PELVIC SUPPORT
Leaky Bladder & Incontinence Treatment in Waterloo Region
If bladder leakage or pelvic weakness is affecting your daily life, professional pelvic support can help restore confidence and comfort.
THREE THINGS, NOT ONE
Strengthening the Muscle Is Only Part of It
Leakage in your forties and fifties is usually two problems at once. The pelvic floor muscles have weakened, and the tissue of the bladder and urethra has thinned as estrogen has declined. Physiotherapy and pelvic floor devices address the first. Neither one touches the second.
Which is why some women do the exercises properly, work hard at it, and still leak.
At Bonita you can access all three in the same clinic. Pelvic floor physiotherapy with Kristen Parise, PT. The B-Pulse chair for passive muscle strengthening. And where the hormonal side is contributing, vaginal estrogen prescribed by Jessica Caceres, Nurse Practitioner, which restores tissue rather than muscle.
Most clinics offer one of those. We will work out which combination you actually need.
THE APPROACH
Support for Pelvic Strength and Function
Our treatments focus on strengthening pelvic floor muscles, improving support, and enhancing bladder control.
We develop a plan that matches your goals and comfort level.
YOUR OPTIONS
Targeted Solutions for Pelvic Weakness
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Kristen has over 23 years of experience in pelvic health rehabilitation and is an Assistant Clinical Professor at McMaster University's School of Rehabilitation Science. She treats incontinence, pelvic pain and sexual dysfunction, and is trained in assessing and fitting pessaries. Appointments are available in person and virtually.
What This Gives You:
A proper assessment rather than generic exercises
Treatment that addresses the cause, not just the symptom
No referral needed
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A non-invasive chair that strengthens the pelvic floor without exercises, internal components or discomfort. You sit fully clothed for 30 minutes while it works, and most clients notice a difference after a series of six sessions. It uses high-intensity focused electromagnetic energy to trigger thousands of pelvic floor contractions per session, far more than you could achieve on your own.
What This Gives You:
Stronger pelvic floor without doing the exercises
Improved bladder control
A treatment you can do fully clothed
B-PULSE PELVIC HEALTH CHAIR
A non-invasive chair that strengthens the pelvic floor without exercises, internal components or discomfort. You sit fully clothed for 30 minutes while it works.
The B-Pulse Chair employs state-of-the-art technology to combat incontinence, among other benefits, offering a non-invasive and comfortable solution with minimal downtime. Tailored for women seeking to regain control over their pelvic floor muscles and restore confidence, this chair uses targeted electromagnetic pulses to stimulate and strengthen the muscles responsible for bladder control. With customizable settings, the B-Pulse Chair adapts to individual needs, ensuring a personalized and effective treatment plan.
The B-Pulse also supports circulation and sensation, which we cover on our intimate health page.
B-Pulse Chair Supports:
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As a result of aging, childbirth, and other factors, incontinence affects almost 30% of women. The B-Pulse chair offers a non-surgical solution to the effects of incontinence, significantly increasing quality of life.
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Recognizing the importance of sexual well-being, the B-Pulse Chair incorporates vaginal tightening features. Used to optimize blood circulation and enhance intimate satisfaction, all while improving pelvic health.
We also treat erectile dysfunction with the same device.
WHAT TO EXPECT
A Clear, Supportive Path to Strength
Step 1: Personalized Assessment
We review your symptoms and goals.
Step 2: Customized Treatment Plan
Your plan focuses on pelvic support and comfort.
Step 3: Ongoing Care & Refinement
Progress is monitored and your strategy is refined.
FOR MEN
The B-Pulse is not only for women. Men use it for urinary leakage, including after prostate surgery, and for pelvic floor strength generally. Kristen also treats men. If this is you, our men's services page covers what else we offer.
FREQUENTLY ASKED QUESTIONS
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Urinary incontinence in women is most commonly caused by weakening of the pelvic floor muscles, which support the bladder and urethra. This weakening is often related to childbirth, hormonal changes during perimenopause and menopause (particularly the decline in estrogen, which affects the strength of pelvic tissues), aging, and chronic strain from factors like coughing or high-impact activity. It is extremely common and very treatable. It is not something you simply have to accept.
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We treat stress urinary incontinence (leakage with sneezing, laughing, or exercise), urgency incontinence (a sudden strong urge to urinate followed by leakage), and mixed incontinence, which is a combination of both. Our team will assess your specific presentation and recommend the most appropriate treatment approach.
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We offer two main treatment pathways. Pelvic floor physiotherapy with Kristen Parise, PT addresses the muscular and functional causes of incontinence through targeted assessment and rehabilitation. The B-Pulse pelvic health chair uses electromagnetic stimulation to strengthen the pelvic floor muscles passively, without any internal components or discomfort. Both approaches can be used independently or together, and we will recommend the right fit based on your assessment.
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The B-Pulse is a non-invasive pelvic health chair that uses high-intensity focused electromagnetic (HIFEM) technology to stimulate thousands of pelvic floor muscle contractions per session. You sit fully clothed on the chair while it works. Each session is typically 30 minutes, and most clients notice improvements after a series of 6 sessions. It is an excellent option for women who are not ready for physiotherapy or who want to complement their existing treatment.
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Pelvic floor physiotherapy with Kristen Parise, PT is a clinical assessment and treatment process carried out with full respect for your comfort and consent at every stage. Kristen explains each step before proceeding and works at a pace that feels right for you. Many clients feel significantly more at ease after the first appointment than they expected to beforehand.
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No referral is needed. You can book directly with Kristen Parise, PT through our website or by calling or texting the clinic at 519-404-3444.
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A consultation is the best starting point. Our team will take a full history, understand the nature and severity of your symptoms, and recommend the most appropriate treatment pathway. For some clients, physiotherapy alone is sufficient. Others benefit from the B-Pulse, hormone therapy to restore pelvic tissue strength, or a combination of all three. At Bonita, your care is coordinated across the whole team.
THE WHOLE TEAM
Physiotherapist, Device, and Prescriber in One Building
Kristen Parise, PT handles the physiotherapy. Our medical aestheticians run the B-Pulse. Jessica Caceres, Nurse Practitioner prescribes where the hormonal side needs treating. You are not being sent between three clinics to piece it together, and nobody is going to tell you this is just part of having children.
YOUR NEXT STEP
Feel Stronger and More Confident
Restore control and comfort with a plan built for you.