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.




Elise vs Apex, which is better? YOU decide.

Recently TensCare team came across an advertisement by our competitor Company, which claims that they are better than TensCare.


Enter a caption

We believe that their claims are unfounded, ethically poor and inaccurate.  We want to know on what basis, they are claiming to be better than TensCare? We want to challenge them to prove their claim and we want YOU our customers to be the judge.

For this very purpose we have put together a product comparison of typical TensCare Pelvic Floor Exerciser Elise and typical In Control Medical Pelvic Floor Exerciser Apex.

This is how Elise and Apex fare head to head:

Discussion of features:


a.Pulse Width:

Training the muscle effectively requires the maximum percentage of muscle fibres to be triggered with each pulse. Clinical trials have shown that a higher pulse width recruits more motor nerves.

Elise Pulse Width:  300 uS

Apex Pulse Width: 200 uS

b. Timer:

Optimal treatment time is 20 minutes, not only because it was the most commonly used time in test trials but also early trials revealed that many women are over enthusiastic and try to over – use their stimulator, resulting in sore muscles.

Elise Timer: 20 minutes

Apex Timer:  Does not stop automatically, but recommends you switch off after 5 minutes. 

c. Intensity steps:

For comfortable stimulation it is important to increase the intensity in small steps. Also, for optimal results, it is important to use the intensity as close to most tolerable level as possible.

Elise Intensity Steps: 200 steps of 0.5 ma

Apex Intensity Steps: 10 steps of approx. 8mA


a. Probe Size.

Elise Probe Size:

2.98 inches/7.5 cm


Apex Probe Size:

5.5 inches/11.9 cm long

1.2inches/3.05 cm x 1.5inches/3.81 cm                                  

Apex say that their probe must be inserted AT LEAST 4 INCHES.

b. Insertion :

Elise: You can insert the Elise same way as tampon.

Apex: You need to hold the Apex control unit in your hands halfway down your thighs for the entire treatment session.

c. Open Circuit Cutout:

If you withdraw the probe while it is operating, it can be very uncomfortable.

Elise: Open Circuit Detection automatically turns off when contact is lost.

Apex: Apex cautions: Never insert or remove Apex unless powered OFF and deflated as insertion or removal while stimulation is active may cause discomfort or tissue irritation.



Elise: Wipe clean using a cloth with soap

Apex: Wipe clean using a cloth with soap

b. Battery:

Elise: 2 AA Alkaline batteries are typically easier to obtain and last much longer than AAA.

Apex:  Uses 4 AAA Alkaline Batteries.

Typical Comparison:


Features Elise Apex/Intone
Product Image  Elise Pelvic Floor Exerciser  apex 123
Probe images  probe  Apex Probe
Open Circuit Detection Lead detection circuit Inflation pump and air release valve to customize the fit.

When inflated, provides full contact of the stimulation contacts to the vaginal wall.

Overall Size: 12.0 Inches/ 30.48 cm long

2.3 Inches/ 5.84 cm wide

4.0 Inches/ 10.16cm tall

Probe size (inserted length)

2.95 inches/7.5 cm

1.1 inches/2.8 cm


2.95 inches/7.5 cm

1.1 inches/2.8 cm


5.5 Inches/ 11.97cm long

1.2 Inches/ 3.05 cm x 1.5 Inches/ 3.81 cm


5.5 Inches/ 12.97cm long

2.2 Inches/ 5.59 cm x 2.5 Inches/ 6.35 cm

Treatment Timer Automatically turns off after 20 minutes. Does not turn off automatically. Advise to use daily for 5 -10 minutes.
Waveform: Biphasic, balanced, rectangular Monophasic, alternating polarity, square
Frequency: 50 Hz 50 Hz
Pulse Width: 300 uS 200uS
Maximum Output 100 mA 80mA at 500 ohms
Intensity steps 200 steps of 0.5 ma 10 steps of approx. 8mA
Intensity controls Two buttons Two buttons
Intensity Display Large LCD 5 Stimulation LED indicators. Combination of flashing to show level.
Power 2 AA Alkaline batteries 4 AAA Alkaline batteries.
Cleaning Wipe clean using a cloth with soap Additional step and dirt traps:

Inflate Apex enough to ensure thorough cleaning of creases and wipe clean using a cloth with soap as recommended above not soak.


contamination to probe

Replace probe. “Do not overinflate as this may cause damage to the inflatable probe”

If rubber sleeve is damaged, device cannot be used

Open Circuit cutout Open circuit detection automatically turns off when contact is lost. Caution: Never insert or remove Apex unless powered OFF and deflated as insertion or removal while stimulation is active may cause discomfort or tissue irritation.
Probe Weight 40gms 330 gms
Price $135.98 $249.00


Product Scale:

We believe that customer is the focal point of all business activities and the best judge to verify the claims made by any company. Therefore we want to leave it up to you to decide the validity of these claims.

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:

Electric Muscle Stimulation in management and treatment of Bladder Problems in Multiple Sclerosis.


Multiple Sclerosis affects more than 100,000 people in UK. It affects the nerves in the brain and spinal cord, causing a wide range of signs and symptoms including problems with movement, balance and vision.

It’s most commonly diagnosed in people in their 20s and 30s, although it can develop at any age. It’s about two to three times more common in women than men.

Bladder problems in MS

Bladder dysfunction, which occurs in at least 80 percent of people with MS, happens when MS lesions block or delay transmission of nerve signals in areas of the central nervous system (CNS) that control the bladder and urinary sphincters.

An overactive bladder that is unable to hold the normal amount of urine, or a bladder that does not empty properly and retains some urine in it can cause symptoms including:

  • Frequency and/or urgency of urination
  • Hesitancy in starting urination
  • Frequent night time urination (nocturia)
  • Incontinence (the inability to hold in urine)
  • Inability to empty the bladder completely

Contince products

Pelvic floor therapy in Management and treatment of Urinary Incontinence:

Pelvic floor physical therapy is often prescribed for people with overactive bladder symptoms, and targets the group of muscles attached to the pelvic bone and sacrum that play an important role in healthy bladder and bowel function. The therapy uses pelvic floor training, biofeedback, neuromuscular stimulation to reduce urinary urgency and frequency, and loss of bladder control. It works by strengthening the pelvic floor muscles, improving muscle control, and promoting muscle relaxation as needed for urination.

Recent clinical studies have used exercise of the abdominal and pelvic floor muscles in combination with ES of these muscles with skin electrodes.

The majority of patients (78 to 85%) reported improvements in their bowel and bladder function, but there is agreement that multiple sclerosis patients do need daily home ES treatments.

At TensCare we have a range of electrotherapy Pelvic Floor Exercisers used to help treat all forms of incontinence.

Products such as the Elise, itouch Sure,Perfect PFE, iEase, Sure Pro and Viva can see such an evidently common problem treated in one discreet, affordable and easy-to-use solution.

If you would like to hear more about our range of pelvic floor exercisers, please visit our 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!

Join Hilary Barnett demonstrating the EmbaGYN on QVC UK (11am & 6pm, Wednesday 23rd September 2015)

Join our Continence Advisor Hilary Barnett on QVC UK to learn more about the EmbaGYN Pelvic Floor Trainer.

Hilary will be appearing on Wednesday 23rd September on both the 11am morning show and at 6pm on the ‘Look Good, Feel Good’ show, explaining how the EmbaGYN Pelvic Floor Trainer can help to significantly reduce bladder weakness, tone the pelvic floor after childbirth and improve sexual well-being.

With the EmbaGYN Pelvic Floor Trainer, you could see significant results in as little as 3 weeks!

Hilary will also be demonstrating how easy the unit is to set up and use in the comfort of your own home.Hilary QVC EmbaGYN

You can watch Hilary on the QVC UK TV channel or online here.

If you have any questions regarding the EmbaGYN or any of the above, please contact us.

EmbaGYN Pelvic Floor Trainer

Otherwise, enjoy the show!