Empowering YOU to be in control

Archive for the ‘Pelvic floor’ Category

The T Pessary

pTreatment The T pessaryis successful in treating a 1-3 degree cystocele accompanied by a rectocele. It can also be used to manage stress incontinence (SUI) The T pessary can be left in the body continuously for up to 30 days, but it is advisable to remove daily to give the body a rest and to […]/p

via The T Pessary.

Dribbly women don’t dance – incontinence and exercise.

Dribbly women don’t dance – incontinence and exercise by Elaine Miller physiotherapist

 If you are reading this you are not my audience.  Sorry.  The fact that you are reading something to do with incontinence suggests that you already have an understanding about the condition, are comfortable getting information about it, and are keen to learn more. So, you either are, or, will be, alright.

The people I fret about are the millions of women who are living with their leaking and not yet seeking help.  They just put up with having poor bladder control, pad up, and feel a bit disappointed.

Well, I say “feel a bit disappointed”.  In fact is that a third of them go on to develop clinical depression.  Of course, exercise is commonly recommended for managing mood disorders – but, if you leak when you run, well, you’re not going to go for a run, are you?

And, therein lies the huge public health rub.

Diseases of inactivity, like coronary heart disease, kill women.  One in eight UK women die from heart disease.  Exercise isn’t just about being able to keep up with the kids, or beating the blue, it’ll keep us alive.

But, speaking as someone who peed herself during zumba…it is very difficult to be physically active and avoid impact on your pelvic floor.

When I rule the world, some pieces of gym equipment will carry “pelvic floor warning” signs.  Rowing machines, reclining bikes, a loaded leg press – yep, wouldn’t want anyone with a prolapse on those things.  Oh, or trampolines, those things can have a label on them.  And, the plank, star jumps, tennis, lunges, I could go on.

In fact, I’d force incontinence pad manufacturers to print pelvic health advice on their packaging.  And, while we’re at it, they can fix that awful glue which comes unstuck and allows the pad to attach itself to your labia instead of your gusset…ouch.

So, we’ve got a classic Catch 22.  In order to reduce your risk of pelvic organ prolapse and your symptoms of stress incontinence you need to keep your weight under control.  But, you wet yourself at zumba, so aren’t keen…

Pelvic floor friendly exercises have reduced impact forces – like swimming, cycling, pilates (when it’s well taught and you are absolutely sure your technique is good), speed/power/Nordic pole/hill walking, aqua-aerobics and low-intensity cross trainers.

However, runners?  They wanna run, not walk, they want to run. That’s when internal support can be helpful, Sherrie Palm (she knows everything there is to know about pelvic floors) says that pessaries like incostress should be used when a woman is participating in acvities with impact.

Now, that does not mean that you can shove in a grade 4 prolapse with an incostress and get back to athletics training…but, it does mean that if you have a mild prolapse, or mild stress incontinence symptoms, and you are complying with a pelvic floor strengthening regime which your physiotherapist has given you, AND you use internal support – well, you just might manage to get back to zumba.

Ask me how I know.

Credited to  Elaine Miller Gussie Grippers

Elaine Miller on of the UKs leading physiotherapists who has a post-grad in sports medicine. She focuses her energy on helping women overcome pelvic floor disorders and incontinence and breaks down the taboo through her humour and pelvic floor parties where she has a one hour solo show entitled ‘Gusset Grippers’. Look out for Gusset Grippers at Edinburgh Fringe Festival this August. An amazing lady who fears no pelvic floor!

Find out more about Gusset Grippers on the Gusset Grippers website 

Elaine’s blog and more information on where to see Elaine at the Edinburgh Festival

Pessaries for Prolapse – The T pessary

Pessaries to treat incontinence and pelvic organ prolapse
There are over 250 pessaries available to treat symptoms of pelvic organ prolapse and incontinence, yet very few patients are told about the availabilities.The ring pessary is the most widely used to treat pelvic organ prolapse issues but is is suitable for everyone?

Over the next few weeks I will be showing you how different types of pessaries can help certain pelvic organ prolapse and incontinence issues.

Pelvic organ prolapse is essentially a ‘hernia’ a decent of an organ into the wall of  another organ in the pelvic area or vagina.  For more information about pelvic organ prolapse please visit www.incostress.com

The T pessary

T pessary for treatment of Cystocele or/and Rectocele

T Pessary type R

The T-Pessary is specifically designed for the treatment of cystocele and rectocele. The cylindrical ergonomic shape supports the bladder into an anatomically correct position.

A cystocele occurs when the bladder drops into the vaginal wall. The vaginal wall over time becomes thin and weakens and can not support the vital organs which leads to the bladder ‘sinking’ into the vagina.

Many women experience the feeling of a ‘bulge’ or a ‘ball’ inside the vagina. Some women find that they have urinary stress incontinence or the inability to empty the bladder completely,  which may be an indication of an early cystocele.

Constipation or unable to completely clean the bottom after wiping can indicate a rectocele.

The T-Pessary is made from body friendly medical grade silicone and can be easily inserted and removed.  The different sizes allow a perfect fitting.

Is surgery necessary?

The best person to speak to, is your doctor. Prepare your questions before you see him so you are sure that all your questions are answered.

Due to the lack of knowledge many women have about their own body and pelvic organ prolapse they wait too long before seeking medical advice. Waiting too long will only make the condition worse and in some cases the only answer is surgery. To avoid getting this far, prevention is the best method. Kegel exercises should be carried out on a regular basis starting in your early 20’s or even in your late teens. Ask your women’s health physiotherapist about how to carry out kegels correctly.

Nobody wants to end up under the knife, and one alternative may be the use of a pessary, it may not be a permanent solution but it may just give you that extra support you need to offer you a better quality of life or even a solution whilst waiting for surgery.

    T pessary for treatment of Cystocele or/and Rectocele

The specially designed surface avoids pressure points in the mucosa. Especially during exercise – such as heavy work or sport – the T-pessary will hold bladder and bowel in the anatomically correct position. Contact us for more information www.incostress.com

How do I know which size is right for me?

Correct size will have to be determined by your doctor or trained physiotherapist who specialises in pelvic organ prolapse.

Note for Medical Staff

Contact C&G Medicare for size sets in any of the range of pessaries – C & G Medicare Ltd UK offer the largest range of pessaries in Europe we also manufacture our own which includes Incostress and the latest P type Pessary which will be available from May 1st.

C&G Medicare Ltd Williams House
11-15 Columbus Walk
off Brigantine Place
CF10 4BY
United Kingdom
Why not come and see us at Naidex 30 April – 2 May 2013 at the NEC Birmingham Stand C165

Recommended reading about pelvic organ prolapse issues

Pelvic Organ Prolapse by Sherrie Palm

pelvic organ prolapse book








Everyone knows that Dr Arnold Kegel discovered the pelvic floor exercises. Exercises which are to this day, encouraged by medical professionals to prevent conditions such as incontinence, pelvic organ prolapse and in general weak pelvic floor muscles.

Weakness of the pelvic floor can be hereditary or can be caused from a range of factors. Obesity, pregnancy, low oestrogen levels, menopause, Pelvic organ prolapse, laxity of the pelvic floor muscles are to name a few reasons why the pelvic floor  needs extra attention.

Dr Arnold was a brilliant gyaneacologist in his time and has opened the path for many to follow his good work in his footsteps.

Dr Bruce Crawford OBYGYN

Founder of Pfilates program

Founder of Pfilates program

One gynaecologist in Nevada who has excelled in his work not only as a brilliant gyaneacologist but as a compassionate man who understands the needs of women who suffer with pelvic organ dysfunction of any kind. Dr Bruce Crawford MD understands the importance of helping women solve conditions such as incontinence, pelvic organ prolapse etc.

For many women these conditions are demoralising and often have a negative impact on the quality of life. Many women find themselves  becoming more and more introverted due to issues such as incontinence and pelvic organ prolapse.

When they do pick up the courage to speak to a doctor, they are kept waiting for months (sometimes in pain) before they get to see a gyaneacologist to find out what the cause of the problem actually is. Many women don’t want to have surgery and are too frightened to seek medical help because they think that is all there is left for them.

Physiotherapy treatment is an excellent way to start the pelvic floor rehabilitation process. We found from a survey of 150 women in the United Kingdom, those who spoke to their physiotherapist felt reassured and completely comfortable with opening up their feelings. The physiotherapist took time to explain everything of the ‘hows and why’s of the pelvic floor. (GPs in the UK often don’t have the time to speak to their patients, and as patients don’t see incontinence or pelvic floor issues as a life threatening problem many don’t seek help as they ‘don’t want to bother the doctor’.

Out of the 150 women who did seek physiotherapy help 78% were found to have not known how to do a kegel exercise correctly before seeing the physiotherapist. Are you doing your pelvic floor exercises correctly?

Dr Bruce Crawford develops Pfilates (the only exercise program with clinical studies)

Pfilates is a program of neuromuscular conditioning based on extensive EMG recordings taken from the pelvic floor.  Pfilates was created by an American Urogynecologist to provide a method of home pelvic floor fitness training accessible to a broad population.

Pelvic floor disorders are absolutely epidemic.  Stress urinary incontinence, overactive bladder, female sexual dysfunction, pelvic organ prolapse, and fecal incontinence are so commonplace they are often regarded as the inevitable consequences of childbirth and aging.  When these conditions are treated they are to often regarded as purely mechanical disorders requiring a surgical solution.  Although trained as a surgeon I have come to regard these disorders as principally neuromuscular disorders deserving of a neuromuscular solution.

It is clear that programs of pelvic floor neuromuscular rehabilitation successfully improve pelvic floor symptoms.  Such programs typically involve a set schedule of isometric pelvic floor muscle exercises (Kegel exercises) that must be continued long term.  It is also clearly established that very few women will continue to perform this type of isometric exercises for an extended period of time.

In creating the Pfilates program we have ventured to provide a plyometric (movement oriented) method of pelvic floor exercise that could be incorporated in to any regular fitness routine.  Our neuromuscular research reveals that movements which engage the external hip rotators, adductors of the thigh, transverses abdominals, and gluteal muscles also facilitate, or induce, a pelvic floor contraction.  This information has proven especially useful for women unable to perform an isolated voluntary pelvic floor contraction.

The Pfilates program is a simple program consisting of ten movements presented in the same order in three different phases (beginning, intermediate, and advanced).  Each of the Pfilates movements includes a series of repetitions followed by a hold phase and a pulse phase at the point of peak engagement of the pelvic floor.  As such these movements encourage the development of the three essential elements of neuromuscular performance: strength, endurance, and coordination.  The Pfilates DVD includes a detailed “Learn These Movements” that should be reviewed carefully before beginning any of the ten minute routines.

Pfilates is intended to be preventative but also a therapeutic alternative for those already experiencing symptoms of pelvic floor dysfunction.  For patients that have already has surgery Pfilates can help protect the investment and reduce the chance for recurrent symptoms

For more information about Pfilates program contact C&G Medicare Ltd.  We are offering the full Pfilates kit which includes 64 minute DVD of Pfilates exercises, 1 full colour manual, 20 cm Pfilates ball,  plus a free antibacterial cleaning spray plus a free satin bag to store your kit in. Total value £51.48 we are offering this for just £29.99 at our store www.incoshop.co.uk  

Created by Dr Bruce Crawford

Created by Dr Bruce Crawford

IncoStress helping embarrassing situations


It is estimated that 1 in 3 women have urinary stress incontinence

It’s thanks to programs such as Embarrassing Bodies that awareness is raised about stress incontinence and women can take a positive step to react and do something about it.

Physiotherapy is a good start to break bad habits regarding the pelvic floor and train to get into good  habits which can keep the pelvic floor firm and tight, controlling those embarrassing leaks (SUI).

There are many reasons why women have stress incontinence. Some of the common reasons are

Childbirth, menopause, chronic cough, laxity of the pelvic floor, MS…..

Pelvic floor therapy has been used successfully for decades. Probably the most famous doctor of all who introduced Kegel Training was Dr Arnold Kegel. This is a set of exercises which engage the core muscles of the pelvic floor allowing the woman better control, not only for incontinence, but control during sexual intercourse and the ability to control passing wind.

There have been many products designed to help with kegels (pelvic floor exercises). Please remember that the pelvic floor muscles are a group of muscles which can be overworked, torn and damaged just like any other muscle in the body. The problem is that because you can’t see this group of muscles women tend to overwork them.

Make sure you find the right product to actual suit your specific condition (which is why as a medical company/manufacturer of Incostress and the Kegel8 Day toner we always recommend you discuss any exercises and symptoms with your  doctor or physiotherapist first).

The pelvic floor does not mean No Pain No Gain! In fact it is the opposite. If you have pain in the pelvic floor region please get to a doctor sooner rather than later.

Discuss the use of Incostress with your doctor. IncoStress is a class IIa medical device (class 2 in Canada ) which has undergone rigorous trails and scrutiny from several sceptics. Incostress has proven time and time again to be an instant solution for women with stress incontinence as it supports the bladder neck and urethra, controlling the leakage of incontinence. Incostress is also an aid to help you identify the pelvic floor muscles for you to gently work out internally.

During the design stage we considered every aspect of the symptoms, conditions it would treat and also the ergonomic shape to offer total comfort to the user.  During the clinical trial 30% of women were taken off the waiting list for surgery thanks to using Incostress.

If you have had surgery, Incostress can also be used as a support for the pelvic floor during recovery.

What in the pipeline for C&G Medicare ? We have taken the role to look after APOPS Europe (Association of Pelvic Organ Prolapse Support) a non-profit organisation, run by medical people to help women who have POP (pelvic organ prolapses)

We are designing a major product which is set to help women with pelvic organ prolapse. This project will help by concentrating on the Pelvic Myofascial Trigger points offering solutions for pelvic organ prolapse and incontinence.  If you are a women’s health physiotherapists and would like to get involved, we would love to hear from you.

Speak to your physiotherapists or doctor about IncoStress.



Pelvic Organ Prolapse and why you need to educate yourself

Sherrie Palm author of the award winning book Pelvic Organ Prolapse the silent epidemic

Sherrie Palm is a public speaker, women’s advocate for pelvic organ prolapse and founder of APOPS, (Association for Pelvic Organ Prolapse Support) through the organisation (non-profit) the team of experts Sherrie has appointed help raise the awareness and offer invaluable advice to women who suffer POP.

The European arm of APOPS bridges the gap between patient and doctor or physiotherapist. When a woman is so desperate, and embarrassed that she either feels part of her insides falling down or even worse in some cases the insides fall out through the vagina, these women feel they have nowhere to turn. APOPS provides them with guidance, information and a contact who specialises in this area within the patients postcode area.

For more information about APOPS and pelvic organ prolapse visit www. pelvicorganprolapsesupport.org 

or www.incostress.com

About Pelvic Organ Prolapse the silent epidemic

An award winning fantastic book which gives women down to earh plain speaking advice, diagnosis and how to deal with Pelvic organ prolapse.

Pelvic organ prolapse is an extremely common female health issue that ALL WOMEN need to know about. Symptoms of pelvic organ prolapse (POP) can be confused and mistaken for other health conditions. Symptoms of POP are:

pelvic/back/vaginal/rectal pain
Urinary or fecal incontinence
pain with intercourse
chronic constipation
lack of sexual sensation
vaginal/rectal pressure

and many others.

Vaginal childbirth and menopause are the two leading causes of POP. Unfortunately, most women first hear about pelvic organ prolapse AFTER they are diagnosed with POP.

If you suffer from any of the above symptoms, you may be suffering from a cystocele, rectocele, or type of POP and should talk with your physician about pelvic organ prolapse now.

Our goal is to increase awareness and recognition of POP symptoms, causes, and treatments. Pelvic organ prolapse impacts millions of women around the world physically, emotionally, socially, sexually, and financially. We need to increase POP awareness; we need to increase it now.

Book Details

Hardcover Book, 148 pages
Language: English
ISBN-10: 1606939653
ISBN-13: 9781606939659
Dimensions: 9.00 x 6.00 x 0.50 inches
Shipping Weight: 0.86 lbs

Scotts & Co have been great supporters of Sherries book, helping raise the awareness of this treatable condition.

Order your copy of pelvic organ prolapse via vivadirect click here to go straight to the catalogue

Which type of incontinence do you have?

This survey is designed to help you and your doctor determine what type of incontinence you are experiencing. No personal information such as email address, names etc. This survey is for you to fill out and print off to take to your doctor to help you.
Click here to take survey

For more information on incontinence and pelvic organ prolapse visit http://www.incostress.com

 Which type of incontinence do you have?

For Stress Incontinence, over active bladder (to stabilize the bladder) nocturia and pelvic floor strengthening you may want to try

INCOSTRESS. Go to www.incostress.com

Incostress is a class IIa medical device which has clinical evidence to demonstrate its efficacy.

Incostress is made in the United Kingdom by C&G Medicare. We also manufacture the Day Toner which is a class I pelvic floor exerciser.

Incostress can be left in the body up to 29 days, however we recommend you use it for a maximum of 8 hours then remove for an hour before re-inserting. We want you to train your pelvic muscles so eventually you won’t need anything to control the incontinence.

Incostress is made from body friendly medical grade silicone, which means it can be washed and re-used time and time again.

Incostress is ideal for any woman who can support a tampon. (there is no risk of toxic shock syndrome with Incostress as bacteria does not breed on silicone.

Order your Incostress in store from Boots or online in the United Kingdom.

Order from www.incostress.com and get a FREE bottle of IncoClean, a biofriendly antibacterial cleaner which also protects your Incostress. IncoClean is safe to use on skin as it is PH balanced. It does NOT contain alcohol.

We recommend Incostress for women who

Have just had babies

Women who are approaching the menopause (depletion of oestrogen can weaken the muscles Incostress can help maintain muscle control)

Women who have passed the menopause.

Women who experience over active bladder and want to train their bladder to be stable

Women with Urinary Stress Incontinence (SUI)

Women who leak slightly during sports. Incostress acts as a support for the pelvic floor during impact, lessening the strain of the pelvic floor

Women who suffer nocturia (getting up several times during the  night to pass water).

Incostress stops incontinence

%d bloggers like this: