Understanding Incontinence
Incontinence — losing urine or bowel control when you don't mean to — is incredibly common, but it's never something you just have to accept. It affects up to one in three women and one in ten men, and the numbers climb with age. If you've been searching for how to fix incontinence or looking for incontinence treatment for women, you're already in the right place.
The pelvic floor muscles sit like a hammock at the base of your pelvis, supporting your bladder and bowel and controlling the sphincters that hold everything in. When those muscles are weak, uncoordinated, or stretched — after pregnancy, prostate surgery, menopause, or simply with age — leaking happens. The good news: pelvic floor physical therapy is the recommended first-line treatment for every type of incontinence, and most people see significant improvement within 6 to 12 weeks.
We treat women and men of every age in Upper Montclair and across North Jersey — from new mothers with stress incontinence to older adults looking for urinary incontinence treatment for elderly patients who want to stay active and confident.
Signs & Symptoms
If you experience any of these, pelvic floor physical therapy can help:
- • Leaking urine when you cough, sneeze, laugh, jump, or lift (stress incontinence)
- • Sudden, overwhelming urges to urinate that you can't control (urge incontinence / overactive bladder)
- • Frequent trips to the bathroom — more than every 2 hours or more than once at night
- • Leaking on the way to the bathroom before you make it in time
- • Accidental loss of bowel control (fecal incontinence)
- • A combination of leaking with activity and sudden urges (mixed incontinence)
- • Wearing pads "just in case" or planning your day around bathroom locations
- • Avoiding exercise, social events, or travel because of leaking
How I Treat Incontinence
I start by figuring out which type of incontinence you have — because the treatment for stress incontinence is different from urge incontinence, and mixed incontinence needs both approaches. Your evaluation includes a bladder diary review, a pelvic floor muscle assessment, and real-time ultrasound imaging (RUSI) so you can see your pelvic floor muscles contract and relax on a screen. Most people have never been able to see these muscles — and that changes everything.
See real ultrasound biofeedback in action on Instagram @pelvicptplusTreatment combines targeted strengthening for weak muscles, relaxation and coordination training for muscles that are too tight, bladder retraining for urgency and frequency, and behavioral strategies you can use every day. No surgery, no medication — just your body learning to work the way it should.
Types of Incontinence We Treat
Incontinence affects 1 in 3 women and 1 in 10 men. With the right treatment, most people see significant improvement. We use real-time ultrasound imaging (RUSI) to help you see your pelvic floor muscles working in real time.
Stress Incontinence
Treatment for leaking during coughing, sneezing, laughing, or exercise through targeted pelvic floor strengthening and coordination training.
Urge Incontinence
Bladder retraining and behavioral strategies to manage sudden, strong urges and overactive bladder symptoms.
Mixed Incontinence
Comprehensive care addressing both stress and urge components with a personalized combination approach.
Overactive Bladder (OAB)
Evidence-based techniques including bladder diary analysis, fluid management, and neuromuscular re-education.
Fecal Incontinence
Specialized rehabilitation for bowel control using biofeedback, pelvic floor coordination, and dietary guidance.
Post-Surgical Incontinence
Recovery support after prostatectomy, hysterectomy, or other surgeries that affect bladder and bowel control.
What to Expect
Thorough Assessment
We evaluate your bladder habits, fluid intake, pelvic floor strength, and lifestyle factors to understand the root cause of your incontinence.
Personalized Plan
Your treatment may include pelvic floor exercises, bladder retraining, RUSI biofeedback, behavioral strategies, and lifestyle modifications.
Frequently Asked Questions About Incontinence
Related Conditions We Treat
Pelvic Pain
Expert treatment for chronic pelvic pain and muscle tension.
Postpartum Recovery
Rebuild your core and pelvic floor after pregnancy and childbirth.
Pelvic Organ Prolapse
Non-surgical management for pelvic organ descent.
Women's Urinary Incontinence
Specialized care for stress, urge, and mixed incontinence in women.
Men's Pelvic Health
Pelvic floor therapy for male incontinence and pelvic pain.
Related Articles
Learn more about this condition from our blog
Overactive Bladder & Urge Urinary Incontinence
Learn about overactive bladder symptoms, causes, and treatment options.
5 Signs You Need Pelvic Floor Therapy — And Where to Find It in North Jersey
Discover the key warning signs that your pelvic floor needs professional help.
Why Kegels Alone Aren't Enough — What Your Pelvic Floor Actually Needs
Learn why a comprehensive approach with real-time ultrasound imaging delivers better results.
Free Guides You Can Start Using Today
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Be the Bladder Boss
Practical strategies and exercises to help you regain bladder control and confidence in your daily life.
Vagercise
Quality kegels done right — learn the correct technique for effective pelvic floor exercises. Most people are doing them wrong.