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Paralyses and physical disabilities in children and adults Paraplegia, paraparesis Polyneuropathy Pain in children and adults Attention disorders, dyspraxia in children Treatment of babies Paediatric orthopaedics Irritable bladder and stress incontinence Disturbances of balance and dizziness in older people

Irritable bladder and stress incontinence

• Irritable bladder
• Urge to urinate
• Involuntary urination
• Bladder weakness
• Stress incontinence
• Pain in the floor of the pelvis

These are not subjects talked about willingly…


Yet bladder weakness is very common among women who have had children (up to 40 % !!). But also women who have no children and men of more mature age are affected by the problem. Overall, about 20 % of older people are affected. They suffer from a distressing urge to urinate, disorders that are frequently misdiagnosed as inflammation of the bladder, or even urinary incontinence. Drugs can help only to a limited degree. If they can no longer hold their urine, operations are carried out.


Bladder weakness greatly affects the lives of those afflicted because they cannot stay for long in a place where a toilet is not in the immediate proximity. Visits to the theatre or cinema, a walk around town or going on a bus can become impossible. Carrying loads, going up steps, coughing, sneezing and laughing can cause involuntary urination and ultimately an embarrassing unpleasant odour.


However, the majority of cases of bladder weakness are due not to “torn” muscles as a result of the birth of a child or a drop of the womb, but to uneven relaxation of the muscles and tendon structures in the floor of the pelvis. The muscles that close the bladder are embedded in a complicated environment of small muscles and fasciae, which have to be very finely adapted to each other. However, after births or a variety of other causes, e.g. hormonal changes, this control goes out of balance. There may also be unpleasant pain in the floor of the pelvis. In addition to the involuntary urination, discomfort and pain during sexual intercourse are not uncommon.


Even after surgery the desired result is not always achieved.


In the Clinic for Manual Medicine these disturbances of the pelvic floor are treated with various techniques from osteopathic medicine and manual medicine. The treatments carried out by a (female) doctor in the Clinic for Manual Medicine are absolutely painless. The aim of the treatment is to restore the fine interplay between the affected muscles and fasciae. In general 5 to 6 treatments over a period of 2 weeks are sufficient to obtain an improvement in the condition.

Ambulanz für Manuelle Medizin - Zentrum für Bewegungsstörungen
Thürachstraße 10 - D-79189 Bad Krozingen
Tel: +49 (0) 7633-408-836, Fax: +49 (0) 7633-408-842,