In Your Pants with Dr. Susie G

How to get started with TENS for urinary urgency, urinary incontinence, and bladder pain.


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    Urinary incontinence is not only expensive, but also robs you of fun in life for fear of having an accident.

    Today’s guest, Fiona Rogers has researched the safe and highly effective results of using TENS (transcutaneous electrical nerve stimulation) on bladder pain and urinary incontinence. Fiona shares her knowledge with other health professionals and with us on the show.

    We cover topics like:

    3:36 How bladder concerns impact your quality of life

    5:40 Using TENS for urinary incontinence

    10:10 Using TENS for bladder pain and pelvic pain

    12:00 TENS unit recommendations

    14:10 How to use a TENS for bladder concerns

    16:30 TENS or neuromuscular electrical stimulation

    20:00 Research on the effectiveness of TENS and how long it can take to see a change

    27:30 Which health professional can get you started with TENS?

    35:30 Upcoming courses for health professionals on TENS

    TENS works by communicating with the neural pathways that communicate with bladder spinal reflexes and your brain. Electrical nerve stimulation via the skin stimulates sensory nerves that can help calm an extra sensitive bladder. When used as part of a treatment plan, Fiona saw how using TENS for bladder concerns was very effective.

    How fast will you know if TENS working for you? For an overactive bladder, you’ll typically see results in a few weeks (episodes aren’t as intense, more time between episodes…) and should use a TENS unit for at least 12 weeks.

    For an overactive bladder: Fiona recommends placing the TENS pads on the ankle over the tibial nerve. You’ll know you’re on the nerve if you turn up the pulse width and see your toes start to wiggle. Start with 10 Hz and 200 pulse width, increasing the pulse width until you start to notice the sensations. Use for about 30-minutes daily.

    For bladder pain: Fiona recommends placing the TENS pads over the tibial nerve or sacrum. You can either start with a low frequency 1-4 Hz or a high frequency 80-150 Hz. Use for about 30-minutes daily.

    When purchasing a TENS unit, make sure you can adjust the frequency (measured in Hertz), pulse rate (pulses you feel in one second), and pulse width (the amount of stimulation you feel, you want to be able to change the pulse width in small increments) to give you the most control and personalization over the unit.

    RESOURCES:

    Free sex and pelvic pain resources https://drsusieg.com/resources-for-pelvic-pain-in-men

    Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program

    CONNECT WITH FIONA ROGERS:

    Website: https://pelvicfloorexercise.com.au/

    Instagram: pelvicfloorexercise

    CONNECT WITH ME (DR. SUSIE):

    Website: https://drsusieg.com/

    Instagram: https://www.instagram.com/dr.susieg/

    15-minute call: https://drsusieg.com/pelvic-pain-specialist-15-minute-call

    Disclaimer:

    This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional.

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In Your Pants with Dr. Susie GBy Dr. Susie Gronski, PT, DPT | Pelvic PT | Sex Counselor

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