The video is in Italian with the possibility of selecting English subtitles

The International Continence Society defines incontinence as any involuntary loss of urine. 

Stress urinary incontinence is the “involuntary loss of urine on effort or physical exertion or on sneezing or coughing”. Urgency urinary incontinence is the “involuntary loss of urine associated with urgency”. Mixed urinary incontinence indicates complaints of both stress and urgency urinary incontinence.

In Italy, about 5 million people (7% of the Italian population) suffer from incontinence. These percentages don’t include people who suffer from this condition but don’t tell their doctor either because they’re too embarrassed or because they think it’s a “normal” condition that can’t be cured, or for other reasons.

Pelvic floor rehabilitation has drawn a lot of interest over the past few years. The pelvic floor is the anatomical structure that closes the abdominopelvic cavity. It supports the viscera and controls continence, thanks to the complex interaction between muscles and connective tissue. 

Pelvic floor anatomy

tecarterapia-pavimento pelvico struttura

The pelvic floor is made up of bones, muscles, and connective tissue.

The muscles are divided into a superficial layer (urogenital triangle), a middle layer (urogenital diaphragm), and a deep layer (pelvic diaphragm).

The pelvic diaphragm comprises striated muscles and connective tissue (endopelvic fascia and its ligaments), which support the pelvic organs. The endopelvic fascia lines the abdomen, supports the pelvic viscera, and forms the pubouteral, uteropelvic, and urethropelvic ligaments.

Knowing how perineal tissues are composed and arranged allows us to optimise the tecar treatment. Fisiowarm 7.0 is equipped with various electrodes and frequencies to interact with structures with different impedance and at different depths.

Rehabilitation helps restore an organ’s or system’s function (not organic disorders, i.e. structural lesions) through manual and instrument-assisted therapy. 

Tecar therapy is an instrument-assisted treatment whose features and different operating modes help solve pelvic floor problems.

Tecar therapy uses high-frequency current to generate heat for tissue biostimulation. Energy is transferred to the tissues inducing displacement currents through the alternate movement of electrical charges present in the body in the form of ions. This way, we obtain a biological effect resulting from membrane polarisation, local hyperaemia, and the handpiece’s mechanical effect on the tissue. All these characteristics allow tecar therapy to interact with the pelvic floor muscles and connective tissue.

tecarterapia manipolo intimity

The possibility to choose between resistive and capacitive electrodes allows you to convey energy to structures with higher or lower impedance (i.e. through which the current travels more or less easily). Muscles are low-impedance structures, whereas ligaments are high-impedance structures. The pelvic floor can be treated using traditional unipolar or bipolar electrodes and the Intimity endocavitary probe. This probe interacts with the tissue around it and thus with the internal muscles and deepest muscle layer.

The possibility of working in athermic mode (i.e. without generating heat) allows for treating both acute and chronic cases.

Another feature that sets Fisiowarm 7.0 apart is the possibility of choosing the frequency in a range from 300 kHz and 1 MHz. Lower frequencies reach the deeper tissues, while higher ones remain in the superficial layers. The highest frequency (1 MHz) is so superficial that we sometimes call it skin effect.

Knowing the anatomy and the various features of Fisiowarm 7.0 allows for treating multiple pelvic floor dysfunctions, involving structures (e.g. connective tissue) that either wouldn’t be involved or would be involved only indirectly in other instrument-assisted treatments. Moreover, with tecar therapy, you can further optimise results by integrating manual therapy.

Simona Colicchia
Physiotherapist, Expert in Pelvic Floor Rehabilitation, Diastasis Recti, and Physioaesthetics.
Specialised in Global Postural Rehabilitation

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