Bladder & Incontinence

Pads are a workaround. They aren't treatment.

Incontinence Treatment in Burlington, Ontario

Most people manage leaking privately for years — mapping washrooms, wearing dark clothes, skipping the trampoline, going just in case. Incontinence is one of the most treatable pelvic conditions there is, and Kegels are frequently the wrong answer, because a tight pelvic floor leaks just as readily as a weak one.

No referral neededDirect billing to most insurersPrivate treatment roomInternal assessment is always optional

Book an Assessment What we treat

What we treat

The different kinds of leaking.

They have different causes and different treatments, which is why a generic pelvic floor programme so often fails. Identifying which one you have is most of the work.

Stress Incontinence

Leaking with coughing, sneezing, laughing, lifting or impact. A pressure-management and timing problem, not simply a strength problem.

Urge Incontinence & Overactive Bladder

Sudden, hard-to-defer urgency, sometimes leaking before you arrive. Bladder retraining plus pelvic floor work is the treatment, and it works well.

Mixed Incontinence

Both patterns together, which is very common. The plan sequences them rather than treating both at once.

Night-Time Waking (Nocturia)

Getting up repeatedly through the night. Often driven by daytime drinking and voiding patterns, and by bladder capacity that has quietly shrunk.

Leaking with Exercise

Running, skipping, CrossFit, tennis. Extremely common in strong, fit people — which is exactly why it is not a simple weakness problem.

Post-Menopausal Changes

Falling oestrogen changes bladder and pelvic tissue. Physiotherapy addresses the muscular side and clarifies where medical treatment may also help.

'Just In Case' Habits

Frequent precautionary trips gradually train the bladder to signal earlier and earlier. Reversing that is a large part of treatment.

Our approach

How bladder treatment actually works.

Almost all of it happens between appointments. Our job is to identify the driver and give you a plan you can actually run.

Work out which pattern it is

When you leak, how much, what triggers it, and what you have already tried. Often we ask for a short bladder diary — it usually reveals the pattern immediately.

Assess the muscle, not just the symptom

Whether your pelvic floor is weak, overactive, or poorly timed, plus breathing and pressure management. An internal assessment gives the clearest answer and is always optional.

Retrain bladder and muscle together

Bladder retraining and urge-deferral techniques alongside pelvic floor work — which may mean strengthening, or may mean learning to let go. Fluid and habit changes where they matter.

Load it under real conditions

Dry sitting still is not the goal. We progress to coughing, lifting, running and jumping so the control holds where you actually need it.

Your team

Who you'll see.

Both physiotherapists hold Pelvic Health Solutions Level 1, 2 and 3 certification. You will see the same clinician each visit.

Juhi Israni

Registered Physiotherapist

Mondays & Fridays: 11am – 6pm

MPT — Master of Physical Therapy
Pelvic Health Solutions – Level 1, 2 & 3
Pediatric Pelvic Floor Physiotherapy

I take time to know you as a person, not just your symptoms. Every session is one-on-one, unhurried, and built around what actually fits your life.

My approach starts with a thorough assessment to find the driver of your pain — not just where it hurts — followed by hands-on treatment and a progressive exercise plan that evolves as you improve.

Alongside general physiotherapy, I hold advanced certifications in pelvic health, which deepens my assessment of core, hip, and low-back problems.

Devanshi Patel

Registered Physiotherapist

Tuesdays & Thursdays: 9am – 4:30pm

MPT — Master of Physical Therapy
Trauma-informed, biopsychosocial approach to care
Pelvic Health Solutions – Level 1, 2 & 3

My care is one-on-one and patient-centred, grounded in a biopsychosocial, trauma-informed approach. Recovery is rarely only physical — so I pay attention to the emotional and lifestyle factors that shape how you heal, too.

Every plan I build combines hands-on therapy, movement, and education, so the progress you make is meaningful and lasts.

Frequently asked questions

What people ask about leaking.

Won't Kegels fix this?+

Sometimes, and sometimes they make it worse. If your pelvic floor is already tight and overactive — which is common in people with urgency or pain — adding more squeezing increases the problem. That is precisely what the assessment is for. Prescribing Kegels without assessing is guessing.

How long until I notice a difference?+

Urgency often responds within three or four weeks of consistent bladder retraining. Stress leaking with impact usually takes longer, in the range of two to three months, because it needs genuine strength and timing changes. You will get a realistic timeline at the first visit.

I've had this for twenty years. Is it too late?+

No. Duration is a poor predictor of outcome. We routinely see people who have managed this quietly for decades and assumed it was permanent.

Should I just drink less?+

Usually not — it is one of the most common self-management mistakes. Concentrated urine irritates the bladder and makes urgency worse, and reduced volume shrinks functional capacity over time. What and when you drink matters more than cutting back.

Do I need an internal exam?+

It is the most direct way to tell whether your pelvic floor is weak, tight or mistimed — which determines the entire treatment plan. It is always optional, explained beforehand, requires explicit consent, and can be stopped at any point. There is a genuine external alternative.

All pelvic health articles →

Breaking Free from "Just in Case" Peeing: Retraining Your Overactive Bladder

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Why "Just Do Kegels" Might Be the Worst Advice You've Heard

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Why Bladder Leakage Happens After Menopause (And What You Can Do)

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CrossFit, Running, and Leaking: Why Strong Burlington Athletes Still Experience Pelvic Floor Issues

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Bladder Leakage After Pregnancy: What''s Normal and When to Get Help

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Managing Menopause: How Pelvic Physiotherapy Can Help You Thrive