“Dr. Bergin at Chiromed Wellness Centers is the best chiropractor in town. I no longer have to take pain meds. If you still have pain, you’re not seeing to best chiropractor.”
Condition
Urinary Incontinence treatment
in Lakeland and The Villages, FL
Leaking is common. It is not something you have to accept, plan your day around, or discuss at a front desk. Assessment here is private and non-surgical.
- 22 years in practice
- Non-surgical, drug-free
- $47 new patient exam
- 22 years in practice
- $47 new-patient exam
Medically reviewed by Dr. Justin Bergin, DC Updated September 14, 2026
Quick summary
Urinary incontinence is the accidental loss of urine, and it comes in three main patterns: stress, urge and a mix of both. It affects women and men, including men who leak after prostate surgery. Care here is non-surgical and drug-free, built around pelvic floor assessment and retraining at the Lakeland and Lady Lake offices. Medication and surgery are not performed here.
Understanding urinary incontinence
Urinary incontinence is any accidental loss of urine. Stress incontinence leaks with pressure: a cough, a sneeze, a lift, a laugh. Urge incontinence is a sudden desperate need with too little warning. Mixed incontinence is both together, and it is the most common pattern in older adults.
Which type you have decides what is worth doing, which is why assessment comes first. Stress leakage is usually a support problem: the closing mechanism cannot resist a sudden rise in abdominal pressure. Urge leakage is a bladder and nerve signalling problem: the bladder contracts when it should be waiting, and the warning time collapses. Mixed incontinence needs both addressed, and treating only one half is why a lot of people conclude that nothing works. In women the common contributors are childbirth, menopause and lost pelvic floor tone. In men the dominant cause is prostate surgery. Importantly, a pelvic floor can also be too tight rather than too weak, and in that case squeezing harder makes matters worse, which is a common reason self-directed exercises fail.
Most people manage this quietly for years before they mention it to anybody. You know where the bathrooms are on every route you take. You have stopped the exercise class, or you wear a pad to it. You laugh a little less freely than you used to. It is extremely common and it is treated as though it were rare, mostly because nobody talks about it, including at appointments where it would have been the useful thing to raise. There is nothing embarrassing about the mechanics of it: the pelvic floor is a muscle group, and muscle groups can be weak, tight, badly coordinated or all three. Dr. Justin Bergin has been in practice for 22 years and assesses this the way he assesses any other muscular and neurological problem, privately and without fuss. Evaluations are available at both the Lakeland office on South Florida Avenue and the Lady Lake office serving The Villages.
Independent background: Bladder Control Problems, National Institute of Diabetes and Digestive and Kidney Diseases.
Symptoms
Most people recognise their own version somewhere in this list. Each one maps to a specific finding the examination checks for.
- Leaking when you cough, sneeze or laugh
- Leaking during exercise or lifting
- A sudden urge with little warning
- Needing the bathroom more than eight times a day
- Waking more than once at night to go
- Leaking on the way to the bathroom
- Wearing a pad as a matter of routine
- Leaking after prostate surgery
- Planning outings around bathroom access
Common causes
Pelvic floor weakness
The muscles that support the bladder and close the urethra lose tone through childbirth, ageing, inactivity or surgery. When they cannot resist a sudden rise in abdominal pressure, a cough or a lift produces a leak.
A pelvic floor that is too tight
Less well known and frequently missed. A floor held in constant tension fatigues and coordinates poorly, producing both urgency and leakage. For this group, more squeezing is the wrong prescription.
Prostate surgery and prostate change
Removal or treatment of the prostate alters the support around the urethra, and leakage afterwards is common. It often improves with proper retraining, which is why men belong in this conversation.
Menopause and hormonal change
Tissue in the pelvic floor and around the urethra thins and loses elasticity after menopause. Bladder symptoms frequently appear in the same period as other post-menopausal changes, and the two are related.
Bladder irritation, habit and medication
Caffeine, alcohol and carbonated drinks irritate the bladder lining in many people, and so does the habit of going just in case. Several common medications, diuretics among them, contribute directly.
How we treat urinary incontinence in Lakeland and The Villages
The assessment establishes which pattern you have and whether your pelvic floor is weak, tight or poorly coordinated. Treatment is then pelvic floor recovery work matched to that finding, with the vitality line involved where bladder and sexual symptoms share the same pelvic cause. Nothing is prescribed and no surgery is performed.
Pelvic floor recovery matched to your pattern
The work depends entirely on what the assessment shows. A weak floor needs graded strengthening and coordination with breathing and load. A tight floor needs releasing before anything else, because strengthening it makes symptoms worse. Retraining bladder habits runs alongside either.
Where bladder and sexual symptoms share a cause
The pelvic floor participates in continence and in sexual function, so the two sets of symptoms often arrive together, particularly after prostate surgery and after menopause. Where that is the case, the vitality line uses the same pelvic assessment rather than starting over.
What recovery usually looks like
Private assessment Your first visit
History, a bladder and symptom picture, and an assessment of pelvic floor function including whether the floor is weak or overactive. You are told which pattern you have and what would realistically help.
Correcting the approach, then building control Through the plan
For many people the early part is unlearning: stopping exercises that are making an overactive floor worse. Strength, coordination and timing are then trained together, because a strong floor that fires late still leaks.
Holding it Longer term
Pelvic floor gains fade if the work stops entirely, so the plan ends with a maintenance routine you can keep. If progress has stalled, we say so and refer.
When to seek care sooner
What to try at home first, with one honest caveat. Cut bladder irritants for two weeks, meaning caffeine, alcohol and carbonated drinks. Do not restrict fluid to reduce leaking, because concentrated urine irritates the bladder and makes urgency worse. Stop going just in case. Keep a three-day diary of drinks, bathroom visits and leaks. On pelvic floor exercises: they help many people, they are not enough on their own for everyone, and if your floor is overactive rather than weak they can make things worse, which is the main reason to be assessed rather than guess. See a physician promptly if there is blood in the urine, pain or burning, fever with back pain, if you cannot empty your bladder, if leakage began suddenly, or if it arrived with new weakness or a change in bowel control.
Red-flag findings belong with a physician, promptly, and not with conservative care alone.
Cost, insurance and financing
Cost depends on the assessment and on how much retraining the pattern calls for. Straightforward stress leakage and mixed incontinence after prostate surgery are not the same plan.
The one published price
Consultation, Exam, X-Rays (If Needed) & Report of Findings: Only $47
What moves the cost
- Which pattern the assessment identifies
- Whether the floor needs releasing before strengthening
- How long symptoms have been present
What a course includes
- A private assessment and the report of findings
- A home programme you can actually carry out
- Referral where the picture is not ours to treat
Payment: Pelvic floor recovery sits in the cash-pay side of the practice and we say so before anything starts. Chiropractic care bills insurance and our team verifies your benefits first. Medicare coverage varies by plan and by service, which matters to a lot of patients at the Lady Lake office, so our front desk will tell you exactly what applies before you commit rather than after. New patients start with a consultation, exam, x-rays if needed and report of findings for only $47.
Who you would be seeing
Dr. Justin Bergin, DC has been in practice for 22 years, and the distinction he cares about on this condition is between a weak pelvic floor and an overactive one, because the treatment reverses depending on the answer. A great many people have been handed a sheet of exercises without anyone establishing which they had. Assessment is done privately and discussed privately. Medically reviewed by Dr. Justin Bergin, DC.
Dr. Justin Bergin, DC, 22 years in practice, performs the examination personally and explains the findings before any program starts. Lakeland: 6595 Florida Ave S, Suite 13, Lakeland. The Villages market office: 929 US-441 #404, Lady Lake. Both offices run the same program.
Getting to us
The Lady Lake office at 929 US-441 #404, just north of CR 466, serves The Villages, Summerfield, Wildwood, Oxford, Fruitland Park and Leesburg, and this is the condition that brings more people through that door than almost any other. It is close enough for a golf cart run from the northern villages and a short drive from Spanish Springs Town Square or Lake Sumter Landing. In Polk County, the Lakeland office at 6595 Florida Ave S, Suite 13 sees a younger group, often women after childbirth and men after prostate surgery, travelling in from Highland City, Southgate, Dixieland and the Christina area.
Browse every condition on the conditions we treat index.
Options compared, honestly
This is treated very differently depending on who you walk in to see. Here is the full set, including the options this practice does not provide.
| Criteria | Our approachOffered at ChiroMed? | Option | What it is | Typically considered when | Invasive? |
|---|---|---|---|---|---|
| Pelvic floor assessment and retraining | Yes | Guided strengthening, releasing and coordination work for the pelvic floor | Stress, urge or mixed leakage without a structural cause | No | |
| Bladder habit retraining | Yes | Structured changes to fluid timing, irritants and voiding intervals | Frequency and urgency are a large part of the picture | No | |
| Prescription bladder medication | Not performed here. We do not prescribe. Appropriate when a physician judges urge symptoms severe enough to warrant it. | Tablets that reduce bladder muscle overactivity | Urgency is severe and conservative measures have not been enough | No | |
| Sling or mesh surgery | Not performed here. Appropriate when conservative care has genuinely failed and a surgeon confirms a structural support problem. | A surgically placed support beneath the urethra | Stress leakage is significant and has not responded to retraining | Yes | |
| Urology or urogynaecology referral | Not performed here, and we will point you there. Appropriate whenever the picture suggests a structural, prostate or neurological cause. | Specialist medical assessment of the urinary system | There is blood in the urine, retention, pain, or a neurological change | Varies |
Conservative care is usually the reasonable first step for stress and mixed incontinence, and it is genuinely effective for many people. It is not the answer for everyone, and if the assessment suggests a structural problem you will be sent to a specialist rather than kept here.
What to expect
From evaluation to a plan for your urinary incontinence
A course, not a single visit. The examination decides the length and the cost, and both are written down first.
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01Evaluation
Orthopedic and neurological testing, with imaging on site where it changes the plan.
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02Findings, in plain language
What the examination actually found, and honestly whether this is a case conservative care can help at all.
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03A written program
Which disciplines, how many visits, over what period, and what it costs. Decided before anything begins.
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04Reassessment as it runs
Function is re-measured through the course. If the response says the plan should change, it changes.
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Find out what is actually driving it before choosing a program.
“I have had sich a great experience seeing Dr. Bergin. When other offices have told me I just had muscle damage or the only thing they could do for me was give shots, he said he had others ways to manage my pain and numbness, along with improving mobility. And he was right! I feel so much better!”
“I have had pain in my right upper back quadrant by my shoulder blade for at least a year now and the doctors have been unsuccessful in making the pain go away. I came to Dr. Bergin looking for some help. Within 3 to 4 weeks. My pain in that area is completely gone.”
“Dr. Bergin is phenomenal. Chronic lower back issues led a different doctor to mention back surgery to me. That was not an option I wanted to entertain. After a consult with Dr. B, he was confident that he could help resolve my back issues. I’ve been seeing him weekly to resolve the issue, and I am so pleased with the results so far! More mobility, less pain, and a great customer experience.”
“I bless the day that Dr. Bergin started working on me. I have had long standing pain for so long. After just a few visits my pain left and I feel so good. He is very patient oriented and caring. I regard him highly.”
“Dr. Bergin was instrumental in relieving my back pain which I had for many years. The techniques he used on relieving my back pain were impressive. I been going to chiropractors for years and Dr. Bergin is the best.”
Get in touch
Schedule your urinary incontinence evaluation
Tell us what you are feeling and which office is closer. A member of the ChiroMed team follows up within one business day.
- 1
Send the form
Two minutes. Tell us what hurts and which office is closer.
- 2
We call you back
A real person, within one business day, to find a time that works.
- 3
Exam and answers
History, orthopedic and neurological testing, imaging on site when it changes the plan.
- $47 consultation, exam, X-rays if needed and report of findings
- Payment plans available on the self-pay programs
- 4.8 out of 5 from 225 Google reviews
- Choose Lakeland or The Villages on the form
Urinary Incontinence questions
Tap a message for the honest answer. Call Lakeland (863) 940-3444
Is leaking just part of getting older?
It becomes more common with age and it is not something you simply have to accept. Incontinence is a muscular and neurological problem, which means it can be assessed and in many cases improved. Being told to live with it is not the same as being examined for it.
the clinic teamAre Kegel exercises enough on their own?
For some people yes, for many people no. They train strength but not necessarily timing or coordination, and if your pelvic floor is overactive rather than weak they can make symptoms worse. Establishing which situation you are in is the whole reason to be assessed before starting.
the clinic teamDo men get urinary incontinence?
Yes, and it is under-discussed. The most common cause in men is prostate surgery, which changes the support around the urethra, and leakage afterwards frequently responds well to proper retraining. Prostate enlargement and neurological conditions also produce it.
the clinic teamDoes Medicare cover treatment for bladder leakage?
Coverage varies by plan and by service, and we will not guess at yours. Our front desk will tell you exactly what applies before you commit to anything. Pelvic floor recovery here is a cash-pay service, while chiropractic care is billed to insurance, and those are separate questions.
the clinic teamShould I drink less to stop leaking?
No, and this is one of the most common mistakes people make. Concentrated urine irritates the bladder lining and usually makes urgency worse. The more useful changes are cutting caffeine, alcohol and carbonated drinks, and spreading normal fluid intake across the day.
the clinic teamDo I need a referral, or should I see a urologist first?
No referral is needed to be assessed here. A urologist is the right first stop if there is blood in the urine, pain, retention, a prostate history or a suspected neurological cause. For straightforward stress, urge or mixed leakage, conservative assessment is a reasonable place to begin.
the clinic teamSame-week appointments
Start with an examination, not a package.
Find out what is actually driving it before choosing a program.
- 4.8 out of 5 on Google
- $47 consultation, exam and report
- 22 years in practice
Consultation, Exam, X-Rays (If Needed) & Report of Findings: Only $47