Why Myrbetriq or Oxybutynin Isn't the Only Option to Treat Overactive Bladder: Pelvic PT Is the Answer

Introduction

Are frequent bathroom trips controlling your life? If you've been prescribed medications like Myrbetriq or Oxybutynin to treat your overactive bladder, there's good news—you have other options. Pelvic Floor Physical Therapy (PT) offers a natural, non-pharmaceutical approach to managing bladder issues. In this article, we'll delve into why Pelvic PT might be the solution you've been seeking.

Understanding Overactive Bladder

What Is Overactive Bladder?

Overactive bladder refers to the symptoms of sudden urgency to urinate, frequent urination, nocturia (waking up at night to urinate), and sometimes urinary incontinence. While many think their “overactive bladder” is what they need to treat, the overactive bladder is actually more of a symptom. The underlying causes such as pelvic floor tightness or nerve irritation is actually what they need to address more so that just looking at the bladder by itsself.

What does the bladder and urinary tract look like?

Image of male and female bladders and path of urine for overactive bladders with Myrbetriq or Oxybutynin

This diagram shows key structures of the male and female urinary systems that Pelvic Floor Physical Therapy targets. Pelvic PT can help improve bladder control by strengthening the muscles around the bladder, urethra, and sphincters, reducing issues like incontinence and urinary urgency. Understanding these anatomical landmarks is essential for developing personalized treatment plans to restore pelvic floor function and improve quality of life.


Traditional Medications: Myrbetriq and Oxybutynin

Myrbetriq

Myrbetriq is a beta-3 adrenergic agonist that relaxes the bladder muscle to reduce symptoms. While effective for some, it can cause side effects like increased blood pressure, urinary tract infections, and headaches.

Oxybutynin

Oxybutynin is an anticholinergic medication that helps control bladder muscle contractions. Potential side effects include dry mouth, constipation, dizziness, and blurred vision.

Pelvic Physical Therapy: A Natural Alternative

Addressing the Root Cause

Pelvic PT focuses on taking a deeper dive at the pelvic floor muscles and surrounding structures that support bladder function. By targeting these muscles and the surrounding areas, therapy can alleviate root causes that have brought on their overactive bladder symptoms outside of relying on medications.

How Does Pelvic PT Work?

  1. Pelvic Floor Internal Assessment: A certified pelvic physical therapist evaluates your pelvic floor strength and identifies muscle imbalances.

  2. Customized Exercises: You'll receive a personalized exercise program based on what your specific body needs. This can range from stretching exercises to core stabilization or postural strengthening.

  3. Manual Therapy: Techniques to improve mobility and flexibility around the abdomen, bladder, and hips or low back.

Benefits of Pelvic PT

  • Non-Invasive: Avoids side effects associated with medications.

  • Holistic Approach: Addresses the whole person from the nervous system, postural influences, and psychosocial aspect to improve overall bladder health.

  • Empowering: Teaches you skills, such as healthy bladder habits, or urge suppression techniques to proactively manage symptoms.

Comparing Pelvic PT to Medications

Effectiveness

  • Medications: May provide quick symptom relief, but don't address underlying muscle issues.

  • Pelvic PT: Targets the root causes of bladder overactivity by techniques that strengthen or relax pelvic floor muscles or reduce nerve irritation that might be causing bladder urgency and frequency.

Side Effects

  • Medications: Potential for side effects ranging from mild to severe.

  • Pelvic PT: Its possible that your might have flare ups of urgency or frequency during treatment sessions, however this is actually a good thing because it can help to uncover the root causes. Most side effects are minimal to none, as it involves natural body movements and exercises.

Cost and Accessibility

  • Medications: Ongoing costs for prescriptions; insurance coverage may vary.

  • Pelvic PT: May require sessions with a specialist but can offer lasting results, potentially reducing long-term costs.

Evidence Supporting Pelvic PT

Research in the Journal of Urology shows that pelvic floor muscle training can significantly reduce symptoms of overactive bladder. Participants reported improvements in urinary urgency, frequency, and overall quality of life after consistent therapy.

Taking the First Step

Is Pelvic PT Right for You?

If you're experiencing overactive bladder symptoms and prefer a natural treatment method, Pelvic PT could be a suitable option. Consult a healthcare professional to determine the best course of action for your specific needs.

How to Get Started

  1. Consult Your Urologist: Discuss your symptoms, rule out infections through testing, and express your interest in Pelvic PT.

  2. Find a Certified Therapist: Seek out a specialist experienced in treating overactive bladder.

  3. Commit to the Process: Consistency is crucial for effective results.

Conclusion

Myrbetriq and Oxybutynin aren't your only options for treating an overactive bladder. Pelvic Physical Therapy offers a natural and effective alternative that addresses the condition's root cause. By empowering yourself with this knowledge, you can take control of your bladder health and enhance your quality of life.

Ready to explore Pelvic PT? Contact us to schedule a consultation and take the first step toward a more comfortable life.

Written By,

Dr. Jana Richardson, PT, DPT, WCS, PRPC, CIDN
Dual Board Certified Pelvic Floor Therapist and Owner of Chicago Pelvic Health

Dr. Jana Richardson is a highly accomplished pelvic floor therapist with dual board certifications and extensive experience in treating complex pelvic floor dysfunctions. As the owner of Chicago Pelvic Health, Dr. Richardson is dedicated to providing personalized and effective care for her patients. With a Doctorate in Physical Therapy, and specialized certifications in Women’s Health and Pelvic Rehabilitation, Dr. Richardson is a leading expert in her field. She is also certified in Integrative Dry Needling, further enhancing her ability to offer comprehensive treatment plans. Dr. Richardson’s commitment to patient-centered care and her passion for helping individuals achieve optimal pelvic health make her an invaluable asset to the community.

Contact Information:

Previous
Previous

How Do I Know If I Have Vaginismus?

Next
Next

Ever Used a Squatty Potty? Chicago’s New Bathroom Movement for Better Bowel Health