Podcasts about Urinary incontinence

Dr. Hoffman continues his conversation with Dr. Sara Reardon, author of "FLOORED: A Woman's Guide to Pelvic Floor Health at Every Age and Stage."

Understanding Pelvic Floor Health: Dr. Sarah Reardon, a board-certified pelvic floor physical therapist and author of "FLOORED: A Woman's Guide to Pelvic Floor Health at Every Age and Stage," delves into pelvic floor disorders, highlighting their prevalence, symptoms, and the importance of proper diagnosis and treatment. Dr. Reardon explains the anatomy and function of the pelvic floor, common misconceptions about Kegels, and the impact of life events such as childbirth and menopause. She also touches on the relevance of pelvic floor health for men, particularly in relation to prostatitis and other urinary issues. Practical advice on addressing these issues, including biofeedback, exercises, and lifestyle modifications, is provided. The episode emphasizes the need for greater awareness and proactive measures to prevent and treat pelvic floor dysfunction.

Program notes:0:40 Covid and flu vaccine1:40 More immunogenic response2:40 Female urinary incontinence treatment3:40 Mid urethral sling or botox4:40 Doesn't require surgery5:40 Combined therapy group6:10 Large language models and discharge summaries7:10 100 hospital encounters 8:10 Maybe provides a draft9:00 AI and diagnosing diabetic kidney disease10:01 Large number of retinal images to train11:01 Can actually see blood vessels12:29 End

Editor's Summary by Preeti Malani, MD, MSJ, Deputy Editor of JAMA, the Journal of the American Medical Association, and Anne R. Cappola, MD, ScM, Senior Editor at JAMA, for articles published from May 3-9, 2025.

Send us a textIn this episode of MedStar Health DocTalk, host Debra Schindler tackles a topic that many women face but few discuss: urinary incontinence. With an estimated 25 million American women affected, it's time to break the silence. Joined by MedStar Health urogynecologist Dr. Abigail Davenport, they delve into the myths surrounding incontinence, the different types, and the various treatment options available. From urgency incontinence to stress urinary incontinence, Dr. Davenport provides invaluable insights into how lifestyle changes, physical therapy, and advanced therapies can help women regain control over their lives. Tune in to learn why this common issue shouldn't be a source of shame and how empowering conversations can lead to effective solutions.For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.

In this episode, I address the common questions I'm asked about the risk of urinary incontinence following surgery, specifically focusing on hysterectomy, prolapse repairs, and hip replacement. I discuss several key studies, including a 2000meta-analysis by Jeanette Brown and a 2023 paper in the American Journal of Obstetrics and Gynecology, which highlights the significant risks associated with these surgeries. I also provide tips on pelvic floor strengthening and the benefits of different surgical approaches to help minimize incontinence. I discuss how hip replacement surgery can have varying impacts on bladder function and the importance of a holistic view of the body's interconnectedness.https://pubmed.ncbi.nlm.nih.gov/10950229/https://www.nejm.org/doi/full/10.1056/NEJMoa054208https://pubmed.ncbi.nlm.nih.gov/24408744/https://pubmed.ncbi.nlm.nih.gov/36300551/Timeline:00:30 Introduction to Urinary Incontinence Risks00:59 Hysterectomy and Urinary Incontinence04:17 Prolapse Repairs and Bladder Leaking06:15 Hip Replacement and Bladder Function08:59 Conclusion and Key Takeaways

Strength isn't the key to fixing urinary incontinence.Welcome back to another episode from the Rising Vault—where we bring back some of our most impactful episodes to highlight The Missing Piece in common pelvic health conditions.Today, we're tackling urinary incontinence—and the one thing that's often overlooked:

This episode tackles a common concern: urinary incontinence after childbirth. This can affect about a third of women, so you're not alone. I dive into what you can do to minimize urinary leaks after your first delivery with insights from a major 2020 Cochrane Review. The big takeaway? Pelvic floor muscle training, like Kegels, can make a huge difference! I'll cover how to do these exercises, why they work, and the benefits they offer, including reducing the risk of severe tears during childbirth. I'll discuss risk factors such as multiple pregnancies, higher maternal weight, and age, as well as why maintaining a healthy weight and understanding your delivery options are essential. I also talk about how long recovery might take and what to expect. Importantly, if you're experiencing symptoms, there are strategies that can help. Join me for a friendly, informative chat about keeping those leaks at bay and feeling your best postpartum! https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007471.pub4/fullTimeline:00:28 Introduction and Podcast Series Overview 00:43 Understanding Urinary Incontinence Post-Delivery 01:03 Pelvic Floor Muscle Training: Evidence and Benefits 02:41 How Pelvic Floor Muscle Training Works 03:45 Theories Behind Pelvic Floor Muscle Training Benefits06:41 Risk Factors for Postpartum Urinary Incontinence 07:35 Prevention and Management Strategies 08:58 Post-Delivery Incontinence: What to Expect and Do 11:04 Conclusion and Key Takeaways

Episode #86 of the PhysioBib Podcast is the first in a series of three episodes on pelvic health. In which we had the honor to speak with Professor Kari Bø, who probably is one of the most well-known researchers in pelvic health physiotherapy worldwide.She's been a Professor of Exercise Science at the Norwegian School of Sport Sciences since 1997 and has published more than 350 peer-reviewed papers on various topics like pelvic floor dysfunction, incontinence, pelvic girdle pain, and exercise during pregnancy.She has also held visiting and guest professorships at multiple universities in Australia, New Zealand, and Brazil. And after our recording she did send us a short bio where she mentioned that she's currently supervising 11 PhD students. So with everything she's involved in, we feel very honored that she took the time to join us for this conversation — where we focused on stress incontinence and the importance of pelvic floor training in physiotherapy. We also touched on broader topics related to pelvic floor care, including the competencies physiotherapists need in this field, adherence to pelvic floor training and much more.

Dr Lizzie Moriarty, Consultant Geriatrician at King's Mill Hospital, Mansfield, takes us through all things related to urinary incontinence today.Here are links to the previous episode referenced on Anticholinergic Burden:SpotifyPodomaticApple PodcastsFollow us on Instagram!Join our Discord server or follow our podcast via our Linktree!

In the second part of our series on urinary incontinence, we explore the medical options available to improve its impact on daily life. From behavioral changes and medications to Botox treatments for overactive bladder, pessary usage, nerve stimulation, and even surgical options — we cover a range of effective solutions.Dr. Denise Poulos, a trusted expert with over 30 years of experience in the urogynecology field, shares insights from her extensive practice, having cared for thousands of women dealing with urinary incontinence. With her guidance, we learn that there are many treatment options out there to help manage and improve the condition.Check out Understanding Urinary Incontinence with Dr. Denise Poulos (Part 1)here To learn more about Dr. Denise Poulos and her practice, Women's Health Institute of Illinois, click here

Urinary incontinence is one of the most common yet least talked about issues affecting women's health. More than 1 in 3 women will experience an overactive bladder in their lifetime, and by the age of 70, that number jumps significantly. But here's the real question—does aging have to mean bladder issues? Or have we been misled into believing this is just “part of getting older”? In this episode, Shelley Craft sits down with Dr. Kelly Casperson to debunk the myths, break down the science, and—most importantly—explore real, effective solutions to improve bladder health at any age. What You'll Learn in This Episode:

How can we streamline the proper diagnosis and treatment of female urinary incontinence? The solution often lies in bridging comprehensive patient workup to pelvic floor physical therapy. Learn more in this BackTable OBGYN brief with Dr. Sarah Boyles and host Dr. Suzette Sutherland!  Key topics include what to look for during a pelvic exam, the importance of external skin inspection, prolapse evaluation, urethra assessment, and pelvic floor muscle strength testing. The doctors also address effective treatment options, the necessity (or lack thereof) of specific diagnostic tests, the significant role of bladder diaries, and the benefits of pelvic floor physical therapy. Practical advice for behavioral management, therapy for stress and urgency incontinence, and the reasons for structured evaluation methodologies are also highlighted. TIMESTAMPS 00:00 - Introduction 00:30 - Conducting a Thorough Pelvic Exam 02:45 - Evaluating Pelvic Floor Muscle Strength 04:28 - Initial Diagnostic Workup 06:07 - The Role of Bladder Diaries 09:49 - Treatment Algorithms for Urinary Incontinence 15:03 - Conclusion CHECK OUT THE FULL EPISODE OBGYN Ep. 61: Evaluating Female Urinary Incontinence: Essential Steps for the Generalist https://www.backtable.com/shows/obgyn/podcasts/61/evaluating-female-urinary-incontinence-essential-steps-for-the-generalist

Val sits down with Dr. Poulos to tackle the often-overlooked topic of incontinence.Together, they explore what incontinence is, breaking down the difference between urge and stress incontinence, and offering a clear understanding of how they impact daily life. Dr. Poulos shares expert insights on the potential causes of incontinence, from lifestyle factors to medical conditions.This is part one of a series of two episodes on Incontinence.

In this episode, I dive into various non-surgical treatments for stress urinary incontinence. The show features clips from four different interviews. We start with Mandy Pulliam, CMO of Leva Health, who explains how their device assists in strengthening the pelvic floor. Next, Lauren Barker, CEO of Uresta, discusses her company's over-the-counter pessary. Allison Watkins, CEO of YoniFit, explains the benefits and study results of their prescription-only pessary. Finally, we hear from a woman named Jane, who shares her positive experience with a urethral bulking procedure known as Bulkamid. This comprehensive episode provides valuable insights and options for women dealing with stress urinary incontinence, offering them the tools to make informed decisions about their treatment options.Looking for more information on these episodes and treatments:S2E10:Leva Device with Mandy Pulliamhttps://www.buzzsprout.com/2112419/episodes/14690011S2E40: Uresta CEO Lauren Barker on the Transition to Over-the-Counter Availabilityhttps://www.buzzsprout.com/2112419/episodes/16185663S2E38: Innovating Women's Health: The Story Behind Yoni Fithttps://www.buzzsprout.com/2112419/episodes/16093774S2E13: Jane's Decision - The Urethral Bulking Procedurehttps://www.buzzsprout.com/2112419/episodes/14799586Timeline:00:28 Introduction to Stress Urinary Incontinence01:06 Overview of the Episode Structure02:21 Interview with Mandy Pulliam on Leva Health08:08 Interview with Lauren Barker on Uresta 113:17 Interview with Allison Watkins on YoniFit19:54 Personal Experience with Urethral Bulking28:07 Conclusion and Encouragement

My mentor and inspiration for getting into the world of hormones, Dr Michael Platt is back for another fantastic conversation. I really enjoyed this conversation, as you will see. This time we discussed bioidentical versus synthetic progesterone, progestin only IUDs, estrogen issues, urinary incontinence, migraine, insomnia, and lots more! I am grateful to have this kind intelligent man support me on my learning journey, so that I can help others more. Please let us know if you have any questions or feedback in the comments. :) If you would like to get Dr Platts books or access to his products, you can do so here; ‪YouTube @plattwellness3930‬ https://plattwellness.com/CHEMAINES15 "Adrenaline Dominance" book on Amazon - https://a.co/d/8YeTWfm As always, please like, share and subscribe if you haven't already. We appreciate you! :)

Did you know that stress and anxiety can impact incontinence and overall pelvic health? Well listen up, ya'll! In this episode I'll guide you through the different types of incontinence, how pelvic floor muscles react to stress, and ways to regain control over your body. Plus, I'm sharing details on a special buy one, get one free sale on resources in my shop to support you on your pelvic health journey. Listen in to learn how to empower yourself with education and practical tools to improve your pelvic floor health and confidence! Let's get into it! BOSS OF MY BLADDER Workshop for Urinary Incontinence: https://www.vaginarehabdoctor.com/at-home-treatment-for-vaginismus/Our 8 Week 1 on 1 Programs for Vaginismus, Painful Sex, & Vulvodynia Resolution: https://www.vaginarehabdoctor.com/our-services/If you're tired of suffering with intimacy blocks or self esteem issues due to chronic sexual pain or vaginismus, I'd love to talk to see if we can help you overcome this inside our 8 week remote, 1 on 1 coaching program. To schedule a free call with me, just click here: :https://www.vaginarehabdoctor.com/our-services/ Or email me with any questions you have about our coaching program: janelle@vaginarehabdoctor.com Follow me on social media @vaginarehabdoctor Join my private email club: https://www.vaginarehabdoctor.com/join-my-private-pelvic-floor-email-club/ Produced by Light On Creative Productions

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-405 Overview: It's estimated that between 40%-60% of women report some degree of sexual dysfunction, which can have a significant impact on an individual's quality of life and personal relationships. Even though most clinicians understand the importance and relevance of female sexual dysfunction (FSD), they may not be aware of its prevalence, effective treatments, or how best to inquire about it. Join us as we discuss this condition, its impact on women, and evidence on effective treatments. Episode resource links: Cristine Homsi Jorge, Kari Bø, Camila Chiazuto Catai, Luiz Gustavo Oliveira Brito, Patricia Driusso, Merete Kolberg Tennfjord. Pelvic floor muscle training as treatment for female sexual dysfunction: a systematic review and meta-analysis. American Journal of Obstetrics and Gynecology. Volume 231, Issue 1, 2024,Pages 51-66.e1,ISSN 0002-9378, https://doi.org/10.1016/j.ajog.2024.01.001.(https://www.sciencedirect.com/science/article/pii/S0002937824000061) Davis, SR. Sexual dysfunction in women. New England Journal of Medicine. V 391. N 8; P 736-745. https://www.nejm.org/doi/full/10.1056/NEJMcp2313307 Johnson, Isabella MS; Thurman, Andrea Ries MD; Cornell, Katherine A. BS; Hatheway, Jessica MBA; Dart, Clint MS; Brainard, C. Paige MD; Friend, David R. PhD; Goldstein, Andrew MD. Preliminary Efficacy of Topical Sildenafil Cream for the Treatment of Female Sexual Arousal Disorder: A Randomized Controlled Trial. Obstetrics & Gynecology ():10.1097/AOG.0000000000005648, June 18, 2024. | DOI: 10.1097/AOG.0000000000005648 Kamrul-Hasan, A.B.M, Hannan, M A A, Muhammad S, M, Aalpona, Fatema, T Z, Nagendra, L., Selim, S,  Dutta, D, D. Role of flibanserin in managing hypoactive sexual desire disorder in women: A systematic review and meta-analysis. Medicine 103(25):p e38592, June 21, 2024. | DOI: 10.1097/MD.0000000000038592 Yao H, Zhang X, Sun F, Tang G, Wu J, Zhou Z. The efficacy of intravaginal electrical stimulation (IVES) in treating female with urinary incontinence symptom from meta-analysis of nine randomized controlled trials. Front Neurol. 2022;13:933679. Published 2022 Sep 13. doi:10.3389/fneur.2022.933679 Huang H, Ding G, Li M, Deng Y, Cheng Y, Jin H.(2023) Menopause and stress urinary incontinence: The risk factors of stress urinary incontinence in perimenopausal and postmenopausal women. J Obstet Gynaecol Res. 49(10): 2509–2518. https://doi.org/10.1111/jog.15742 Tunn, R., Baessler, K., Knüpfer, S., & Hampel, C. (2023). Urinary Incontinence and Pelvic Organ Prolapse in Women. Deutsches Arzteblatt international, 120(5), 71–80. https://doi.org/10.3238/arztebl.m2022.0406 Guest: Susan Feeney, DNP, FNP-BC, NP-C, Jill M. Terrien, PhD, ANP-BC Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-405 Overview: It's estimated that between 40%-60% of women report some degree of sexual dysfunction, which can have a significant impact on an individual's quality of life and personal relationships. Even though most clinicians understand the importance and relevance of female sexual dysfunction (FSD), they may not be aware of its prevalence, effective treatments, or how best to inquire about it. Join us as we discuss this condition, its impact on women, and evidence on effective treatments. Episode resource links: Cristine Homsi Jorge, Kari Bø, Camila Chiazuto Catai, Luiz Gustavo Oliveira Brito, Patricia Driusso, Merete Kolberg Tennfjord. Pelvic floor muscle training as treatment for female sexual dysfunction: a systematic review and meta-analysis. American Journal of Obstetrics and Gynecology. Volume 231, Issue 1, 2024,Pages 51-66.e1,ISSN 0002-9378, https://doi.org/10.1016/j.ajog.2024.01.001.(https://www.sciencedirect.com/science/article/pii/S0002937824000061) Davis, SR. Sexual dysfunction in women. New England Journal of Medicine. V 391. N 8; P 736-745. https://www.nejm.org/doi/full/10.1056/NEJMcp2313307 Johnson, Isabella MS; Thurman, Andrea Ries MD; Cornell, Katherine A. BS; Hatheway, Jessica MBA; Dart, Clint MS; Brainard, C. Paige MD; Friend, David R. PhD; Goldstein, Andrew MD. Preliminary Efficacy of Topical Sildenafil Cream for the Treatment of Female Sexual Arousal Disorder: A Randomized Controlled Trial. Obstetrics & Gynecology ():10.1097/AOG.0000000000005648, June 18, 2024. | DOI: 10.1097/AOG.0000000000005648 Kamrul-Hasan, A.B.M, Hannan, M A A, Muhammad S, M, Aalpona, Fatema, T Z, Nagendra, L., Selim, S,  Dutta, D, D. Role of flibanserin in managing hypoactive sexual desire disorder in women: A systematic review and meta-analysis. Medicine 103(25):p e38592, June 21, 2024. | DOI: 10.1097/MD.0000000000038592 Yao H, Zhang X, Sun F, Tang G, Wu J, Zhou Z. The efficacy of intravaginal electrical stimulation (IVES) in treating female with urinary incontinence symptom from meta-analysis of nine randomized controlled trials. Front Neurol. 2022;13:933679. Published 2022 Sep 13. doi:10.3389/fneur.2022.933679 Huang H, Ding G, Li M, Deng Y, Cheng Y, Jin H.(2023) Menopause and stress urinary incontinence: The risk factors of stress urinary incontinence in perimenopausal and postmenopausal women. J Obstet Gynaecol Res. 49(10): 2509–2518. https://doi.org/10.1111/jog.15742 Tunn, R., Baessler, K., Knüpfer, S., & Hampel, C. (2023). Urinary Incontinence and Pelvic Organ Prolapse in Women. Deutsches Arzteblatt international, 120(5), 71–80. https://doi.org/10.3238/arztebl.m2022.0406 Guest: Susan Feeney, DNP, FNP-BC, NP-C, Jill M. Terrien, PhD, ANP-BC Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  

Send us a textA super important topic on the Menu today! We're talking Urinary Incontinence. Approximately 30-50% of women over the age of 50 experience some form of urinary incontinence, a condition that tends to become more prevalent with age. Our guest, Dr. Briana Walton, aka - the "Vagina Whisperer" brings the facts on this condition. This podcast provides crucial information and can help all, whether you are experiencing this or someone you know - your mother, grandmother, favorite auntie, or whomever. Do kegels still help at our age? And did you know that there are apps to help you locate the nearest bathrooms on-the-go? 'So glad you're here! *************BIO: Briana Walton MD. I have been a specialist in Female Medicine and Pelvic Reconstructive Surgery for nearly 20 years.One thing I have learned, being on the giving and receiving end of medicine, is that we are continually changing. I chose this specialty because I enjoyed the spectrum of care provided over a woman's life time. And as I have seen my patients change and have changed myself, it has given me an appreciation for the mind, heart, and soul of a woman. As life evolves; having a baby, going through a divorce or surviving menopause, we begin to make choices about our care and appearance that we would never have considered in the past. Some of these choices are emotional and based on fear or concern about our medical health. However, many decisions we make are due to the natural phenomena that occur in a woman's body. These events push us to consider creating a new version of ourselves to address our intimate wellness. I would be happy and honored to help you ask critical questions, and begin to explore areas where you may not have had the courage to speak up. I have learned that women are hard on themselves and don't take time to take care of ourselves because we are always caring for others. I want to give women an opportunity to address their needs and their desires. At the Center for Feminine Wellness and Surgery, we will take the time to discover what's right for you and how to move forward in your renewal process. It's time for you to take the best care of YOU!https://briwaltonmd.com | https://www.instagram.com/briwaltonmd/ | https://www.instagram.com/thecfws/RESOURCES:https://www.hopkinsmedicine.org/health/conditions-and-diseases/urinary-incontinence/urinary-incontinence-in-women. https://www.webmd.com/a-to-z-guides/what-is-a-urogynecologist https://nafc.org/bSupport the showwww.linkedin.com/in/marqueetacurtishaynes www.agelessglamourgirls.com https://www.youtube.com/@agelessglamourgirls Instagram and Facebook: @agelessglamourgirlsFacebook: https://www.facebook.com/agelessglamourgirlsPrivate (AGG) FB Group: The Ageless Café: https://www.facebook.com/groups/theagelesscafeTikTok: @agelessglamourgirlsPodcast Producers: Purple Tulip Media, LLC and WEG Media Group, LLC

 With Menopause Awareness Day around the corner, todays episode was the perfect opportunity to bring some essential attention to the often-overlooked topic of pelvic floor decline in menopause.Our pelvic organs and vaginal tissues contain a high Oestrogen receptor sites, and as we move into peri-menopause and menopause, the decline in Oestrogen can significantly impact these areas. This means that pelvic floor dysfunction becomes more common during this time and beyond.The statistics are alarming and they reflect the need for us to be better looking after our pelvic floors sooner rather than later. In this episode I share five key strategies to help prevent pelvic floor decline and maintain strength as we age, starting with getting to know all your pelvic floor muscles with my FREE Quick Guide fitfannyadams.com/quickguide Be sure to let me know if you found todays episode helpful... and please take a moment to rate and review this podcast, to help ensure it lands in the ears of those that need to hear it. Thank you for listening, and do connect with me @FitFannyAdamsor sarahjane@FItFannyAdams.com

Learn more about incontinence in aging women with Dr. Zhina Sadeghi, a leading urology expert. Listen to hear about her key findings comparing bladder function, structure, and gene activity between young and older female mice. Dr. Sadeghi explains the significance of weakened bladder strength, tissue changes, and gene activity in aging, shedding light on how these factors impact bladder health in women as they age. Tune in to learn what these discoveries mean for future treatments and improving bladder health.

Dr. Jessica Gingerich // #ICEPelvic // www.ptonice.com  In today's episode of the PT on ICE Daily Show, ICE Pelvic faculty member Jessica Gingerich discusses common challenges in addressing stress urinary incontinence in patients. She highlights three key points that can aid practitioners in understanding and treating this condition effectively. The first point focuses on confirming whether the leakage is indeed urine, with tips on how to differentiate it from sweat or discharge. Dr. Gingerch suggests practical methods for patients to verify the source of the fluid, including using an over-the-counter medication that turns urine bright orange. Once established that the leakage is urine, she emphasizes the importance of detailing when these incidents occur to provide better care. Tune in for valuable insights that could transform your approach to treating stress urinary incontinence. Take a listen to learn how to better serve this population of patients & athletes or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our live pregnancy and postpartum physical therapy courses or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. Are you looking for more information on how to keep lifting weights while pregnant? Check out the ICE Pelvic bi-weekly newsletter!

Urinary incontinence, bladder, vaginal and pelvic floor issues are common in women of all ages and having children isn't a prerequisite. Pelvic floor therapy awareness is on the rise but it's not the only thing you can do to support your bladder, vaginal area and pelvic floor. My podcast guests today are nurse practitioner pals of mine from Tacoma, Washington. Shannon Keenan and Kara Scanlan from Empowered Med Spa are all about helping women thrive at any age. In this episode of The Health Fix Podcast I interview Shannon and Kara on the InMode radio frequency devices they are using to transform bladder, vaginal and pelvic floor health for women of all ages. What You'll Learn In This Episode: How radio frequency devices are helping women reduce bathroom visits, incontinence and prolapse Why using Forma V and V Tone postpartum can prevent pelvic and bladder issues How my back pain and stress incontinence vanished after 2 sessions with Forma V and V Tone Why less bathroom visits, less urgency, sleeping through the night, reduced pain and improved orgasms are a few of the things InMode radio frequence device clients are raving about Resources From The Show: Empowered Med Spa InMode Devices and Practitioner Listing

Episode 177: Urinary Incontinence in Older AdultsFuture Dr. Nguyen explains the evaluation and treatment of older adults with urinary incontinence.  Dr. Arreaza adds insights into the conservative management of urinary incontinence.Written by Vy Nguyen, MSIV, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific-Northwest. Editing and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Definition of urinary incontinence. The International Continence Society (ICS) defines it as any involuntary urine leakage. Epidemiology of urinary incontinence. Data analysis from the National Health and Nutrition Examination Survey (NHANES) from 2015 to 2018 shows that more than 60% of adult women which is equivalent to around 78,000,000 females living in the United States experience urinary incontinence with 32.4% reporting symptoms monthly. More data analysis shows the strongest association with urinary incontinence include age greater than 70, prior vaginal delivery, and BMI of 40 or greater. Despite urinary incontinence commonly affecting the senior population, this medical condition can also affect the quality of life of younger adult females and males. On top of that, urinary incontinence is often underestimated due to the low report level for various reasons and the obtained data might not accurately reflect the true prevalent rate. Types and etiology.Urinary incontinence is divided into 5 categories: stress, urge, mixed, overflow, and functional. Stress urinary incontinence has the highest prevalence of 37.5% followed by mixed urinary incontinence at 31.3%, urgency at 22%, and unspecified urinary incontinence at 9.2%. Due to time constraints, we will discuss the most prevalent type which is stress urinary incontinence.In females, stress urinary incontinence is often due to urethral sphincter hypermobility caused by weakened pelvic floor muscles. It can also be caused by dysfunction of the sphincter muscle that is exacerbated by increased intraabdominal pressure from coughing, sneezing, or physical exertion. This type of incontinence is commonly seen in pregnant women, those who experienced childbirth, and young women active in sports. In males, the most common etiology for stress urinary incontinence in males is prostate surgery such as radical prostatectomy which can damage the external urethral sphincter. Another cause is spinal cord injury or disease that can interfere with sphincter function. Evaluation. Urinary incontinence is first evaluated by a thorough history taking that includes inquiries about the type, severity, burden, and duration of incontinence. The initial evaluation includes a voiding diary that can provide clarity and help distinguish between the different types of incontinence or identify the dominating type in the case of mixed incontinence. Examples of voiding diary can be found on the websites of International Urogynecological Association (IUGA). Medical conditions such as COPD and asthma can induce cough; heart failure can cause volume overload; neurological disorders and musculoskeletal conditions can interfere with bladder emptying and urinary retention and thus should also be investigated. It is also helpful to ask about medication and substance use as the adverse effects can directly or indirectly contribute to urinary incontinence. For our female-identifying patients, a gynecological and obstetrical history such as birth history (vaginal versus c-section), current pregnancy as well as low estrogen (menopause) can contribute to reversible urinary incontinence. Management. There are various treatment modalities for stress urinary incontinence ranging from conservative to more invasive surgical management. Conservative treatment: -Initial treatment includes pelvic floor strengthening exercises and bladder training with scheduled void. -Pelvic floor muscle training (PFMT) is very effective, and it is proven to help achieve cure and improve the quality of life in women with ALL types of urinary incontinence. -For stress urinary incontinence, the median cure rate is around 58.8% for women after 12 months and 78.8% for men at 6 months of supervised pelvic floor muscle training (PFMT). -Certain behavioral modifications such as fluid intake management (

Join Dr. Geo as he sits down with Dr. Valery Raup, a top urologist specializing in male sexual health, to uncover the pros and cons of erectile dysfunction treatments, particularly after prostate cancer. In this episode, they discuss everything from penile implants and urinary incontinence solutions to the importance of patient-centered care. Dr. Raup shares her expert insights on the latest advancements and what men need to know to make informed decisions about their sexual health. Whether you're exploring treatment options or want to stay informed, this episode offers valuable takeaways to help you live better with age.Key Points:Erectile dysfunction post-prostate cancer.Penile implants vs. other treatments.Managing urinary incontinence.Patient-centered decision-making.Latest advancements in male sexual health.Tune in for an informative and engaging discussion that could change your approach to prostate journey.----------------Thank you to our August SponsorsThis month on The Dr. Geo podcast, we're diving into a special four-part series on Male Sexual Health, and we are excited to introduce our sponsorBoston Scientific- [EDCure]- As a leader in innovative medical solutions, Boston Scientific is dedicated to improving patient health globally. Erectile Dysfunction (ED) affects one in five American men, even as young as 20 years old, but it's important to know that ED is treatable. From lifestyle changes and natural solutions to medical treatments like medications, vacuum devices, injections, and penile implants, there are various options available. Boston Scientific's AMS 700 Inflatable Penile Prosthesis is a long-term solution designed to mimic a natural erection, offering both functionality and a natural appearance. For more information on ED treatment options, click HERE for more information. Mr. Happy -This episode is also brought to you by Mr. Happy products-formulated by Dr. Geo Espinosa, these products address age-related health concerns like BPH and declining sexual health. By boosting nitric oxide levels and providing antioxidant support, Mr. Happy products help improve cardiovascular health, energy levels, cellular health, sexual health, mood, and stress levels. Experience the benefits of Mr. Happy products and visit > IamMrHappy.com ----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo's Health Community.Improve your urological health with Dr. Geo's formulated supplement lines:XY Wellness for Prostate cancer lifestyle and nutrition:

Do you pee when you sneeze or cough? Female urinary incontinence is more common than you think. Dr. Thomas Minnec specializes in obstetrics and gynecology and joins us on the latest episode of Health Dose to discuss treatment plans for urinary incontinence in women.

SUMMARY: In part 2 of the menopause series. I chat with special guest Teneika Gravely, a board-certified family nurse practitioner specializing in integrative and functional medicine. Tenieka discusses the crucial topic of hormone balance, focusing on its impact during menopause and perimenopause. She shares her personal journey, the importance of comprehensive hormone testing, and effective strategies for managing symptoms through diet, lifestyle changes, and hormone replacement therapy. Tune in for valuable insights and practical advice on advocating for your health and well-being in midlife. CHAPTERS: 00:00 Introduction and Guest Welcome 00:28 Introduction and Guest Welcome 02:07 Tanika's Personal Journey with Hormone Imbalance 04:02 Challenges Women Face with Hormone Imbalance 05:27 Understanding Perimenopause and Menopause   10:38 Atypical Symptoms of Perimenopause   14:11 Comprehensive Testing for Hormone Imbalance 18:04 Advocating for Proper Medical Testing   21:07 Hormone Therapy: Risks and Benefits 25:27 Seeking Help and Realizing You're Not Alone 27:49 Supplements and Lifestyle Changes for Hormone Management 29:08 Diet and Exercise Tips for Managing Symptoms 39:36 Addressing Low Libido and Vaginal Health   41:22 Dealing with Urinary Incontinence   44:40 Final Thoughts and Encouragement   Teneika Gravely www.tagfamilynp.com Teneika Gravely on Instagram    Follow the podcast on all socials @Navigating Life After 40   Join the Facebook Community: NLA40 Grab the free 5-day Guided Midlife Journal Prompts: LINK Need menopause support? Check out myalloy.com for personalized solutions by professional doctors. Use code NAVIGATE20 for $20 off. Offer expires 10/26/24*

Why is it that content with the least credible information is often the most viewed and shared on social media?

With contemporary treatment options, your female patients don't have to live with urinary incontinence! In this crossover episode of BackTable Urology and OBGYN, host Dr. Suzette Sutherland from University of Washington interviews Dr. Sarah Boyles, a urogynecologist at The Oregon Clinic, regarding female urinary incontinence, its diagnostic criteria, and various treatment options to help improve quality of life in the incontinence patient. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Boyles explains the importance of patient history and physical examination, along with the need for certain diagnostic tests for proper characterization of the type of urinary incontinence in a patient. She also explores behavioral treatments, pelvic floor physical therapy, vaginal pessaries, and advanced interventions such as urethral bulking and surgery for stress incontinence. The doctors further discuss innovative pharmaceutical and neuromodulation options for urge incontinence. Dr. Boyles concludes with a mention of patient education resources that are available on her platform, thewomensbladderdoctor.com. --- TIMESTAMPS 00:00 - Introduction 02:35 - The Women's Bladder Doctor Initiative 07:03 - Types of Urinary Incontinence 11:49 - Diagnostic Approaches to Urinary Incontinence 28:39 - Treatment Algorithms for Urinary Incontinence 31:12 - Bladder Retraining and Pelvic Floor Therapy 40:00 - Urethral Seals and Vaginal Pessaries 50:47 - Treatment for Urgency 57:51 - Future Directions --- RESOURCES Pearson Ravitz https://pearsonravitz.com/ The Women's Bladder Doctor https://thewomensbladderdoctor.com/

With contemporary treatment options, your female patients don't have to live with urinary incontinence! In this crossover episode of BackTable Urology and OBGYN, host Dr. Suzette Sutherland from University of Washington interviews Dr. Sarah Boyles, a urogynecologist at The Oregon Clinic, regarding female urinary incontinence, its diagnostic criteria, and various treatment options to help improve quality of life in the incontinence patient. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Boyles explains the importance of patient history and physical examination, along with the need for certain diagnostic tests for proper characterization of the type of urinary incontinence in a patient. She also explores behavioral treatments, pelvic floor physical therapy, vaginal pessaries, and advanced interventions such as urethral bulking and surgery for stress incontinence. The doctors further discuss innovative pharmaceutical and neuromodulation options for urge incontinence. Dr. Boyles concludes with a mention of patient education resources that are available on her platform, thewomensbladderdoctor.com. --- TIMESTAMPS 00:00 - Introduction 02:35 - The Women's Bladder Doctor Initiative 07:03 - Types of Urinary Incontinence 11:49 - Diagnostic Approaches to Urinary Incontinence 28:39 - Treatment Algorithms for Urinary Incontinence 31:12 - Bladder Retraining and Pelvic Floor Therapy 40:00 - Urethral Seals and Vaginal Pessaries 50:47 - Treatment for Urgency 57:51 - Future Directions --- RESOURCES Pearson Ravitz https://pearsonravitz.com/ The Women's Bladder Doctor https://thewomensbladderdoctor.com/

In this episode we give you a little update on Laura's anatomy scan experience as well as Remi's third trimester aches and pains, and we dive deep into third trimester symptoms, including Braxton hicks, sciatica pain, heartburn, stretchmarks, hemorrhoids, frequent urination, exhaustion, insomnia, swelling and much more; while also providing you with some easy home remedies, prevention methods and red flags to be aware of.A great episode for anyone going through the third trimester, or who will be going through it soon and wants to know what to expect and things to keep in mind to minimize these very common aches and pains.Send us a Text Message.Follow us on Instagram for more updates, bts and ask us episode questions @momfriendspodYou can also follow us on our personal accounts @rrayyme & @laura.gimbertAnd remember to subscribe so you don't miss any of our episodes, out every Tuesday!This podcast does not provide any medical advice. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen.

Stress urinary incontinence, a condition characterized by urine leakage during activities such as coughing, sneezing, or physical exertion, can be both bothersome and embarrassing. Today's episode offers a comprehensive understanding of stress incontinence: What causes this type of urine leakage Activities that can make the leakage worse When is the best time to treat it Can I solve it with Kegels? More effective types of therapy Non-surgical treatment options Are mesh slings safe? What non-mesh surgeries are available While stress urinary incontinence may be common, especially as we age, it is not normal and you should not just learn to live with it. Listen today to learn all of the treatment options so you can find one that best fits your lifestyle. Key moments in this episode are: 00:52 Common does NOT mean normal 01:16 The cause of stress incontinence 02:30 Activities that worsen leakage 05:35 Can Kegels solve the problem? 06:37 Types of therapy to strengthen the muscle 08:59 Incontinece pessaries 11:52 Midurethral slings for SUI 13:08 Abdominal surgery for SUI 14:45 Are mesh slings safe? 16:58 Non-mesh sling options 18:06 Urethral bulking procedure 20:05 Types of bulking materials Learn more about stress incontinence here: https://www.augs.org/assets/2/6/SUI.pdf Find out about suburethral slings here: https://www.augs.org/assets/2/6/Mid-urethral_Sling.pdf See the Emsella chair in action here: https://www.foundationsfl.com/btl-emsella Follow us! Instagram @foundationskristinjacksonmd Website https://www.foundationsfl.com/ FB facebook.com/advancedurogynecology Loved this episode? Share with a friend.

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Urinary Incontinence⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Renal section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

Today, I speak with Dr. Linda McLean, a professor in the School of Rehabilitation Sciences and Chair in Women's Health Research at the University of Ottawa in Canada. Her research program focuses on understanding the pathophysiological mechanisms associated with pelvic floor disorders in women, and on the development of improved intervention approaches. Linda and her team have been studying the underlying cause of urine leakage in runners, and their recent findings may lead to improved strategies for prevention and management so that women can continue to remain active and perform optimally.  We talk about: -breaking down the barrier to exercise -urinary incontinence -exploring pelvic floor morphology -running's effect on morphology -interventions for exercise incontinence -strategies while running -evidence based versus evidence informed -using pessaries  Time Stamps 1:00 Introduction 3:58 bio feedback in pelvic PT 6:46 morphology paper 16:41 the roll strength plays 21:15 connecting clinical findings to research 32:10 intra-abdominal pressure 34:50 different causes of urinary incontinence 40:20 supportive devices 44:29 elongation of the pelvic floor  CONNECT WITH CARRIE IG: https://www.instagram.com/carriepagliano/ Website: https://carriepagliano.com  CONNECT WITH LINDA IG: https://www.instagram.com/mfm_lab/ Website: www.mfmlab.ca X: @mfmlab Facebook: @mfmlabuottawa The Active Mom Postpartum Podcast is A Real Moms' Guide to Postpartum for active moms & the postpartum professionals who help them in their journey. This show has been a long time in the making! You can expect conversation with moms and postpartum professionals from all aspects of the industry. If you're like me, you don't have a lot of free time (heck, you're probably listening at 1.5x speed), so theses interviews will be quick hits to get your the pertinent information FAST! If you love what you hear, share the podcast with a friend and leave us a 5 start rating and review. It helps us become more visible in the search algorithm! (Helps us get seen by more moms that need to hear these stories!!!!)

Molly Jacobson discusses how to recognize the signs that your beloved dog might be in the last months, weeks, or days of their life. Articles about the end of life: https://www.dogcancer.com/articles/hospice-and-end-of-life/signs-your-dog-is-dying/ https://www.dogcancer.com/perspectives/hospice-and-end-of-life/warning-signs-dog-is-dying/ Signs Often Seen Starting in the Last Months of Life: 1.     Weight Loss, see https://www.youtube.com/watch?v=YFPUYZtPJ_8 2.     Loss of Appetite, see https://www.youtube.com/watch?v=VWVfBhf4gD0A, and: https://www.dogcancer.com/articles/side-effects/dog-not-eating/ 3.     Dehydration is often caused by diarrhea, urinary incontinence, and vomiting, see below. 4.     Diarrhea, see: https://www.dogcancer.com/articles/side-effects/diarrhea-in-dogs/ and: https://www.youtube.com/watch?v=bzYzZwlA4xo 5.     Urinary Incontinence, see: https://www.youtube.com/watch?v=AIJkyODHyi0 and: https://www.dogcancer.com/articles/hospice-and-end-of-life/bed-sores-on-dogs/ 6.     Vomiting, see: https://www.dogcancer.com/articles/side-effects/vomiting-in-dogs/ and: https://www.youtube.com/watch?v=V2b74r09eDQ 7.     Dimmed or Dull Eyes see Urinary Incontinence 8.     Looking Unkempt see Urinary Incontinence Signs Often Seen in the Last Weeks of a Dog's Life: 9.     Pain, see: https://www.dogcancer.com/perspectives/drugs/pain-management-plus-natural-pain-relief-for-dogs/ and: https://www.youtube.com/watch?v=ZvA7W9XlciM  10. Restlessness see videos and articles under pain 11. Behavioral Changes, see: https://www.youtube.com/watch?v=v4V1nehuGiU&t=2057s and articles under pain 12. Changes in Sleep Patterns, see: https://www.youtube.com/watch?v=jBititnn7U0 13. Breathing Problems, see: https://www.youtube.com/watch?v=Y28IQXhAtXk 14. Confusion see articles on lethargy and depression 15. Depression, see: https://www.youtube.com/watch?v=v4V1nehuGiU and: https://www.youtube.com/watch?v=7dj7ajAPhL0 16. Wanting to Be Outside, see: https://www.youtube.com/watch?v=Ff4zmrzS0Mk Signs Often Seen in the Last Days: 17. Lethargy, see: https://www.youtube.com/watch?v=J5Bh1wIp5bY and: https://www.dogcancer.com/articles/side-effects/lethargy-in-dogs/ 18. Lack of Interest see articles on lethargy and depression, wanting to be outside. 19. Lack of Coordination see articles on lethargy and depression. 20. Twitching see articles on lethargy and depression. 21. Weakness see articles on lethargy and depression. 22. Inability to Control Bowel Movements, see: https://www.dogcancer.com/articles/side-effects/blood-in-dog-stool/ and urinary incontinence and diarrhea above. 23. No Eating or Drinking: See the article on the loss of appetite above. 24. Seizures: see article on brain tumors: https://www.dogcancer.com/articles/types-of-dog-cancer/brain-tumors-in-dogs/ 25. A Puffy Appearance, see: https://www.youtube.com/watch?v=YUXM_jMgkdI 26. Body Odor, see: https://www.youtube.com/watch?v=Y28IQXhAtXk Remember: none of these signs mean your dog is dying ... ask your veterinarian for help with your dog's medical issues ASAP. Chapters: 00:00 Introduction 01:30 Stages of Dying 02:00 1-3 Months 02:25 Weight Loss 02:45 Loss of Appetite 03:29 Dehydration 04:00 Diarrhea 04:30 Urinary Incontinence 04:45 Vomiting 05:17 Dimmed or Dull Eyes 05:36 Looking Unkempt 06:32 1-3 Weeks 07:01 Pain 07:31 Restlessness 07:54 Behavioral Changes 08:12 Changes in Sleep Patterns 08:13 Breathing Problems 08:41 Confusion 09:00 Depression 09:27 Wanting to Be Outside 10:17 Last Days 10:45 Lethargy 11:15 Lack of Interest 11:30 Lack of Coordination 12:00 Twitching 12:10 Weakness 12:30 Inability to Control Bowel Movements 13:00 No Eating or Drinking 13:45 Seizures 14:15 Puffy Appearance 14:45 Body Odor 14:48 Each dog and death is unique 15:34 Outro 16:08 Medical Disclaimer -- Get to know Molly Jacobson: https://www.dogcancer.com/people/molly-jacobson/ Learn more about your ad choices. Visit megaphone.fm/adchoices

I have to start with the song.  On our last podcast about urinary incontinence the song request was, “Let it go.”  This time around several suggestions were raised.  Eric suggested, “Even Flow,” by Pearl Jam.  Someone else suggested, “Under Pressure,” but we've done it already.  We settled on, “Oops…I did it again,” by Britney Spears. In some ways the song title captures part of the issue with urinary incontinence.  If only we lived in a world in which much of urinary incontinence was viewed as a natural part of aging, the normal response wasn't embarrassment and shame, but rather an ordinary, “Oops…I did it again.”  And if only we lived in a world in which this issue, which affects half of older women and a third of older men, received the research and attention it deserves. We shouldn't have therapeutic nihilism about those who seek treatment, yet urinary incontinence is woefully understudied relative to its frequency and impact, and as we talk about on the podcast, basic questions about urinary incontinence have yet to be addressed. I don't see those perspectives as incompatible. Today we talk with George Kuchel and Alison Huang about: Urinary incontinence as a geriatric syndrome and relationship to frailty, disability, and cognitive decline Assessment of incontinence: the importance of a 48 hour voiding diary, when to send a UA (only for acute changes) How the assessment leads naturally to therapeutic approaches Non-pharmacologic approaches including distraction, scheduled voiding, and pelvic floor therapy “Last ditch” pharmacologic treatments.  Landmark studies by Neil Resnick and Joe Ouslander.   Enjoy! -@AlexSmithMD   

In this episode, I'll discuss the KNACK technique, a pelvic floor contraction method designed to help minimize stress urinary incontinence. I explain how this technique, also known as 'squeeze before you sneeze,' can reduce leakage by up to 80% in pregnant and non-pregnant women. This episode details the benefits of coordinating pelvic floor contractions with breathing and showcases the effectiveness of the KNACK through the paper towel test. Listeners are encouraged to try the technique and, if needed, improve the strength and coordination of their pelvic floor muscles. For more information, visit Dr. Janis Miller's website, MyConfidentBladder.com, "Bladder101" course available on my website at thewomensbladderdoctor.com, or my blog post the "KNACK" at https://thewomensbladderdoctor.com/?s=knack00:28 Introduction to KNACK00:54 Understanding Stress Urinary Incontinence01:38 The Knac Technique Explained04:58 Scientific Validation of the Knac05:20 Paper Towel Test Demonstration06:32 Effectiveness in Pregnant and Non-Pregnant Women07:41 Challenges and Considerations09:07 Additional Resources and Final Thoughts

06/09/2024The Healthy Matters PodcastS03_E15 - UroLogic: Understanding Men's Urological ConditionsThis is the second in a 2-part series on Urology (Episode 12 focused primarily on Women's urologic conditions and the pelvic floor) and on this episode we'll shed some light on the conditions that affect millions of men worldwide.  From BPH, to urinary incontinence, and yes, erectile dysfunction - we'll explore the anatomy and function of the male urinary and reproductive processes, and treatment options for when issues arise, with Dr. Travis Pagliara, MD.  What does the prostate actually do?  Why do I need to go to the bathroom so often at night?   And how do I know when ED is actually a problem?   It's safe to say these are sensitive issues, not only for men, but often for their partners as well, and on this episode we'll go over the definitions, diagnosis and options for treatment for many of these conditions that can have a significant impact on quality of life.  Dr. Pagliara is one of the top specialists in the field, so this is a great opportunity to gain real insight on these all-too-common conditions and empower those experiencing them.  We hope you'll join us!Dr. Pagliara will also be hosting this free webinar (Signs, Symptoms, and Treatment Options for Erectile Dysfunction and Urinary Incontinence) on June 20th at 6PM CST! Registration is confidential and free. And for more information on this sensitive topic check out: www.hennepinhealthcare.org/abouted www.edcure.comGot a question for the doc or a comment on the show?Keep an eye out for upcoming shows on social media!Email - healthymatters@hcmed.orgCall - 612-873-TALK (8255)Find out more at www.healthymatters.org

Subscribe to my Patreon for detailed show notes, including a summary of these guidelines with links, graphics, and more!#DoNoHarmTakeNoShitEnroll in Clear+Free: Your Holistic Solution to Persistent HPVEnroll in the Born Free MethodFind me on InstagramMidwife Collaborator Program(Looking for my other podcast? Go HERE for The Holistic OBGYN)**Medical Disclaimer: The Holistic OBGYN Podcast is an educational program. No information conveyed through this podcast should be construed as medical advice. These conversations are available to the public for educational and entertainment purposes only.

Dr. Christina Prevett // #GeriOnICE // www.ptonice.com  In today's episode of the PT on ICE Daily Show, join Modern Management of the Older Adult division leader Christina Prevett discusses the management of urinary incontinence in the older male, implications for function, and quality of life. Take a listen to learn how to better serve this population of patients & athletes, or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about live courses designed to better serve older adults in physical therapy or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION INTRODUCTIONHey everyone, Alan here, Chief Operating Officer here at ICE. Before we get into today's episode, I'd like to introduce our sponsor, Jane, a clinic management software and EMR with a human touch. Whether you're switching your software or going paperless for the first time ever, the Jane team knows that the onboarding process can feel a little overwhelming. That's why with Jane, you don't just get software, you get a whole team. Including in every Jane subscription is their new award-winning customer support available by phone, email, or chat whenever you need it, even on Saturdays. You can also book a free account setup consultation to review your account and ensure that you feel confident about going live with your switch. And if you'd like some extra advice along the way, you can tap into a lovely community of practitioners, clinic owners, and front desk staff through Jane's community Facebook group. If you're interested in making the switch to Jane, head on over to jane.app.switch to book a one-on-one demo with a member of Jane's support team. Don't forget to mention code IcePT1MO at the time of sign up for a one month free grace period on your new Jane account. CHRISTINA PREVETT Hello everybody and welcome to the PT on Ice daily show. My name is Christina Prevett. I am one of our lead faculty in our geriatric division and today I am hoping to talk a little bit about urinary incontinence in the older male. A lot of times we focus a lot of our conversations around pelvic health on the female side of the sex spectrum. But today I really want to talk about males. We talk a lot in MMOA, especially in our Level 2 course where we do an entire segment on pelvic health for the older adult. around how every clinician is a pelvic floor clinician. And the reason why we say that is because if you're interacting with hip and low back pain, then you're interacting with the pelvic floor as part of our core canister. And urinary incontinence is a leading cause of institutionalization and a very big reason why some people may not want to engage in the dosage of exercise that they need in order for them to gain the independence that they're hoping to gain. And so we really want to make sure that we are at least doing our due diligence in screening. When we are working with individuals, we wanna know if there's any urinary incontinence on board. And then we wanna talk about what is going on with respect to the male aging pelvis and how that interacts with signs and symptoms like urinary incontinence. So the biggest, biggest, getting bigger area of the male pelvis where there's a lot of conversations around its impact with age is the prostate. So we do know that there is an enlarging of the prostate that occurs with age. And the main roles of the prostate is to create seminal fluid and help with propulsion of ejaculation of that seminal fluid when mixed with the sperm when achieving orgasm. And what we recognize is that as individuals age, there is a growing of the prostate, an enlargement of the prostate that occurs. that is called benign prostatic hyperplasia. Now this is non-cancerous. This is not a malignancy. This is a part of aging physiology in the pelvis. And what we recognize is that there's also a lot of discrepancies of if this is something that we need to worry about or not. So enlargement of the prostate happens in almost every human with a penis. And it can be associated with lower urinary tract symptoms. In the literature, sometimes it's called BPE, benign prostatic enlargement. If it is associated with symptoms, that is not always consistently done, but there is screening that can happen. And then that enlargement, if it does have cancerous tissues in it, now we're thinking prostate cancer and individuals are going for screens for malignancy in the prostate, and then leading to potentially intervention, including radiation and, or radical prostatectomy. And I've done podcast episodes on radical prostatectomy before. When we're thinking about lower urinary tract symptoms, that can include stress urinary incontinence. And oftentimes in males, because of the length of the urethra, the level of incontinence is significantly less than in the female pelvis. So only about 5% of individuals over the age of 65 have incontinence. And usually it is as a consequence of conditions like radical prostatectomy. So it can be radical prostatectomy. Individuals can have pelvic fracture trauma. Some neurodegenerative conditions can also have a urinary condition associated with it. And so usually there's a precipitating event, not always, but most of the time there is some sort of precipitating event that has happened around the pelvis that has led to urinary incontinence. For example, when you have a radical prostatectomy, the prostate is removed. That includes the areas around the external anal sphincter. The urethra is then pulled up to reconnect to the bladder, which can disrupt the pelvic floor, the deep pelvic floor muscles that are responsible for kinking that hose of the urethra in order for a stress urinary incontinence not to occur. And so it makes sense why there's a disruption to that longer urethra can lead to things like stress urinary incontinence. When you have an older adult with stress urinary incontinence, I know it doesn't sound that, that surgery doesn't sound that great, but it is minimally invasive and people do respond pretty well to it, but we have podcast episodes on the, the surgical art of radical frost detective and what we can expect postoperatively. So when we're working with individuals, urinary incontinence is something that we may be managing and we have a big role to play in helping with post-operative or the new development of urinary incontinence. And so when we're thinking about management, we have kind of our conservative buckets, and then we have surgical management. If you are a person who's had a radical prostatectomy, the natural physiology is that many symptoms resolve within a year. So usually we are not doing any follow-up, or your urologist is not doing any follow-up surgical intervention around the pelvis until a year post-operatively with individuals post-radical prostatectomy. But we do have conservative methods that we can use in the shorter term, and hopefully to try and avoid a subsequent surgical management. And so those buckets are pelvic floor muscle training, penile clamps, and surgical intervention. And so the first and go-to knee-jerk reaction is always going to be conservative management, especially if initiated pre-operatively or pre-event, where individuals who are males get an awareness of the pelvic floor system. Because incontinence and pelvic floor issues in the male pelvis are not as common, many times education around the pelvic floor is not as widespread, individuals are not having these conversations as frequently, and then recognizing how to contract and relax the pelvic floor muscles can be something, especially if there is a training effect that we are doing with appropriate dosing, can help with mild to moderate urinary incontinence post pelvic event in the older male. When we are thinking about pelvic floor muscle training, we are trying to cue the pelvis either to stop the flow of urine, or to try and shorten the base of the penis. Those are the two cues that have been shown in research to have the highest EMG activation of the pelvic floor when trying to teach the pelvic floor contraction in an older male, and trying to get a strengthening effect with appropriate dosage. And there's some protocols in the post-radical prostatectomy world that tries to accumulate 20, 30, 40 reps. It's a bit variable, but we wanna make sure that we are getting a training effect based on where individual's baseline status is. initiating pelvic floor muscle training, seeking a pelvic floor physical therapist, or if you're okay with palpating externally, you can go kind of medial to the sits bones and see if there's a contraction of those pelvic floor muscles in the male. If you are a non-internal pelvic floor physical therapist, then you can work on some of that coordination and contraction in individuals who this is a barrier for them going out into the house. So that's kind of our first option. Our second option is a penile clamp. And so if you're aware, in the female pelvic space, we have a device called a pessary, which is inserted intravaginally, and basically what it does is it kinks off the urethra mechanically in order to help reduce symptoms of pelvic floor prolapse, or pelvic organ prolapse, rather, or urinary incontinence. We see this a lot as a conservative management in order to avoid pelvic surgery, We have a similar type of compression device for the male, but obviously there is not an intravaginal hole for our male anatomy and therefore it is placed externally. So what a pelvic clamp is, is It is attached to the mid shaft in a flaccid penis and it has a little bump on the bottom of the device. So there's a compression and on that bottom ridge, it essentially applies the same type of compression as the pessary to the bottom of the male penis in order to avoid incontinence issues. And what we see is that it can significantly reduce the number of pads or reduce the pad test, which is urine coming into a pad in a certain amount of time by weight. and the amount of subjective reports of incontinence. When we are thinking about penile clamps, comfort is going to be one of the biggest concerns where, you know, individuals, I think the last study that I was looking at was like about half of individuals reported that it wasn't really that comfy to be wearing the clamp on the shaft of their penis. It may be because of, you know, making sure that we have proper education or finding the right fit of the clamp, but something for us to be thinking about or, you know, having conversations about with the individual where we may be suggesting this conservative management strategy. And then the second thing that is a really important part for us to be considering is vascular health. We know that a lot of issues around the pelvis, including benign prostatic hyperplasia and erectile dysfunction, have a big vascular health component, aka we're screaming from the rooftops about health promotion, including around the penis. It's just super important for us to consider if individuals have poor perfusion, that even with a small amount of compression, we have to think about vascular health and skin integrity concerns. So trying to figure out who this might be the best individual to be using this type of thing with. Individuals who may really like this option are those who are very adamantly against having surgery or those who are not a candidate for surgery. So here's that double edged sword, right? Where a lot of individuals with high amounts of vascular concerns are going to be individuals who cannot undergo another surgery. They may be the ones that we are thinking about, you know, using this clamp, but we're going to make sure that we take a lot of breaks from wearing it. There was a study that was done out of Japan that was showing that individuals were able to wear it for two to three hours with a 15 minute break. and there was no adverse events to using it. Other studies have talked about doing an hour on, hour off, or using it when trying to do activities around the house. So you're kind of using it for a specific goal or task in standing to try and prevent some of that UI issue from happening. So that's bucket two. So we have our pelvic floor muscle training, We have our conservative penile clamp, and then we have our surgical interventions. And so for the two interventions for our males, we have a urethral sling, which is done through the trans or obturator foramen. And it is essentially a meshing tape that helps to apply resistance to the urethra with or without additional compression, depending on the technique that we are leveraging. in order to help keep the sphincters closed when we want them to be closed. These are indicated for mild to moderate types of urinary incontinence and not usually indicated for more severe cases. When we have individuals with more severe cases, individuals are using an artificial sphincter. So what this is, is it is a device that comes in and essentially creates a clamp with a balloon, or a cuff with a balloon rather, over the urethral opening, not the urethral opening, mid urethra, and your urine starts to accumulate in your bladder. Person's body is going to get the cue that they have to go to the bathroom, and when they go to the bathroom, they release a button in the scrotum that's placed in the scrotum, and it deflates the balloon, allowing the urethra to unkink and for urine to be able to pass through. And then the mechanism goes on a timer. So either it's between 90 seconds and three minutes, depending on the device, and that allows the urethra to be open for that amount of time. And then after that time has elapsed, the cuff closes. Yeah, it's really incredible. Like the technology is really intense. So when you're thinking about who might be indicated for using this artificial sphincter, dexterity and cognition are two big issues in an older male population where we may be thinking about, you know, are they gonna be able to get to the release mechanism on the scrotum? Are they cognitively gonna be able to do the procedure in order for the cuff to deflate? In more severe cases, this is indicated. And there is a fairly severe revision rate. So 20 to 30% will require some sort of mechanical revision, whether the device is kinked, whether there's clogs or hoses, like there is a higher chance of that happening because it's a more, it's a mechanical device, like there are moving parts. And so those parts can break down versus in a sling where you're essentially tacking up that resistance against the urethra. It's something that's a little bit more, doesn't have the same amount of moving parts. So there's a very high success rate for both of these surgeries. Infection rates and things like that tend to be fairly low and it can help to improve sexual function and be able to help individuals achieve better quality of life and physical function and is a good option for individuals who have exhausted their conservative management and have not seen the improvement that they wish to see. So if you are working with these individuals, usually the post-operative instructions are to avoid heavy lifting for six weeks. and then can start returning to moving around. It's not very smooth where individuals can get back to what? That is a conversation for another day. But overall, management can be quite good. So I hope you found that helpful around the way that this is kind of managed from a medical perspective. We can be very helpful in the conservative management piece where it can come along individuals in the post-operative piece or perioperative moment. And it's a thing that we see when we're working with our older adults, right? That we see it in geriatrics. So hopefully that was helpful and kind of fills in some knowledge gaps for you if this is not an area that you practice in all the time. All right. If you want to get all of that information in our UI section, that is in our MMOA level two. So you have to have taken MMOA level one in order to get access to our special populations because we build on a lot of questions. Thank you so much. That's so sweet of you. And we build that into level two. If you are looking to take MMOA live, we are still on the road all summer. It is nice weather, but we are visiting all over the United States. We are in Scottsdale, Arizona, June 1st and 2nd. Spring, Texas, 8th and 9th. We are getting toasty in those places. Let me tell you, I'm not doing those courses. Those are all dusted and jammed. June 22nd, 23rd, we are in Charlotte, North Carolina. And July 13th, 14th, we are in Virginia Beach. So if you are around and you want to take out live content in the summer, we got you covered. Other than that, please have a wonderful week. I hope you all are enjoying your post Memorial Day week and we will see you all next time. Bye. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

Pelvic floor therapy is all the rage these days. But what is it? And why is it so important? Join us for this episode as we discuss the transformative power of pelvic floor therapy with expert Sarah Miller, DPT. In it, Sarah demystifies the critical role pelvic floor health plays in our overall well-being, a topic that remains under-discussed yet is vital for physical and emotional health. Listen in on an enlightening conversation that addresses the sensitive yet essential aspects of pelvic floor therapy, from postpartum recovery, and pain with intercourse to urinary incontinence. We'll navigate the interconnectedness of our bodies, revealing the surprising links between pelvic floor issues and chronic pain while emphasizing the importance of specialized care and comprehensive assessments in managing these conditions.This is a must-listen episode for women of all ages. Special Guest: Sarah Miller, DPTSarah is a Doctor of Physical Therapy who is trained in treating pelvic health and orthopedic conditions. She owns Revive Rehab located in Columbia, Missouri where she treats pelvic health and orthopedic populations. Sarah was able to further her education after graduation to better serve her pelvic health and orthopedic clients. She has earned multiple certifications in internal and external pelvic floor interventions, myofascial techniques, chronic pain treatment, and dry needling, among others.She is a former collegiate softball pitcher at Northwest Missouri State (go Bearcats!) and received her degree in Biology and Psychology. She then graduated from the University of Missouri in 2019 with her Doctorate of Physical Therapy.You can find Sarah spending time with her husband and daughter. She loves her CrossFit gym and getting some sunshine outdoors. She enjoys all things active from skiing to biking on the trails, and strives to continue this lifestyle throughout motherhood to show her daughter the importance of movement throughout life." To book with Sarah or learn more about her practice, go to: https://www.revive-rehab.com/Follow Sarah on Instagram at: https://www.instagram.com/sarahmillerdpt/To find a PT trained in pelvic health in your area, go to: https://pelvicrehab.com/Special thanks to Rachel Keller for co-hosting the episode.

One of the most common diagnoses we see as pelvic floor PTs is urinary incontinence. This diagnosis is surprisingly very common affecting at least 50% of the vulva owners which increases in prevalence to 75% in women over the age of 65. Unfortunately many of us have been told “that's the price of child birth” or “that's just part of getting older”. While child birth and aging has its affects on the pelvic floor, it doesn't mean that urinary incontinence has to be what you deal with. There are many treatments including pelvic floor PT that can help decrease leakage if not completely eliminate it.Follow us @thev.movementJoin our newsletter or email us info@thevmove.comOur introduction music provided by POW/Sunset Beach/courtesy of www.epidemicsound.comFind a PT near you!Resources:The V Movement's Bladder Diary HandoutNational Association for Continence Bladder Diary

In the latest episode of the Simply Fit Podcast I have the pleasure of speaking with Dr. Lance Frank. This whole conversation with Lance was really quite enlightening. I'd heard of kegels and the benefits of doing pelvic floor exercises but this conversation took my understanding to a whole new level. Especially considering most of the conversations we have about pelvic floor are traditionally focused on women… But did you know that the worldwide prevalence of erectile dysfunction is expected to increase to 322 million men by 2025. Yet, how many conversations are we hearing about this? Did you know that many of what you may believe are psychological challenges when it comes to performance could be improved or eradicated through something physical? If you're a male and you want to improve your sex life, listen to this whole episode and if you're a woman who would like to point your partner in this direction, keep listening and share the episode with him… In this episode you can expect to learn… What we've all been getting wrong about kegels and why stopping the flow of your urine or doing pelvic floor exercises at the traffic lights could be completely wrong for you. What type of results men can see if they start working on their pelvic floor health. Along with what tool Lance recommends that reports a 92% success rate of stronger erections. So without further ado, Dr. Lance Frank. WhatsApp Me About Coaching: https://wa.me/message/5XQONDOZJCKUE1 Connect with me on Instagram: https://www.instagram.com/elliothasoon/ Join my email list: https://mailchi.mp/0d9cb5771a96/ehc-weekly Find Dr. Lance: Instagram: https://www.instagram.com/lanceinyourpants/ Dr Lance's Clinic: https://www.flexptatl.com/ Discover The Xersizer: https://xersizer.com/ Don't forget to subscribe too so that you don't miss any future episodes.

The Episode was made possible by Immune Intel AHCC® & WeNatalThe FDA has rescinded its approval of mesh placed vaginally for uterovaginal prolapse, yet many gynecologists continue this practice, and it comes at the cost of many women's long-term health. My guest in this episode is not a healthcare provider and had no interest in women's health until he started hearing stories of women injured by these procedures. He then started litigating on their behalf and made some friends in high places along the way, including gynecologists, urogynecologists, and many other women's health practitioners trying to right the ship of history towards healing prolapse and healing the women who bring life into the world. Unlike many attorneys, Adam seems to be very empathetic towards women as a consequence of a career highlighted by innumerable “wins” through the legislative process for women harmed by vaginally-placed mesh procedures for prolapse. This one is an awesome listen!Visit the show notes for more.Connect with Adam:WebsiteReference from the show:Management of mesh complicationsResponse to Wall and Brown: “Commercial pressures and professional ethics: troubling revisions to the recent ACOG Practice Bulletins on surgery for pelvic organ prolapse", by Anne Weber, MDInformed consent cannot be obtained for use of vaginal mesh, by Anne Weber, MDThe Episode on the Obgyno Wino Podcast about Pelvic Organ Prolapse (will provide a link ) and Urinary Incontinence 2024 Born Free Twins-Breech Conference:Join 150 birth workers and 20+ amazing presenters in Louisville, August 8-11, to learn some new skills, make some new friends, and show up holistically for your birthing clients!Visit the website and registerConnect with Nathan:Instagram | Twitter | YoutubeMidwife in need of collaboration?Want to consult with Nathan?My courses:Born Free Method: Pregnancy and Postpartum SupportClear + Free: Your Holistic Solution to Persistent HPVThis episode was made possible by:Immune Intel AHCC® - code BELOVED10 for 10% off

Sciatica refers to the nerve pain resulting from an injury or irritation to your sciatic nerve. Sciatica is not a condition, but rather a symptom of another problem involving the sciatic nerve.  The sciatic nerve is the longest and widest nerve in the human body. It runs from the lower back, through the buttocks, and down the legs, ending just below the knee. The sciatic nerve controls several muscles in the lower legs and supplies sensation to the skin of the foot and the majority of the lower leg. Causes of Sciatica Sciatic nerve pain is often a result of a herniated disk in the spine. Other causes include bone spurs on the lower back bones, tumors, or nerves affected by another health issue. Symptoms of Sciatica Sciatica symptoms include: Pain: Sciatica pain is a result of pressure exalted on the affected nerve. Most people who have experienced sciatica pain describe it as burning or like an electric shock. The pain often shoots or radiates down the leg on the affected side. Numbness and tingling: It occurs when you can't feel sensations on the skin in the affected areas of your back or leg. The numbness usually happens when you wake up or sit in one position for a long time. Muscle weakness: This is a more severe symptom. It means that muscle command signals are having trouble reaching their destinations in your back or legs. Urinary incontinence or fecal incontinence: This is a very severe symptom. It means that signals that control your bladder and bowels are not reaching their destinations. Risk Factors for Sciatica The common risk factors for sciatica include: History of back pain: A history of back pain or problems with the back may increase one's risk of sciatica. Having excess weight or obesity: The more weight you have, the more your back muscles have to work to support the body weight. That can lead to back strains, pain, and other issues. Your job: Jobs that require heavy lifting, a lot of bending, or prolonged sitting without proper back support may increase your risk of lower back problems. Physical inactivity: Sitting for long periods and a lack of physical activity can increase the risk of sciatica. Normal wear-and-tear: As we get older, wear-and-tear is normal, especially on the spine which can lead to pinched nerves, herniated disks, and other conditions that increase the risk of sciatica. How to Manage Sciatica Symptoms Effectively Depending on the cause, milder cases of sciatica usually get better with self-treatment. Some of the applicable self-treatment include: Stretching and physical activity help strengthen the core muscles and reduce back pain. A home remedy that targets the use of ice during the first 1-2 days when pain first begins. Another practical home remedy is applying a heat pack to the area if the pain persists longer than 2 days. Chronic sciatica pain can effectively be treated through chiropractic adjustments. Chiropractors use a special method called spinal manipulations where they gently move the vertebrae and joints back where they should be, using quick and soft thrusts. The adjustments and movements aim to fix the spine's alignment, reducing pressure on the sciatic nerve for pain relief and allowing the body to recover. When the joint or vertebra returns to its proper place, inflammation decreases, and the healing starts. Are you experiencing chronic sciatica pain? Start your chiropractic care today! Call 252-335-2225 to schedule a visit with Dr. Jason B. Jones - 706 W. Ehringhaus Street - Elizabeth City, NC 27909.

Did you know that between 25% to 45% of women experience urinary incontinence at some point in their lives?  It's a common yet often underreported issue, especially as we age. In fact, around 50% of women over 65 face this challenge. In episode 160 of the Thin Thinking Podcast, we delve into this important topic with our returning guest, the esteemed Kegel Queen, Alyce Adams.  We're excited to shed light on urinary incontinence, its various types, and its significant impact on daily life. From exploring the stigma surrounding incontinence to offering practical tips for management and prevention, Alyce shares invaluable insights.  This conversation isn't just informative; it's empowering. Together, we'll navigate through this aspect of health and wellness, dispelling myths and providing actionable advice. So join us as we bid farewell to the inconvenience of sneeze pee and embrace a healthier, more confident you.  Come on in!   Review Contest – Chance to Win a FREE Live Shift Process! Write a review of the Thin Thinking podcast on your podcast platform and send us a photo of the review on the platform. We will send you a coupon for a free hypnosis download and you will be in the drawing for a FREE seat in the upcoming Spring 2024 LIVE Shift Process! Write a review on your favorite podcast platform. Take a screenshot of the review. Send it to support@shiftweightmastery.com. Get a coupon code for a FREE Shift Hypnosis download. Be entered into the drawing for a LIVE Shift Weight Mastery Process.   Visit Kegel Queen's Website for amazing resources for your pevlic floor health-and free masterclasses. This is an amazing resource center!   In This Episode, You'll Also Learn… Who is Alyce, what does she do, and how did she become the Kegel Queen. The truth about doing Kegel exercises.  Major things that might cause urinary incontinence.    Links Mentioned in the Episode: Kegel Queen's Website Join my FREE Masterclass:  "How to Stop the "Start Over Tomorrow" Weight Struggle Cycle and Begin Releasing Weight for Good." Sign up for the FREE HYPNOSIS DOWNLOAD : Shift Out of Sugar Cravings My book, From Fat to Thin Thinking: Unlock Your Mind for Permanent Weight Loss (Includes a 30-day hypnosis process.) What would you love to hear about on the podcast? Click here and let me know Subscribe to the email list so that you never miss an episode! Get more thin thinking tools and strategies

We tackle the important topic of urinary incontinence with Sarah Boyles, a urogynecologist. Join us as we explore the often overlooked but impactful effects of urinary incontinence on individuals' quality of life, its prevalence across different age groups, and the associated mental health implications. Sarah sheds light on the economic burden of this condition and discusses various treatment options available, providing valuable insights for both patients and health care providers. We also delve into strategies for addressing urinary incontinence sensitively and effectively, ultimately aiming to empower patients and enhance their overall well-being. Sarah Boyles is a urogynecologist. She discusses the KevinMD article, "Urogynecologists tackle the stigma of incontinence." Our presenting sponsor is Nuance, a Microsoft company. Together, Microsoft and Nuance are leveraging their rich digital technology and advanced AI capabilities to tackle some of health care's biggest challenges. AI-driven technology promises to revolutionize patient and provider experiences with clinical documentation that writes itself. The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled solution that automatically captures patient encounters securely and accurately at the point of care. DAX Copilot combines proven conversational and ambient AI with the most advanced generative AI in a mobile application that integrates directly with your existing workflows. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 85 percent of patients say their physician is more personable and conversational. Discover AI-powered clinical documentation that writes itself. Visit https://nuance.com/daxinaction to see a 12-minute DAX Copilot demo. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://earnc.me/5YrinT Powered by CMEfy.

Hormone Replacement Therapy (HRT) is one of the most controversial medical therapies out there. Do you know why? On this episode of Vitality Radio, Jared welcomes back his personal physician, Dr. Todd Cameron to discuss the history of HRT and the use of bioidentical hormones to optimize - not just normalize - overall health as we age. You'll learn why HRT has been demonized, what the scientific literature really says about it, and the best way to use bioidentical hormones to feel your best later in life.Dr. Todd Cameron is a naturopathic physician who offers holistic therapies to treat a wide range of illnesses and improve overall health in the Salt Lake City area, and remotely.Products:EstroSense Hormone BalancingDHEAAdditional Information:Cameron Wellness + Spa 801-486-42263378 South 2300 East, Salt Lake City, UTDr. Neal Rouzier - YouTubeEstrogen Matters by Avrum Bluming (book)Episode #377: Adrenal Fatigue: What Is It, How Do I Know If I Have It, And What Do I Do About It? With Dr. Todd CameronEpisode #347: Thyroid Health: Why Your Doctor Might Be Looking at the Wrong Numbers With Dr. Todd CameronEpisode #331: The Functional Medicine Approach to Testosterone for Men and Women with Dr. Todd Cameron NMD#397: Understanding Hormonal Imbalances - Adrenals, Endocrine Disruption, PCOS, Thyroid, and More with Dr. Marita SchauchEpisode #313: Women's Health and Hormone Balance, from PMS to Menopause and Beyond with Niki WolfeVisit the podcast website here: VitalityRadio.comYou can follow @vitalityradio and @vitalitynutritionbountiful on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Please also join us on the Dearly Discarded Podcast with Jared St. Clair.Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.