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Posts tagged ‘Incostress’

Gehrung pessary suitable for cystocele, rectocele and procidentia

Gehrung Pessary:
The Gehrung pessaries are available with or without support knob in Milex, please note that Bioteque no longer supply the gehrun with knob into the UK.

The Gehrung is suitable for women presenting a cystocele and/or rectocele. They are also very effective treating procidentia where the uterus tends to herniate when other pessaries are used.

Fitting the Gehrung: If being fitted using the one with knob support, this gehrung should be fitted with a full bladder then you will be asked to empty the bladder post fitting. This ensures the knob is positioned properly and you can empty your bladder properly. The one without the knob, it isn’t necessary to fit with a full bladder, however the patient must be able to empty the bladder fully when the gehrung is inserted.
I would suggest you irriagate the vagine prior to fitting, this removes any loose membrane and excess secretions, which could potentially get trapped between the vagina and pessary and cause an unpleasant smell later on.

Please be aware that the gehrung is one of the most difficult pessaries to fit and should only be fitted and removed by your medical professional trained in pessary fitting.

Those with endometriosis, this may not be suitable for you and should be discussed with your doctor.

The gehrung is made from medical grade silicone and the arch can be manipulated to support the rectocele.

Gehrung fitting pessary

Are you a medical professional and would like to know more about our educational program on pessaries. Please get in touch via www.candgmedicare.com

Order gehrung pessaries

Pessary for pelvic organ prolapse

Following the success of the forum around education for pessary use in the management of pelvic organ prolapse, Gaynor Morgan CEO of C&G Medicare Ltd has set up a website to help those who seek information. www.incostress.com

Pessary pick of the month is a helpful educational tool to keep patients and doctors updated about the latest information around pessaries and their uses. Have a look at the full slide show for pessaries here.

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Pessaries have been around for centuries and their development has taken to different shapes and materials used, but the end result is the same, pessaries are there to suppor the pelvic organ prolapse. It will not cure a pelvic organ prolapse but it will help offer a better quality of life to the user.

Pessaries are used to treat cycstoceles, rectoceles,urtheroceles,enteroceles, uterine prolapse and vaginal vault.

Gaynor Morgan heads up APOPS Europe (Association for pelvic organ prolapse support Europe) a non profit org founded by Sherrie Palm.

Mumsnet has recognised the significance in the work APOPS is doing worldwide and has added the link to the pelvic floor section of their site.

For more information read Sherrie Palms book Pelvic Organ Prolapse the silent epidemic.


Medical staff please ask for the educational brochures for your clinics. Lets beat pelvic organ prolapse secrecy.


Hot Flashes – Menopausal Women Are Not Alone

Hot Flashes – Menopausal Women Are Not Alone

Although the causes of hot flashes remain mostly unknown, conventional wisdom holds that fluctuations in hormones contribute significantly.

When hormonal fluctuations occur (particularly a decrease in estrogens), the hypothalamus – the part of our brain, which, among other functions, is our body’s thermostat – becomes confused. The confusion causes the brain to register that we’re too hot. In turn, the body does what it’s supposed to do – reacts by triggering our “cool-off!” mechanisms. Our hearts beat faster, our blood vessels dilate in order to increase blood flow close to the skin’s surface in order to dissipate heat, and we sweat which creates the effect of evaporative cooling. All this is great if you were hot to begin with, but when it comes to hot flashes – that’s not the case.

Read more here…


Keeps you discreetly cool for 12 hours

Keeps you discreetly cool for 12 hours

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

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


Pfilates– A combination of pelvic floor exercise AND Pilates!

 One-Day Workshop

 Date: Saturday 28 or Sunday 29 September 2013


Venue: Springhealth Leisure, 81 Belsize Park Gardens, Belsize Park, London NW3 4NJ


Price: £197 – EARLY BIRD PRICE ENDS 31 JULY 2013!!!

Then £237 if paid thereafter


Book your space NOW – www.clairemockridge.com/pfilates

controls urge and stress incontinence. Gets you back into the shape you need

controls urge and stress incontinence. Gets you back into the shape you need

 Who is Pfilates suitable for?

Pfilates is suitable for:

  • Fitness Instructors
  • Personal Trainers
  • Pilates Teachers
  • Ante/Postnatal Specialists
  • Chiropractors
  • Physiotherapists
  • Osteopaths
  • And, ANYONE with an interest in pelvic floor health!

You do NOT need to have a Pilates qualification to attend, and on completion of the Workshop, you’ll receive certification as a Pfilates Instructor.

The Pfilates method can be used 1-2-1 with clients who require specialist attention, and also lends itself well to instruction in small groups.  Pfilates is particularly popular with groups of postnatal women.

Who created Pfilates?

Founder of Pfilates program

Founder of Pfilates program

The PFilates program was created by Urogynecologist Dr. Bruce Crawford to help women and men improve pelvic floor fitness.

Pfilates includes a series of exercise routines to assist clients improve pelvic floor strength, in a progressive pelvic floor fitness training program.

In 2008, Dr. Crawford studied 120 mat Pilates, Yoga, and personal training movements using and from this pool of data, a series of movements were selected that provide excellent passive engagement of the pelvic floor by using various co-contractors including the Transversus abdominis, lower extremity adductors, and Gluteals.

The result?  We achieve much greater motor-unit recruitment per contraction than the “traditional  Kegel”.

The Pfilates program exploits principals of plyometric training and overflow to achieve optimal pelvic floor performance.

Book your space NOW here: www.clairemockridge.com/pfilates

Contact Claire for Pfilates training

Contact Claire for Pfilates training

Date: Saturday 28 or Sunday 29 September 2013

Venue: Springhealth Leisure, 81 Belsize Park Gardens, Belsize Park, London NW3 4NJ

Price: £197 – EARLY BIRD PRICE ENDS 31 JULY 2013!!!

Then £237 if paid thereafter

For more details, your UK contacts are:

– Sarah Rosenfield


– Tel: 07767 404748

– Claire Mockridge


– Tel: 07747 656550


Order your Pfilates kits or Pfilates DVDs from www.incoshop.co.uk  64 min Pfilates DVDs an incredible £9.99

Pfilates is the fastest growing pelvic floor exercise program

Without a doubt, when a gynaecologist develops a program to improve pelvic health then you know it will be effective and ‘does exactly what it says on the tin’.
Pfilates was developed by one of the most respected gynaecologists Dr Bruce Crawford.
Pfilates is sweeping the continents with physiotherapists being trained to teach Pfilates to men and women.

C&G Medicare in the UK have worked with Dr Crawford for a number of years and has seen the success Pfilates has on women of all ages.

This unique program consists of 3 build up phases which allows the inexperienced in pelvic floor exercises gain confidence and strength starting at phase 1.
Pfilates kits are available from http://www.incoshop.com and the qualified medical staff at C&G Medicare are always on hand to offer professional advice.

Pelvic floor strengthening helps build good muscle tone which may prevent pelvic organ prolapse in some women, will help with preparation for an easier child-birth and will help with controlling bladder and bowel weaknesses. maintaining pelvic floor exercises with pfilates speeds up post partum recovery.

Find the 64 minute DVD for £9.99 click here for more information.

We recommend KeyGal or Pelvic Toner which are clinically approved medical devices to control those embarrassing leaks during exercise and strengthen the pelvic floor muscle tone.

Are you a physiotherapist interested in becoming a Pfilates Instructor? Contact us via our website for more information, stating which country you are  in and your existing qualifications.


Created by Dr Bruce Crawford

Created by Dr Bruce Crawford

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