Health = 2

From: Subject: Health 2 Date: Fri, 8 Feb 2008 12:29:21 -0500 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0000_01C86A4E.3B73D760" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.3198 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01C86A4E.3B73D760 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.thetowncommon.com/Health2.html Health = 2


Last Update: Tue, February 5,=20 2008 1:09 PM=20

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Health

Getting to the CORE = of Bladder=20 Control=20

By Robin = Howe

Urinary incontinence (leakage of urine = at=20 inappropriate times) is a major quality of life = problem=20 affecting more than 27 million Americans. Incontinence = is a=20 well-kept secret and a taboo in our America society. =

Men, women and children who have = incontinence=20 often live in silence and shame with their condition. = Many=20 will fail to discuss this sensitive issue with their=20 healthcare providers for several reasons. Women may=20 erroneously believe that nothing can be done about it, = that=20 bladder leakage is simply part of the aging process or = a=20 hygiene issue. Some have come to rely on = self-management=20 regimens such as using incontinence pads or diapers = and=20 spending extraordinary amounts of money trying to = manage their=20 condition. Many people who suffer with incontinence = may=20 dramatically limit their fluid intake, which has = potential to=20 cause physiological problems associated with = dehydration.=20 Adolescents are reluctant to discuss their concerns = for fear=20 of feeling =93abnormal.=94 Men are humiliated by = incontinence and=20 are less likely than women to reach out to their = healthcare=20 provider for help. They live a =93secret life,=94 = desperately=20 trying to manage their incontinence and avoiding being = found=20 out. Incontinence can cause physical, social, = spiritual and=20 personal harm to anyone.

In our society, there is the = misconception that=20 nothing can be done about their condition except = surgery.=20 However, successful treatment options are now = available to=20 decrease incontinence without surgery.

Because bladder problems are often = caused by=20 weak pelvic floor muscles (the muscles surrounding the = bladder), Pelvic Muscle Rehabilitation may be = necessary to=20 achieve continence. This type of rehabilitation can be = offered=20 at a qualified clinician=92s (nurse, physician or = physical=20 therapist) office and, if indicated, be supplemented = with home=20 therapy.

Office-based pelvic floor therapy = consists of a=20 series of four to eight visits, each lasting = approximately=20 30-45 minutes. A continence care specialist will = provide=20 bladder and behavioral retraining techniques to = strengthen=20 weakened muscles. Additionally, a home exercise plan = will=20 increase strength and improve use of the pelvic floor = muscles=20 that control bladder problems.

Some people experience urine loss = while=20 coughing, sneezing or during other physical = activities. This=20 is called stress incontinence. This is a common type = of=20 incontinence in women after childbirth, menopause or = even=20 surgery. Pelvic Floor Therapy can help rehabilitate = the=20 weakened supportive muscles that cause this = problem.

Spasms of the bladder, indicated by an = urgent=20 and sometimes painful need to urinate, frequent trips = to the=20 bathroom, and possible urine loss is frequently called = an=20 "overactive bladder." Pelvic floor therapy has been = shown to=20 improve or correct the symptoms associated with this=20 condition. The symptoms of an "overactive bladder" can = be=20 experienced alone or in combination with stress=20 incontinence.

After simple diagnostic testing, you = and your=20 health care provider will decide if a pelvic floor = program is=20 an appropriate therapeutic option for you. Some = treatments do=20 require a doctor=92s order. Improvement is often seen = within two=20 to four weeks. Complete treatment sessions can range = from four=20 to eight visits, each lasting approximately 30-45 = minutes.=20

The session itself is comprised of an = Exercise=20 Phase, also known as biofeedback, during which a small = vaginal=20 or rectal sensor is inserted and you simulate trying = to stop=20 the flow of urine. The sensor allows your muscle = contraction=20 to be viewed on a special computer screen that you and = your=20 clinician will view. Also, small patch electrodes will = be=20 placed across the abdominal muscles to help you = eliminate=20 abdominal muscle movement. As you learn to correctly = use your=20 internal muscles and isolate and strengthen your = pelvic floor=20 muscles, you will notice an improvement in your = symptoms.

Following the exercise phase, and if = necessary,=20 you will begin the next phase of your session, the = Stimulation=20 Phase. In this phase, your internal sensor will = deliver a=20 painless electrical signal that will cause the muscle = to=20 contract. This helps to retrain the muscle and = decreases the=20 symptoms of an "overactive bladder."

You are a candidate for this therapy = if you=20 answer "yes" to any of these questions:

=95 Do you experience urgency, = frequency and=20 possible involuntary loss of urine?

=95 Do you suffer from stress = incontinence: urine=20 loss associated with coughing, sneezing, laughing, = etc.?

=95 Have you had problems with = incontinence since=20 having a baby?

For a free consultation, call = 978-356-CORE=20 (2673). To learn more about incontinence and pelvic = floor=20 rehabilitation visit www.CoreNurse.com.

Robin Howe is a registered nurse with = a private=20 practice in Ipswich, Core Therapeutics, LLC, committed = to the=20 prevention and treatment of incontinence. For a free=20 consultation call 978-356-CORE(2673). Robin also has = an=20 Internet retail store featuring a wide variety of = incontinence=20 products and supplies. For more information check out=20 www.ContinenceConnection.com

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