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Continence Rehabilitation

Urinary incontinence is a common problem, but it is not a normal part of aging. It affects men and women of all age, and it usually can be treated, using properly administered physical therapy techniques. That is just what the continence rehabilitation specialists at CentraState’s OceanFirst Rehabilitation Center provide.

What Causes Incontinence?
Incontinence can happen to anyone, at any age, and can be caused by various physical conditions. Some of the most common causes of incontinence include:

  • Bladder and pelvic muscle weakness
  • Hormonal changes
  • Infection
  • Surgery
  • Pregnancy and childbirth
  • Menopause
  • Prostate problems
  • Chronic cough
  • Constipation
  • Effects of medicine
  • Repetitive lifting
  • Obesity
  • Immobility
  • Diseases such as multiple sclerosis, muscular dystrophy and diabetes

There are several types on incontinence:
Urge Incontinence
Urge Incontinence is caused by an overactive bladder that empties without your permission. This type of incontinence usually occurs when you feel a sudden, strong urge to urinate but fail to make it to the bathroom without leaking. You may also urinate frequently and lose moderate to large amounts of urine when you leak.
Stress Incontinence 
Stress Incontinence is usually caused by weak pelvic floor muscles which is often the result of childbirth. This type of incontinence usually occurs when you leak urine during coughing, sneezing, exercising, or other movements.
Overflow Incontinence
Overflow Incontinence occurs when the bladder fails to empty completely. This type of incontinence usually occurs when you lose small amounts of urine throughout the day and night, or when you get up often during the night to urinate. You may also feel like you have to empty your bladder but can't, or you may spend a long time in the bathroom, but produce only a weak, dribbling stream of urine.

How CentraState’s Program Works
A continence rehabilitation specialist at the OceanFirst Rehabilitation Center will conduct a comprehensive evaluation and design an individualized program consisting of 6 to 8 visits. Depending on the severity and cause of the incontinence, the program might include:

  • Pelvic floor exercises to strengthen your pelvic muscles and improve control
  • Biofeedback/surface EMG to help you know that you're contracting the right muscles
  • Real-time ultrasound that allows you to view the actual muscles while they are contracting
  • Education on lifestyle changes that decrease bladder irritability
  • Maintaining a bladder diary to aid in retraining
  • Relaxation and breathing techniques

Webinar Archive
Bladder Control for Confidence and Continence:
Peter Mandel, MD
If you’re wondering whether or not you can make the restroom in time, it’s time to get help. Join us and learn how you can start living your life worry free again!
Click here to view this webinar.

Making an Appointment
You will need a referral from your physician to the OceanFirst Rehabilitation Center at CentraState. If you have medical insurance, we suggest that you check with the insurer to verify coverage.
Please call (732) 294-2700 to set up your first appointment. We will keep your physician informed of your progress, and answer any questions he or she may have.
The OceanFirst Rehabilitation Center is located at CentraState’s Star and Barry Tobias Ambulatory Campus, adjacent to CentraState Medical Center.