Gaining Bladder Control with Physiotherapy

By Adelaide Women's Physio | August 12, 2016

Most women are aware of the research findings where one in three women who say they are exercising their pelvic floor muscles are actually NOT working the correct muscles. This is where Physiotherapists with post graduate pelvic floor muscle and bladder training education play a vital role in assessment of pelvic floor muscle weakness and related conditions.

Our Physiotherapists at Physiotherapy for Women understand the importance of sharing health stories with women who are finding it difficult to make a decision to seek professional help with their bladder weakness issues.

Here we share a common presentation and inspiring outcome.


  • Hardworking women regularly filled with long work hours, often having to lift heavy boxes at work, lifting grandchildren, and undertaking gym programs with weights and squats


  • Presents with daily bladder leakage (urinary stress incontinence)
  • A need to go to the toilet when bladder demands (urgency)
  • Often needing to change undies frequently
  • Feels embarrassed and worried the leakage is getting worse

Physiotherapy Assessment Findings:

  • Very weak pelvic floor muscles
  • Poor awareness of pelvic floor muscle tightening and relaxation
  • No ability to tighten pelvic floor muscles before coughing/lifting activity

Physiotherapy Management Plan:

  • Discuss the importance of making a commitment to daily pelvic floor muscle exercise
  • Select visualisation cues to assist the correct muscle action
  • Instruct pelvic floor muscle action in daily activities
  • Introduce bladder training when pelvic floor muscles are able to hold
  • Progress exercise program every 2 weeks, based on muscle assessment


  • After 4 Physiotherapy consults over an 8 week period our client was no longer experiencing any bladder leakage at work or in her family environment.
  • She had developed excellent pelvic floor muscle control and the ability to hold on with confidence

Our Physiotherapists have the professional skills to assess and treat pelvic floor muscle and bladder conditions. Seek help now.