OAB may be a combination of urgency and urge incontinence; where you experience an overwhelming need to go to the toilet. Often you can’t hold on and have to rush to a toilet. The most common cause is bladder muscle spasms. The Detrusor muscle receives impulses from the brain telling it the bladder is VERY full and needs to empty immediately
What’s known as an overactive bladder will cause incontinence. If your bladder constricts too frequently it will leave little or no time to get to the toilet. Your bladder muscle may receive incorrect messages from your brain, and it will automatically empty
What causes OAB
Overactive bladder can have one or multiple causes. In some cases, the exact cause of overactive bladder may be unknown. Causes include:
Having bladder stones or tumours can cause involuntary bladder contractions
Damage to Bladder Nerves
Nerves in the bladder typically transmit messages to the brain when you are purposefully using the restroom. However, trauma or certain medical conditions can damage the nerves.
Traumatic injuries that can affect bladder nerves include back or pelvic surgery, a herniated disc, and radiation. Medical conditions that can affect the bladder’s nerves include diabetes, multiple sclerosis, Parkinson’s disease, and stroke
After menopause, the estrogen levels in a woman’s body drop. This can increase the urge to urinate.
Excess Fluid Intake
The bladder’s muscles work on a supply-and-demand basis. If you increase the supply by taking in lots of fluids, your bladder will need to release the excess via urination. Approximately 1.5 -2 litres a day is often a recommended intake. This may vary due to physical activity and room temperature. Normal urination or voiding is 4-6 times per day and 0-1 times at night
Being overweight can place extra pressure on the bladder muscles, weakening them and leading to overactive bladder
A bladder or urinary tract infection (UTI) can irritate the nerves in the bladder. This can stimulate the urge to urinate or cause involuntary bladder contractions.
Medications and Diuretics
Alcohol and caffeine can have an effect on the bladder. This means that they cause the bladder to fill rapidly. Medications can also affect nerve transmissions or cause the bladder to fill rapidly. This is true for diuretics such as Lasix (furosemide) or Bumex (bumetanide). There are many other food and or fluids that can be classified as ‘bladder irritants’ and may contribute to OAB symptoms.
Obstruction to Urine Flow
An enlarged prostate can affect urine flow from the urinary tract
Constipation or having undergone previous operations to the urinary tract can also obstruct urine flow due to possible scarring and or adhesions around the bladder or urethra.
Weakened Pelvic Muscles
As the bladder fills it relies on increasing support around the bladder neck from the pelvic floor muscles. Some women only experience involuntary loss of urine with a ‘full bladder’ and /or cough, sneeze, heavy exercise. This is usually known as Stress urinary Incontinence.
Pregnancy and childbirth can weaken the pelvic muscles around the bladder. This can cause it to sag or affect its position. The bladder’s opening can also stretch after childbirth, causing it to leak.
Symptoms of OAB
An overactive bladder can cause a variety of symptoms that affect the need and frequency of urination. Symptoms include:
– Nocturia, or the need to get up and urinate more than 2 times per night
– Urgent need to urinate, especially around triggers such as running water, key in the door that you cannot control
– Urinary leakage when you feel the need to urinate
– Urinating more than eight times per da
What can be done
See your GP first to exclude UTI and other bladder pathology
Come and see your Women’s health Physio so we can help determine the causes and start to treat it. OAB often needs a multi – approach
– PFM strengthening if needed
– Bladder re- training program
– Deferment re- training
— Strong PFM contraction
— Perineal pressure
—Curling toes under and contracting calf muscle strongly (stimulates the Tibial nerve)
– Lifestyle changes -fluids and food irritants
– Tibial nerve stimulation
– Drug therapy
Work related activity programs are designed specifically for the injured worker depending on their injury and the duties needed to be performed at work.
Our therapists provide education on injury management and prevention and provide the foundations to return to work through a range of exercise techniques.
Hydrotherapy, home exercise programs and gym programs are used to promote self-management and adherence for the injured worker.
Work related activity programs are offered at all our Sydney physiotherapy locations.
The temporomandibular consists of two joints between your cheek bone and jaw bone and it is the most commonly used joint in your body for eating, drinking, talking, and expressing emotions.
The most common symptoms include grinding, jaw clicking, and popping, restriction of the joint or deviation while opening, and inability to clench your jaw completely. Dysfunction of this joint can cause headaches, ear pain, dizziness, upper neck pain, and ear ringing (tinnitus).
Together with help from your Dentist, Physios can assess and treat for pain relief including; massage, dry needling, coordinated mobility exercises, and stretches.
TMJ treatment is offered at all our Sydney physiotherapy locations except Mt Pritchard and Macarthur.
Sports injuries can occur during any sporting activity or gym session. The most common sports injuries include sprains and strains/tears, which can be categorised as being an acute, chronic or an overuse injury.
Physiotherapy management of sports injuries usually involves manual therapy, a tailored exercise rehabilitation program, taping, and sometimes bracing – all with the aim to return to your pre-injury level of function.
Our physiotherapists are skilled in diagnosing and managing all varieties of sports injuries and working with you to help prevent further injury.
Sports physiotherapy is offered at all our Sydney physiotherapy locations.
Spine-related pain is a very common occurrence, and research indicates that most of the population will be afflicted with back pain at some point during their lives.
This can involve the cervical spine (neck); thoracic spine (upper back); the lumbar spine (lower back), or the sacrum /coccyx (pelvis).
For most people, back pain can be managed quickly and easily with physiotherapy treatment.
Whether you have occupational neck pain from spending hours at a desk; or acute pain from a bending or lifting injury; we can help. The physios at Sports Focus are all trained to perform a biomechanical assessment of your spine; and to provide treatment for restoring normal function.
Spinal physiotherapy is offered at all our Sydney physiotherapy locations.
Our Senior services are one-on- one programs designed to improve senior wellbeing and independence.
After an assessment our Physios can recommend either an individual treatment program or one of our ‘classes’ that specialise in Senior’s health. These include;
Strength and Mobility – cardiac & respiratory
Balance and Bones
Senior physiotherapy is offered at all our Sydney physiotherapy locations. Visit special programs for more info.
Real time Ultrasound uses a diagnostic ultrasound machine to build an image on the screen.
Different layers of muscles can be viewed to see how they contract, relax and work together.
This is very relevant for your “deep abdominal muscles “core” Transverse Abdominus.
It is common for these deeper muscles to not work correctly after any episode of Back or Pelvic pain.
Real time ultrasound is offered at our Northbridge, Willoughby and CBD Wynyard physiotherapy locations.Real Time Ultrasound
Research has shown that elderly people who participate in a safe exercise program that combines both strength training and balance are less likely to have fall related injuries and will improve overall strength.
At Sports Focus Physiotherapy, our Balance and Bones exercise class is conducted by experienced physiotherapists who will take you through a range of safe exercises each session.
Balance and Bones is offered at our Northbridge physiotherapy location.
Sports Focus Physiotherapy at Castle Hill offers specialised services for golfers, including rehab and advice for golfing injuries and a golf performance program.
Whether you are playing at professional or amateur, senior or junior levels, our expert Sports Focus physiotherapists can help you get the most out of your game.
Golf performance is offered at our Castle Hill physiotherapy location.
Do you work in the fitness industry? Interested in learning kinesiology taping techniques to help prevent client injury?
Andrew Hughes, senior partner at Sport Focus Physiotherapy and Sports & Olympic Physiotherapist regularly conducts certified taping courses for the sporting community including coaches, athletes and parents at our practices across Sydney.
Sports taping is offered at all our physiotherapy locations.
Make an appointment for 2 weeks after delivery with our experienced Women’s Health Physiotherapists.
At Sports Focus Physio we can examine and assess: Breast problems from feeding – Mastitis; Abdominal /scar examination – Diastasis Rectus Abdominis (DRA) assessment; Pelvic Floor Muscle (PFM) assessment; Prolapse assessment; and Postural and Pelvic / lumbar spine assessment
Early assessment and advice is really valuable for a good safe recovery and return to exercise.
Postnatal physiotherapy is offered at all our Sydney physiotherapy locations except Castle Hill and Macarthur.
Orthotics are shoe inserts that support the foot. They are designed to assist in changing gait abnormalities that are causing pain or discomfort.
Orthotic prescription can be done after a biomechanical assessment by your Physiotherapist to determine your individual needs. First steps will often involve taping and sometimes shoe prescription to help change problematic movement issues.
Orthotic prescriptions are offered at all our Sydney physiotherapy locations.
At Sports Focus we have experienced Massage Therapists who work to restore optimal function, wellness and health through various types of massage therapies. Relaxing and restorative or remedial and injury specific our therapists can help.
Massage therapy is offered at our Castle Hill, CBD 428 George, Liverpool, Mt Pritchard and CBD Wynyard physiotherapy locations.
Manual therapy is a “hands on” approach to the body’s joints and soft tissue structures in order to restore normal function.
Our highly qualified clinicians are experienced in delivering various methods of manual therapy tailored to everyone.
With the use of palpation, our therapists are skilled in identifying whether these structures are abnormally tight, in spasm or in some cases hypermobile (too much movement).
Manual therapy can be practiced on all regions of the body.
Manual physiotherapy is offered at all our Sydney physiotherapy locations.
The purpose of a musculoskeletal athlete screen is to develop a clinical picture of an athlete’s capability regarding their sport.
Athletes require strength, range of motion and co-ordination, not only to maximise their performance, but reduce the risk of injury.
During the screening process the athlete is asked to perform a battery of tests and the results of these tests are compared to normative values to identify areas which may place the athlete at risk of injury.
Injury prevention should be the top priority for all athletes to maximise their performance, and longevity of their sporting careers.
Musculoskeletal athlete screening is offered at all our Sydney physiotherapy locations.
Kinesiology tape (K-tape, kinesio tape, rocktape, dynamic tape) is a form of stretchy sports tape that’s used to dynamically assist muscle function without restricting any range of movement. Our physio’s can use kinesio tape with most athletic injuries and a variety of physical disorders in all phases of rehab.
For example, K tape can be used in early post-operative rehab, muscle injuries or in late stage rehab assisting return to sport exercises.
Kinesio taping is offered at all our Sydney physiotherapy locations.
At Sports Focus Physiotherapy we offer a wide range of Women’s Health treatments from our experienced Physiotherapists who have an interest in Women’s Health.
Learn more about our women’s health pregnancy physiotherapy exercise class.
Women’s health Physio is now ONLY available at Northbridge and Liverpool.
Skiing and snowboarding both demand a lot from the muscles in the quads and lower back, and from the knees. A good conditioning program should start long before the snow season starts, and involve strength, power, flexibility, endurance and agility drills.
Evening classes run in two seasons – pre-Australian season and pre-Northern hemisphere season, 8-10 weeks, one hour.
Get Fit to Ski is offered at our Northbridge physiotherapy location.
Shockwave is a safe, non-invasive physiotherapy modality that effectively treats a variety of musculoskeletal conditions. It can be a great alternative to surgical intervention, and can often treat stubborn, recalcitrant conditions.
Shockwave therapy is done in conjunction with a suitable physiotherapy program, such as an exercise or loading program, and any manual therapy.
Shockwave therapy is offered at our Liverpool, Mt Pritchard, Northbridge and CBD Wynyard physiotherapylocations.
We provide general physiotherapy treatments to patients of all ages. Doctor referral is generally not necessary for private self-pay clients and our HICAPs system can provide you on-the-spot private health fund claiming.
Our physiotherapists also collaborate with your GP, other allied health professionals or insurance company when providing physiotherapy services via Department of Veterans’ Affairs (DVA), Medicare Chronic Disease Management (CDM) program, workers compensation or third-party insurance claims.
General physiotherapy is offered at all our Sydney physiotherapy locations.
Dry needling is a useful and effective technique using fine filament needles which are inserted into the fascia or muscle to correct imbalances within the tissue. Often, we target the active trigger points which elicit a twitch response and allow the muscle to release and relax. It can also be used to stimulate a weak or inactive muscle.
It can be used in the treatment of muscular pain, myofascial dysfunction, tendonitis, tension headaches and back pain.
Dry needling is offered at all our Sydney physiotherapy locations.
Sports focus physiotherapy can help you manage fractures and injuries that require casting, bracing or splinting.
This service is available for people of all ages and includes the application and removal of casts, moulding thermoplastic splints and fitting braces across a wide range of joints in the body.
We use a fiberglass casting material with the option for a waterproof Delta-Dry liner, which allows the water to pass through the cast, has great ventilation properties and dries very quickly.
Casting and splinting is offered at all our Sydney physiotherapy locations except Mt Pritchard.
The human body is complex and has many moving parts. At Sports Focus, our physiotherapists have a great understanding of the body’s anatomy and are able to identify biomechanical patterns or faults within the system.
Whether your recovering from an injury or aiming to reduce your risk, a biomechanical assessment can determine areas of weakness or tightness so that a tailor-made exercise program can be created to your specific requirements.
The biomechanics of the human body can be viewed in many different functional tasks such as walking, running, squat and overhead lifting. Whether you are struggling with repetitive injuries, poor posture or trying to ensure your body is working optimally for your sport; a biomechanical assessment can help you to achieve your goals safely.
Biomechanical analysis is offered at all our Sydney physiotherapy locations.
Aquatic Physiotherapy is a tailored programme of exercises and mobilising techniques prescribed and monitored by an Exercise Physiologist or Physiotherapist. Programmes are conducted on a 1-on-1 basis at our Willoughby and Mount Pritchard clinics.
Aquatic physiotherapy uses the buoyancy and resistance of water to decrease pain and swelling, increase function, strength and range of movement. It is helpful for orthopaedic, spinal and arthritic conditions as well as sports injuries, work related injuries and neurological conditions.
Aquatic physiotherapy is offered at our Mounties and Willoughby physiotherapy locations.
It is never too early or too late to visit a physiotherapist!
It’s important to seek help after any injury. Here at Sports Focus Physio, our Physio’s can assess your problem and decide on suitable immediate treatment or referral on for further investigations.
We can provide you with early support for soft tissue injury or mobilisation for stiff and painful joints. An exercise program tailored specifically to your injury will assist with quick recovery.
Physiotherapy treatment is very effective in the later stages of an soft tissue injury or chronic joint problem.
At Sports Focus Physio we are experienced in rehabilitation of long-term sporting injuries (such as ACL reconstructions), post-operative joint replacements, as well as ongoing management of degenerative injuries such as osteoarthritis.
A mix of hands-on treatment as well as an independent exercise program will be tailored to meet your needs until you have returned to your pre-injury ability and promote ongoing self-management.
Acute care and chronic physiotherapy and rehabilitation is offered at all our Sydney physiotherapy locations.
Our NordBord is a special piece of equipment that focuses on strengthening athletes’ hamstring muscles through different exercise techniques.
At Sports Focus Physiotherapy we specialise in providing programs that focus on strengthening muscles for athletes in premium teams, to help prevent injuries before they occur.
NordBord is offered at our CBD 428 George, Liverpool, Northbridge and CBD Wynyard physiotherapy locations.
For those of you who are ‘physically isolating’ at the moment we can still help, even if you can’t come into see your Physio.
TeleHealth allows you to gain remote access to our experienced practitioners from your phone or device.
Get the physiotherapy treatment you need from the safety of your own home.
Book your Telehealth video consult
Sport Focus Physiotherapy programs are available to cater to all your womens pelvic health needs. Find out more about our pregnancy exercise class and programs.