Incontinence
Bladder and Bowel Incontinence Treatment in Milton
Leaking is not something you have to live with. Whether it happens when you cough, when you exercise, or on the way to the bathroom — pelvic physiotherapy can help.
At Milton Pelvic Physiotherapy, we treat all types of bladder and bowel incontinence with private, one-on-one care. We find out what is causing the leaking and give you a clear plan to stop it.
You are not alone (and it is not “just part of aging”)
One in three women and one in ten men experience some form of urinary incontinence. Many people cope by wearing pads, avoiding exercise, mapping out bathrooms, or simply limiting their life. They are told it is normal after having children, or a natural part of getting older.
It is common — but it is not inevitable. The pelvic floor muscles can be retrained at any age, and the research consistently shows that physiotherapy is the most effective conservative treatment for incontinence.
Types of incontinence we treat
You do not need to know which type you have. We will figure it out together at your assessment.
Stress Incontinence
Leaking when you cough, sneeze, laugh, lift, or exercise. This happens when the pelvic floor muscles are not strong or coordinated enough to handle sudden increases in abdominal pressure. It is the most common type of incontinence and responds very well to physiotherapy.
Urge Incontinence
A sudden, intense need to urinate that is difficult to control, sometimes resulting in leakage before you reach the bathroom. Often involves overactive bladder signals that can be retrained with the right techniques.
Mixed Incontinence
A combination of stress and urge incontinence. Many people experience both types, and treatment addresses the contributing factors of each.
Fecal Incontinence
Involuntary loss of stool or difficulty controlling gas. This is more common than most people think and is highly treatable with pelvic floor rehabilitation.
Postpartum Incontinence
Leaking after pregnancy and birth — whether vaginal or C-section. Your pelvic floor went through a significant event. Rehabilitation restores strength and control so you can get back to your activities with confidence.
Post-Surgical Incontinence
Leaking after prostate surgery, hysterectomy, or other pelvic procedures. Pre-surgical pelvic floor training (prehabilitation) and post-surgical rehabilitation significantly improve outcomes.
How we treat incontinence
Understand your pattern
We ask about when leaking happens, how much, what triggers it, and how it affects your day. No detail is too small or too embarrassing — we hear these things every day and we are here to help.
Assess your pelvic floor
We evaluate muscle strength, endurance, coordination, and relaxation. This tells us whether your pelvic floor needs strengthening, better coordination, or both. Assessment is always at your pace and comfort level.
Build your plan
Treatment may include pelvic floor strengthening, bladder retraining, urgency suppression techniques, behavioral strategies, and a home exercise program. We progress at your pace and adjust as you improve.
Common questions about incontinence treatment
Is incontinence normal?+
Incontinence is common — but it is not something you have to accept as normal. It affects people of all ages and genders, and it responds well to treatment. You do not need to manage it with pads and hope for the best.
Are Kegels enough to fix incontinence?+
Sometimes, but not always. Kegels only help if you are doing them correctly, with the right muscles, at the right intensity. Many people are unknowingly doing them wrong, or their incontinence involves factors that Kegels alone cannot address — like muscle coordination, bladder habits, or overactive muscles that need to relax rather than tighten.
What if I have been leaking for years?+
It is never too late to start. We see patients who have been managing incontinence for decades and still achieve significant improvement. The pelvic floor muscles respond to training at any age.
Will I need to do an internal exam?+
Internal assessment gives us the most detailed picture of your pelvic floor function, but it is always optional. We can start with external assessment and progress from there if and when you feel comfortable.
How quickly will I see results?+
Many people notice improvement within 2 to 4 weeks of starting treatment. Significant change typically occurs over 6 to 12 weeks with consistent home exercise. We track your progress and adjust as you improve.
Is incontinence treatment covered by insurance?+
Yes. Pelvic physiotherapy is billed as physiotherapy and is covered by most extended health plans. Direct billing is available so you pay nothing out of pocket at the time of your visit.
Stop planning your life around the nearest bathroom
Incontinence is one of the most treatable conditions we see. Book an assessment at our Milton clinic and start getting your confidence back.
No referral required. Direct billing available.