The Fascial Network: Uncovering Hidden Incontinence

Written by: Dr. Jessica Papa, PT, DPT

Hello patients of Arancia Physical Therapy! In this week’s blog, we will be discussing urinary incontinence. People experiencing this problem are often ashamed and do not discuss it with their health care providers when they should. It’s important to know that this problem is very common and not life-threatening. 

Urinary Incontinence

While urinary incontinence is not a life threatening condition, it does take a toll on a person’s life including their social, emotional, and physical well being. It is defined as the accidental, involuntary, and unintentional loss of urine. This problem affects as many as 25 million Americans, an estimated three-fourths of those are women. It’s possible that numbers are even higher than this as the problem of urinary incontinence often goes unreported to health care providers. Women often make the unfortunate assumption that urinary incontinence is inevitable and irreversible with age. This is simply untrue. Treatment can dramatically restore a woman’s outcomes and quality of life. 

The human body is a machine that starts to show signs of wear and tear over time. This is sometimes in ways we don’t predict such as embarrassing aches and pains. This can include issues of the pelvic area, such as urinary incontinence, groin pain, pain during sex, frequent urination, bladder leakage, or irregularity. This can be caused by a number of things including, childbirth, an enlarged prostate, or something as simple as bad posture. 

Many traditional treatments you may have tried including laxatives, muscle relaxers, or painkillers probably haven’t worked. None of those truly make the problem go away. Some labels you may be diagnosed with include, Interstitial Cystitis, Painful Bladder Syndrome, Pelvic Pain Syndrome, Pelvic Floor Muscle Spasm, Nonbacterial Chronic Prostatitism, Pudendal Neuralgia, Vulvodynia, or Irritable Bowel Syndrome. While many traditional treatments won’t help these problems, one form of treatment that is effective is internal pelvic floor therapy. 
Internal Pelvic Floor Therapy

Internal pelvic floor therapy works with your fascia. Fascia, the continuous three-dimensional connective tissue system is joined to every structure in our bodies. When we get injured, tense, or sit with bad posture over a long period of time, our fascia can twist and tie up, resulting in a constriction of flow of blood, lymph, and nerves. By working with a physical therapist to recieve internal pelvic floor therapy, our fascia can be relaxed, allowing blood and lymphatic fluids to flow freely to our muscles, joints, bones, organs, and nervous system to work more effectively.

Releasing internal trigger points can eliminate pain, frequent urges to go to the bathroom, and make other symptoms go away. Internal pelvic floor therapy involves a physical therapist using his/her finger to examine trigger points inside a person’s body that are affecting the bladder, tailbone, urethra, prostate, or other organs. Through physical examination and treatment, therapists are able to identify tightness and tenderness and gently stretch the connecting muscle. Pain in one part of your pelvic area can radiate to other parts of your body. It’s important to discuss symptoms you are experiencing with your physical therapy healthcare provider. 
We don’t want you to wait any longer to start feeling better! 
Contact us today by phone at 401.602.7006 or by email at

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