childbirth Education classes over the weekend. She has been trained in Spinning Babies and is also a DONA certified Birth Doula attending over 100 births. 

In her spare time, she enjoys calligraphy, DIY home projects and keeping up with her two active kids!