Bladder Problems 

Expert treatment from a Specialist Physiotherapist for all your Women's Health issues. We can help you. It often just takes some specialist treatment and training to cure the problem, and that is what we can offer with years of experience and specialist training. Women's Health Physiotherapy provides confidential assessments and Specialist Treatment modalities. 
 
1 in 3 women experience Women’s Health problems during their lifetime. As a conservative estimate there are around 14 million people in the UK today with some form of bladder problem. However many tolerate these problems, often for years, either too embarrassed to seek help or unaware that there are treatments available. Children can suffer with bladder and bowel related problems too. 
Stress urinary incontinence 
 
This is leakage of urine when you cough, sneeze, jump, exercise etc. 1 in 3 women experience Women’s Health problems during their lifetime. As a conservative estimate there are around 14 million people in the UK today with some form of bladder problem. However many tolerate these problems, often for years, either too embarrassed to seek help or unaware that there are treatments available. Children can suffer with bladder related problems too. 
 
The cause of stress incontinence is usually weakening of the pelvic floor muscles. When you then increase the pressure on to the bladder it cannot close off properly and you will leak urine. This can be as a result of childbirth, chronic coughs, being overweight and the menopause. 
 
Treatment will include: 
 
Pelvic floor muscle exercises 
Core stability exercises (Pilates) 
Real-time ultrasound for assessment and biofeedback 
Electrical muscle stimulation if needed 
Vaginal cones if needed 
Frequency 
 
Do you go to the toilet more than 6-8 times in a 24 hour period? This may be associated with an urgent sensation of needing to go.  
 
It is important to look at the underlying cause of the proble. It may be due to urgency, weak pelvic floor muscles, a urinary infection, interstitial cystitis or diabetes. 
 
Treatment will include: 
 
Pelvic floor muscle exercises 
Bladder training 
Fluid advice 
Urine sample testing if necessary 
 
 
 
 
 
Urgency / OAB 
 
This is also known as Overactive Bladder or OAB. This is where you may get a very sudden urge to go to the toilet due to involuntary contraction of the bladder muascle. This can also be associated with bladder leakage if you do not get there in time. 
 
Overactive bladder is primarily a problem of the nerves and muscles of the bladder that cause early contraction during the normal relaxation phase of bladder filling. The contraction and relaxation of the bladder muscle is controlled by our nervous system. Approximately 300 mls of urine in the bladder can alert the nervous system to trigger muscles of the bladder to initiate urination. 
 
Voluntary control of the sphincter muscles at the opening of the bladder can hold the urine in the bladder for longer. 
Up to 500-550 mls of urine can be contained in a normal adult bladder. For those with OAB, the bladder capacity is typically low sometimes less than 200 mls. 
 
Causes of OAB include bladder infections, some fluids we drink (caffeine), and sometimes not drinking enough fluids, causing the urine to become very concentrated, and then this acts as a bladder irritant. 
 
Treatment will include: 
 
Bladder training 
Lifestyle changes including fluid advice 
Pelvic floor muscle exercises 
Nocturia 
 
It is not seen as abnormal if you need to get up once in the night. Anything more than once though is not normal. As we get older this may become more of an issue as our kidneys become more active at night.  
 
However, if you are waking for another reason and you routinely get up to empty your bladder you will find that eventually it is your bladder that is waking you as it has become a habit. 
 
Treatment will include: 
 
Bladder training 
Lifestyle changes including fluid advice 
Pelvic floor muscle exercises 
Bed Wetting - Nocturnal Enuresis 
 
This can happen to adults but is most common with children. This is a fairly common problem anyway with very young children and they mostly grow out of it. 
 
There is often no obvious reason why children wet the bed, but it could be because:- 
Your child produces more urine than their bladder can cope with 
Has an overactive bladder 
Is a very deep sleeper, so they do not wake up when the signals notify the brain their bladder is full 
Bedwetting often runs in families 
Constipation is a very strong link with bedwetting. Sometimes treating constipation is all that's needed to treat bedwetting. 
Occasionally, bedwetting may be triggered by emotional distress, such as being bullied or moving to a new school 
 
Treatment will include: 
 
Bladder traioning 
Fluid advice 
Bowel advice if constipation is an issue 
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