use of spinal thrust manipulation in a patient with urge urinary incontinence: a case report

by Prof. Ahmed Auer Jr. 8 min read

(PDF) The Effects of Chiropractic Spinal Manipulation on …

14 hours ago Objective: The effects of chiropractic spinal manipulation on urinary incontinence in patients with low back pain and radiculopathy are the focus of this report. Methods: A total of 119 patients’ data (108 female, 11 male, mean ages 59.7 ± 11.6 years) with low back pain and leg pain that all admit to have urinary control problems were reviewed. Lumbar or Lumbosacral Disc Herniation … >> Go To The Portal


This report presents a spinal adjustment approach to treat elderly patients with urinary incontinence. This retrospective case series reports the clinical observation of 13 patients with urinary incontinence. They were treated for 1-8 weeks with Pro-Adjuster technique without any other additional drug and physical therapy treatment.

Full Answer

What is the pathophysiology of stress and urge incontinence?

Stress and Urge urinary incontinence may develop after a pelvic trauma especially after pelvic bone fractures. Incontinence may persist even though any type of bladder neck suspension is performed if malunion occurs between fracture ends. In stress and urge urinary incontinence developed after pelvi …

What are the comprehensive assessments for Urge urinary incontinence?

The following are the comprehensive assessments for Urge Urinary Incontinence: Determine the patient’s episodes of incontinence. Urge incontinence happens when the bladder muscle abruptly contracts. The patient may report feeling the need suddenly to urinate but being unable to get to the bathroom in time.

What are the nursing interventions for Urge urinary incontinence?

The results of this test may show the underlying problem leading to urge incontinence. The following are the therapeutic nursing interventions for Urge Urinary Incontinence: Promote access to toilet facilities, and instruct patient to make scheduled trips to the bathroom. Scheduled voiding allows for frequent bladder emptying.

What is urge urinary incontinence?

Urge Urinary Incontinence. With urge incontinence, the muscles of an “overactive” bladder contract with enough force to override the sphincter muscles of the urethra, which is the tube that takes urine out of the body. Urge incontinence may develop as a result of spinal cord lesions or following pelvic surgery.

What causes urinary incontinence?

Urge Urinary Incontinence is caused by abnormal bladder contractions. Usually, strong muscles termed as sphincters regulate the flow of urine from the bladder. With urge incontinence, the muscles of an “overactive” bladder contract with enough force to override the sphincter muscles of the urethra, which is the tube that takes urine out of the body. Urge incontinence may develop as a result of spinal cord lesions or following pelvic surgery. Central nervous system disorders such as Alzheimer’s disease, multiple sclerosis, and Parkinson’s disease may contribute to urge incontinence. Overactivity of the detrusor may be the result of interstitial cystitis, urinary tract infection, or pelvic radiation. Extreme alcohol or caffeine consumption may stimulate urge incontinence. The person may have changes in body image and self-concept following the person’s feelings of shame and embarrassment with loss of control of urinary elimination. This alteration may affect a person’s social interaction and work performance.

How does bladder training help?

A bladder training program helps increase bladder capacity through regulation of fluid intake, pelvic exercises, and scheduled voiding.

How often do you void urine?

This information will allow for an individualized treatment plan. The patient may be voiding as often as every 2 hours. Take a specimen of urine for culture. Bladder infection can result in a strong urge to urinate; successful management of a urinary tract infection may reduce or improve incontinence.

Which antidepressant decreases the detrusor contraction?

Tricyclic antidepressants. Anticholinergics lessen or block detrusor contractions, thereby reducing occurrence of incontinence. The tricyclics increase serotonin or norepinephrine, which results in relaxation of the bladder wall and increased bladder capacity.

Does caffeine cause incontinence?

Extreme alcohol or caffeine consumption may stimulate urge incontinence. The person may have changes in body image and self-concept following the person’s feelings of shame and embarrassment with loss of control of urinary elimination. This alteration may affect a person’s social interaction and work performance.