Active Women Have an Increase in Reported Pelvic Floor Disorders (OAB Included)


Active women are reporting issues with overactive bladder. 

This week WebMD released a great informative piece about a preliminary study of female tri-athletes and the increase in pelvic floor disorders.
Pelvic Floor Disorders are disorders that have to do with the muscles that support the pelvic organs – which are the uterus, bladder and bowel.  So this would include anything to do with overactive bladder or incontinence in women.
This article is specific to those that participate in triathlons, women of all ages. And, there are also reports out there of bladder health concerns occurring with women who live an active lifestyle incorporating walking, running or exercise routines.
So you are not alone, many women are all sharing these same bladder health concerns.
The article discusses a study of 300 female athletes that reported pelvic disorders. If you are interested in reading more about this click on the link below:

Sleep Problems and Seniors


“Sleep is the golden chain that ties health and our bodies together.”   English Dramatist  Thomas Decker

As people age they tend to have a harder time falling asleep and more trouble staying asleep then they did during younger years.  According to the National Sleep Foundation (NSF),  more than 40% of seniors report being less satisfied with sleep and more tired during the day.  Studies have also shown an increase in the time it takes seniors to fall asleep and frequent sleep disturbances or fragmentation of sleep as well.  Before you respond by saying, “But I thought seniors don’t need as much sleep as they age?” You should be aware that this is a common myth since it has been shown that older adults do not need less sleep, but rather require the same amount of sleep they did from roughly their 20’s through older age, according to the National Sleep Foundation.

So what is robbing our seniors of their sleep?

  • Sleep Disturbances – A large factor affecting older adults is an increase of sleep fragmentation or insomnia.  An overactive bladder may be the largest cause of this bothersome problem.  Frequent trips to the bathroom may be causing you to lose sleep.  Treatment can be as easy as cutting back on nighttime liquids or 80% of clients have reported fewer trips to the bathroom when they used BetterWoman or BetterMan.  This all natural herbal supplement have been shown to decrease the urge and frequency of bathroom trips. Other sleep disturbance factors may include stress, certain medications and the use of caffeine or alcohol.   Your doctor or pharmacist can tell you if your medication may the root cause of your sleepless nights.  If stress ifs a cause, exercise may be the answer since it is the number one stress buster for the human body.   Journal your worries to put them aside while you sleep.
  • Advanced Sleep Phase Syndrome – Other factors affecting sleep are the circadian rhythms that coordinate the timing of our bodily functions including sleep.  For example older adults tend to become sleepier in the evening and awake earlier in the morning, compared to younger adults.  Many researchers believe Advanced Sleep Phase Syndrome is associated with hormonal changes and light exposure.  Treatments for this include bright light therapy and behavioral changes to readjust sleep patterns.
  • Sleep Disorders – Some common sleep disorders may also be to blame for nighttime wakefulness.  Sleep Apnea which causes breathing to stop numerous times through the night can also put you at risk for heart problems, strokes, and high blood pressure.  Treatment for this can range from losing weight to the use of an air machine called a cpap.  Restless Leg Syndrome could also be the culprit  of those nights of no sleep.  Many older people describe this disorder as crawling, tingling or itching of the legs that requires movement or the urge to move the legs to provide relief.  Your doctor can provide a prescription to treat this disorder.

Most people accept sleep difficulties as a normal part of the aging process.  Irrespective of age – it remains that sleep is an essential to a persons physical and emotional health.  Sleep may just yet be the best barometer of good health for the elderly.

Benefits of Exercise for Seniors


We all know that physical activity and regular exercise is good for us.  In fact, even light or moderate activity can be the healthiest thing you can do for yourself even as an older adult.  Regular physical activity is important to the physical and mental health of healthy older people and even older adults who currently have diseases and disabilities.  The National institute for Heath suggests therefore that older adults should aim to be as active as possible.  Let’s look at the overall benefits of exercise and being active even as we age.

  • Exercise helps maintain a healthy weight.  – As we age our metabolism naturally slows, and  maintaining a healthy weight gets harder with each passing year.  Exercise, even light activity, helps boost metabolism so your body can hold on to a healthy weight. A healthy weight improves overall wellness.
  • Exercise for balance and muscle control. – Without exercise seniors risk losing core muscle strength.  Bones can become brittle.  Health experts agree that elasticity in our connective tissues – muscles, tendons, and ligaments, – slacken without exercise and may cause weakness in balance and coordination.
  • Exercise is a mood booster! – Exercise can lift one’s spirit and outlook on life.  Our moods can be affected when we wake with aches and pains.  Those aches and pains can be reduced or even disappear with regular exercise.  The body releases endorphins that make you feel capable and enhance your overall mood.
  • Exercise is a heart strengthener!  – One critical component of aging is heart health.  Regular activity keeps the heart muscle in shape and can ward off common cardiac problems.
  • Exercise to improve sleep!  Poor sleep does not have to be an automatic consequence of aging and quality sleep is important for overall health.  Exercise often improves sleep and allows us to sleep more deeply.

Many seniors are reluctant to exercise claiming that physical activity may harm them or they may get hurt during the activity.  It is therefore advisable to consult your doctor for a check-up before starting a new exercise.  Your doctor will be able to suggest the level and types of exercises and activities that will be a benefit for you while maintaining your safety.  You may even find that after a few weeks even a walking, swimming  or gardening routine will boost not only your health but your mood as well.

Protecting Your Assets with Stephen DiGregorio Esq.


No one likes to think about the end of life,  but securing your assets in the form of a will or a living trust may give you the peace of mind that your wishes will be properly documented and that your family will be provided for in the event anything happens to you.

According to Stephen DiGregorio Esq., Founder of Protecting Your Assets and an Estate Planning Lawyer, there are several ways to ensure as smooth transfer of one’s assets after our passing.  While most of us have heard of wills and trusts there are many basics that can be confusing and lost in lawyer legalize.  Mr. DiGregorio sat down with me to explain in simple terms the fundamentals of Estate Planning.  In this entry we will discuss Wills.

What is a will?

A will is a document that contains your instructions as to how property and assets will be distributed after your death.  This could include your home, land, vehicles, bank accounts, insurance benefits, investments, jewelry and other personal possessions. A Will is a public document that may be challenged during probate which can take about a year to a year-and-a-half.

Why do I need a Will?

Wills involve many items of both monetary value and items that may be personally priceless to you or your family.  If you should die without a will it is considered “intestate” and the rules of law will apply. A court of law will decide on how your property is distributed and who the beneficiaries will be.  It may not be according to your wishes so dying “intestate” is not a good position to be in for the sake of your beneficiaries. While you may think that family members can calmly divide the assets it is always best to put your wishes in writing.

Can I use a template drafted from the internet?

In today’s easy internet-access world googling a free template for a Will is not difficult.  Mr.  DiGregorio however, points out several pitfalls to making your own will without consulting a lawyer.   Each state has their own laws and regulations regarding wills, probate and the transference of property.  Unfortunately these laws change and evolve faster than the internet can keep up with and the template may not be consistent with new state laws.  Legal execution of a Will is also a possible problem in creating and notarizing your own will.  A court may throw out a Will on a technicality if a proper notary was not used or the witnesses have a stake in the Will such as a family member.  DiGregorio also cautions about using a lawyer who does not have specialty experience in Estate Planning.  As an analogy DiGregorio states,  “You wouldn’t go to a General Practitioner if you had a specific medical condition so why do the same for legal matters?”

For more answers to your Estate Planning Questions please contact

Stephen DiGregorio Esq. – Protecting Your Assets – 978-210-9666


Benefits of Staying Active through Volunteerism


Seniors who volunteer are happily creating a “win-win” situation in their neighborhood and in their lives.

Volunteers make a huge difference every day at local churches, community centers, schools, libraries, and health care organizations.  Community service organizations thrive when they engage the services of seniors specifically by reducing costs with the donated time of the seniors.That altruistic act of volunteering can then pay special dividends for seniors.  According to the Visiting Nurses Association (VNA), studies have shown that there are numerous emotional, cognitive and physical benefits to volunteering.

Emotional Benefits. Volunteerism can help seniors overcome feelings of being isolated and depressed.  Giving back to the surrounding community allows seniors to make social connections close to home and may give a senior a sense of purpose which can make a huge difference in attitude and overall outlook.  Having something to look forward to daily or weekly can make a senior feel needed and important.

Cognitive Benefits. Recent  VNA studies of senior volunteers indicate that “staying active and alert and on-the-move through volunteerism can slow cognitive decline.” By volunteering in the classroom or library where certain mental tasks are used can increase “executive function”  and increase brain activity.  As an added benefit – sharing a special talent, skill or experiences can increase mental acuity by working the region of the brain involved with  memory and speech.  These mental benefits are long lasting and in many cases keep a senior intellectually stimulated.

Physical Benefits.  Giving back can help improve your physical well-being.  Merely by being active while you volunteer can aid in maintaining muscle strength and flexibility.  The Senior Care Network reports that 75% of seniors with chronic conditions say volunteering helps them manage the pain of diseases such as arthritis, diabetes and high blood-pressure.

It appears that by staying physically active, intellectually stimulated and emotionally connected in a purposeful way has health benefits that may far exceed the outward benefit of helping non-profits that need to rely on volunteers more than ever in this sluggish economy.

How can I get involved?

  • Try contacting “Senior Corps, Volunteers of America” to see if there are local non-profits that need assistance. By registering they will match you with a project that can utilize your special skills.
  • “AARP Create the Good” will have lists of volunteer opportunities in your area.
  • Contact your local church, school,  or library depending upon your interests to see if they are accepting new volunteers.
  • Look for fliers at your local senior center where they may be able to assist you with transportation to and from the volunteer location.
  • Ask friends what volunteer about projects that they have enjoyed in the past.


  • Visiting Nurses Association
  • Retirement Living by Kimberly Vickers
  • Senior Care Network

Importance of Intimacy for Seniors


Comedian  and nonagenarian George Burns quipped that “you can’t help getting older, but you don’t have to get old.”

The stereotypical vision of baby boomers would have us all believing that seniors are quietly playing Bingo or shuffling along at the nursing home – waiting for their last days. This could not be further from the truth.  The National Council on Aging reports that an active sex life appears to be “as normal a part of aging as retirement and having grandchildren.” Let’s look at some statistics about intimacy during the senior years, its importance and benefits.

According to Global Action on Aging, over 80% of seniors 60-65 are sexually active.  Those number drop with advancing years but over 25% of men and women over the age 80 also report that they are sexually active.  This is good news for older adults because as we age our need for physical intimacy does not diminish rather it may increase due to a physical impairment or feelings of isolation.

What are the benefits of intimacy in the senior years?

  • Feel Connected to others. As social beings we all need that sense of connection to others that wards off feelings of isolation and depression.  This does not mean that to feel connected you need to have intercourse   – rather snuggling, hand holding and hugging can also bring on that sense of connecting with others.
  • Good Form of Exercise. Sexual intercourse or other methods of intimacy many times have a physical component that can aid with muscle elasticity, muscle strength and improving heart rate.  Even a small amount of exercise can stop muscle atrophy. In medical studies regular touch has shown to lower blood pressure and slow heart rates.
  • Anxiety Reducer. Whether it is a simple touch to help someone get up and down in a chair, combing someone’s hair, or the more intimate act of “making whoopee”, each level of intimacy makes us feel more secure and reassured.  Studies have even shown that even the touch of a beloved pet can have the beneficial effects of reducing tension.

The message is clear that intimacy is beneficial mentally, emotionally and physically.  Without the fears of your younger years such as a  child walking in or having to get up early for work or even stressing about physical performance, the senior years may make sex better than ever!  While adaptations may need to be made to make this a more pleasurable activity as you age, it will most certainly improve your confidence, mood and even your health!


  • National Council on Aging
  • Global Action on Aging
  • AARP – Staying Active
  • VNA Health Care


Bathroom Safety – Older Adults


According to the Centers for Disease Control, the statistics for in home falls are alarming!

  • Every 17 seconds an older adult is treated in a hospital for an injury related to a fall
  • Falls are the leading cause of injury in older adults
  • More than one-third of adults 65 and older fall each year
  • Greater than 20% of all falls result in hip fractures, lacerations, or head injuries
  • The largest majority of falls occur in the bathroom! 

How can you prevent falls in the bathroom?

Most falls are preventable.  This is good news since more than 83% of aging adults are choosing to stay in their own homes. Let’s look at both products and tips from experts that are specially designed  to make the bathroom a safer place.

  • The Bathtub – Getting in and out of the tub/shower is a a balancing act that may be difficult for many older adults.  The ultimate tub safety equipment is the installation of a walk-in tub/shower.  These come with many options such as hand-held shower sprayers, heated seating, and textured floors to prevents slips and falls.  If this is out of budget for you, the installation of more affordable grab bars  and grab handles will assist with stability and balance.  By adding affordable nonskid mats and shower chairs the risks for falls also decreases greatly.
  • The Sink Area. Store towels, soaps and other bathroom necessities in easy to reach places that require no bending.  All throw carpets should be removed or replaced with nonskid carpets surrounding the sink area.  Also ensure that proper lighting is well maintained.
  • The Toilet Area. Elderly people with knee problems might face problems while siting or lowering to the toilet. There are two types of toilet seats that you can buy. There is one plastic seat which once fitted, can be lifted by at least 5 inches. Or, you can also get the adjustable seat that can be raised to around 6 inches higher than the normal height of the seat. For ensuring safety, toilet handles or grips should surround the toilet area allowing for an older adult to stabilize oneself while standing and lowering.

General tips to decrease slips and falls

  • Get regular eye exams that will ensure line of sight is not compromised,
  • Exercise when possible to maintain good muscles control.
  • Remove any tripping hazards such as towels, magazines or other bathroom items.
  • Have medications checked to ensure they do not cause dizziness or reduce balance.

These simple bathroom modifications can mean the difference between falling and being able to maintain independence in your own home.  Do not delay making modification and risk becoming a statistic.  Take action now- don’t wait to be safe!


  • The Center for Disease Control
  • Fall Prevention Services
  • Active Forever Fitness, Safety and Medical Supplies
  • AARP Safety Tips



Sleep Tips for Older Adults


As we age it is normal to experience changes in sleeping patterns.  But if you are chronically bleary-eyed and feel sleep deprived, it may be time to look into some techniques to improve your quality of sleep.

Whether you are a newborn baby or a senior, sleep is essential to your physical health and emotional well-being.  Seniors that have poor sleep habits can be more prone to illness, memory problems, slips and falls and changes in mood.  In order to boost your immune system, improve memory function and allow the body refresh itself, older adults require between 6-8 hours of sleep each night.  While this varies with each individual the National Institute for Health recommends that amount for most older adults to feel and function at his/her best.

Let’s look at some common sense tips to sleep better as you age.

1.  Get regular Exercise. Gentle aerobic activities such as gardening, swimming or even just walking releases chemicals that encourage sleep. You may not feel sleepy if the body is too sedentary.

2.  Create a good sleep environment. Make sure your bedroom is quiet, dark and cool.  Any light, noise or excessive heat may cause sleep problems.  Turn your clock so that you don’t see the time each time you wake at night.  Not only will the light disturb you but the stress of thinking about the time may also hinder your ability to relax into a peaceful sleep.

3,  Get outside during the day.  Bright sunlight helps regulate melatonin and sets your sleep/wake cycle.  If getting out is not possible move a chair near a window or invest in a light therapy box to simulate daylight.

4.  Eat wisely. Avoid foods that may cause indigestion, heartburn or gas discomfort prior to bed.  Have a small healthy snack with warm milk to help satisfy hunger but not upset your stomach.

5.  Treat an overactive bladder.  Although limiting liquid intake before bed may work for some adults others need help to quiet an overactive bladder.  Better Woman Now is an all-natural herbal supplement that improves circulation and improves muscle control around the bladder.  It has no known side effects and will decrease the urgency and frequency of urination.

6.  Avoid nicotine, caffeine and alcohol.  These stimulants can interfere with the quality of your sleep.  While alcohol may help you feel sleepy it will disturb the sleep cycle.

7.  Maintain a sleep routine and schedule. Try going to bed at the same time each night and develop a soothing bedtime ritual like playing music, taking a bath, or reading a book.  The benefits of these routines will improve relaxation and reduce your stress while cuing your body that it is time for sleep.

While it is inevitable that we sleep less as we age, it is not necessary to feel groggy or irritable all day due to a lack of sleep.  If these techniques do not help your insomnia please consult your doctor to check for sleep disorders, medications that may be interfering with sleep or a medical condition that may be stopping you from getting your zzzzzzzz’s.


  • Insomnia in Older Adults
  • National Health Institute
  • Northwestern University – Feinberg School of Medicine –
  • National Sleep Institute
  • The Help Guide to Sleep





Sleep Theories for Babies


Is your baby sleeping like a baby?” If your child needs to be rocked, cuddled, nursed and changed repeatedly during the night then the answer is probably a resounding “no!” Trying to make sense of the ever changing sleep patterns of a baby is one of the largest challenges of parenting.  Whether you are a ‘newbie’ or a ‘well-seasoned’ parent, it can be overwhelming to understand the conflicting theories and advice given by experts on this hot button topic.  Let’s sort through the most well-known theories and then you may find one that works for you, your family and most importantly your baby.

Ferberizing– Invented by leading (and sometimes controversial) expert Richard Ferber, this concrete method is a way to teach your baby to self-soothe and sleep on his/her own.  This technique requires putting baby to down to sleep while awake (but drowsy) and leaving the child for gradually longer periods of time until the child can fall asleep and stay asleep on his/her own.  This method suggests returning to the room at set intervals, patting or comforting the child, but not picking up the child to feed, cuddle or soothe.  This is called “progressive waiting” but is commonly referred to as Ferberizing,  Opponents of this method argue that leaving a child to cry-it-out could be harmful to a child’s sense of security and trust.  Advocates praise this method as a way of teaching children to learn the important skill of soothing oneself.

Attachment Parenting  Healthcare couple pediatrician William Sears and his wife, nurse Martha Sears,  have been in practice for more than 30 years and support a method commonly referred to as Attachment Parenting. This school of thought encourages parents to set up a soothing nighttime routine including reading, baby massage, a warm bath and most importantly an emotionally secure environment so a child’s independence can develop naturally.  This technique allows for co-sleeping, nursing, or snuggling in a parent’s arms until the time comes that they can wean from parents.  Opponents of this method say this may cause more dependency and tends to take a longer  to have a child sleep independently. Supporters cite success and say that the physical closeness is more nurturing  and creates a positive association with sleep rather than a fearful one.

The No Cry Sleep Solution – If you are looking for a middle ground between “routine-based” and “attachment parenting” this may be the approach you may find works for you. Elizabeth Pantley. parent educator and author of the popular book, “No Cry Sleep Solution,”  suggests this structured yet gentle solution to sleep training.  Her step-by-step outline is customizable for your child and focuses on putting a baby to sleep drowsy but only after cuddling, nursing and finding the security in a parent’s arms.  Parents would respond immediately to a child’s cries and offer a gradual approach to weaning your child from needing a parent at night to soothe.  This six phase process includes keeping sleep logs to learn a child’s routines and teach him/her to sleep independently in a crib.

Regardless of the school of thought you follow realize that this baby sleep debate must be right for you and your family.


  • What to Expect the First Year
  • Baby Center Medical Advisory Board



Health Care Proxy, Power of Attorney


A Health Care Proxy (also know as a Durable Power of Attorney, Health Care Agent, or a Medical Surrogate) is a legal document that allows another person (a proxy) to express your wishes and make health care decisions for you in the event that you can not communicate or make decisions on your own.  This legal function is governed by state laws and therefore goes by different names but serves the same basic function.  A Health Care Proxy becomes effective when your attending physician determines that you are unable to make or communicate health care decisions.  The legal status only lasts the duration of the capacity in the case of a temporary illness or surgery.

Naming a Health Care Agent:

When choosing a proxy you will want to select an individual who you trust to make significant health care decisions on your behalf.  Regardless of whether you appoint a friend or family member it is important that this person understands your values, preferences and possibly religious beliefs about end-of-life care.  The person must be willing to follow through on difficult decisions, confer with the medical team, and consent or refuse medical treatment including but not limited to life sustaining treatment.

If you are legally married, your spouse is already designated by law to speak on your behalf as are parents/guardians legally charged with the decisions for the health care of their child.  In all other cases, a proxy must be designated.  Therefore, it is imperative that a Health Care Proxy be appointed for elderly loved ones.  If there is no family or there is no one you trust to make the medical choices for you, it would be best to then create a living will to advise your doctors about your medical preferences.

Creating a Health Care Proxy

Obtain common forms for your state’s version of the Health Care Proxy from your health care provider, a local hospital, a nursing home or online by searching for “medical power of attorney”. More extensive forms and counseling that goes with them are available from Elder Law Attorneys.  However, you do not need a lawyer to write a health care proxy.  Most standard forms must just be signed by the person, their proxy and a legal notary public.  Finally give a copy of the document to your health care agent to make sure your are protected and that your wishes are honored.


  • American Bar Association Consumer Tool Kit for Health Care Advance Planning
  • Medicare Interactive
  • “Agent’s Role in End of Life Care
  • Tully and Winkleman PC – “Responsibilities of Being a Health Care Proxy”
  • “Questions and Answers of Being a Medical Power of Attorney”