1 in 3
women experience urinary incontinence
80%+
see significant improvement with PT
6–12 weeks
typical treatment duration
Understanding Women's Urinary Incontinence
Urinary incontinence — leaking urine when you don't mean to — affects one in three women at some point in their lives. If you've been searching for urinary incontinence treatment for women, you are far from alone, and you don't have to live with it. The pelvic floor muscles support your bladder and control the sphincter that holds urine in. When those muscles are weak, stretched, or uncoordinated — after pregnancy, during menopause, or simply with age — leaking happens.
The most common type is stress incontinence: leaking when you cough, sneeze, laugh, jump, or lift. Stress incontinence treatment with pelvic floor physical therapy is the recommended first-line approach, and over 80% of women see significant improvement. Urge incontinence — sudden, overwhelming urges that you can't control — responds to bladder retraining and neuromuscular re-education. Many women have mixed incontinence, a combination of both, and we address each component.
We treat women in Upper Montclair and across North Jersey who want to fix incontinence without surgery or medication — from new mothers with postpartum leaking to women navigating menopause to active women who want to run, lift, and exercise without pads.
Signs & Symptoms
If you experience any of these, pelvic floor physical therapy can help:
- • Leaking when you cough, sneeze, laugh, jump, or lift (stress incontinence)
- • Sudden, overwhelming urges to urinate that you can't control (urge incontinence)
- • Frequent bathroom trips — more than every 2 hours or waking more than once at night
- • Leaking on the way to the bathroom before you make it in time
- • Leaking that started after pregnancy, childbirth, or menopause
- • Wearing pads daily or planning your day around bathroom access
- • Avoiding exercise, running, or social events because of leaking
- • A combination of leaking with activity and sudden urges (mixed incontinence)
How I Treat Urinary Incontinence
I start by identifying which type of incontinence you have, because stress incontinence treatment is different from urge incontinence treatment. 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 women have never been able to see these muscles — and that visual feedback 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. Most women see significant improvement within 6 to 12 weeks.
Types of Incontinence We Treat in Women
Using real-time ultrasound imaging (RUSI), we help you visualize your pelvic floor muscles working — so you know you're training correctly from day one.
Stress Urinary Incontinence
Leaking during coughing, sneezing, laughing, jumping, or exercise. We use targeted pelvic floor strengthening and real-time ultrasound imaging (RUSI) to restore control.
Urge Incontinence & Overactive Bladder
Sudden, strong urges that are hard to control. We use bladder retraining, behavioral strategies, and neuromuscular re-education to calm the bladder.
Mixed Incontinence
A combination of stress and urge incontinence — common in women after childbirth and during menopause. We address both components with a personalized plan.
Postpartum Incontinence
Leaking after vaginal delivery or C-section is common but not normal. Early intervention with pelvic floor rehabilitation can restore function and confidence.
Menopausal Incontinence
Hormonal changes during perimenopause and menopause can weaken pelvic floor tissues. We provide targeted therapy to counteract these changes.
Fecal Incontinence
Bowel control issues after childbirth, surgery, or with aging. Specialized rehabilitation using biofeedback and pelvic floor coordination training.
What to Expect at Your First Visit
Thorough Assessment
We evaluate your bladder habits, fluid intake, pelvic floor strength, posture, breathing patterns, and lifestyle factors to understand the root cause of your incontinence.
Personalized Treatment Plan
Your plan may include pelvic floor exercises with RUSI biofeedback, bladder retraining, behavioral strategies, manual therapy, and lifestyle modifications tailored to your goals.
Frequently Asked Questions About Urinary Incontinence
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