Vitality Therapy And Performance

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Urinary Incontinence

Bladder dysfunction is a common problem that can have a major negative impact on an individual’s quality of life. It’s commonly thought that these issues occur only postpartum, but the truth is that a leaky bladder can happen to anyone (at any age) for various reasons. The good news is that you do not have to live the rest of your life worried about leaking during exercise, not making it to the restroom in time, or wearing incontinence pads.

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Can We Help?

What causes urinary incontinence

Urinary incontinence can be an indicator of pelvic floor weakness or lack of coordination.

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How does PT help incontinence?

At Vitality Pelvic Health you’ll work 1:1 with your physical therapist to develop a plan of care to restore strength and coordination to the pelvic floor. Your treatment plan may include exercises for strengthening, manual therapy, coordination exercise, and techniques for enhancing your connection to your pelvic floor.

How long will it take?

A typical plan of care for incontinence is around 8-12 weeks.

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Urinary incontinence is common, but not normal!

Pelvic floor muscle training can cure or improve symptoms of urinary incontinence

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Urinary incontinence affects approximately 50% of American women across their lifespan

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The average woman spends $900 dollars a year dealing with the effects of urinary incontinence, physical therapy can be a cost effective, long term solution to leakage.

Common complaints

“I’m afraid to lift heavy or I may leak”
“I only wear black pants just in case”
“I’m afraid to go out to places I’m unfamiliar with incase I can not find the bathroom”
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Frequently Asked Questions

Symptoms of incontinence vary from person to person. Some may occasionally have a leakage of urine when sneezing, others may have leakage throughout the day requiring them to change clothes or pads. Urge may wake others up through the night, disrupting their ability to get rest. Any severity of symptoms is abnormal and worth seeking treatment for.

Incontinence is typically caused by dysfunction in the pelvic floor related to strength and/or coordination. Postpartum incontinence can result from stretching of the pelvic floor during pregnancy and trauma following vaginal delivery.
Sometimes, incontinence can follow other pelvic trauma or conditions.

  • There are three types of urinary incontinence: stress, urge, and mixed.
  • Stress incontinence is involuntary loss of urine due to increased stress on the muscles of the pelvic floor, leading to a loss of sphincter control. Usually this is triggered by a stressful activity such as coughing, laughing, sneezing, or jumping.
  • Urge incontinence is a sudden, strong urge to urinate without the ability to delay. You may suddenly feel the need to pee out of nowhere, and leak before making it to the bathroom. Other triggers such as running water or pulling into your driveway can cause urge incontinence.
  • Mixed incontinence is when you experience a combination of both stress and urge incontinence.
Urinary Incontinence Quizzes
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Can pelvic floor physical therapy help your situation? Take this quick quiz!

Get To Know Our Pelvic Health Team...

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Tristen Swengle

PT, DPT, Director of Pelvic Health
Learn More
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Nikki Randolph

PT, DPT, Pelvic Health Specialist
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Kally Owen

PT, DPT
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Deena Winham, PT

Deena Winham

PT, DPT, PCES
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Testimonials

What Clients Are Saying

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Stacy B

I have been coming to Vitality Pelvic Health for several weeks. I was looking for options to help strengthen my pelvic floor following an injury during childbirth and just aging in general. I am 44 years old, and my youngest child is 13, but Tristan explained that we are always in that postpartum phase. Tristan is extremely knowledgeable and so incredibly thorough! I’ve never met anyone who knows so much about pelvic dysfunction and ways to combat it. She’s created a strengthening program for me that I can continue to use long after my sessions are completed. I highly recommend her to any woman seeking help in this area. You will not regret it!

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Shannon F

Dr. Nikki is truly amazing. I came to her a year and half after having my baby because I felt like something was off and that I was still not fully recovered. She gave me a whole toolbox of movements and practices to get myself back together and feel confident that my body could safely pick up my growing daughter. She figured out exactly what I needed to do, and gave me a realistic plan all while being so kind and patient. I could not recommend her more to any new moms or moms to be (or really anyone struggling with functional movement).

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Ready To Get Started?

Whether you need more information or are ready to get started on your path to recovery, our team is here to help. All we ask is you simply reach out by filling out a quick form. No commitment to doing this, but we just might be the answer you have been looking for. You owe it to yourself to at least find out more.

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A smiling woman with curly hair wearing a black top, specializing in physical therapy and pelvic health, standing against a plain white background.

Tristen Swengle

PT, DPT, DIRECTOR OF PELVIC HEALTH

Tristen, a Doctor of Physical Therapy, is passionate about treating active women and men who are dealing with various types of pelvic floor dysfunction so that they are able to return to their preferred exercise routine and lifestyle. She received her doctorate from the University of Arkansas for Medical Sciences in Fayetteville, AR. Since graduating, Tristen has continued to pursue further education through the Herman and Wallace Pelvic Rehabilitation Institute.

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Nikki Randolph

PT, DPT, PELVIC HEALTH SPECIALIST

Nikki is a Doctor of Physical Therapy who graduated with a bachelor’s degree from the University of Tulsa in 2015. She then received her doctorate from Washington University in St Louis in 2022. During her time there she became passionate about pelvic floor rehabilitation, specifically in both the active population and post-oncologic. Nikki is continuing to pursue her education through Herman and Wallace Pelvic Rehabilitation Institute. The opportunity to help patients achieve their goals, live free from pelvic pain, and feel empowered with the tools and knowledge to live a healthy life is incredibly meaningful to her.

A smiling young woman with blonde hair, wearing a black t-shirt with "physical therapy" text, stands against a light gray background.

Kally Owen

PT, DPT, Pelvic Health
Kally holds a Bachelor of Science in Nutritional Sciences and a minor in Microbiology from Oklahoma State University graduating in 2019 and from there went on to earn her Doctorate of Physical Therapy from the University of Oklahoma Health Sciences Center in 2022. Kally enjoys treating all orthopedic conditions with a special interest in pelvic floor physical therapy and she is Dry Needling certified. She enjoys working with patients who desire to take an active role in their recovery and loves learning unique and holistic ways to provide the best to the clients she treats. Kally is continuing to pursue her education through Herman and Wallace Pelvic Rehabilitation Institute.
Deena Winham, PT

Deena Winham

PT, DPT, PCES

Deena is a Doctor of Physical Therapy and a Pregnancy and Postpartum Corrective Exercise Specialist. She is passionate about treating women through their pregnancy to maintain a higher level of function and exercise capability throughout their pregnancy and postpartum to help mothers recover quicker from pregnancy without any pelvic floor dysfunction. Deena also enjoys treating pelvic floor dysfunction in the pediatric population as well. Since graduating in 2019 with her doctorate from South College in Knoxville, Tennessee, Deena has continued to pursue further education through Herman and Wallace Pelvic Rehabilitation Institute.