Incontinence Physiotherapy Edmonton

Discreet, evidence-informed pelvic floor physiotherapy for bladder leaking in women, men and people of all genders, at our Millwoods clinic.

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Physiotherapy for Urinary Incontinence in Edmonton

Urinary incontinence is any unwanted leaking of urine, whether a few drops with a cough or a sudden urge you cannot hold. It is common but treatable. At Next Step Physio & Neurorehab Clinic in Edmonton, pelvic floor physiotherapy assesses how your bladder, pelvic floor muscles and daily habits work together and builds a plan that may help reduce leaking.

We see adults of all genders, including people after prostate surgery, after childbirth, during menopause and later in life. No referral is needed, appointments are in a private room, and visits are direct-billed to many extended health plans at our Millwoods clinic.

(587) 855-4559

Types of incontinence we commonly see

Stress incontinence is leaking when pressure rises in the abdomen: coughing, sneezing, laughing, lifting or running. It often relates to pelvic floor muscles that are weak, poorly coordinated or not responding quickly enough.

Urge incontinence is a sudden, strong need to go, sometimes with leaking before you reach the toilet, and often with going very frequently. It relates more to how the bladder and nervous system communicate and to habits that can be retrained.

Mixed incontinence is a combination of both. Many people also leak after urinating (post-void dribble) or during intimacy. Each pattern is approached differently, which is why a careful assessment matters more than a generic exercise handout.

How physiotherapy approaches leaking

Pelvic floor physiotherapy is recommended in clinical guidelines as a first-line, conservative approach for stress and urge incontinence. Treatment commonly includes learning to find and correctly contract and relax the pelvic floor, building strength and endurance, timing a contraction before a cough or lift, bladder retraining and urge-suppression strategies, adjusting fluid and caffeine habits, and addressing constipation, breathing and posture that add pressure to the bladder.

Some people need to strengthen; others have muscles that are overactive and need to learn to let go. For men after prostate surgery, early guided pelvic floor training is commonly used to support the return of control. Our pelvic floor physiotherapist, Mercy, provides this care at Next Step.

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What to expect at your assessment

Your first visit is unhurried, private and led by your comfort.

Talking through symptoms:

When you leak, how much, what triggers it, how often you go, fluid intake, bowel habits and how it affects your life.

Bladder diary review:

We may ask you to track a few days of fluids and toilet trips; this often reveals patterns worth changing.

Movement and breathing screen:

We look at posture, breathing pattern, core and hip strength and how you lift or cough.

Pelvic floor assessment:

With your consent, we assess muscle tone, strength, endurance and coordination, externally or internally. Internal assessment is optional.

Plain-language findings:

We explain what appears to be driving your leaking and what a realistic plan looks like.

Personalised programme:

You start with a small number of specific exercises or strategies and return to progress them.

Follow-ups are shorter and spaced according to your progress. Many people notice change within a few weeks of consistent practice.

When to see your doctor

Physiotherapy is suitable for most people with leaking, but some symptoms need medical review first. Please see your doctor if you have blood in your urine, pain or burning when urinating, a fever, sudden new incontinence, numbness in the saddle area, or difficulty emptying your bladder. These may signal infection or another condition that needs treatment. Once cleared, physiotherapy can usually begin.

If you are already under the care of a urologist, gynaecologist or continence nurse, we are happy to coordinate with them.

Book incontinence physiotherapy in Edmonton

Pelvic floor physiotherapy for incontinence is available at Next Step Physio & Neurorehab Clinic in Millwoods (Suite 106A, 7319-29 Avenue NW). No referral is needed. Book online, call the clinic, or ask reception to add this to an existing treatment plan. Bring your extended health details so we can direct-bill many major insurers.

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FREQUENTLY ASKED QUESTIONS

FAQ

Before your visit

Is leaking normal as I get older or after having children?

It is common, but common does not mean normal or untreatable. Many people see improvement with the right plan at any age.

Do you see men?

Yes. We see men with leaking after prostate surgery, with urgency, and with post-void dribble.

Do I need a referral?

No. You can book directly. Some extended health plans ask for a doctor's note to reimburse physiotherapy, so check your policy.

Is the assessment embarrassing?

We hear this concern often. Appointments are private, everything is explained first and nothing happens without your consent.

Is an internal exam necessary?

No. It provides useful information, but external assessment and your history also tell us a lot. It is always your choice.

Treatment and results

How long until I notice a difference?

Many people notice early changes within a few weeks, with continued gains over about three months of consistent practice.

Are Kegels enough?

Not always. Doing the wrong exercise, or doing the right one incorrectly, is common. Assessment shows what your muscles actually need.

Can physiotherapy help urge and frequency?

Bladder retraining, urge-suppression techniques and habit changes are commonly used and may help many people.

Is incontinence physiotherapy covered by insurance?

It is billed as physiotherapy and covered by many extended health plans. We direct-bill many major insurers; ask reception about your plan.

What if I have prolapse as well?

Pelvic floor physiotherapy is commonly used for mild to moderate prolapse symptoms and can be combined with your continence plan.

Related services at Next Step:

Available at our Millwoods clinic in Edmonton. Book an appointment.