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questor
PostPosted: Sun Jul 17, 2011 9:38 am 
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A PubMed report describes a tibial nerve stimulation technique for the treatment of lower urinary tract symptoms of multiple sclerosis. Here's a link:

Nerve Stimulation for Treatment of Refractory Urinary Tract Symptoms of Multiple Sclerosis

Quote:
Results: There was a significant reduction of daytime frequency (from 9 to 6, p = 0.04), nocturia (from 3 to 1, p = 0.002) and mean post-micturition residual (from 98 ± 124 ml to 43 ± 45 ml, p = 0.02). The mean voided volume increased from 182 ± 50 ml to 225 ± 50 ml (p = 0.003)...

Anyone have any experience with this?

--Tracy

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questor
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PostPosted: Sun Jul 17, 2011 11:39 am 
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Here's a link to a wikipedia article that talks about this procedure:

http://en.wikipedia.org/wiki/Percutaneo ... timulation

From the article: "...methodology was first invented by Dr. Marshall Stoller at UCSF Medical Center, San Francisco, and was first known as the SANS protocol."

Quote:
Procedure
A patient sits comfortably with the treatment leg elevated. A fine needle electrode is inserted into the lower, inner aspect of the leg, slightly cephalad to the medial malleolus. As the goal is to send stimulation through the tibial nerve, it is important to have the needle electrode near (but not on) the tibial nerve. A surface electrode (grounding pad) is placed over the medial aspect of the calcaneus on the same leg. The needle electrode is then connected to an external pulse generator which delivers an adjustable electrical pulse that travels to the sacral plexus via the tibial nerve. Among other functions, the sacral nerve plexus regulates bladder and pelvic floor function.

With correct placement of the needle electrode and level of electrical impulse, there is often an involuntary toe flex or fan, or an extension of the entire foot. However, for some patients, the correct placement and stimulation may only result in a mild sensation in the ankle area or across the sole of the foot.

The treatment protocol requires once-a-week treatments for 12 weeks, 30 minutes per session. Many patients begin to see improvements by the 6th treatment. Patients who respond to treatment may require occasional treatments (~ once every 3 weeks) to sustain improvements.

PTNS is a low-risk procedure. The most common side-effects with PTNS treatment are temporary and minor, resulting from the placement of the needle electrode. They include minor bleeding, mild pain and skin inflammation[6].


Not a permanent fix for the problem, of course, but it looks like it could bring some definite symptomatic relief (sound familiar?).

--Tracy

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Loobie
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PostPosted: Thu Jul 28, 2011 7:55 am 
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I will be taking this to my physiatrist. Thanks Tracy!

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questor
PostPosted: Sat Sep 01, 2012 12:37 pm 
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A Percutaneous Tibial Nerve Stimulation technique to treat overactive bladder symptoms (pubmed and wikipedia reports about the technique were given in an earlier post) is code-named uroplasty, and is described at this website:

http://www.uroplasty.com/

I discussed this with a Urologist yesterday, and found out that he uses the technique successfully to treat overactive bladder symptoms. There is a link at the site above that you can use to find a doctor that uses the technique.

I hope to start treatment soon, his office is first working to determine if my insurance will cover the cost.

I look forward to finding an additional technique to treat OAB symptoms. I'm working through Detrol side-effects right now, and hope to start uroplasty treatment soon.

Anyone else have experience with this?

--Tracy

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vesta
PostPosted: Sat Sep 01, 2012 2:41 pm 
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It sounds to me like stimulation of the Kidney Meridian which is the Yin Partner to the Bladder meridian in Chinese Acupuncture treatment. It may be self acupressure treatment of the Kidney and Bladder meridians may be equally effective. I use self acupressue daily to keep in shape. See MS Cure Enigmas.net Blog posts Acupuncture or Self Acupressure
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stazmatic
PostPosted: Mon Sep 03, 2012 1:26 pm 
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If anyone tries this treatment for their bladder, please let us know how well it works for you. Thanks OP for sharing this info!
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questor
PostPosted: Sun Feb 10, 2013 12:57 pm 
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stazmatic wrote:
If anyone tries this treatment for their bladder, please let us know how well it works for you. Thanks OP for sharing this info!

I found this treatment to be very helpful in reducing overactive bladder symptoms. But, in my case, trouble was I needed to get weekly treatments to maintain the benefit, and Medicare would only cover a limited number of treatments per year, far less than 52.

So, I'm back on tolterodine to help manage these symptoms (1mg three times per day).

I'd be more than willing to purchase a PTNS stimulation unit and learn the acupuncture technique to treat myself, but the maker of the unit will only sell to MDs.

--Tracy

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ljelome
PostPosted: Sun Feb 10, 2013 11:36 pm 
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Hi! besides PTNS maybe u could also try kegel exercise to build up the strength of your pelvic muscles floor, n scheduling your water consumption so within every hour u would have the same amount of water intake. It can be used to train your bladder to urinate at the time it supposed to be.

I guess the second have helped me in controlling my urination time to be less frequent n also based on how much the water intake i already had.

And for the urine retention, i found that the urinating position is also important. I found squatting is a more effective position for me and then give yourself time to stand up for a couple minutes (i usually have to stimulate my bladder by pressing my stomach, i do it several times when i am standing) n then i go squat again while trying to urinate. I repeat these movements untill no more urine can go out.

That's from my experience (i have some bladder problems like urinary incontinence, urgency to go to the toilet, frequent urination n urinary retention). Good luck.

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|For the joy of the Lord is your strength | A cheerful heart is good medicine, but a crushed spirit dries up the bones| God always leads us to where we need to be, not where we want to be|
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