14/02/2026
One of the most important things I help people understand about urge incontinence is this:
It’s often about signalling - not failure.
A lot of people come in saying:
“My bladder just doesn’t work properly anymore.”
And that belief alone creates fear, rushing, and loss of confidence.
So I explain it like this.
Your bladder is a messenger.
Its job is to tell you it’s filling.
With urge incontinence, that message often comes:
too early
too loudly
too often
Not because something is broken -
but because the signalling system has become over-alert.
Here’s a real-life example I hear all the time 👇
Someone can sit through a long film with no problem…
but the moment they pull into their driveway, the urge is suddenly overwhelming.
The bladder hasn’t instantly filled in those last 30 seconds.
What’s happened is the brain has recognised a trigger and turned the signal up.
That’s why urge incontinence is as much about the bladder–brain conversation as it is about the bladder itself.
This is also why we don’t treat everyone the same.
At The Physio Crew, we use questionnaires and detailed assessment to understand:
what type of incontinence you’re dealing with
what triggers your urgency
how strong vs how reactive the system is
Because stress incontinence, urge incontinence, and mixed symptoms need different strategies.
For some people, calming and retraining the signalling is key.
For others, improving the support system around the pelvis and trunk makes a big difference.
That’s where tools like PelviPower can be part of a wider plan — supporting the muscles involved in control while we work on retraining timing, confidence, and habits.
There’s no one-size-fits-all fix.
And there shouldn’t be.
Urge incontinence isn’t your bladder letting you down.
It’s your system asking for a better plan.
And with the right assessment, that plan can be built properly — and calmly — around you.
