Bladder Dysfunction

Bladder dysfunction can cause a huge impact on your daily life, causing you discomfort, added expense of protective pads and garments, and inability to fully participate in activities you love.

How It All Connects

The pelvic floor muscles can often be involved when people are experiencing bladder problems. These muscles play an important role for bladder function in that they aid in holding in urine, lengthen and relax to allow emptying, assist in controlling bladder urgency and frequency through complex neural interactions and aid in supporting the bladder.

Why Bladder Dysfunction Happens

The bladder and the process of urinating is a complicated matter. This system can be interrupted in various ways such as: nervous system involvement, physiological involvement, habits and behaviors, lifestyle, bladder irritants, hormonal changes and menopause, medications, psychosomatic, cancer and radiation, surgery, pressure on bladder. When the pelvic floor muscles become weak or under-active, tight or overactive, and/or develop altered coordination, we can see each of these functions impacted.

APH Helps With Bladder Dysfunction

It is common to have one or more body systems involved with bladder dysfunction and we will address them all.

Here are some of the more common bladder problems we treat:

Stress Urinary Incontinence (SUI)

Loss of urine from a physical stressor such as cough, sneeze, laugh, jump, run, bending, lifting

Urge Incontinence

Urge urinary incontinence (UUI): loss of urine with a strong urge. Often due to a bladder or PFM spasm.

Nighttime Waking
to Void (Nocturia)

Frequency and urgency at night, waking to void at night

Pain with Urination

& UTI like symptoms

Urgency Without Leakage

Strong, painful urge without a full bladder

Pelvic Organ Prolapse

Interfering with voiding

Pelvic Organ Prolapse

Interfering with voiding


Increased trips to the bathroom & overactive bladder (OAB)

Voiding Dysfunction

Dribbling, difficulty initiating stream, weak stream

Our Expert Pelvic Health Occupational Therapists Are Here To Help

At Ascend, we help women like you attain optimal pelvic health so you can feel confident and pain free throughout all phases of life from early adulthood into advanced years. We start by conducting a comprehensive exam to identify what may be contributing to the problems you are experiencing. We build a holistic, individualized care program that not only focuses on your pelvic floor, but also takes into account the interconnected systems of your body. We then help you get results using our proven therapeutic techniques.


Manual therapies if needed, including myofascial release, visceral mobilization, and/or dry needling to help improve muscle length and sensitivity around the pelvis.

Specific exercises aiming to improve strength and optimize coordination for the pelvic floor muscles and the structures around the pelvis.

Education of strategies to optimize your bladder health and habits, including instruction regarding bladder health, urgency suppression strategies, and patterns for voiding.

Specific exercises to retrain the coordinated and automatic function of your pelvic floor muscles and retrain your deep core function.

Postural retraining and specific strategies to improve your body mechanics and movement.

We also have the capacity to utilize tools and modalities like surface-EMG biofeedback or electrical stimulation if needed for your program.

Start Your Journey to Better Health

Personalized Treatment Options Designed to Suit Your Unique Needs

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Speak directly with your therapist to review your particular case and learn about our various treatment options.


Your first visit where we learn about you, perform initial evaluations and develop an action plan just for you.


These sessions are where we implement your personalized action plan and work with you to achieve your goals.


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