Does postnatal physiotherapy help with leaking urine?

Leaking Urine after pregnancy or birth can relate to changes in pelvic-floor muscles, pressure control, bladder habits, movement, or healing. A physiotherapist may ask when leakage occurs, such as with coughing, lifting, running, or urgency, and may assess breathing, movement, and pelvic-floor coordination. Treatment can include carefully taught contractions and relaxation, gradual strengthening, bladder strategies, and changes to how you lift or return to activity. Improvement depends on the cause and consistent practice.

Book an assessment with a clinician experienced in postnatal pelvic-floor care, especially if leakage continues or limits activity. Keep a brief note of triggers, urgency, frequency, pain, and bowel symptoms to discuss. Do not repeatedly practise forceful squeezing without guidance; some people need relaxation and coordination rather than more tightening. Follow a gradual programme, protect healing tissues, and increase impact-based exercise only when symptoms and examination support it.

Seek medical advice for new or worsening leakage, difficulty emptying the bladder, burning urine, fever, blood in the urine, pelvic pain, or loss of bowel control. Prompt review is also appropriate when leakage follows a difficult birth, is accompanied by a vaginal bulge, or prevents normal activity. Seek urgent care for severe pain, heavy bleeding, fever with feeling very unwell, or sudden weakness or numbness.

Ask what type of leakage you may have, whether an examination or urine test is needed, which exercises are suitable now, and how progress will be monitored.