Urinary incontinence (UI) and overactive bladder (OAB) are health conditions that have higher prevalence rates later in life and can lead to a profound negative effect on UI-related quality of life. Evidence is lacking on the effects of conservative multimodal physical therapy (PT) interventions for UI and OAB in the older population. This case study presents a multimodal PT intervention for a 71-year-old woman with UI and OAB. After 4 sessions, the patient demonstrated improved UI-related quality of life and significantly decreased urinary symptoms. Urinary Distress Index Short Form (UDI-6) scores improved from 54.6 to 16.67. Pelvic floor muscle performance improved with increased strength, endurance, and coordination. This case supports the use of multimodal PT interventions for older patients with UI and OAB.