General questions

What are the advantages of pelvic floor training using PelviPower compared to traditional pelvic floor training?
 PelviPower™ training requires no effort and has a stronger effect than traditional pelvic floor exercises or stand-alone training.
It also helps to establish and improve the connection between the brain and the pelvic floor. Therefore also helping people who find it difficult to consciously activate their pelvic floor or who cannot fully activate it.
There are additional frequencies that can calm the nerve signals (reducing urge or pain symptoms) and others that help relax the muscles. This is an additional benefit compared to classical training
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How long will it take before I notice an improvement in my muscle tone?
 Most users notice the benefits of PelviPower training fairly quickly. The degree of improvement is not completely the same for each person, but most feel an improvement after about the fifth session, some a little sooner and some a little later.
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Is it beneficial to do additional pelvic floor exercises myself?
 So far, there is no evidence that doing additional pelvic floor exercises accelerates the success of treatment. However, it is advisable to start doing your own exercises as early as possible.
 
PelviPower™ training allows clients to feel their pelvic floor earlier and more clearly than with conventional exercises. One advantage is that a better awareness of the pelvic floor muscles can be developed relatively quickly and this can better enable self practice.
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How long does the effect of the treatment last?
Studies on common problems of a weak pelvic floor (such as incontinence) have shown that the positive effects (reduction or elimination of symptoms after magnetic stimulation training) last for 1 year after the training is completed. However, there is no clear answer to this question. How long the effects of PelviPower™ last depends, among other things, on the general condition of the client and whether the training is followed by independent training or physical activities.
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How much experience or evidence is there regarding training success using the PelviPower magnetic field trainer?
 PelviPower training is the first choice for training a weak pelvic floor and is scientifically proven.  PelviPower training is similar to classic pelvic floor training, but with a number of significant benefits. PelviPower™ magnetic field training trains the pelvic floor muscles in a simple, comfortable and effective way.
 
Functional Magnetic Stimulation” (FMS) of the pelvic floor with PelviPower™ is based on the principle of “Repetitive Peripheral Muscle Stimulation (RPMS)”.In the last 10 years, much new research has been conducted in this field and the results show that FMS and RPMS are an effective form of training, that can be used in a wide range of populations. In addition, new research has shown that FMS of the pelvic floor is particularly effective for those who do not benefit from pelvic floor exercises alone. This is understandable as there can be barriers to doing pelvic floor exercises alone, such as difficulty in specifically activating the right muscles and difficulty in coordinating muscle groups so that they can work together. All of this can be overcome through FMS of the pelvic floor.
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Can a PelviPower user carry out 2 sessions in a row on the PelviPower? So 2 x 22.5 minutes? Or is that not recommended?
 It is not recommended because it can lead to overexertion and does not bring any additional positive effect. As a rule, a training session of 15-25 minutes is optimal for success
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Is it possible for bladder symptoms to worsen after a PelviPower session or after the first sessions (1-5 sessions)?
 It is possible that there will be an initial deterioration within the first 10 training sessions. This is due to the fact that the already weak pelvic floor is now additionally challenged by the training. However, this gives the muscles a positive impulse to build up, which only happens during the rest phase.
 
A good analogy is: if you do strength training, e.g. push-ups, you cannot do the same number of push-ups the same day and the next day because the muscles are exhausted. In addition, it may be that the pelvic floor was hypertensive and has now become normotensive again due to the stimulation. In this case it will need to get used to the new situation before an improvment is seen.
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How do we deal with preventive cases?
Example: The prospective client can activate her pelvic floor well, she has also done conventional training in the past. Her only symptom ist hat she has to get up to go to the toilet at night.  But she is interested in trying PelviPower as a preventive measure.
We have many clients who train preventively with Pelvipower. The frequency of the sessions they do in this case is flexible. It is therefore advisable to take into account the preferences of the client.
            a) A short but intensive training that increases strength and endurance is useful, for example, as a preventive measure. (e.g. 1-2 times per week – 10 sessions).
            b) On the other hand, in preventive cases, because the pelvic floor already has a higher level of function, it is also possible to leave a little more distance between sessions and still achieve a positive effect. In this case, it is usually still good to do at least 5 sessions with a regularity of 1+ x per week (to achieve a muscle-building effect) and then have the possibility to reduce the regularity for maintenance (e.g. sessions 2 weeks apart)
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What is the general rule: functional strength training after the session? Or is it better to do it before the session?
 In general, functional strength training (focusing on the pelvic floor) is better before the PelviPower session. However, this is not always essential (see below):
 
Clients with an initial lower level of strength clearly have a tired pelvic floorafter a PelviPower session and are not able to do endurance training effectively. This is clearly evident during conscious pelvic floor training with the biofeedback chair when performed after a PelviPower session, as opposed to before. For this client group, it is therefore recommended to do the additional pelvic floor training before the PelviPower session OR on another occasion.
 
For higher functioning clients it is still possible to do training afterwards and it is NOT counterproductive. Training before the PelviPower session could still be an option here, and there is the added benefit that the PelviPower session afterwards brings additional relaxation effects to the muscles (e.g. could reduce the likelihood of muscle soreness if done afterwards).
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Does PelviPower have a significant effect on heating sensitive tissue and how can I reassure clients that it is safe in this area?
There is no dangerous heating of the tissue. The tissues naturally heat up due to the training, the contraction and because the muscle activation generates energy, and also due to the increased blood flow. However, this warming effect does not go beyond that of conventional muscle training.
No negative effects are described in the scientific literature, including burns or tissue damage.
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Does PelviPower help against chronic constipation?
If the cause of the constipation is a disturbed voiding reflex due to pelvic floor weakness with or without rectal prolapse, then magnetic field training helps very well against this form of constipation.
 
With all other forms of constipation (medication-induced, lifestyle – little fluid intake, little exercise, other illnesses), magnetic field training does not tend to improve constipation
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Contraindication questions

I would like to get pregnant and prepare my pelvic floor muscles for it. Can I use PelviPower MFT?
 Pregnancy is a contraindication. You should use contraception as long as you are using the MFT. This is because it is always a contraindication if you are pregnant, no matter how advanced. If you are “actively” planning, i.e. no longer using contraception, only the biofeedback trainer comes into question.
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Can women who have a copper or gold IUD use PelviPower. Is this an absolute contraindication, or can they opt for the MFT or ask their gynaecologist for clarification?
Copper and gold are not ferromagnetic, so there is no danger here. The gold coils are usually made of a gold-copper alloy, so there would be no danger here either.
Therefore, clients can safely do PelviPower training with a copper or gold IUD. However, we must point out that the IUD position can theoretically slip and thus contraception is not guaranteed. We therefore recommend other contraceptive methods during the training and a position check with the gynaecologist after completion of the entire training block.
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Is a knee replacement a contraindication. What about a patella replacement?
Knee replacements are not a contraindication. It is only when a metal extension (nail) protrudes into the thigh bone that  it will be affected by the magnetic field.
Therefore, it is necessary to always point out that no metal should be present further than approx. 10 cm above the knee.
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Is a titanium hip contraindicated?  
Yes. This is a contraindication. The stem in the femur is made of a titanium compound which unfortunately can heat up.
Generaly all hip implants are an absolute contraindication
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What exactly does the term decompensated heart disease/cardiac arrhythmia mean? Who is not allowed to use the PelviPower?
Decompensated heart disease means that:
a)     the client has a diagnosis of heart disease, e.g. heart failure, arrhythmia, chronic coronary syndrome, etc., and is currently acute.
b)     The client also has acute symptoms because of it, e.g. leg or lung oedema, shortness of breath, angina, etc.
However, if the client is well adjusted to the medication, i.e. their condition has been stable for weeks, and they do not currently or recently need medical treatment, then their heart condition is compensated and therefore they can undergo ‚PelviPower‘ training, as long as there are no other contraindications. In case of doubt, you should consult with the attending physician or with us
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A client who suffers with polyneuraligia had a strong reaction with severe tingling and dizziness and high blood pressure after the session. Is this the reason for her reaction? Is it likely that fibromyalgia is also a problem when using PelviPower?
Neither polyneuropathy nor fibromyalgia are likely to cause side effects and they are not contraindiciated. The described symptoms may be an indiciation of a panic attack (in the initial stage).
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Can the PelviPower be used directly after a thyroidectomy (thyroid removal)?
Yes, it is no problem
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Is hyperthyroidism an absolute contraindication to the use of PelviPower?
It is not an absolute contraindication. As a rule, clients with hyperthyroidism are on medication so that they have a balanced metabolism and therefore no symptoms.
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Can a PelviPower session be carried out for diverticulitis or is there anything to bear in mind here?
It is important to distinguish between diverticulosis and diverticulitis. The former are protrusions (small pouches or sacs) that form and push out from the colon and can be completely asymptomatic. However, they can also become inflamed, in which case they are called diverticulitis and often require antibiotic treatment. Clients who have diverticulosis can also suffer from diverticulitis more than once. This is a bacterial infection, which is why I advise against training in the acute stage. It also falls under the relative contraindication “febrile infection”, even if the affected persons, especially older ones, do not necessarily have to have a fever. It is better to wait until the infection has healed before training on the PelviPower.
 
It is important to ask the clients exactly whether they are currently being treated for diverticulitis or whether they have diverticulosis that is harmless.
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Technical questions

What can I do if intensity 1 is too high for my client and they are not comfortable?
There are many ways to reduce the intensity of the session and make it comfortable for your client. For example:
 
1) Use a folded towel for your client to sit on…. Fold it as many times as necessary to make the stimulation painless and comfortable.
 
2) Make sure the sitting position is a relaxed, reclined position. (The stimulation is felt less intensely when the sitting position is reclined).
 
3) Move the coil setting away from the painful area. For example, if the client has back pain, move the coil to the L setting, which is further forwards. Or if you are using PelviBack, change to Pelvitrain with L.
 
4) Reduce to a lower frequency range by changing the programme (e.g. to PelviVital).
 
5) Reduce the active:pause setting to a lower stimulation (e.g. to 6:4 or 4:4).
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