Question from an MS Patient: My most limiting problem right now is managing neurogenic bladder. I have an Interstim implant for detruser muscle control. A Kegel program may help, but I want to know more about the frequency of exercises necessary for change. Thank you.
Most patients with MS, particularly those with more advanced disease, have a complicated neurogenic bladder that requires multidisciplinary management. Kegel exercises (also called pelvic floor exercises) are sometimes useful but the results are rarely as gratifying as the results achieved by woman with urination problems from prior pregnancies or aging. Medications and Interstim devices are usually reserved for women who do not respond to Kegel exercises. This being said, I have copied our directions for performing Kegel exercises (these come from the Mayo Clinic) in the section below. If you are unable to voluntarily learn to control the pelvic floor muscles as described in the section below, you should obtain a referral to a physical therapist specializing in pelvic floor exercises. The physical therapist will use biofeedback techniques to teach you the procedure.
How to do Kegel exercises
It takes diligence to identify your pelvic floor muscles and learn how to contract and relax them. Here are some pointers:
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