What is Estim?

Estim is known under a few descriptions, Erotic Stimulation, Erotic Electro Stimulation and Electric Stimulation.

Depending what your needs are there are plenty of devices to chose from and it is always best to discuss the types of devices with your medical advisor prior to investing.

Estim is also known as EMS Electrical muscle stimulation or neuromuscular electrical stimulation (NMES)

What ever you chose to call it or which ever product you decide to use all of them come down to one thing, which is forcing the of muscles to contract through electric impulses.

Women with weak pelvic floor muscles may see this as an easy option for pelvic floor exercising, but  with every good idea there is always a down side, which is why it is so important to discuss any alternative pelvic floor therapy with your medical advisor and physiotherapist. Over use of an electrical stimulation on muscles and cause over tightening of the muscles which can lead to fatigue.

Using Estim with a physiotherapist.

The physiotherapist may place electrodes on the skin in various locations or insert a probe into the vagina to be able to stimulate a single or group of muslces.

These controled contractions via electrical stimulation helps strengthen the affected muscles. The physiotherapist can chnage the settings to allow for a strong or gentle muscle contraction. Along with increasing muscle strength, the contraction of the muscle also promotes blood supply to the area that assists in healing.

EMS machines can be beneficial as a strengthening training device towards healthy muscles and ligaments. It can also be used effectively as a rehabilitation method in patients that have little or no sensation of the muscles.

The machines used in physiotherapy practises are more powerful and tend to reach deeper into the muscle mass than the home devices.

There are several types of EMS devices and are used in different ways but all end up with the same purpose: to contract and stimulate muscles through the delivery of electrical impulses.

EMS can be particularly helpful for stroke patients.

For more information about EMS, Estim and other muscle rehabilitation products please see the specialists www.win-health.com

Pelvic floor toner and Hold It Sister by Mary O’Dwyer winners of Your Healthy Living

What better way to start spring time with KeyGal tested and voted as one of the best pelvic toners to encourage women to remember how to do their pelvic floor exercises by women’s health physiotherapists.

Your Healthy Living magazine is a lead magazine available from health stores (pick up your free copy from the health stores) has great articles and ethical products which have been tested and assessed by the team at YOUR HEALTHY LIVING.  http://www.yourhealthyliving.co.uk/

In this months issue you will find the lovely Linda Lucardi revealing her secrets on how she keeps looking good and in shape.

Your Healthy Living ran a competition to win a prize worth almost £50 worth. The KeyGal pelvic floor exerciser and a copy of the best selling Hold It Sister by lead physiotherapist Mary O’Dwyer.  5 lucky winners will be mentioned on the www.incostress.com site.

KeyGal and Hold It Sister







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.



A wee problem- wet yourself laughing is no laughing matter

We thank one of Australia’s experienced physiotherapists Fiona from  pelvicfloorexercise.com.au for allowing us to share her article with you.

C&G Medicare Ltd based in the UK work on raising the awareness about the importance of pelvic floor health for everyone. The founder and CEO Gaynor Morgan works with healthcare professionals in almost every country. She reaches women from all walks of life educating and helping them help themselves to get a better quality of life. A ‘leak free’ life.

Gaynor works and shares ideas with some of the most influential people in the medical field and also in the commercial field. She has worked with the top management of Boots Alliance in the United Kingdom advising how women can get a better pelvic floor strength through very simple steps.

She along with her mother (both ex nurses)  invented one of the worlds most effective medical devices. Incostress.

Incostress underwent clinical trials in 2004 at Singleton Hospital under the auspices of lead uro-gyaneacologist Mr Simon Emery. She has also a large clinical trial going on presently at Cardiff University Hospital aimed to be the largest of its kind in Europe.

Incostress is a re-usable medical device which instantly controls involuntary incontinence and allows the user to identify and strengthen the pelvic floor muscles. It’s so easy and simple to use, Incostress has been awarded several top prestigious international awards for its design, capabilities and usefulness.

Incostress controls the problem and improves your quality of life
The only medical device to control incontinence and strengthen the pelvic floor muscles.