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Physiotherapy Edmonton
Bowel and Bladder Incontinence Physical Therapy
Don’t Let Leaks Limit You
Get Consultation Now
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.
We help clients experiencing bladder leakage, frequent urges, or difficulty holding urine due to various causes.
Stress Incontinence:
Leakage during physical activities (coughing, laughing, lifting) caused by weak pelvic floor muscles.
Urge Incontinence (Overactive Bladder):
A sudden, intense urge to urinate, often followed by involuntary leakage.
Mixed Incontinence:
Stress and urge incontinence that frequently affects older individuals.
Post-Prostatectomy Incontinence:
Loss of bladder control after prostate surgery, common in male clients.
Nocturia:
Frequent nighttime urination that disrupts sleep and affects overall health.
Post-Menopausal Bladder Changes:
Hormonal shifts that affect bladder capacity, urgency, and control.
Pregnancy & Postpartum Incontinence:
Bladder control issues during or after pregnancy, caused by muscle strain, pressure, or delivery-related trauma.
Overflow Incontinence:
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.
Fecal Incontinence
Involuntary loss of solid or liquid stool, often linked to muscle or nerve injury.
Flatal Incontinence:
Difficulty controlling gas, often caused by pelvic floor dysfunction.
Incomplete Evacuation:
Feeling like the bowels haven’t emptied completely, often paired with chronic constipation.
Constipation & Straining:
Hard or infrequent stools due to poor pelvic floor coordination, poor dietary habits, or chronic stress.
Urgency:
An uncontrollable urge to have a bowel movement, sometimes triggered by certain foods or stress.
Rectocele (Rectal Prolapse):
The rectum bulges into the vaginal wall, causing pressure, difficulty evacuating, and potential leakage.
Obstructed Defecation Syndrome:
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.
Pelvic Organ Prolapse:
The bladder, uterus, or rectum descends into the vaginal canal, often leading to both urinary and bowel incontinence.
Neuropathy or Nerve Damage:
From conditions such as multiple sclerosis (MS), spinal cord injury, diabetes, or stroke, affecting bowel and bladder signalling.
Functional Incontinence:
Inability to go to the toilet on time due to mobility issues, arthritis, or cognitive decline.
IBS with Pelvic Floor Dysfunction:
Many individuals with Irritable Bowel Syndrome (IBS) develop pelvic floor tension or pain, which interferes with regular bowel movements.
Post-Hysterectomy Bladder Dysfunction:
Surgical changes that can affect nerve pathways and pelvic muscle integrity.
Men’s Pelvic Health Issues:
Including pelvic tension, chronic prostatitis-like symptoms, or post-prostate surgery incontinence.
Pediatric Bowel and Bladder Issues:
Bedwetting, constipation, and functional incontinence in children that persist beyond typical age ranges.
Post-Surgical Pelvic Floor Weakness:
After abdominal, urologic, or gynecological surgeries.
Age-Related Muscle Loss (Sarcopenia):
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.
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
Greater Confidence in Public Spaces
No more avoiding long outings or always looking for the nearest bathroom.Better Sleep With Fewer Interruptions
Many of our patients report fewer nighttime bathroom trips and more restful sleep.Less Dependence on Pads or Protective Products
Improved control means you may not need to rely as heavily on incontinence products.Freedom to Travel Again
Regain the ability to travel without worry of urgency or accidents.More Enjoyment in Exercise and Physical Activity
With better pelvic floor coordination, activities like yoga, walking, and strength training become more accessible.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.
- Renee Smith
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.
- Ryan Farrell
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!
- Robin R
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!
- Nicho T.
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!
- Gillian Friedrich
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Frequently Asked Questions:
General Information
What Is Bowel and Bladder Incontinence Physical Therapy in Edmonton?
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.
Can Physiotherapy Near Me Help Manage Urgent Urination or Leaks?
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.
Who Usually Needs Bowel and Bladder Incontinence Physical Therapy?
People of all ages can benefit, including new mothers, seniors, post-surgical patients, men with urinary leakage, or anyone dealing with uncontrolled bowel movements.
How Does the Pelvic Floor Affect Bladder and Bowel Control?
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.
What Symptoms Suggest I Should See a Physiotherapist for Incontinence?
Frequent leaks, urgency, nighttime bathroom trips, bowel accidents, or difficulty controlling gas are signs you may benefit from physiotherapy.
Is Bowel and Bladder Incontinence Physical Therapy Only for Women?
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.
Do Men Benefit From Physiotherapy for Bladder or Bowel Issues?
Yes. Our physiotherapist works with men experiencing leakage, urgency, constipation, or post-prostate concerns.
Can Incontinence Physiotherapy Be Started Without a Doctor Referral?
Yes. You can book directly with us. Some insurance providers may ask for a referral, but it’s not required to begin treatment.
What Do We Treat With Incontinence Physiotherapy at Our Clinic?
We treat bowel leakage, urinary urgency, frequent urination, constipation-related incontinence, pelvic floor weakness, and recovery after surgery or childbirth.
Do You Provide Flexible Appointments for Incontinence Physiotherapy?
Yes. We offer flexible appointments, including same-day bookings when possible, to make it easier to start treatment quickly.
First Session & Treatment
What Can I Expect During My First Session for Incontinence Physiotherapy?
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.
Will My First Session Include Pelvic Floor Assessment?
Yes, if you’re comfortable. We explain everything beforehand, and you can choose whether or not to include an internal exam.
Do I Need to Talk About My Bowel Movements in Detail?
Yes, but only as much as you feel comfortable sharing. Understanding your bowel movement habits helps us create a more effective treatment plan.
How Does a Physiotherapist Create My Treatment Plan?
We use your history, assessment results, and goals to design a personalized plan. This may include exercises, bladder retraining, and lifestyle strategies.
Can Incontinence Physiotherapy Be Done Without Internal Treatment?
Yes. Many people benefit from external techniques, breathing work, and posture training. Internal work is always optional.
How Long Does a Typical Incontinence Physio Session Last?
Sessions usually last 60 minutes, depending on your needs and the treatment focus that day.
Will I Receive Home Exercises After My First Session?
Yes. We’ll give you pelvic floor and core exercises to continue at home between visits.
What Happens if I Feel Nervous During My First Visit?
That’s completely normal. We create a respectful, comfortable environment where you set the pace.
Do You Offer Same-Day Appointments for New Patients?
Yes, we try to accommodate same-day or next-day bookings whenever possible.
How Soon After My First Session Will I Notice Improvement?
Some people notice small changes within a few sessions, while others need longer-term support. Progress depends on your symptoms and goals.
Conditions and Symptoms
What Conditions Can Be Treated With Bowel and Bladder Incontinence Physical Therapy in Edmonton?
We treat urinary leakage, bowel incontinence, constipation, urgent urination, pelvic floor weakness, and post-surgical recovery.
Can Physiotherapy Reduce Urgent Urination During Exercise?
Yes. Training your pelvic floor can help you reduce leaks when running, jumping, coughing, or sneezing.
Does Physio Help With Incontinence After Childbirth?
Yes. Many women experience leakage after delivery, and physiotherapy helps retrain the pelvic floor for better control.
Can Bowel and Bladder Incontinence Physical Therapy Improve Constipation Issues?
Yes. By teaching pelvic floor coordination and breathing strategies, physio can reduce straining and improve bowel movements.
Is Physiotherapy Helpful for Seniors With Loss of Bladder Control?
Yes. Physiotherapy helps older adults strengthen pelvic muscles, reduce falls linked to urgency, and improve mobility.
Can Children Benefit From Bowel and Bladder Incontinence Physical Therapy?
Yes. We work with children experiencing urgency, bedwetting, or bowel accidents in a supportive way.
Does Physiotherapy Help With Accidental Bowel Leakage?
Yes. Strengthening and retraining the pelvic floor improves control over bowel movements.
Can Physiotherapy Improve Night-Time Urination Problems?
Yes. Bladder retraining and pelvic floor work can reduce frequent nighttime trips to the bathroom.
How Does Pelvic Floor Training Improve Coordination and Balance?
A stronger pelvic floor supports your core, reduces strain on other muscles, and helps with stability.
Can Incontinence Physiotherapy Support Patients After Surgery?
Yes. It’s common after prostate, bladder, or pelvic surgery to need rehabilitation for control and function.
Practical & Lifestyle Questions
Do You Offer Physiotherapy for Both Men and Women?
Yes. Our physiotherapy services are available for men, women, and children experiencing incontinence issues.
What Clothing Should I Wear to My Incontinence Physio Session?
Wear loose clothes that allow you to move easily.
Can I Bring Someone With Me to My Appointment for Support?
Yes. You’re welcome to bring with you a friend, or family member if that makes you more comfortable.
How Many Sessions Are Usually Needed for Incontinence Physiotherapy?
It depends on the individual. Some people notice changes in a few weeks, while others need longer support.
Is It Normal to Feel Sore After a Pelvic Floor Session?
Yes, mild muscle awareness is common, but discomfort should ease quickly.
Can I Continue Therapy if I’m on My Period?
Yes. It’s completely fine, though you may choose to reschedule if you prefer.
What Happens if I Miss an Appointment?
We request for 24 hours’ notice for cancellations, but we also offer flexible scheduling to make rescheduling easy.
Do You Offer Evening or Weekend Appointments for Busy Patients?
Yes. We do our best to provide flexible appointments that fit into your schedule.
Can Physiotherapy Help Me Return to Normal Daily Activities?
Yes. Many clients find they can return to exercise, social activities, and work with more confidence.
Will My Physiotherapist Stay the Same Throughout My Treatment?
Yes. We aim to keep you with the same physiotherapist for continuity and comfort.
Insurance, Coverage & Long-Term Impact
Is Bowel and Bladder Incontinence Physical Therapy in Edmonton Covered by Insurance?
Yes. Most extended health plans cover physiotherapy, including pelvic health.
Do You Provide Direct Billing for Incontinence Physiotherapy Sessions?
Yes. We provide direct billing to most of the insurance providers for your convenience.
Can I Use a Health Spending Account for My Treatment?
Yes. HSA funds can be used for physiotherapy services.
Will My Insurance Cover Incontinence Physio for Men as Well as Women?
Yes. Insurance applies regardless of gender if physiotherapy is included in your plan.
Do You Help Patients Confirm Insurance Coverage Before the First Session?
Yes. We’ll help you check your plan details so you know exactly what’s covered.
What Happens if I Need More Sessions Than My Insurance Covers?
We’ll work with you to create a plan that balances your goals with your coverage and budget.
Can Incontinence Physiotherapy Improve My Confidence and Quality of Life?
Yes. Regaining control over the bladder and bowel movements often leads to greater independence and self-assurance.
What Are the Long-Term Benefits of Pelvic Floor Training for Incontinence?
Improved bladder and bowel control, better core stability, reduced urgency, and a lower risk of future leaks.
What Happens if I Ignore Bowel or Bladder Incontinence Symptoms?
Symptoms may worsen over time, leading to more frequent leaks, reduced mobility, and increased stress.
How Can I Book an Appointment Quickly for Bowel and Bladder Incontinence Physical Therapy in Edmonton?
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 Bladder and Bowel Care
Giri Srinivasan
Pelvic Health Physiotherapist – Owner & CEO
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.
Book An Appointment
Reach Us
- Address - 10667 113 St NW, Edmonton, AB T5H 3H6
- Phone - (587) 409-1754
- Email - info@instepphysio.ca
- Business Hours - Mon – Fri: 8 am – 8 pm
- Business Hours - Sat: 8 am – 4 pm





