Urinary Incontinence: How is physical therapy better than Kegels alone?

"Kegels" are popular exercises often recommended by physicians for their patients dealing with urinary incontinence. Kegel exercises are done by squeezing the muscles around the vagina and anus (the muscles used to hold back gas or urine). These exercises target the pelvic floor musculature, which are important in closing off the urethra to control the flow of urine from the bladder.



However, many times patients do not have success in decreasing their symptoms by trying to practice Kegel exercises alone. Often, it is found upon examination that these patients have difficulty isolating the appropriate musculature, and therefore substitute with other muscles to feel the “Kegel” contraction. Research has shown that many patients have difficulty with Kegels in this way. In addition, many patients do not know the appropriate amounts of exercise to do, and thus do not receive the maximum benefit from strengthening their pelvic floor musculature. Thus, patients often are frustrated by the fact that their exercise is not producing the results they need.

So, what can Physical Therapy provide?

• Comprehensive evaluation and examination of musculature


• Exercise instruction, feedback and appropriate progression


• Bladder re-training tips


• Biofeedback training


• Diet and Fluid intake education


• Urge Suppressing Tips


• Appropriate Strengthening of the accessory muscles that help your pelvic floor

How can I find a Physical Therapist?

There is help available to non-surgically treat urinary incontinence! Women's Health physical therapists are specifically trained to examine and treat conditions related to pelvic floor muscle dysfunction. To find the closest women's health physical therapist near you, visit: http://www.womenshealthapta.org/plp/index.cfm

If you have any questions, feel free to contact our clinic:

Specialty Therapy for Men and Women

phone: 318.681.7680

e-mail: d.cathcart@christushealth.org