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Woman discussing pelvic floor health at Pain Treatment Center of Maryland Reisterstown

Urinary Incontinence Treatment in Reisterstown, MD

Regain Confidence and Bladder Control

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Common In:Women & Men 40+
Primary Causes:Aging, Childbirth, Muscle Weakness
Treatment Time:28 minutes per session
Results:Improvement in 2-3 weeks
Educational illustration of pelvic floor anatomy at Pain Treatment Center of Maryland
Understanding Pelvic Health

What Is Urinary Incontinence?

Recognizing the Signs

Urinary incontinence is the involuntary loss of bladder control, ranging from occasional leakage during a cough or sneeze to sudden, intense urges that make it difficult to reach a restroom in time. This condition affects the pelvic floor muscles and urinary sphincter mechanisms that regulate bladder function.

When you find yourself planning outings around restroom availability, avoiding exercise, or wearing protective pads "just in case," you are experiencing the daily reality of urinary incontinence. These adjustments may feel minor at first but gradually reshape your routine.

Many patients describe feeling embarrassed or isolated by their symptoms, avoiding social gatherings, travel, or physical activities they once enjoyed. The condition is far more common than most people realize, affecting an estimated 25 million adults in the United States alone.

Illustration of pelvic floor muscle function at Pain Treatment Center of Maryland Reisterstown
The Science

Why Urinary Incontinence Happens

Understanding the Root Causes

Healthy bladder control depends on coordinated function between the pelvic floor muscles, urinary sphincter, and nervous system. The pelvic floor muscles contract approximately 11,000 times per day to maintain continence. When these muscles weaken below a functional threshold, involuntary leakage occurs during physical stress or sudden urge signals.

Stress incontinence develops when weakened pelvic floor muscles cannot adequately support the bladder neck during increased abdominal pressure from coughing, sneezing, laughing, or exercise. Urge incontinence occurs when the detrusor muscle contracts involuntarily, creating sudden and intense signals that override normal sphincter control.

Mixed incontinence, the most common presentation, combines both mechanisms. Factors such as pregnancy, childbirth, hormonal changes during menopause, prostate surgery, and chronic conditions like obesity compound muscle deterioration and nerve dysfunction over time.

Diagram showing pelvic floor structure at Pain Treatment Center of Maryland
Deeper Understanding

Pelvic Floor Muscle Dysfunction

How Muscle Weakness Affects Bladder Control

The pelvic floor is a complex network of muscles, ligaments, and connective tissue that forms a supportive hammock at the base of the pelvis. These muscles support the bladder, urethra, and other pelvic organs while maintaining the pressure gradient necessary for continence. When functioning optimally, they respond reflexively to increases in abdominal pressure.

Estrogen plays a critical role in maintaining pelvic floor tissue integrity. During menopause, estrogen levels decline by up to 60%, leading to thinning of urethral tissue and reduced muscle elasticity. This hormonal shift explains why incontinence prevalence increases significantly in women over 50, affecting nearly 1 in 3 women in this age group.

Neuromuscular deconditioning compounds the problem over time. Without targeted stimulation, weakened pelvic floor muscles lose motor units and develop reduced contractile force. Traditional Kegel exercises address only voluntary muscle fibers, missing the deeper involuntary muscles that account for roughly 70% of pelvic floor support.

Lifestyle factors affecting bladder health at Pain Treatment Center of Maryland Reisterstown
Contributing Factors

What Accelerates Urinary Incontinence?

Identifying Your Triggers

01

Pregnancy & Childbirth

Vaginal delivery stretches and can damage pelvic floor muscles and nerves, with each subsequent delivery increasing the risk of long-term weakness.

02

Hormonal Changes

Declining estrogen during menopause thins urethral tissue and reduces muscle elasticity, significantly increasing susceptibility to stress incontinence.

03

Age-Related Decline

Natural aging reduces muscle mass and nerve responsiveness throughout the body, including the pelvic floor muscles that maintain continence.

04

Chronic Pressure

Excess body weight, chronic coughing, heavy lifting, and high-impact exercise place repeated strain on pelvic floor muscles, accelerating fatigue.

05

Sedentary Lifestyle

Prolonged sitting and lack of core engagement lead to progressive deconditioning of pelvic floor muscles, reducing their ability to respond reflexively.

06

Surgical History

Hysterectomy, prostate surgery, or other pelvic procedures can disrupt the nerve pathways and structural support that contribute to bladder control.

Pain Treatment Center of Maryland clinic interior in Reisterstown Maryland
Why PTCOFMD

Why Choose Pain Treatment Center of Maryland

Expert Care in Reisterstown

  • Board-Certified Expertise
  • Non-Invasive Technology
  • Personalized Treatment Plans
  • Comprehensive Approach

Treatment Options Comparison

Finding Your Best Approach

Treatment Best For Session Time Results Timeline Maintenance
Emsella Stress & urge incontinence 28 minutes 2-3 weeks Every 6-12 months
Core to Floor Therapy Core & pelvic floor combined 30 minutes 3-4 weeks Every 6-12 months
Woman concerned about bladder control at Pain Treatment Center of Maryland
Is This You?

You May Be Experiencing Urinary Incontinence If...

Recognizing When to Seek Help

  • Leakage During Activity
  • Sudden Strong Urges
  • Restroom Mapping
  • Protective Measures
  • Nighttime Disruption
  • Social Withdrawal
Your Questions

Frequently Asked Questions

About Urinary Incontinence

01 What causes urinary incontinence?

Urinary incontinence typically results from weakened pelvic floor muscles due to factors like childbirth, hormonal changes during menopause, aging, obesity, or pelvic surgery. The condition can present as stress incontinence, urge incontinence, or a combination of both.

02 Is Emsella effective for urinary incontinence?

Clinical studies show that Emsella produces significant improvement in 95% of treated patients. The technology delivers approximately 11,200 supramaximal pelvic floor contractions per session, strengthening muscles far beyond what traditional Kegel exercises can achieve.

03 How many Emsella sessions do I need?

Most patients benefit from a series of 6 sessions scheduled twice per week over three weeks. Many patients notice improvement after just two or three sessions, with optimal results developing in the weeks following the full treatment course.

04 Is the Emsella treatment painful?

Emsella is completely non-invasive and generally comfortable. You remain fully clothed throughout the session, sitting on the Emsella chair while it delivers electromagnetic energy. Most patients describe a tingling sensation and pelvic floor contractions without discomfort.

05 Am I a candidate for pelvic floor treatment?

Most adults experiencing stress incontinence, urge incontinence, or mixed incontinence are good candidates. During your consultation, Dr. Reznikov will assess your specific condition, medical history, and goals to determine the most effective treatment approach for you.

06 Does Emsella work for both stress and urge incontinence?

Yes, Emsella addresses both types by strengthening the entire pelvic floor musculature. Stronger pelvic floor muscles improve support for the bladder neck in stress incontinence and help regulate the detrusor muscle contractions involved in urge incontinence.

07 Can I prevent urinary incontinence from getting worse?

Maintaining a healthy weight, staying physically active, and avoiding bladder irritants like caffeine and alcohol can help slow progression. However, significant pelvic floor weakness typically requires professional intervention to effectively restore muscle strength and function.

08 When should I see a professional about bladder control issues?

If incontinence affects your daily activities, limits your social life, disrupts your sleep, or causes you to wear protective pads regularly, it is time to seek professional evaluation. Early treatment typically produces better outcomes and prevents further muscle deterioration.

Recommended Add-Ons

Complementary Non-Invasive Therapies

Restoring pelvic floor strength is central to lasting relief from urinary incontinence. The following non-invasive therapies work alongside our treatment plans to retrain and reinforce these muscles.

Location116 Westminster Pike, Suite 106
Reisterstown, MD, 21136
Emailzalina@ptcofmd.com
Phone(410) 833-1011
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Scientific References

  1. PubMed (PMID: 31834441) - High-intensity focused electromagnetic technology (HIFEM) for non-invasive treatment of urinary incontinence demonstrates significant improvement in quality of life and pad usage reduction.
  2. PubMed (PMID: 32857553) - Electromagnetic stimulation of pelvic floor muscles produces supramaximal contractions resulting in muscle hypertrophy and improved neuromuscular control in incontinent patients.
  3. PubMed (PMID: 29266389) - Prevalence of urinary incontinence in women increases with age, affecting approximately 51% of women over age 65, with pelvic floor muscle training as first-line conservative treatment.
  4. PubMed (PMID: 33999490) - Non-invasive electromagnetic pelvic floor stimulation shows 95% patient satisfaction and significant reduction in incontinence episodes across stress, urge, and mixed subtypes.