Incontinence Savoy, IL

Incontinence

What is incontinence?

Urinary Incontinence means a person leaks urine by accident.

While it may happen to anyone, urinary incontinence is more common in older people, especially women. Incontinence can often be cured or controlled.

Savoy Therapy’s Senior Women’s Health Program is dedicated to improving the pelvic health, quality of life and socialization for women 55 and older.

Urinary Incontinence can happen for many reasons. For example, urinary tract infections, vaginal infection or irritation, constipation. Some medicines can cause bladder control problems that last a short time. When incontinence lasts longer, it may be due to:

  • Weak bladder muscles
  • Overactive bladder muscles
  • Weak pelvic floor muscles
  • Damage to nerves that control the bladder from diseases such as multiple sclerosis, diabetes, or Parkinson’s disease
  • Blockage from an enlarged prostate in men
  • Diseases such as arthritis that may make it difficult to get to the bath­room in time
  • Pelvic organ prolapse, which is when pelvic organs (such as the bladder, rectum, or uterus) shift out of their normal place into the vagina. When pelvic organs are out of place, the bladder and urethra are not able to work normally, which may cause urine to leak.

Most incontinence in men is related to the prostate gland. Male incontinence may be caused by:

  • Prostatitis—a painful inflammation of the prostate gland
  • Injury, or damage to nerves or muscles from surgery
  • An enlarged prostate gland, which can lead to Benign Prostate Hyperplasia (BPH), a condition where the prostate grows as men age.

Types of Incontinence

There are different types of incontinence:

  • Stress incontinence occurs when urine leaks as pressure is put on the bladder, for example, during exercise, coughing, sneezing, laughing, or lifting heavy objects. It’s the most common type of bladder control problem in younger and middle-age women. It may begin around the time of menopause.
  • Urge incontinence happens when people have a sudden need to urinate and cannot hold their urine long enough to get to the toilet. It may be a problem for people who have diabetes, Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, or stroke.
  • Overflow incontinence happens when small amounts of urine leak from a bladder that is always full. A man can have trouble emptying his bladder if an enlarged prostate is blocking the urethra. Diabetes and spinal cord injuries can also cause this type of incontinence.
  • Functional incontinence occurs in many older people who have normal bladder control. They just have a problem getting to the toilet because of arthritis or other disorders that make it hard to move quickly

Physical Therapy Treatment for Urinary Incontinence in Seniors consist of:

  • Increasing strength, stability and endurance of the core, transverse abdominals, hips muscles and pelvic floor
  • Increasing synergy and pattern of muscle firing between the pelvic floor and core
  • Use of the biofeedback for pelvic floor training and re education
  • Performing strengthening exercises in functional and dynamic positions
  • Improving posture/positions
  • Dietary modifications
  • Bladder diary and log
  • Exercise/walking/mobility program
  • Functional activities
  • Home exercise program and instruction

Incontinence and Alzheimer’s Disease

People in the later stages of Alzheimer’s disease often have problems with urinary incontinence. This can be a result of not realizing they need to urinate, forgetting to go to the bathroom, or not being able to find the toilet. To minimize the chance of accidents, the caregiver can:

  • Avoid giving drinks like caffeinated coffee, tea, and sodas, which may increase urination. But don’t limit water.
  • Keep pathways clear and the bathroom clutter-free, with a light on at all times.
  • Make sure you provide regular bathroom breaks.
  • Supply underwear that is easy to get on and off.
  • Use absorbent underclothes for trips away from home.

For more information, contact Savoy Therapy at Savoy, IL center for an in-home assessment.