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Voiding Dysfunction

Understanding voiding dysfunction and way to heal. Hi I’m Liesel Jay. Today I’m going to talk about a few types of voiding dysfunctions , what we evaluate as physical therapists and how we might go about treating them. Some of the most common types of voiding dysfunctions that we see in the clinic are: urinary frequency, urgency, pain with urination, hesitancy to start the flow, repeated bladder infections, slowed stream, and either a feeling of not emptying well or clinically diagnosed incomplete voiding. The most common cause from our PT perspective is rooted in tight, short pelvic floor and abdominal musculature which can be a result from a variety of different mechanisms. During a typical PT evaluation for these we might be looking at your pelvic alignment and we may be feeling for any high tone and/or trigger points in the musculature of the abdomen and the pelvic floor. We will look at toilet positioning for better emptying and the coordination of the abdomen and the pelvic floor for timing and ability to be able to relax during voiding or the emptying of the bladder. Treatment depends on the primary cause of the dysfunction and the dysfunction itself; however, there will be patient education in such things as toilet positioning for better emptying, potentially biofeedback for visual representation of what your muscles are doing, and manual work to relax the trigger points and normalize the tone of the pelvic floor and abdominal wall to help you achieve your goals.