{"id":4405,"date":"2026-08-21T07:17:51","date_gmt":"2026-08-21T07:17:51","guid":{"rendered":"https:\/\/teque7.in\/crestwell\/?page_id=4405"},"modified":"2026-08-21T07:21:34","modified_gmt":"2026-08-21T07:21:34","slug":"continence-clinic","status":"publish","type":"page","link":"https:\/\/teque7.in\/crestwell\/services\/continence-clinic\/","title":{"rendered":"Continence Clinic"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4405\" class=\"elementor elementor-4405\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9dd418e e-flex e-con-boxed e-con e-parent\" data-id=\"9dd418e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-ecbd1ab e-con-full e-flex e-con e-child\" data-id=\"ecbd1ab\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-605f3da e-con-full sticky-column e-flex e-con e-child\" data-id=\"605f3da\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c7456a elementor-widget elementor-widget-kinesi-elementor-template\" data-id=\"6c7456a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"kinesi-elementor-template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"section\" data-elementor-id=\"1230\" class=\"elementor elementor-1230\" data-elementor-post-type=\"elementor_library\">\n\t\t\t<div class=\"elementor-element elementor-element-f77e8be e-flex e-con-boxed e-con e-parent\" data-id=\"f77e8be\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a015081 e-con-full e-flex e-con e-child\" data-id=\"a015081\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5f2d261 at-heading-animation at-animation-heading-none elementor-widget elementor-widget-heading\" data-id=\"5f2d261\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Services<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f0b9330 elementor-widget elementor-widget-nav-menu\" data-id=\"f0b9330\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;layout&quot;:&quot;dropdown&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i class=\\&quot;fas fa-chevron-down\\&quot; aria-hidden=\\&quot;true\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-f0b9330\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4057\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Musculoskeletal Physiotherapy<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4058\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/general-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">General physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4059\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/sports-injury-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Sports injury clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4060\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/back-and-neck-pain-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Back and neck pain clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4061\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/shoulder-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Shoulder clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4062\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/hip-and-knee-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Hip and knee clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4063\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/foot-and-ankle-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Foot and ankle clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4064\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/hand-therapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Hand therapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4065\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/tmj-jaw-pain-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">TMJ (jaw pain) physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4066\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/vestibular-dizziness-vertigo-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Vestibular physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4067\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/chronic-pain-management\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Chronic pain management<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4068\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/fibromyalgia-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Fibromyalgia rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4069\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/hypermobility-eds-hsd-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Hypermobility (EDS\/HSD) clinic<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4073\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Specialist Rehabilitation<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4074\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/stroke-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Stroke rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4075\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/cardiac-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Cardiac rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4076\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/parkinsons-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Parkinson&#8217;s rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4077\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/multiple-sclerosis-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Multiple sclerosis rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4078\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/neurological-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Neurological rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4079\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/orthopaedic-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Orthopaedic rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4080\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/joint-replacement-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Joint replacement rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4081\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/fracture-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Fracture rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4082\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/falls-prevention\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Falls prevention<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4083\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/balance-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Balance clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4084\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/elderly-rehabilitation-frailty-programme\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Elderly rehabilitation (frailty programme)<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4085\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/cancer-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Cancer rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4086\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/long-covid-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Long COVID rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4087\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/respiratory-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Respiratory physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4088\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/amputee-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Amputee rehabilitation<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4089\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Health<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4090\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/womens-health-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Women&#8217;s health physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4091\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pelvic-floor-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pelvic floor rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4092\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pessary-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pessary clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4093\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pregnancy-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pregnancy physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4094\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/postnatal-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Postnatal rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4095\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/diastasis-recti-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Diastasis recti rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4096\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/mens-pelvic-health\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Men&#8217;s pelvic health<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4097\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/continence-clinic\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Continence clinic<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4098\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/paediatric-physiotherapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Paediatric physiotherapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4099\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/teenage-sports-injuries\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Teenage sports injuries<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4100\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Sports &#038; Performance<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4101\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/sports-massage\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Sports massage<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4102\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pilates\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pilates<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4104\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/running-assessment\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Running assessment<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4105\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/running-gait-analysis\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Running gait analysis<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4106\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/cycling-biomechanics\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Cycling biomechanics<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4107\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/return-to-sport-testing\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Return-to-sport testing<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4108\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/injury-prevention-programmes\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Injury prevention programmes<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4109\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/performance-screening\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Performance screening<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4110\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/pre-season-screening\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Pre-season screening<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4111\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/strength-conditioning\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Strength &#038; conditioning<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4112\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/functional-movement-screening\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Functional movement screening<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4113\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Diagnostics &#038; Technology<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4114\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/shockwave-therapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Shockwave therapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4115\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/therapeutic-ultrasound\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Therapeutic ultrasound<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4116\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/ultrasound-guided-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Ultrasound-guided rehabilitation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4117\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/digital-gait-analysis\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Digital gait analysis<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4118\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/movement-analysis\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Movement analysis<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4119\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/force-plate-testing\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Force plate testing<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4120\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/balance-assessment\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Balance assessment<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4121\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/grip-strength-testing\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Grip strength testing<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4123\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/workplace-ergonomic-assessment\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Workplace ergonomic assessment<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4124\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/home-ergonomic-assessment\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Home ergonomic assessment<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4125\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/wearable-movement-monitoring\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Wearable movement monitoring<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4126\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/tele-rehabilitation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Tele-rehabilitation<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-4127\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Integrative Care<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4128\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/medical-acupuncture\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Medical acupuncture<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4129\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/dry-needling\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Dry needling<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4130\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/cupping-therapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Cupping therapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4131\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/specialist-ayurveda-treatments\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Specialist Ayurveda treatments<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4132\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/therapeutic-massage\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Therapeutic massage<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4133\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/lifestyle-coaching\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Lifestyle coaching<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4134\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/sleep-optimisation\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Sleep optimisation<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4135\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/stress-management\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Stress management<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4136\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/yoga-therapy\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Yoga therapy<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4137\"><a href=\"https:\/\/teque7.in\/crestwell\/services\/meditation-for-chronic-pain\/\" class=\"elementor-sub-item\" tabindex=\"-1\">Meditation for chronic pain<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4736df3 e-con-full e-flex e-con e-child\" data-id=\"4736df3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-669d45b e-con-full e-flex e-con e-child\" data-id=\"669d45b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a319898 elementor-widget elementor-widget-text-editor\" data-id=\"a319898\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2><b>Support for bladder and bowel control<\/b><\/h2><p><span style=\"font-weight: 400;\">Bladder or bowel-control problems can affect everyday routines, exercise, work, sleep and confidence when leaving the house. Symptoms may include leakage, urgency, frequent toilet visits, difficulty controlling wind or bowel movements, or changes following pregnancy, childbirth or pelvic surgery.<\/span><\/p><p><span style=\"font-weight: 400;\">A continence clinic provides assessment and conservative treatment for bladder and bowel symptoms, with rehabilitation based on the type of difficulty you are experiencing.<\/span><\/p><p><span style=\"font-weight: 400;\">Treatment may include pelvic floor rehabilitation, bladder training, bowel-management strategies, advice around everyday habits and exercises designed to improve strength and control.<\/span><\/p><h2><b>What is a continence clinic?<\/b><\/h2><p><span style=\"font-weight: 400;\">A continence clinic supports people experiencing difficulties with bladder or bowel control.<\/span><\/p><p><span style=\"font-weight: 400;\">Symptoms can develop for many reasons, including:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor weakness<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pregnancy and childbirth<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prostate surgery<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic surgery<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Changes associated with ageing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Neurological conditions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bladder urgency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipation<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poor pelvic floor coordination<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced mobility<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other bladder or bowel conditions<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The first step is understanding the pattern of your symptoms rather than assuming every continence problem has the same cause.<\/span><\/p><h2><b>When a continence assessment may help<\/b><\/h2><p><span style=\"font-weight: 400;\">An assessment may be useful if you are experiencing:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urine leakage<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leakage when coughing or sneezing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leakage during exercise<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden urinary urgency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty reaching the toilet in time<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Frequent urination<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Waking repeatedly during the night to pass urine<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leakage after prostate surgery<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Post-void dribbling<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty controlling wind<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bowel leakage<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Faecal urgency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty emptying the bowel<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipation associated with pelvic floor problems<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced confidence leaving the house because of toilet concerns<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Continence problems are common, but persistent symptoms do not have to be accepted as an unavoidable part of ageing, pregnancy or surgery.<\/span><\/p><h2><b>What happens during your first appointment?<\/b><\/h2><p><span style=\"font-weight: 400;\">Your first appointment begins with a private discussion about your symptoms.<\/span><\/p><p><span style=\"font-weight: 400;\">The clinician may ask about:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">When the symptoms began<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How often leakage occurs<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Activities that trigger leakage<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urinary urgency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Toilet frequency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Night-time urination<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bowel function<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipation<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pregnancy and childbirth history where relevant<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Previous prostate or pelvic surgery<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Medication<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fluid intake<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Caffeine and alcohol intake<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Current exercise<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other medical conditions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How symptoms affect work and everyday life<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The aim is to understand both the symptoms and the situations in which they occur.<\/span><\/p><p><span style=\"font-weight: 400;\">Depending on your presentation, you may also be asked to complete a bladder or bowel diary.<\/span><\/p><h2><b>Physical assessment<\/b><\/h2><p><span style=\"font-weight: 400;\">Where appropriate, the assessment may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breathing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abdominal movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hip and pelvic movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">General strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Functional movement<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor muscle control<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">An internal pelvic floor assessment may sometimes provide useful information about muscle strength, coordination and the ability to relax.<\/span><\/p><p><span style=\"font-weight: 400;\">This should only be carried out when clinically appropriate, after it has been clearly explained and with your informed consent.<\/span><\/p><p><span style=\"font-weight: 400;\">You can decline or stop an internal assessment at any stage.<\/span><\/p><h2><b>What treatment may include<\/b><\/h2><p><span style=\"font-weight: 400;\">Treatment depends on whether your symptoms are mainly related to weakness, urgency, pelvic floor coordination, bowel function or another factor.<\/span><\/p><h3><b>Pelvic floor muscle training<\/b><\/h3><p><span style=\"font-weight: 400;\">If the pelvic floor muscles are weak, exercises may be used to improve strength and endurance.<\/span><\/p><p><span style=\"font-weight: 400;\">Training may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Short contractions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Longer controlled holds<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Full relaxation between contractions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using the pelvic floor during coughing or movement<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The number and difficulty of exercises should be adapted to your current ability.<\/span><\/p><p><span style=\"font-weight: 400;\">Correct technique is more important than completing a large number of repetitions.<\/span><\/p><h3><b>Pelvic floor relaxation<\/b><\/h3><p><span style=\"font-weight: 400;\">Not every continence problem is caused by weak muscles.<\/span><\/p><p><span style=\"font-weight: 400;\">Some people have difficulty relaxing the pelvic floor properly.<\/span><\/p><p><span style=\"font-weight: 400;\">This can contribute to problems such as:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty emptying the bladder<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty emptying the bowel<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic pain<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Excessive straining<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Treatment may therefore include breathing, relaxation and pelvic floor coordination rather than strengthening alone.<\/span><\/p><h3><b>Bladder training<\/b><\/h3><p><span style=\"font-weight: 400;\">Bladder training may be used when urgency or frequent urination is a significant problem.<\/span><\/p><p><span style=\"font-weight: 400;\">Treatment may involve:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Understanding your current bladder pattern<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gradually changing toilet frequency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strategies for managing urgency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reducing precautionary toilet visits<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reviewing fluid habits<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The programme is progressed gradually rather than simply asking you to hold urine for as long as possible.<\/span><\/p><h3><b>Bowel rehabilitation<\/b><\/h3><p><span style=\"font-weight: 400;\">Where bowel control or emptying is affected, treatment may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor exercises<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor relaxation<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Toilet positioning<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bowel retraining<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strategies for managing urgency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reducing unnecessary straining<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">More complex bowel symptoms may require additional assessment from a GP, colorectal team or another appropriate healthcare professional.<\/span><\/p><h3><b>Home programme<\/b><\/h3><p><span style=\"font-weight: 400;\">You may receive exercises and management strategies to continue between appointments.<\/span><\/p><p><span style=\"font-weight: 400;\">These can be adjusted as symptoms and pelvic floor control improve.<\/span><\/p><h2><b>Stress urinary incontinence<\/b><\/h2><p><span style=\"font-weight: 400;\">Stress urinary incontinence refers to urine leakage when pressure increases through the abdomen.<\/span><\/p><p><span style=\"font-weight: 400;\">This may occur during:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coughing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sneezing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Laughing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lifting<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jumping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gym exercise<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Pelvic floor rehabilitation may focus on improving muscle strength and teaching the pelvic floor to respond appropriately during these activities.<\/span><\/p><p><span style=\"font-weight: 400;\">Treatment should gradually progress towards the actual movements that cause symptoms.<\/span><\/p><h2><b>Urgency and urge incontinence<\/b><\/h2><p><span style=\"font-weight: 400;\">Urinary urgency is a sudden need to pass urine that can be difficult to delay.<\/span><\/p><p><span style=\"font-weight: 400;\">If leakage occurs before reaching the toilet, this may be described as urge incontinence.<\/span><\/p><p><span style=\"font-weight: 400;\">You may notice that certain situations trigger urgency, such as:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Arriving home<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hearing running water<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Standing up<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking towards the bathroom<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Bladder training and urgency-management strategies may help improve control.<\/span><\/p><p><span style=\"font-weight: 400;\">Pelvic floor rehabilitation may also be included where appropriate.<\/span><\/p><h2><b>Mixed urinary incontinence<\/b><\/h2><p><span style=\"font-weight: 400;\">Some people experience both stress and urgency-related leakage.<\/span><\/p><p><span style=\"font-weight: 400;\">For example, you may leak when coughing but also have difficulty reaching the toilet when urgency develops.<\/span><\/p><p><span style=\"font-weight: 400;\">Treatment may therefore combine:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor strengthening<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bladder training<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urgency strategies<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Activity management<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The programme can focus on whichever symptoms are causing the greatest difficulty.<\/span><\/p><h2><b>Frequent urination<\/b><\/h2><p><span style=\"font-weight: 400;\">Passing urine very frequently can become disruptive to work, sleep and everyday life.<\/span><\/p><p><span style=\"font-weight: 400;\">An assessment may consider:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How often you are going<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How much you drink<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Caffeine intake<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urgency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bladder habits<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Medication<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other medical conditions<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Some people develop a habit of going to the toilet very frequently because they are worried about becoming desperate later.<\/span><\/p><p><span style=\"font-weight: 400;\">Where appropriate, bladder training may help gradually establish a more manageable pattern.<\/span><\/p><h2><b>Going to the toilet \u201cjust in case\u201d<\/b><\/h2><p><span style=\"font-weight: 400;\">Frequently emptying the bladder before it is reasonably full can sometimes reinforce frequent toilet habits.<\/span><\/p><p><span style=\"font-weight: 400;\">Examples might include going:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Before leaving home<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Before every meeting<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Before travelling<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Whenever a toilet is nearby<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Not every precautionary toilet visit is a problem.<\/span><\/p><p><span style=\"font-weight: 400;\">However, if frequent \u201cjust in case\u201d urination is contributing to urgency or significantly controlling your routine, it may be addressed during bladder training.<\/span><\/p><h2><b>Managing urinary urgency<\/b><\/h2><p><span style=\"font-weight: 400;\">Urgency can feel as though you need to reach the toilet immediately.<\/span><\/p><p><span style=\"font-weight: 400;\">Strategies may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Remaining still briefly<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Relaxing the body<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Controlled breathing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using an appropriate pelvic floor contraction<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Allowing the initial urgency to reduce<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking to the toilet rather than rushing<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The most suitable approach depends on your symptoms and pelvic floor function.<\/span><\/p><h2><b>Night-time urination<\/b><\/h2><p><span style=\"font-weight: 400;\">Waking during the night to pass urine is sometimes called nocturia.<\/span><\/p><p><span style=\"font-weight: 400;\">There can be several contributing factors, including:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fluid habits<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sleep problems<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Medication<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bladder conditions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other health problems<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">If night-time urination is frequent or has changed significantly, it may require medical assessment as well as continence management.<\/span><\/p><h2><b>Bladder diary<\/b><\/h2><p><span style=\"font-weight: 400;\">A bladder diary can provide useful information about your symptoms.<\/span><\/p><p><span style=\"font-weight: 400;\">You may be asked to record:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">What you drink<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">When you drink<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">When you pass urine<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Approximate urine volume where practical<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Episodes of urgency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Episodes of leakage<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Activities associated with leakage<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Recording a few typical days can make patterns easier to identify and help guide treatment.<\/span><\/p><h2><b>Fluid intake<\/b><\/h2><p><span style=\"font-weight: 400;\">Reducing fluid dramatically is not usually a good long-term solution for continence problems.<\/span><\/p><p><span style=\"font-weight: 400;\">Very low fluid intake may contribute to concentrated urine and can also affect bowel function.<\/span><\/p><p><span style=\"font-weight: 400;\">Instead, your current drinking habits can be reviewed to determine whether adjustments are useful.<\/span><\/p><p><span style=\"font-weight: 400;\">Advice should take account of:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Medical conditions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Activity level<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Climate<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Medication<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Individual bladder symptoms<\/span><\/li><\/ul><h2><b>Caffeine and bladder symptoms<\/b><\/h2><p><span style=\"font-weight: 400;\">Caffeine can affect bladder symptoms in some people.<\/span><\/p><p><span style=\"font-weight: 400;\">Common sources include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coffee<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tea<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Energy drinks<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Some fizzy drinks<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">If you consume significant amounts and experience urgency or frequency, a gradual reduction may sometimes be worth exploring.<\/span><\/p><p><span style=\"font-weight: 400;\">There is no need for everyone attending a continence clinic to avoid caffeine completely.<\/span><\/p><p><span style=\"font-weight: 400;\">Changes should be based on your individual symptoms.<\/span><\/p><h2><b>Urinary leakage after childbirth<\/b><\/h2><p><span style=\"font-weight: 400;\">Pregnancy and childbirth can affect pelvic floor strength and bladder control.<\/span><\/p><p><span style=\"font-weight: 400;\">Leakage may occur when:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coughing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sneezing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jumping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lifting your baby<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercising<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Postnatal continence rehabilitation may combine pelvic floor strengthening with general physical rehabilitation and gradual return to exercise.<\/span><\/p><p><span style=\"font-weight: 400;\">Symptoms can still be treated even if childbirth was months or years ago.<\/span><\/p><h2><b>Continence after prostate surgery<\/b><\/h2><p><span style=\"font-weight: 400;\">Urinary leakage can occur following some types of prostate surgery.<\/span><\/p><p><span style=\"font-weight: 400;\">Symptoms may be noticeable during:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Standing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coughing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercise<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lifting<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Changes of position<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Pelvic floor rehabilitation may focus on:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Correct muscle activation<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Endurance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Relaxation<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Timing during movement<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Where surgery is planned, learning pelvic floor exercises beforehand may also help you become familiar with the technique.<\/span><\/p><h2><b>Post-void dribbling<\/b><\/h2><p><span style=\"font-weight: 400;\">Post-void dribbling describes a small amount of urine leaking shortly after you have finished passing urine.<\/span><\/p><p><span style=\"font-weight: 400;\">Pelvic floor exercises and practical emptying strategies may help some people.<\/span><\/p><p><span style=\"font-weight: 400;\">Persistent urinary changes should still be medically assessed where appropriate, particularly if they are accompanied by difficulty passing urine or other new symptoms.<\/span><\/p><h2><b>Bowel leakage<\/b><\/h2><p><span style=\"font-weight: 400;\">Bowel leakage can range from difficulty controlling wind to accidental loss of stool.<\/span><\/p><p><span style=\"font-weight: 400;\">Symptoms may be influenced by:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor weakness<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stool consistency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urgency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Previous childbirth injury<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Surgery<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Neurological conditions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other bowel problems<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Assessment aims to identify the factors contributing to the symptoms.<\/span><\/p><p><span style=\"font-weight: 400;\">Treatment may then include pelvic floor rehabilitation, bowel retraining and management strategies.<\/span><\/p><h2><b>Difficulty controlling wind<\/b><\/h2><p><span style=\"font-weight: 400;\">Difficulty controlling wind can occur when pelvic floor or anal sphincter control is reduced.<\/span><\/p><p><span style=\"font-weight: 400;\">This may be particularly noticeable after childbirth or pelvic surgery.<\/span><\/p><p><span style=\"font-weight: 400;\">Pelvic floor rehabilitation may focus on improving:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Endurance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Timing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coordination<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Bowel habits may also need to be considered.<\/span><\/p><h2><b>Bowel urgency<\/b><\/h2><p><span style=\"font-weight: 400;\">Some people experience very little warning before needing to open their bowels.<\/span><\/p><p><span style=\"font-weight: 400;\">This can make travelling or leaving home difficult.<\/span><\/p><p><span style=\"font-weight: 400;\">Assessment may consider:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stool consistency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bowel frequency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diet<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor function<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Medication<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other bowel symptoms<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Bowel retraining and pelvic floor rehabilitation may form part of treatment depending on the cause.<\/span><\/p><h2><b>Constipation and straining<\/b><\/h2><p><span style=\"font-weight: 400;\">Constipation can be associated with several different factors.<\/span><\/p><p><span style=\"font-weight: 400;\">When pelvic floor coordination contributes, you may feel the need to strain repeatedly or feel that the bowel has not emptied completely.<\/span><\/p><p><span style=\"font-weight: 400;\">Treatment may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Toilet positioning<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breathing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor relaxation<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reducing prolonged straining<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Movement and activity advice<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Persistent constipation may also require dietary or medical assessment.<\/span><\/p><h2><b>Toilet positioning<\/b><\/h2><p><span style=\"font-weight: 400;\">Position can influence how easily the bowel empties.<\/span><\/p><p><span style=\"font-weight: 400;\">For some people, using a small foot support to raise the knees can create a more comfortable position.<\/span><\/p><p><span style=\"font-weight: 400;\">The focus is on allowing the pelvic floor to relax rather than repeatedly pushing or straining.<\/span><\/p><p><span style=\"font-weight: 400;\">Individual recommendations can be discussed during your assessment.<\/span><\/p><h2><b>Continence and pelvic organ prolapse<\/b><\/h2><p><span style=\"font-weight: 400;\">Bladder and bowel symptoms can sometimes occur alongside pelvic organ prolapse.<\/span><\/p><p><span style=\"font-weight: 400;\">You may experience:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leakage<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urgency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty emptying the bladder<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty emptying the bowel<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic heaviness<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vaginal pressure or bulging<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Treatment may include pelvic floor rehabilitation and prolapse-management strategies.<\/span><\/p><p><span style=\"font-weight: 400;\">A pessary or further medical assessment may also be considered where appropriate.<\/span><\/p><h2><b>Continence and menopause<\/b><\/h2><p><span style=\"font-weight: 400;\">Bladder and pelvic floor symptoms may change around and after menopause.<\/span><\/p><p><span style=\"font-weight: 400;\">Some people notice:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased urgency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">More frequent urination<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leakage<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Recurrent urinary symptoms<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Changes in pelvic support<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Pelvic floor and bladder rehabilitation may help with some symptoms.<\/span><\/p><p><span style=\"font-weight: 400;\">Other treatment may require discussion with a GP or pelvic health specialist depending on the underlying cause.<\/span><\/p><h2><b>Continence and neurological conditions<\/b><\/h2><p><span style=\"font-weight: 400;\">Neurological conditions can sometimes affect communication between the nervous system, bladder, bowel and pelvic floor.<\/span><\/p><p><span style=\"font-weight: 400;\">Continence problems may occur alongside conditions such as:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Multiple sclerosis<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Parkinson&#8217;s disease<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stroke<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Spinal cord conditions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other neurological disorders<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Management may require coordination between physiotherapy and the neurological or continence medical team.<\/span><\/p><p><span style=\"font-weight: 400;\">Treatment will depend on the neurological condition and the type of bladder or bowel difficulty present.<\/span><\/p><h2><b>Mobility and continence<\/b><\/h2><p><span style=\"font-weight: 400;\">Sometimes the main difficulty is not bladder control itself but reaching the toilet quickly enough.<\/span><\/p><p><span style=\"font-weight: 400;\">Reduced mobility may occur because of:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Arthritis<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Neurological conditions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weakness<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Frailty<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Recent surgery<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance problems<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">In these situations, rehabilitation may also focus on:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Transfers<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sit-to-stand strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Balance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Managing clothing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Accessing the bathroom more efficiently<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The wider physical problem needs to be considered alongside continence.<\/span><\/p><h2><b>Continence during exercise<\/b><\/h2><p><span style=\"font-weight: 400;\">Bladder or bowel symptoms can cause people to reduce or stop exercise.<\/span><\/p><p><span style=\"font-weight: 400;\">You may avoid:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jumping<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gym training<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercise classes<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sport<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Rehabilitation aims to address the physical problem rather than simply telling you to avoid every activity that triggers symptoms.<\/span><\/p><p><span style=\"font-weight: 400;\">Treatment may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor strengthening<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pressure management<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">General strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercise modification<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gradual return to impact<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The longer-term aim may be to return to the activity with improved control.<\/span><\/p><h2><b>Returning to running<\/b><\/h2><p><span style=\"font-weight: 400;\">Running places repeated demand on the pelvic floor.<\/span><\/p><p><span style=\"font-weight: 400;\">If leakage occurs, rehabilitation may consider:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor timing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leg strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Impact tolerance<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running volume<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">General fitness<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Running may initially be modified while strength and control are developed.<\/span><\/p><p><span style=\"font-weight: 400;\">The programme can then gradually progress.<\/span><\/p><h2><b>Returning to the gym<\/b><\/h2><p><span style=\"font-weight: 400;\">Continence symptoms do not necessarily mean that resistance training should be stopped.<\/span><\/p><p><span style=\"font-weight: 400;\">If leakage occurs during lifting, treatment may look at:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercise load<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breathing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor coordination<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">General strength<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercise technique<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">You may initially reduce resistance before gradually building back towards your normal training.<\/span><\/p><p><span style=\"font-weight: 400;\">The aim is to improve your ability to manage load rather than permanently avoiding heavier exercise.<\/span><\/p><h2><b>Lifting and continence<\/b><\/h2><p><span style=\"font-weight: 400;\">Coughing, lifting and other demanding movements increase pressure through the abdomen.<\/span><\/p><p><span style=\"font-weight: 400;\">The pelvic floor normally contributes to managing this pressure.<\/span><\/p><p><span style=\"font-weight: 400;\">Rehabilitation may involve practising pelvic floor coordination during:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lifting<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Carrying<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Squatting<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Standing<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gym exercise<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">The goal is not to keep the pelvic floor contracted all day.<\/span><\/p><p><span style=\"font-weight: 400;\">The muscles need to contract when required and relax normally afterwards.<\/span><\/p><h2><b>Continence and confidence<\/b><\/h2><p><span style=\"font-weight: 400;\">Continence symptoms can affect much more than physical health.<\/span><\/p><p><span style=\"font-weight: 400;\">You may begin:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Planning routes around toilets<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoiding long journeys<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercising less<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoiding social activities<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Carrying spare clothes<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Restricting fluid intake<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling uncertain about returning to work<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">A continence programme should therefore consider how symptoms affect your normal routine, not only how many episodes of leakage occur.<\/span><\/p><h2><b>Pads and continence products<\/b><\/h2><p><span style=\"font-weight: 400;\">Pads and other continence products can be useful for managing symptoms while treatment is progressing.<\/span><\/p><p><span style=\"font-weight: 400;\">Using a pad does not prevent you from completing rehabilitation.<\/span><\/p><p><span style=\"font-weight: 400;\">The longer-term goal may be to:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduce the amount of leakage<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use lighter protection<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduce reliance on products<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feel more confident during activity<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">For some long-term conditions, continence products may continue to form part of practical management.<\/span><\/p><h2><b>Working with other healthcare professionals<\/b><\/h2><p><span style=\"font-weight: 400;\">Continence symptoms can have different causes, so physiotherapy may form one part of your care.<\/span><\/p><p><span style=\"font-weight: 400;\">Depending on your symptoms, additional input may involve:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">GPs<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urologists<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urogynaecologists<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Colorectal specialists<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Continence nurses<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic health physiotherapists<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Neurology services<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other relevant healthcare professionals<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Physiotherapy mainly focuses on pelvic floor function, bladder and bowel strategies, movement and physical rehabilitation.<\/span><\/p><p><span style=\"font-weight: 400;\">Medical investigation may be required where symptoms suggest another bladder, bowel or neurological condition.<\/span><\/p><h2><b>When further medical assessment may be needed<\/b><\/h2><p><span style=\"font-weight: 400;\">Some symptoms require medical investigation rather than continence rehabilitation alone.<\/span><\/p><p><span style=\"font-weight: 400;\">Seek appropriate medical advice if you experience:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood in the urine<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood in the stool<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty or inability to pass urine<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Repeated urinary infections<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">New or severe pelvic or abdominal pain<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A significant unexplained change in bladder habits<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A significant change in bowel habits<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unexplained weight loss<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">New significant bowel-control problems<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fever associated with urinary symptoms<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Urgent medical assessment is required if new bladder or bowel-control problems occur alongside symptoms such as:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Significant new back pain<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">New leg weakness<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Numbness around the saddle or genital area<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden neurological symptoms<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">These symptoms should not be managed through pelvic floor exercises alone.<\/span><\/p><h2><b>Treatment based on your goals<\/b><\/h2><p><span style=\"font-weight: 400;\">Continence rehabilitation should focus on the symptoms and activities that matter to you.<\/span><\/p><p><span style=\"font-weight: 400;\">Your goals may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reducing urinary leakage<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Improving bladder control<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Managing urgency<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reducing frequent toilet visits<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sleeping with fewer interruptions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Improving bowel control<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reducing post-void dribbling<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Returning to exercise<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running without leakage<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Returning to the gym<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Improving continence after prostate surgery<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Improving symptoms after childbirth<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling more confident leaving the house<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Your treatment programme can be developed around these priorities.<\/span><\/p><h2><b>How long does continence rehabilitation take?<\/b><\/h2><p><span style=\"font-weight: 400;\">There is no single timeline.<\/span><\/p><p><span style=\"font-weight: 400;\">The length of treatment depends on:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The type of continence problem<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How long symptoms have been present<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic floor strength and coordination<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Previous surgery<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pregnancy and childbirth history<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Neurological or other medical conditions<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bladder or bowel habits<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The activities you want to return to<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Pelvic floor muscle strength usually requires regular training over time, and bladder retraining also involves gradual changes rather than immediate results.<\/span><\/p><p><span style=\"font-weight: 400;\">Your programme can be reviewed and progressed as symptoms improve.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e62daac e-con-full e-flex e-con e-child\" data-id=\"e62daac\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-51bee65 at-heading-animation at-animation-heading-none elementor-widget elementor-widget-heading\" data-id=\"51bee65\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Frequently asked questions<\/span>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff461e6 elementor-widget elementor-widget-accordion\" data-id=\"ff461e6\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"accordion.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2671\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2671\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Is urinary leakage a normal part of ageing?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2671\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2671\"><p><span style=\"font-weight: 400;\">Urinary leakage becomes more common with age, but it should not automatically be accepted as something that cannot be treated or managed.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2672\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2672\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can physiotherapy help with urinary leakage?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2672\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2672\"><p><span style=\"font-weight: 400;\">Yes. Pelvic floor rehabilitation may help when weakness or poor muscle coordination contributes to leakage.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2673\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2673\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can a continence clinic help with urgency?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2673\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2673\"><p><span style=\"font-weight: 400;\">Yes. Bladder training and urgency-management strategies may be used where appropriate.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2674\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2674\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Do pelvic floor exercises help everyone?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2674\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2674\"><p><span style=\"font-weight: 400;\">No. Some continence problems involve difficulty relaxing the pelvic floor rather than weakness. Assessment helps determine which type of rehabilitation is appropriate.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2675\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2675\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can men attend a continence clinic?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2675\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2675\"><p><span style=\"font-weight: 400;\">Yes. Men&#8217;s continence rehabilitation may address urinary leakage, post-void dribbling, bowel symptoms and bladder-control problems following prostate surgery.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2676\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-2676\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can physiotherapy help with bowel leakage?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2676\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-2676\"><p><span style=\"font-weight: 400;\">Pelvic floor rehabilitation and bowel-management strategies may help some people with bowel-control problems, depending on the underlying cause.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2677\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-2677\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Do I need an internal examination?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2677\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-2677\"><p><span style=\"font-weight: 400;\">Not always. An internal assessment may provide useful information in some situations, but it should only be performed when clinically appropriate and with your consent.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2678\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-2678\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Should I stop drinking water if I leak urine?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2678\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-2678\"><p><span style=\"font-weight: 400;\">Usually not. Significantly restricting fluids is not generally a suitable long-term strategy. Your drinking pattern can be reviewed individually.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2679\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-2679\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can I exercise if I have continence problems?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2679\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-2679\"><p><span style=\"font-weight: 400;\">Often yes. Exercise may be modified while pelvic floor strength and control are improved, with the aim of returning to the activities you want to do.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-26710\" class=\"elementor-tab-title\" data-tab=\"10\" role=\"button\" aria-controls=\"elementor-tab-content-26710\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Will I receive exercises to do at home?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-26710\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"10\" role=\"region\" aria-labelledby=\"elementor-tab-title-26710\"><p><span style=\"font-weight: 400;\">Yes. Home exercises and bladder or bowel-management strategies commonly form an important part of continence rehabilitation.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Is urinary leakage a normal part of ageing?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Urinary leakage becomes more common with age, but it should not automatically be accepted as something that cannot be treated or managed.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Can physiotherapy help with urinary leakage?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Yes. Pelvic floor rehabilitation may help when weakness or poor muscle coordination contributes to leakage.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Can a continence clinic help with urgency?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Yes. Bladder training and urgency-management strategies may be used where appropriate.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Do pelvic floor exercises help everyone?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">No. Some continence problems involve difficulty relaxing the pelvic floor rather than weakness. Assessment helps determine which type of rehabilitation is appropriate.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Can men attend a continence clinic?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Yes. Men&#8217;s continence rehabilitation may address urinary leakage, post-void dribbling, bowel symptoms and bladder-control problems following prostate surgery.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Can physiotherapy help with bowel leakage?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Pelvic floor rehabilitation and bowel-management strategies may help some people with bowel-control problems, depending on the underlying cause.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Do I need an internal examination?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Not always. An internal assessment may provide useful information in some situations, but it should only be performed when clinically appropriate and with your consent.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Should I stop drinking water if I leak urine?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Usually not. Significantly restricting fluids is not generally a suitable long-term strategy. Your drinking pattern can be reviewed individually.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Can I exercise if I have continence problems?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Often yes. Exercise may be modified while pelvic floor strength and control are improved, with the aim of returning to the activities you want to do.<\\\/span><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Will I receive exercises to do at home?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p><span style=\\\"font-weight: 400;\\\">Yes. Home exercises and bladder or bowel-management strategies commonly form an important part of continence rehabilitation.<\\\/span><\\\/p>\"}}]}<\/script>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-86b0970 e-con-full e-flex e-con e-child\" data-id=\"86b0970\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-771797d at-heading-animation at-animation-heading-none elementor-widget elementor-widget-heading\" data-id=\"771797d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Arrange a continence clinic assessment<\/span>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8a48286 elementor-widget elementor-widget-text-editor\" data-id=\"8a48286\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">An initial assessment can help identify the factors contributing to bladder or bowel-control symptoms and determine whether pelvic floor rehabilitation, bladder training or other conservative management may be appropriate.<\/span><\/p><p><span style=\"font-weight: 400;\">From there, a treatment programme can be developed around your symptoms, everyday routine and the activities you would like to manage with greater confidence.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9d3d16d elementor-align-left elementor-widget elementor-widget-button\" data-id=\"9d3d16d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md\" href=\"https:\/\/teque7.in\/crestwell\/book-appointment\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Book a Continence Clinic<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Services Musculoskeletal Physiotherapy General physiotherapy Sports injury clinic Back and neck pain [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1600,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4405","page","type-page","status-publish","hentry"],"_hostinger_reach_plugin_has_subscription_block":false,"_hostinger_reach_plugin_is_elementor":false,"_links":{"self":[{"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages\/4405","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/comments?post=4405"}],"version-history":[{"count":4,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages\/4405\/revisions"}],"predecessor-version":[{"id":4418,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages\/4405\/revisions\/4418"}],"up":[{"embeddable":true,"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/pages\/1600"}],"wp:attachment":[{"href":"https:\/\/teque7.in\/crestwell\/wp-json\/wp\/v2\/media?parent=4405"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}