How to avoid Pelvic floor weakness

The Pelvic floor is a broad sling of muscles, ligaments and sheet-like tissues that stretch from your pubic bone at the front of your body, to the base of your spine at the back. It is very important to take care of your pelvic floor muscles as they serve four important functions.

  1. Support function: Pelvic floor muscles support the viscera inside your body that is the bladder, uterus and vagina in case of women and anus and rectum in both men and women.
  2. Continence: It gives you control over when you empty your bladder and bowel.
  3. Reproductive function: This function manifests during pregnancy and childbirth
  4. The pelvic floor also has an important role in sexual function in both men and women.

For all these functions to run smoothly it is very important to have strong pelvic floor muscles.

A weak pelvic floor means that your bowel, bladder and womb are not well supported, causing you to feel a heavy, dragging sensation. It also makes it harder for you to squeeze the muscles and sphincters that close the urethra to prevent urine from escaping.

Your pelvic floor also affects your vaginal muscles. You may find sex less satisfying, and feel less sensitivity in your vagina, if you have weak pelvic floor. Many women find that fear of wetting the bed prevents them from enjoying sex. In men a strong pelvic floor helps to avoid erectile dysfunction.

Therefore, let’s identify the situations/ habits that cause pelvic floor to get weakened.

Causes of pelvic floor weakness:

There could be several reasons for pelvic floor weakness. The main causes include: Menopause, pregnancy and childbirth, chronic constipation, chronic cough, overweight and obesity, heavy lifting, bad prolonged posture, high impact exercises, tight clothes, genetic makeup and natural aging.

How to avoid pelvic weakness?

  1. Exercise the pelvic muscles: Pelvic Floor exercises play very important role in strengthening your pelvic floor muscles. This is how these exercises are performed.
  • Find the right muscles. To identify your pelvic floor muscles, stop urination in midstream. If you succeed, you’ve got the right muscles. Once you’ve identified your pelvic floor muscles you can do the exercises in any position, although you might find it easiest to do them lying down at first.
  • Perfect your technique. Tighten your pelvic floor muscles, hold the contraction for five seconds, and then relax for five seconds. Try it four or five times in a row. Work up to keeping the muscles contracted for 10 seconds at a time, relaxing for 10 seconds between contractions.
  • Maintain your focus. For best results, focus on tightening only your pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks. Avoid holding your breath. Instead, breathe freely during the exercises.

However, research says that one in three women cannot perform pelvic floor exercises correctly. Especially weakened pelvic floor muscles are specially difficult to feel and control. In such cases electrical stimulation of Pelvic Floor muscles can be beneficial because it not only exercises pelvic muscles for you but also teaches you how to control it.

  1. Diet to avoid constipation and obesity

Some healthy diet rich in fibres and fluids is important to avoid constipation and unnecessary weight gain.

  1. Low impact exercise

High impact exercises can put unnecessary pressure on your pelvic floor. Switch to low impact exercises to avoid the damage.

  1. Treat respiratory conditions

Respiratory conditions such as asthma, chronic bronchitis lead to frequent coughing and sneezing and create added pressure on the pelvic floor. Treating these conditions in time can avoid the unnecessary pressure and avoid leakage.

  1. Correct Posture

It is important to not put pressure on the pelvic organ support system and practice correct posture. It has been found that the best posture for pelvic floor health is a neutral spine.

standing-postureWhile standing: Allow your pelvis to be in a neutral position so that your low back isn’t super-arched or super flat.

While sitting: While sitting on a chair, the bottom of the pelvis should attempt to make contact with chair. Both of them. So avoid crossing of legs.

  1. Adapt healthy bladder and bowel habits
  • Go the toilet when your bladder feels full.
  • Don’t go just in case.
  • Go to the toilet when you get the feeling to open your bowels.
  • Don’t get in the habit of putting it off as you can become constipated. Stay on the toilet until you have completely finished.
  • Sit on the toilet with your elbows on knees, lean forward and put feet on a footstool. Push your tummy out above the belly button.


Popular Pelvic Floor myths debunked.

Did you think that you can train your pelvic floor by cutting the flow of urine each time you go to toilet?

Do you think that it is too late to care about your pelvic floor as you have already given birth and the damage is done?ante_and_postnatal-001_mummys_physio_london

Or you are a man who thinks that it is not for you?

Here we discuss the biggest myths about the pelvic floor and reveal the truth between facts and fictions.

Men do not have pelvic floor.

Men do have pelvic floor muscles. These muscles can be trained to improve bladder control.

I have already given birth…the damage is done.

Just because you have had baby doesn’t mean you should settle for pelvic floor dysfunction. Postnatal pelvic floor muscle exercises have been shown to assist in the recovery of pelvic floor muscle function and to reduce or cure the likelihood of urinary incontinence in women who have had instrumental births or big babies.

Train your pelvic floor is to cut the flow of urine each time you go to toilet?

Many people believe that pelvic floor muscle exercises are done by stopping the flow of urine midstream each time you got to toilet. Stopping the flow of urine on the toilet is not an exercise but is one way of identifying the pelvic floor muscles.

I do not need to exercise my pelvic floor muscles.

Majority of population does not know what the pelvic floor is. While others who are aware have never stopped to think if everything works well in that area.

It is essential to remember that everyone can benefit from doing pelvic floor exercises.

Exercising these muscles is of no use.

There is extensive scientific evidence that supports the effectiveness of pelvic floor exercises, when done properly.Pelvic Floor Muscles diagram

If you are doing your pelvic floor exercises regularly and do not notice any significant difference in your bladder or bowel control then there is a possibility that you are not doing them correctly.

Pelvic floor exercises are very easy to perform.

This is another very common myth. But you would be surprised to know that 50% of the women do not do them correctly and for both men and women performing the exercises the wrong way will not help and could even make the problem worse.

Although like any other exercise it is about contraction and relaxation, the pelvic floor muscles are complicated and it is not very easy to isolate them.  Therefore majority of women end up contracting other muscles along with pelvic muscles like butt, abdomen, tummy etc.

In this respect electric pelvic floor exercisers can help.  Pelvic Floor Exercisers send a gentle stimulation to your pelvic floor through a vaginal probe, exercising your pelvic floor muscle for you and enabling you to develop your own muscle control.






Vulvodynia is persistent, unexplained pain in the vulva, which is the skin surrounding the vagina. The sensation of burning and soreness of the vulva can be continuous (unprovoked vulvodynia), or on light touch, e.g. Tampon use (provoked vulvodynia). Although the condition is persistent and without an obvious cause, there are steps which can be taken to help relieve the discomfort.

Most Common symptoms of vulvodynia

  • Burning, Stinging or rawness
  • Aching, soreness or throbbing

Possible causes of vulvodynia:

  • Nerve injury or irritation
  • Abnormal response in vulvar cells to an infection or trauma
  • Genetics,
  • Muscle Spasm
  • Hypersensitivity to yeast infections
  • Hormonal changes
  • Frequent antibiotic use.

Lifestyle tips:

  • Wear 100% cotton underwear and loose-fitting skirts or trousers.
  • Avoid scented hygiene products such as feminine wipes, bubble bath and soap
  • Avoid cycling and any other activities that put prolonged pressure on the vulva.
  • Avoid swimmingpools with lots of chlorine.
  • Keep the vulva clean and dry.
  • Try to reduce stress as high levels of stress can increase the pain of vulvodynia.

Pelvic Pain

Vulvodynia is not life threatening condition, still pain in vulva can greatly affect a women’s quality of life. It can have impact on her ability to exercise, socialise and work. Severe symptoms can affect relationships.

Several clinical studies have shown that electric muscle stimulation help to reduce pain associated with vulvodynia.

TensCare Perfect PFE comes with a pain program which helps relieve pain from vulvodynia.



NHS Vulvodynia (persistent pain of the vulva)

Don’t cover it, CURE IT!


Last decade has witnessed a surge in demand for products helping with incontinence. This increased demand has resulted in lot of new products being introduced to help customers suffering from incontinence.

Adult diaper industry has grown tremendously. Bloomberg Report predicts that adult diapers- products aimed at not seniors or babies, but mostly at middle aged women could overtake baby diaper market in a decade. Growth in adult diaper market is outpacing that of every other paper based household staple in the U.S. Euromonitor International forecasts a 48 percent increase in sales in the category.

Also there were some new products introduced to help with incontinence like Product called Finess – a non-internal, medical device, designed to prevent leaks rather than just absorb them.  It is supposed to stick to urethral opening and prevent the leaks before they happen. After its launch in 2015, Finess has earned lot of anxious women consumer base and emerged as the best seller in its category on Amazon.

Even though incontinence has always been very important issue, it had never been discussed openly. Last couple of years we have seen host of celebrities coming out in open about their struggle with incontinence. Also, last couple of years was the time when we witnessed major personal care companies with their aggressive marketing campaigns trying to emphasise the point that incontinence is not a big deal.

It is quite clear that there are commercial factors at play. This product push and aggressive marketing is making us believe that it is normal to suffer from Incontinence. ‘Accept it as a reality of life and buy products to help with it’ the message says.

But this approach to incontinence is not helping women. Let’s face it, wearing adult diapers is embarrassing and products like Finess are downright insulting. This takes cover up approach rather than trying to find out causes of this problem and treating it at its roots.

We cannot stress enough the fact that bladder leakage is not normal. It is possible to gain control of your bladder.

We at TensCare have range of electric muscle stimulators to help you strengthen your pelvic floor muscles to reduce urine leakage and improve quality of life.


Gordon,C.(2016). Adult Diapers Sales Are on their way to huge growth, Fortune. Available at:

Hymowitz C (2016), the adult diaper market is about to take off, Bloomberg Business. Available at:

Rocker,R. (2016)  Soft Health Technology to present its new technology for stress urinary incontinence. Available at:

Wishnow, P. (2014) Bladder Problems affect young women celebrities too. Available at:

Bedwetting might be inevitable but it doesn’t have to be traumatic


Becky has to wake up almost every night to change her Son Oliver’s (aged seven) sheets at night, after an episode of bed-wetting. It is lot of hassle and embarrassment for her as a parent.

Out of embarrassment, Becky and her husband Mark are reluctant to discuss their problem with medical professionals.

In the meantime, Oliver feels that he is the only one who wets bed at night and strongly believes that there is something seriously wrong with him, which is having adverse effects on his self-esteem.

Sounds familiar?

You are not alone. It is more common than you think.

Some studies estimate that up to 20% kids wet the bed some or most nights — with twice as many boys wetting their bed as girls. After the age of age 5, about 15% of children continue to wet the bed, and by the age of 10, 95% of children are dry at night.

This problems of bedwetting are further aggravated by the secrecy and myths surrounding the problem.

Ever heard the claim that kids wet the bed out of laziness?

Or the idea that kids require counselling, as bed wetting is sign of psychological maladjustment or antisocial tendencies?

However, reality of the matter is that, Bedwetting occurs during sleep, and research suggests that kids who wet the bed are physiologically different. They may be harder to awaken at night. In addition, their bodies produce less vasopressin, a hormone that suppresses the production of urine.

Also, the claim that bedwetting is a sign of psychological maladjustment holds no truth. It’s true that bedwetting is sometimes associated with stress. But child’s failure to awaken before urinating does not indicate that he is psychologically disturbed.

 Treatment options:

There are two approaches to the treatment. Medical or Behavioural.

  1. Medical treatment:

Medical treatment consists of the use of following three drugs.

Doctor's table with medicaments and medical supplies. Red Folder

  • Desmopressin

Desmopressin is a synthetic version of the hormone that regulates the production of urine, called vasopressin. It helps to reduce the amount of urine produced by the kidneys. The medication often works quickly. However, the condition may return after discontinuation of its use.

It suffers from side effects like headaches and sickness.

  • Anticholinergics

Another option is to use a combination of desmopressin and an additional medication known as an anticholinergic. An anticholinergic called oxybutynin can be used to treat bedwetting.

Oxybutynin works by relaxing the muscles of the bladder, which can help improve its capacity and reduce the urge to pass urine during the night.

Side effects of oxybutynin include feeling sick, dry mouth, headache, constipation or diarrhoea.

  • Imipramine

If the above treatments don’t work, a prescribed medication called imipramine may be recommended.

Imipramine also relaxes the muscles of the bladder, increasing its capacity and reducing the urge to urinate.

Side effects of imipramine include dizziness, dry mouth, headache, and increased appetite

  1. Behavioural Treatment:

Behavioural treatment is often more effective and certainly is safer than medical treatment. While behavioural treatment may take somewhat longer to show results, the improvement usually continues indefinitely

some of the methods that can be useful:

  • Night-lifting:

This procedure involves waking your child periodically throughout the night, walking your child to the bathroom to urinate, and then returning your child to bed. By teaching your child to awaken and to empty his or her bladder many times during the night, it is hoped that he or she will eventually stay dry.

  • Moisture alarm:

Moisture alarms are considered a useful and successful way to treat bed-wetting. Medical research has shown that moisture alarms have helped many children stay dry. Moisture alarms have good long-term success and fewer relapses than medications


TensCare Dry Night Trainer resembles a child’s watch and operates as a bedwetting alarm which can be worn on either of the child’s wrists. The alarm has two sensors which discreetly loop through the sleeve of the pyjamas, through to the underwear in order to detect any droplets of urine.
When the sensor reacts to wetness an alarm will sound – waking the child up to alert them that they need to use the toilet. The alarm will then stop to allow the child to use the toilet and return to sleep.

Over time, the child will learn to associate the feeling of a full bladder with needing to wake up and go to the toilet, and others will learn to ‘hold on’ and will continue sleeping without releasing their bladder.

At TensCare we understand that bedwetting is inevitable part of growing up, but it doesn’t have to be traumatic.




World Bedwetting Day: 17th October 2015

Saturday 17th October marks ‘World Bedwetting Day‘ aimed at raising awareness of bedwetting as a medical condition that affects both children and their families.

Bedwetting (Primary Nocturnal Enuresis) is classed as a medical condition when a child has been unable to remain dry at night for at least 6 months.

Bedwetting tends to affect boys more than girls and can be due to a large number of reasons, all of which are treatable if diagnosed early. Early intervention is also important to ensure the condition doesn’t impact children’s self-esteem.

Not only does bedwetting cause distress to children upon waking, it can also lead to low self-esteem, self-isolation and worry regarding ‘fear of discovery’ by both their parents and their friends.

It also discourages children from visiting friends and staying overnight away from home.

Bedwetting can be treated through simple behavioural techniques to help your child understand how to associate the feeling of a full bladder with visiting the bathroom during the night.

To show our support TensCare are offering 25% discount on our Dry Night Trainer Bedwetting Alarm – a drug-free, more natural treatment using behavioural techniques to help train your child out of bedwetting.

Dry Night Trainer

The alarm simply fits around your child’s wrist like a watch, and connects to your child’s pyjamas. During the night, if the alarm detects liquid on the child’s pyjamas, an alarm will sound – waking the child to alert them that they need to empty their bladder.

Eventually the child will recognise the feeling of a full bladder and learn that they need to wake and visit the bathroom or will learn to ‘hold on’ until morning without the need of the alarm.

Used alongside a reward scheme, the Dry Night Trainer can help your child to stay dry at night in just a few weeks.

To order your Dry Night Trainer, please see here.

You can also read a recent customer review of the Dry Night Trainer here.

For more information on Bedwetting including educational articles about the condition and its treatments, please see the
Stop Bedwetting website

MEDICA World Forum for Medicine 16-19 November 2015: Düsseldorf, Germany.

Are you ready for Medica 2015?

TensCare Ltd Stand: 11 H41

Keeping busy at Medica

TensCare Ltd stand at Medica 2014

TensCare Ltd will once again be exhibiting at Medica World Forum For Medicine, one of the largest medical exhibitions in Europe, from 16-19 November in Düsseldorf, Germany.

Last year was a great success and this year we are looking to meet with new and existing customers to extend our product range and expand into new territories.

Visit us in Hall 11, Stand H41 to learn more about our range of drug-free electrotherapy units, providing pain relief and muscle toning to both home and professional environments:

> TENS for drug-free pain relief
> EMS for muscle toning & rehabilitation
> Maternity TENS for natural pain relief during childbirth
> Pelvic Floor Exercisers for bladder weakness & sexual well-being
> Interferential & Ultrasound for deep-seated pain relief & healing
> Multitherapy devices combining TENS, EMS, Interferential & Micro-Current for professional use

If you would like to learn more about our products, please contact us via email or visit our website

If you would like to arrange a meeting with us during the event, please contact
Agnes Rasmussen via email

You can also view the TensCare Ltd page via the Medica website here.

We look forward to meeting you there!