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  • Rajesh Khemraj

Incontinence: It Is Normal?

Too many times I have worked with mothers that have lived with back pain and incontinence. If the history is taken properly, it is easy to discover that both started around the time of pregnancy. When asked why are they not dealing with the problem the most common answer is “I did not know that there was anything that could be done.”


Typically, the mother has tried to speak to their doctor about the problem and if they are lucky the doctor will refer them to women's health therapy. If they get the more common answer, “you just had a baby, this comes with the territory” With that the mother is left thinking that there is nothing they can do. They are doomed with the thought of having to worry about wetting themselves at any moment.


Causes of Incontinence:

1. Infection. Infections can be a cause but it should be short term. Very short. In my opinion there should not be more than a week, if it does go longer then the infection needs to be sorted better and a different treatment should be considered.

2. Physical damage during delivery. Delivery unfortunately can be very traumatic to the structures of the pelvic floor. If there are tears that happen, sometimes they are left to heal. Sometimes, they do not heal and you are left with the inability to control the pelvic floor. There also can be nerve damage. Both of these scenarios typically require medical attention to recover from.

3. Everything is stretched. There is a significant amount of stretching that happens and you are not returning to normal. It is like having a bottle of water and turning it upside down, if the lid is tight then there is no leaking. If the lid is a slight bit loose then there is leaking that happens.

4. The muscles are confused. The muscles just went through a whirlwind of change and trauma. Sometimes the last thing that the muscles remember is being pregnant or pushing the baby out. That memory becomes a permanent program and now when a female feels like they are contracting their pelvic floor, they are actually pushing out.


When muscles are confused, then there is hope with therapy. You can be retrained. I feel that the majority of incontinence issues that I see are retrainable. Some do require surgery but most are just a matter of retraining.


If you are having problems, feel free to set up an appointment. Rajesh is able to manage this dysfunction with a safe and noninvasive approach that is highly effective in treatment of incontinence.


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