Physiotherapy Edmonton

Bowel and Bladder Incontinence Physical Therapy

Don’t Let Leaks Limit You

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Bowel and Bladder Incontinence Physical Therapy

Because You Deserve Comfort and Confidence

At In Step, we understand how personal and challenging bowel or bladder issues can be. If you’re struggling with urinary incontinence, urgent urination, or trouble with bowel movement control, you’re not alone, and help is available. Our Bowel and Bladder Incontinence Physical Therapy in Edmonton focuses on improving pelvic floor function, restoring coordination, and supporting long-term wellness through customized care plans

Why Is Pelvic Floor Therapy Important for Bowel and Bladder Control?

Issues like incontinence, urgency, and constipation often point to dysfunction in the muscles that support your bladder and bowel. These muscles, part of your pelvic floor, can weaken, tighten, or stop working in coordination. Without support, problems may get worse or start to affect your daily life.

At In Step, we use evidence-based care, one-on-one attention, and functional strategies to help retrain your body and restore your confidence, safely and privately.

Conditions We Treat

At In Step Physical Therapy, we support individuals through every stage of healing. Whether you’re dealing with new symptoms or long-term challenges, we approach every condition with understanding, care, and clinical insight. Below is a more comprehensive list of the conditions we treat through Bowel and Bladder Incontinence Physical Therapy.

Urinary Incontinence

We help clients experiencing bladder leakage, frequent urges, or difficulty holding urine due to various causes.

Leakage during physical activities (coughing, laughing, lifting) caused by weak pelvic floor muscles.

A sudden, intense urge to urinate, often followed by involuntary leakage.

Stress and urge incontinence that frequently affects older individuals.

Loss of bladder control after prostate surgery, common in male clients.

Frequent nighttime urination that disrupts sleep and affects overall health.

Hormonal shifts that affect bladder capacity, urgency, and control.

Bladder control issues during or after pregnancy, caused by muscle strain, pressure, or delivery-related trauma.

Dribbling of urine due to an inability to completely empty the bladder, often related to nerve dysfunction or prostate issues.

Bowel Incontinence

Loss of bowel control can be life-limiting, but with proper therapy, function can improve significantly.

solid or liquid stool, often linked to muscle or nerve injury.

Difficulty controlling gas, often caused by pelvic floor dysfunction.

Feeling like the bowels haven’t emptied completely, often paired with chronic constipation.

Hard or infrequent stools due to poor pelvic floor coordination, poor dietary habits, or chronic stress.

An uncontrollable urge to have a bowel movement, sometimes triggered by certain foods or stress.

The rectum bulges into the vaginal wall, causing pressure, difficulty evacuating, and potential leakage.

Trouble starting or completing bowel movements due to pelvic floor tension or poor coordination.

Pelvic Support & Neuromuscular Conditions

Pelvic floor health is intricately connected to other body systems. We address underlying dysfunctions that contribute to incontinence.

The bladder, uterus, or rectum descends into the vaginal canal, often leading to both urinary and bowel incontinence.

From conditions such as multiple sclerosis (MS), spinal cord injury, diabetes, or stroke, affecting bowel and bladder signalling.

Inability to go to the toilet on time due to mobility issues, arthritis, or cognitive decline.

Many individuals with Irritable Bowel Syndrome (IBS) develop pelvic floor tension or pain, which interferes with regular bowel movements.

Surgical changes that can affect nerve pathways and pelvic muscle integrity.

Including pelvic tension, chronic prostatitis-like symptoms, or post-prostate surgery incontinence.

Bedwetting, constipation, and functional incontinence in children that persist beyond typical age ranges.

After abdominal, urologic, or gynecological surgeries.

Age-related weakening of the pelvic floor leading to reduced control.

Whether it’s urgent urination, difficulty with bowel movement, or sudden leakage, these symptoms can affect your confidence and daily routine. But you’re not alone, and you’re not without solutions.

Our caring team at In Step Physical Therapy creates a supportive atmosphere where your needs are heard, your privacy is respected, and your progress matters.

Techniques We Use in Bowel and Bladder Incontinence Physiotherapy

We use a range of evidence-based, non-invasive techniques to improve pelvic function, reduce symptoms, and help you feel in control again. Every technique is chosen based on your comfort, condition, and recovery goals.

Pelvic Floor Muscle Training

We guide you through safe, tailored pelvic floor exercises that strengthen the muscles responsible for bladder and bowel control. These exercises:

  • Improve awareness and coordination
  • Enhance strength and endurance
  • Reduce leakage episodes
  • Can be combined with core activation for better results

We also teach the correct breathing and posture to maximize each movement.

Bladder Training & Bowel Retraining

We help you develop a structured schedule to manage bathroom visits more effectively. This includes:

  • Timed voiding to increase the time between urinations
  • Urge suppression techniques to delay the need to go
  • Bowel routines to reduce constipation and prevent urgency

These behavioural techniques build independence and reduce anxiety about accidents.

Manual Therapy

Our hands-on techniques release muscle tension and support better circulation:

  • Myofascial Release: Soft tissue mobilization to ease tightness in the pelvic floor.
  • Trigger Point Therapy: Addresses localized muscle spasms and knots.
  • Internal and external manual therapy: With your consent, we address deeper muscular tension in and around the pelvic area.

These treatments promote healing, flexibility, and muscle balance.

Electrical Stimulation

We may use gentle electrical impulses to activate pelvic floor muscles. This method is ideal for:

  • Patients with severely weak or inactive muscles
  • Those struggling with muscle awareness
  • Stimulating nerves after injury or surgery

It’s a painless and effective way to “wake up” the pelvic muscles and build strength.

Functional Dry Needling

We use thin, sterile needles to release overly tight or overactive muscles in the pelvic floor. This technique:

  • Targets trigger points
  • Reduces pain and spasms
  • Enhances overall muscle coordination

Dry needling supports better control and reduces pelvic discomfort.

Breathing & Core Integration

Diaphragmatic breathing connects the breath with pelvic function. Our therapists teach:

  • Breathing patterns that reduce abdominal pressure
  • Core strengthening that supports pelvic floor activation
  • Relaxation strategies for overall tension relief

This foundational work improves control and calms urgency symptoms.

Pessary Fitting (for Women)

A pessary is a silicone device inserted inside the vagina to support pelvic organs. We provide:

  • Safe and professional fittings
  • Education on care, cleaning, and follow-up
  • Relief from bladder pressure and stress incontinence

This option is especially helpful for women with pelvic organ prolapse.

Shockwave Therapy

We use gentle acoustic waves to stimulate pelvic muscle healing. It may help:

  • Improve circulation
  • Reduce tension in hypertonic muscles
  • Support tissue regeneration
  • Complement manual therapy and exercise

This non-invasive method can be part of a holistic recovery plan.

Acupuncture

Acupuncture helps regulate body systems by targeting key energy points. For incontinence, it can:

  • Reduce urgency
  • Improve pelvic blood flow
  • Alleviate stress and emotional symptoms
  • Pair effectively with other therapies like pelvic floor training

We provide this treatment in a calming, private space.

Can These Issues Be Treated Without Surgery?

Yes! Many people assume surgery is the only answer to bladder or bowel control issues, but in most cases, physiotherapy can make a major difference. At In Step Physical Therapy in Edmonton, we focus on non-invasive approaches like muscle re-education, habit changes, and functional movement to promote healing and long-term improvement.

Who Is Bowel and Bladder Physiotherapy For?

  • Adults living with urinary incontinence or accidental leakage
  • Women postpartum or post-menopause
  • Men recovering from prostate surgery
  • Seniors managing age-related pelvic floor weakening
  • Individuals with chronic constipation
  • People experiencing pelvic pain, heaviness, or urgency
  • Anyone with recent changes in bladder or bowel habits

What Happens at My First Appointment?

Private, One-on-One Care

We begin with a conversation in a quiet, confidential space to understand your symptoms, goals, and concerns.

Gentle Assessment

Your therapist will assess how your pelvic floor and surrounding muscles are functioning, often externally, and only with your consent.

Personalized Plan

You’ll leave with practical strategies and a clear path forward, whether your focus is control, strength, or function.

What You Can Expect To Improve

1
Greater Confidence in Public Spaces
No more avoiding long outings or always looking for the nearest bathroom.
2
Better Sleep With Fewer Interruptions
Many of our patients report fewer nighttime bathroom trips and more restful sleep.
3
Less Dependence on Pads or Protective Products
Improved control means you may not need to rely as heavily on incontinence products.
4
Freedom to Travel Again
Regain the ability to travel without worry of urgency or accidents.
5
More Enjoyment in Exercise and Physical Activity
With better pelvic floor coordination, activities like yoga, walking, and strength training become more accessible.
6
Improved Emotional Wellbeing
When you’re no longer constantly worried about accidents, your stress drops and your confidence rises.

Why Choose In Step Physical Therapy for Incontinence Support?

At In Step Physical Therapy, we know these topics can feel sensitive or even embarrassing. But they don’t have to be. Our care is compassionate, respectful, and personalized. From Bowel and Bladder Incontinence Physical Therapy in Edmonton to full-body rehabilitation, we’re here to help you feel more in control, step by step.

Ready to Take Control of Your Bladder and Bowel Health?

You don’t have to live with leakage, urgency, or discomfort. With the right support and safe guidance, control is possible, and you’re not alone.

Book your Bowel and Bladder Incontinence Physical Therapy in Edmonton with In Step Physical Therapy today. Let’s take the first step together.

Reviews:

Ladies: if you suffer from pain during intercourse or have incontinence, Pranjali will help you, as long as you're honest with her about your pain and whether you're doing the exercises she gives you. Pranjali was very helpful in my incontinence recovery.
Giri’s knowledge and on going education has kept me from a very intrusive neck surgery for over 14 years. He and his staff provide a very welcoming and friendly environment from the front desk all the way back to the exercise room. If you or anyone you know is looking for the best Physiotherapy clinic in the city look no further. You will not be disappointed with the results.
This is an excellent business! I have been seeing Giri and his team for years. They provide outstanding service. All staff are highly trained, knowledgeable, professional and courteous. Always keeping the clients best interest at heart. I highly recommend all services offered by InStep!
I went to In Step for a pelvic floor problem and after the first visit, I had noticeable improvement! Pranjali is an amazing physio. As someone who works in the sports science field, she knows her stuff and her evidence based approach gave me peace of mind. I would recommend IN Step to anyone who wants to see a qualified and knowledgeable team. Not to mention the great hospitality and customer service. Thank you!
I went in for pelvic floor physio and it was professional, comfortable and respectful. I have significant improvements from when I first started and am happy with the results! The physiotherapists there were so kind and friendly and helped you, even if you weren't their patient. They provided exercises for me that fit with my abilities and the types of equipment I had available to me. I would strongly recommend this location if you need pelvic floor physio!

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Frequently Asked Questions:

General Information

It is a type of physiotherapy that focuses on training the pelvic floor muscles to improve bladder and bowel control. Our goal is to help you reduce leaks, manage urgent urination, and regain confidence in daily life.

Yes. Physiotherapy near you in Edmonton, like In Step Physical Therapy, will be highly effective in retraining your muscles, improving coordination, and giving you strategies to manage urgency and leakage.

People of all ages can benefit, including new mothers, seniors, post-surgical patients, men with urinary leakage, or anyone dealing with uncontrolled bowel movements.

The muscle group in the pelvic floor support the bladder, bowel, and other organs. Weakness or tension in these muscles will lead to incontinence, urgent urination, or bowel control issues.

Frequent leaks, urgency, nighttime bathroom trips, bowel accidents, or difficulty controlling gas are signs you may benefit from physiotherapy.

No. Both men and women can benefit. Men often seek treatment after prostate surgery or for urinary urgency, while women may need care after childbirth or with age.

Yes. Our physiotherapist works with men experiencing leakage, urgency, constipation, or post-prostate concerns.

Yes. You can book directly with us. Some insurance providers may ask for a referral, but it’s not required to begin treatment.

We treat bowel leakage, urinary urgency, frequent urination, constipation-related incontinence, pelvic floor weakness, and recovery after surgery or childbirth.

Yes. We offer flexible appointments, including same-day bookings when possible, to make it easier to start treatment quickly.

Your first session includes a discussion of your symptoms, review of bladder and bowel patterns, and a gentle physical assessment. Together we’ll create a tailored treatment plan.

Yes, if you’re comfortable. We explain everything beforehand, and you can choose whether or not to include an internal exam.

Yes, but only as much as you feel comfortable sharing. Understanding your bowel movement habits helps us create a more effective treatment plan.

We use your history, assessment results, and goals to design a personalized plan. This may include exercises, bladder retraining, and lifestyle strategies.

Yes. Many people benefit from external techniques, breathing work, and posture training. Internal work is always optional.

Sessions usually last 60 minutes, depending on your needs and the treatment focus that day.

Yes. We’ll give you pelvic floor and core exercises to continue at home between visits.

That’s completely normal. We create a respectful, comfortable environment where you set the pace.

Yes, we try to accommodate same-day or next-day bookings whenever possible.

Some people notice small changes within a few sessions, while others need longer-term support. Progress depends on your symptoms and goals.

We treat urinary leakage, bowel incontinence, constipation, urgent urination, pelvic floor weakness, and post-surgical recovery.

Yes. Training your pelvic floor can help you reduce leaks when running, jumping, coughing, or sneezing.

Yes. Many women experience leakage after delivery, and physiotherapy helps retrain the pelvic floor for better control.

Yes. By teaching pelvic floor coordination and breathing strategies, physio can reduce straining and improve bowel movements.

Yes. Physiotherapy helps older adults strengthen pelvic muscles, reduce falls linked to urgency, and improve mobility.

Yes. We work with children experiencing urgency, bedwetting, or bowel accidents in a supportive way.

Yes. Strengthening and retraining the pelvic floor improves control over bowel movements.

Yes. Bladder retraining and pelvic floor work can reduce frequent nighttime trips to the bathroom.

A stronger pelvic floor supports your core, reduces strain on other muscles, and helps with stability.

Yes. It’s common after prostate, bladder, or pelvic surgery to need rehabilitation for control and function.

Practical & Lifestyle Questions

Yes. Our physiotherapy services are available for men, women, and children experiencing incontinence issues.

Wear loose clothes that allow you to move easily.

Yes. You’re welcome to bring with you a friend, or family member if that makes you more comfortable.

It depends on the individual. Some people notice changes in a few weeks, while others need longer support.

Yes, mild muscle awareness is common, but discomfort should ease quickly.

Yes. It’s completely fine, though you may choose to reschedule if you prefer.

We request for 24 hours’ notice for cancellations, but we also offer flexible scheduling to make rescheduling easy.

Yes. We do our best to provide flexible appointments that fit into your schedule.

Yes. Many clients find they can return to exercise, social activities, and work with more confidence.

Yes. We aim to keep you with the same physiotherapist for continuity and comfort.

Yes. Most extended health plans cover physiotherapy, including pelvic health.

Yes. We provide direct billing to most of the insurance providers for your convenience.

Yes. HSA funds can be used for physiotherapy services.

Yes. Insurance applies regardless of gender if physiotherapy is included in your plan.

Yes. We’ll help you check your plan details so you know exactly what’s covered.

We’ll work with you to create a plan that balances your goals with your coverage and budget.

Yes. Regaining control over the bladder and bowel movements often leads to greater independence and self-assurance.

Improved bladder and bowel control, better core stability, reduced urgency, and a lower risk of future leaks.

Symptoms may worsen over time, leading to more frequent leaks, reduced mobility, and increased stress.

You can call us directly or book online. We also offer same-day and flexible appointments to get you started quickly.

The Team Behind Your Neurological Rehabilitation Journey

Giri Srinivasan - Ceo &Amp; Registered Physiotherapist Of Instep Physical Therapy Standing With Arms Crossed In Clinic Reception Area.

Giri Srinivasan

Registered Physiotherapist 
Giri has more than 25 years of physiotherapy experience, with extensive training in pelvic floor therapy, pelvic girdle care, and programs for male pelvic pain. He integrates physiotherapy approaches such as pelvic exercise programs, Pfilates, and evidence-based pelvic rehabilitation strategies to support patients living with bowel or bladder incontinence.

Our team is here to answer your questions and guide you through your next steps.

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