Bladder Health – Continence

FAQ for patients

Do I need a doctor's referral to book an appointment? No.

How much does it cost per visit? $70. We book on the half hour. We are also happy to book 45 minutes and one hour appointments, which are recommended for first time visits.

Do you take ICBC claims? Yes. However, you will be charged a user fee as ICBC does not cover the full cost of treatment.

Do you take WCB claims? No, not at this time.

Do you make orthotics? No, but we can assess your need for orthotics and refer you to a pedorthist.

FAQ for insurers

Can you perform an assessment and write a treatment plan and report for my client? Yes. We can tailor the assessment and report to your needs.

Do you provide conditioning programs? The Go! Physiotherapists have had experience teaching kinesiologists injury-appropriate exercises and directing individualized post-MVA programs. We provide a "Get Going" program that combines physiotherapy with a goal-oriented exercise program, where your client will be taught the appropriate conditioning exercises in addition to education and manual therapy as needed.

Bladder Health – Continence

Do you know how common it is to experience leakage of urine when you cough, sneeze or laugh? Over 3.3 million Canadians experience urinary incontinence and one half of all women will experience problems with incontinence at some point in their lives. They will feel embarrassment and anxiety and may feel unsure how to deal with this condition. Many may prefer to say nothing and try to hide the symptoms from others rather than address the problem. They may not be aware that much can be done to help them to manage, treat or even cure their condition.

The bladder is the storage reservoir for urine. It is made up of muscle; like a balloon, it can expand and contract.   Urine leaves the bladder through a tube-like structure called the urethra. When the bladder fills with urine, the bladder wall expands (like a balloon) and stretch receptors are stimulated.  At a certain point during bladder filling, these receptors send signals to the brain, which inform us of the need to urinate.  The brain then sends a signal to our bladder muscle to contract and expel the urine.  Once we graduate from toddler-hood, we have learned to control this desire to urinate until we can find an appropriate time and place. This ability is provided by the urethral sphincter, a ring of muscle that surrounds the urethra, and controls the flow of urine from the bladder.  Continence therefore depends on the proper functioning of the urinary tract system and the muscle control of the urethral sphincter.   

Causes of Urinary Incontinence:

Childbirth & Pregnancy: Incontinence can be caused by damage to the muscles and nerves of the pelvic floor and/or urinary sphincter during vaginal delivery.  This damage can also lead to pelvic organ prolapse, which can occasionally lead to incontinence.  Lastly, hormonal changes during pregnancy and the added weight of a growing uterus can also contribute to incontinence. 

Age: The natural aging process may contribute to incontinence due to weakening of the bladder muscles. 

Other Causes: These include birth defects, side effects of medication or pelvic surgery, injuries from an accident or trauma, bladder cancer and bladder stones.

Your physiotherapist can carry out an assessment of the underlying cause of your symptoms and provide individualized treatment and exercise to assist you in improving and even curing this condition.

Call us at 604 568 4628 for more information on any of our physiotherapy services. Even if you don't see a treatment on the list, give us a ring and we'll be glad to point you in the right direction!