Weeks 1–4
Pain
Calm things down.
Work out what is actually happening, settle any tension in the floor, and start the bladder habits that reduce urgency immediately.
What We Treat
Leaking is common. It is not something you have to live with, and it is not fixed by more Kegels. Coordination and timing matter more than raw strength.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Bladder leaking is a coordination and timing problem far more often than a raw strength problem. Pregnancy, childbirth, menopause, surgery and years of bracing all change how the pelvic floor responds to pressure. When the timing is off, a cough beats the muscle to it.
That is why generic Kegels so often fail, and occasionally make it worse: they train strength when the missing piece is coordination, or they load a floor that is already too tight to relax. A cause-first evaluation works out which of those is happening before we ask you to do a single exercise.
The Honest Truth
Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.
How We Fix It
Every plan has an endpoint. Here is what the four phases look like for incontinence.
Weeks 1–4
Pain
Work out what is actually happening, settle any tension in the floor, and start the bladder habits that reduce urgency immediately.
Weeks 4–8
Prime
Retrain the timing, so the pelvic floor responds before the pressure arrives instead of after it.
Weeks 8–12
Perform
Graded strengthening and return to impact, so a sneeze, a run and a trampoline stop being calculated risks.
Weeks 12+
Prevent
The maintenance work, and what to do when life changes: another pregnancy, menopause, or a new sport.
Kelly and the whole team is so amazing. They are so knowledgeable, and are the absolute best for pelvic floor PT.
Katie S. · via Google
Planning every outing around where the bathrooms are
Most people notice real progress in 4 to 6 weeks
Questions, Answered
No. It is common after children, and common is not the same as permanent or normal. Bladder leaking responds well to treatment, including years after the birth that started it. Being told to accept it is the reason most people wait far too long.
Not on their own, and not for everyone. If your pelvic floor is already tight, more Kegels can make things worse. The evaluation works out whether you need coordination, relaxation, strength, or bladder retraining, and those are four different plans.
Many people begin noticing progress within four to six weeks, though total treatment time depends on how long it has been going on. Your therapist will give you a realistic estimate at the first visit rather than an open-ended commitment.
Book Your Visit
Request a time and a real person calls you back, usually within two business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
5.0 · 150+ Google reviews
Typical response: under 2 business hours
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time.
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