Bowel & Bladder Dysfunction Therapy in Texas


Regain Control of Your Bladder and Bowels With Evidence-Based Pelvic Therapy

If you’re struggling with bladder or bowel symptoms that interrupt your day, disrupt your sleep, or make you plan your life around bathrooms, you’re not alone, and you don’t have to keep managing this on your own. These issues are treatable. 


I’m Katie Beckham, a pelvic health physical therapist based in Houston, Texas. I work with individuals, offering bladder and bowel dysfunction therapy for men and women in and around Spring Branch, who want clear answers and a focused improvement plan.


My goal is to help you restore normal bladder and bowel control with a clinical approach that respects your comfort, privacy, and time.



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What Bowel & Bladder Dysfunction Actually Means

These conditions involve difficulty storing or releasing urine or stool in a predictable, comfortable way. Symptoms may include:


  • Urgency or frequency
  • Urinary leakage, hesitancy, weak stream, or post-void dribbling
  • Constipation, straining, or incomplete evacuation
  • Fecal leakage or staining
  • Pelvic, rectal, or lower abdominal pressure


Most people are surprised to learn that these problems often come from functional pelvic floor and neuromuscular issues, not something visible on imaging or lab work. Understanding the true cause gives us a clear direction for treatment.


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Why These Symptoms Happen

01

Pelvic Floor Contributors

  • Muscles that stay too tight and won’t relax
  • Weak or delayed activation
  • Poor coordination with breathing and core control

02

Structural & Post-Surgical Contributors

  • Scar tissue or restricted mobility after abdominal or pelvic surgery
  • Postpartum changes
  • Hormonal shifts affecting tissue function

03

Systemic Factors

  • Elevated stress that heightens bladder signals
  • Gut inflammation, systemic inflammation or bowel irritation
  • Food, hydration, and lifestyle patterns that alter bladder or bowel behavior

Common Misconceptions That Delay Proper Treatment

  • “Kegels fix everything.”

Not always. Many people actually have overactive pelvic floor muscles that need downtraining first.


  • “It’s just aging.

Age may influence tissue health, but loss of bladder or bowel control is not an inevitable outcome.


  • “My tests are normal, so nothing is wrong.

Functional issues often don’t show on scans. Your symptoms are real and explainable.


  • “This must be my prostate.

In men, pelvic floor tension often produces prostate-like symptoms.



  • “Pads or coping strategies are my only option.”

Targeted therapy can significantly improve and often resolve these issues.

Men’s Pelvic Health - A Frequently Overlooked Area

Men often delay seeking help because symptoms feel embarrassing or hard to explain. Yet conditions such as hesitancy, dribbling, urgency, poor erectile function and chronic pelvic discomfort are frequently caused by pelvic floor dysfunction, not prostate disease.



I regularly work with men seeking urinary incontinence therapy for men in Bellaire who were told their prostate looked “fine,” yet their day-to-day symptoms continued. I also see men from Bunker Hill Village who want a focused, private environment to address urinary changes affecting work, exercise, or intimacy.


How I Evaluate and Treat These Conditions

Assessment

  • Internal and external pelvic floor examination
  • Coordination assessment of diaphragm, core, and pelvic floor
  • Breathing mechanics evaluation
  • Joint, spine, and soft-tissue assessment

Targeted Therapeutic Interventions

  • Pelvic floor downtraining when muscles are overactive
  • Strengthening and coordination training when needed
  • Bladder retraining and urge management strategies
  • Bowel evacuation mechanics and toileting techniques
  • Manual therapy for abdominopelvic tension and scar mobility

Integrative Support for Long-Term Results

  • Nutrition patterns related to constipation or bladder irritation
  • Nervous system regulation strategies
  • Gut and inflammation considerations
  • Hydration and movement routines

What You Can Expect During Therapy

  • Private, one-on-one sessions
  • Clear explanations throughout treatment session
  • A calm, respectful environment
  • Treatment begins at the first visit
  • A plan tailored to your bladder, bowel, and pelvic floor needs

Many men beginning urinary incontinence therapy in Bunker Hill Village notice meaningful changes once the pelvic floor begins responding appropriately.


When You Should Seek Specialized Care

Seek help when you notice:

  • Leakage of urine or stool
  • Sudden or frequent urges
  • Difficulty starting or fully emptying
  • Straining or incomplete evacuation
  • Disruption to sleep or daily activities
  • Tests are normal, but symptoms remain persistent

You don’t need to wait until symptoms worsen.



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Techniques