Urinary inctontinence (stress- and impulsion incontinence)

There are two forms of urinary incontinence:

the stress-incontinence and
the urge incontinence.

Both forms have something to do with a pelvic damage in the sense of the SMT®, however based on two different mechanisms.

The stress incontinence is a consequence of a tensed up pelvic floor and not of a lack of training of the pelvic floor muscles. In the contrary, a pelvic floor training in form of pelvic floor gymnastics is the best you can do to become incontinent. Why?

The duty of the pelvic floor is to hinder the abdominal organs and here especially those of the small pelvis to sink downwards. This needs a certain basic tension in the pelvic floor muscles.

When people must empty either bladder or intestine, they should sit down (also men should urinate while sitting), that the pelvic floor can sink down - sometimes an additional pressure is necessary - and that the bladder exit, but also the anus can open better and the concerned can better evacuate. After evacuation and cleaning the pelvic floor must retract again. However, this is only possible, when the pelvic floor muscles still have a certain elasticity. Is this elasticity lost (at a pelvic damage, at cold and lack of motion - therefore disturbances in urinating happen more often during the night), you can lower the pelvic floor by straining the abdominal muscles, but after evacuation it is not possible any more for the pelvic floor to retract accordingly well, due to the tenseness. This means that due to the tensed up pelvic floor there exists a retraction deficite, which causes in the course of time an increasing lowering of the pelvic floor, diminishing the sufficiency of the sphincter muscle of bladder and anus. When the abdominal pressure increases, f.e. when sneezing, coughing or at physical shaking like f.e. when running fast, urine and later also stool is pressed out through the leaking sphincter muscles of bladder and anus.

This means that the weakness of the bladder is a consequence of tensed up muscles of the pelvic floor and not of an imperfect training.

In the contrary, pelvic floor gymnastics tense up the pelvic floor muscles increasingly and the incontinence gets worse.

The urge incontinence often is indirectly connected to a pelvic damage in the sense of the SMT®, which again is responsible for a blockage of the 3rd lumbar vertebra. The damage at the 3rd lumbar vertebra tenses up the bladder muscles and so loses its possiblity to stretch. This causes a lower capacity volume of the bladder. The bladder is filled earlier and you have to void more often. The urge to pass water and a lower discharge volume are the consequence. Besides this an uncontrolled urine miction happens, when into a maximally filled bladder, which cannot stretch, further urine, produced by the kidneys, is added. Through the overplus urine, eventually in connection with a certain stress incontinence, the sphincter of the bladder becomes insufficient (its possibility for contraction decreases) and the urine involuntarily discharges. The bigger the damage at the 3rd lumbar spine is, the smaller is the maximal filling capacity of the bladder and the worse are the ailments. This especially also is valid for the night`s rest. Due to the lack of motion during the sleep the tension in the whole body-, also in the bladder muscles, increases, so that the frequency of the urge to empty the bladder increases also at night.

If you now remove the pelvic damages and correct the 3rd lumbar vertebra, the pelvic floor relaxes and so its function betters, which causes an amelioration or even vanishing of the stress incontinence. The possibility for stretching of the bladder increases or normalizes, so that the urge incontinence betters or disappears.

Especially at the urge incontinence the blockage of the 3rd lumbar vertebrae plays a decisive part. The bladder belongs to the functional circuit bladder (L3 SMT®)/kidneys (Th10 SMT® and Th11 SMT®)/ teeth and ears (C3), but also damages at the kidney vertebrae and eventually even at the 3rd cervical vertebra might be involved.

In addition damages at the vertebrae of the functional circuit stomach(Th6 SMT®)/ spleen-pancreas (Th8 SMT® and Th7 SMT®)/ mouth and nose (C4) might be responsible, because the body tissue, connected to this functional circuit, are the muscles.

Due to damages at the vertebrae, segments, organs and meridians of the functional circuit stomach (Th6 SMT®)/ spleen-pancreas (Th8 SMT® and Th7 SMT®)/ mouth and nose (C4) the whole muscle tension increases.

However, also the subluxations of the joints and other damages in the run of the stomach meridian have a negative influence on the muscle tension. In this scope I would like to point out shortly to the mandibular- and the hip joint.

Via the 4th cervical vertebra the functional circuit stomach (Th6 SMT®)/ spleen-pancreas (Th8 SMT® and Th7 SMT®)/mouth and nose (C4) is connected to the functional circuit lung (Th3 SMT®)/ large intestine (L1 SMT® and L2 SMT®)/ nose and mouth (C4), which means that smoking has great influence on the urge incontinence.