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Incontinence Specialist

Enhance Center

Interventional Pain Management and Physical Medicine and Rehabilitation Located in Livonia, MI & Clinton Township, MI

If laughing or coughing is causing unexpected urine leaks, it’s important to schedule an evaluation of your bladder functionality. And to evaluate if a major component of the incontinence is related to innervation issues. In that case, neuromodulation maybe your best friend. Learn more about treating incontinence by calling Enhance Center at Livonia, Michigan, and Clinton Township, Michigan. 

Incontinence Q & A


What is incontinence?

Incontinence is a condition where you don’t have proper control of your bladder, resulting in frequent leaks of urine. While the condition is common as you age, it can also occur because of underlying medical conditions, such as infections and ​neurological disorders​.

There are several types of incontinence, including:

Stress Incontinence 

If you suffer from stress incontinence, urine leaks due to pressure on the bladder from sneezing or laughing.

Urge Incontinence 

If you suffer from urge incontinence, the sudden urge to urinate can lead to urine leaks when you can’t make it to the bathroom in time.

Overflow Incontinence

In overflow incontinence, you experience frequent leaks of urine due to the bladder not emptying completely.

You may also have mixed incontinence, a situation where you experience urine leaks due to one or more factors.

What are the risk factors for incontinence?

Your bladder may weaken as you age, resulting in frequent urine leaks. You may also be at increased risk for incontinence issues if you’re:

  • Female
  • Overweight
  • Have a chronic disease
  • Are or have been pregnant

If you’re a smoker or have a family history of incontinence, your risks for incontinence may increase.

Neurological conditions: ​like multiple sclerosis, spinal cord injury, injury to spinal nerves, neuropathy conditions, Parkinson’s disease, traumatic brain injury among others can cause bowel and bladder incontinence.

How is incontinence diagnosed?

We will work closely with your urologist, OBGYN, and/or neurologist to determine the cause or causes of incontinence and how much of it is due to ​neurological causes that we specialize in treating.

What treatments are available for incontinence?

Treatment options for incontinence depend on the root cause of your condition.

While structural causes are managed with pelvic rehabilitation and close work with your urologist/OBGYN, neurological causes are often treated with medications that can have significant side effects (including increasing the risk of Alzheimer’s disease).

We specialize in utilizing neuromodulation with sacral neurostimulation or posterior tibial nerve stimulation to improve and control the neurological causes without relying on medications with their side effects or Botox® injections that wear off every 12 weeks at best.

Neurostimulation is FDA approved for bowel and bladder incontinence and advances in technology allowed for microsized systems, with wireless power supply or small very long-lasting rechargeable internal power supply that provides seamless symptomatic relief without active management of the device by the patient. Allowing for hassle-free management of symptoms.

If you’re tired of urine leaks and the side effects of current treatments, schedule your consultation today by phone.