A Holistic Approach for a Hypersensitive Bladder

pelvic floor therapy for OAB, urge incontinence

It can be exhausting to constantly feel that urge to urinate, worrying about where the nearest bathroom is, or waking up multiple times at night. A hypersensitive bladder can take over your daily life, but I want you to know that there’s hope—and it’s not just about managing symptoms, but addressing the root causes.

A holistic approach to pelvic health means looking at your body as a whole—how your nervous system, muscles, emotions, and even your daily habits all play a role in bladder sensitivity. Let’s talk about what that really means.

First, your bladder and pelvic floor muscles are deeply connected to your nervous system. If your body is in a constant state of stress or tension—whether from anxiety, poor breathing patterns, or even past trauma—your bladder can become overactive as a result. This is why nervous system retraining, relaxation techniques, mindfulness, and breathwork are just as important as any physical exercise.

Second, what you eat and drink matters, but it’s not just about avoiding bladder irritants like caffeine and acidic foods. We need to look at your hydration, gut health, and even inflammation levels, because all of these can contribute to bladder hypersensitivity.

And lastly, movement matters. If your pelvic floor is holding a lot of tension, it can make your bladder even more reactive. Gentle stretching, guided pelvic floor relaxation exercises, posture, and nervous system retraining can help balance out those muscles so they’re not constantly signaling urgency when they don’t need to.

So instead of relying on ‘quick fixes’ like cutting out fluids (this will actually cause your bladder to become dehydrated and exacerbate your symptoms) or running to the bathroom constantly, let’s work together to regulate your nervous system, nourish your body, and retrain your bladder for long-term relief. You deserve to feel in control again!

Reference:

Reynolds WS, McKernan LC, Dmochowski RR, Bruehl S. The biopsychosocial impacts of anxiety on overactive bladder in women. Neurourol Urodyn. 2023 Apr;42(4):778-784. doi: 10.1002/nau.25152. Epub 2023 Feb 13. PMID: 36780135; PMCID: PMC10101863.

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