hi® massage for female urinary incontinence


The hi® massager was designed specifically for women’s pelvic health.

hi® is a professional grade massage system that can also be used for full body massage – but was uniquely designed for improving pelvic floor muscle tone.

Here we explain the rationale and techniques for using hi® massage to relax and improve the muscular tone of the pelvic floor muscles.  As a result of this, the goal is to potentially reduce certain kinds of stress-based urinary incontinence.  We suggest you talk with your healthcare provider about hi® and consider taking the hi® 30-day challenge.

Please note that we are making no medical claims here.  This is an explanation of how the known benefits of certain types of massage can be applied to pelvic floor muscles. 

While stress-based urinary incontinence is very common in women, they’re often embarrassed to talk about it.

At some point in their lives, almost all women deal with this challenge.  Many studies have indicated that 25% of younger women, 50% of older and middle-aged women, plus 75% of elderly women deal with this.

Unfortunately, many women are embarrassed to talk with their health care providers about it.

Stress-based urinary incontinence can have a devastating impact on women’s quality of life by limiting what they can do and requiring them to wear feminine pads.

The average woman in the USA with severe stress-based urinary incontinence spends up to $900 per year just on feminine pads alone.

Causes of female urinary incontinence

Female stress-based urinary incontinence is frequently caused by a weakening of the urethral sphincter muscles, atrophy of the pelvic floor muscles, and spasm or imbalanced muscle tension of the pelvic floor muscles.

It should be noted that there are other neurological and related causes for stress-based urinary incontinence.

That being said, our focus is on changes to the pelvic floor muscles, since this affects the majority of women.

Spasm or weakening on one side of the Pelvic floor muscles can also cause the sides of the urethra to not align properly.  So even if the urethral sphincters are strong from practicing Kegel exercises, etc, they may not be able to close properly.  So kegels alone don’t always resolve urinary incontinence.

Childbirth increases the chances of urinary incontinence in women and increases with every natural childbirth.  Surgery or other traumas also affect the pelvic floor integrity resulting in UI. 

Hormonal changes, aging, and reduced physical activity can also cause atrophy of the pelvic floor muscles.

We also should note that we aren’t focusing on urge based urinary incontinence.  This is believed to be often due to chronic irritation of the bladder (possibly from urinary tract infections).  It can also stem from neurological challenges, diabetes, and other issues.

We all know how daily stress, and sometimes injuries can take their toll on our bodies.

We also know that if chronic muscle tension remains it will result in problems in our back, neck, legs, and other areas.

The same challenges can result from chronic muscle tension in our pelvic muscles.


But what can we do?


Health benefits of massage have been well documented.  (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC495977/)

Percussive and vibratory massage has been shown to give a wide range of benefits. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3939523/)  For example, physical therapists and chiropractors have used professional-grade percussive massagers for over 20 years.  (https://bjsm.bmj.com/content/28/3/149.short)   (https://academic.oup.com/ptj/article/49/2/158/4595737)

This includes relieving muscle spasm, increasing flexibility, improving blood and lymphatic flow, releasing tissue adhesions, and pain management.  (https://repository.cardiffmet.ac.uk/handle/10369/2994)

As well as supporting muscular growth by causing myotatic reflex contractions that result from the rapid percussive stimulation.  (https://www.sciencedirect.com/topics/immunology-and-microbiology/myotatic-reflex)

This “stretch reflex” action is what happens when a doctor hits your knee or elbow to test your reflexes.  When you use percussive massage on muscles, they spontaneously contract as a reflex when the muscles stretch from the compression.  This rapid, repeated contraction helps them strengthen over time.

For years, paralyzed people have used percussive massagers to help stimulate muscle growth in their legs.

More recently weight lifters have discovered the benefits of using handheld percussive massagers after workouts to reduce soreness and improve recovery time.  These types of massagers aren’t “toys” and typically start around $300 and up.

What most people don’t realize is that the muscles in the pelvic floor are skeletal muscles just like in your arms and back.

When our pelvic floor muscles become weak, or one side has a spasm, urinary incontinence, plus many other challenges can happen.

Our approach helps you easily tone and restore the integrity of these critical, but overlooked muscles.

This specialized massage technique works through your clothing and pads and just takes a few minutes per day.


hi® builds on past research for helping urinary incontinence

Stress-based urinary incontinence that is caused by atrophy or spasm of the pelvic floor muscles appears to benefit from percussive massage.  In 2007 one study found this approach helped stress-based urinary incontinence:  https://www.ncbi.nlm.nih.gov/pubmed/17869299

The results quoted from the above study were:  “At 6 weeks the cure rate (no incontinence episodes) was 73%, with durability through 3 months with 67% still reporting persistent resolution.”

Above is a representation of the alignment of the device used in the study shown by a cross-section of a woman’s pelvis (the original product was the Ferticare, but an analogous product Valdivia is shown here).

This study took the “Ferticare” percussive stimulation tool and had women apply it to their perineum once a day for a few minutes.  After 6 weeks, 73% of the women reported no incontinence episodes!  They followed up 3 months later after the volunteers had stopped the daily therapy and 67% still reported no incontinence.

Roger Dmochowski, MD – an editor for the Journal of Urology wrote an article referencing this study in 2007 where he posed questions as far as the mechanisms involved, and why more work was not done in this area.  Article link:  https://www.auajournals.org/doi/full/10.1016/j.juro.2007.08.062

You can learn more about the Ferticare 2, and Valdivia here from Orion Medical / Family Fertility Healthcare, Inc.  They also distribute hi®


The hi® massage method for urinary incontinence

hi® massage expands on the technique used in the above-mentioned study while adding several additional benefits.  Before going into the details though we first want to share some information on the muscles we are targeting.  Please see our video overviewing the techniques in detail.  


Understanding our anatomy (so you know what we’re focusing on)

Female stress-based urinary incontinence is frequently caused by a weakening of the urethral sphincter muscles, atrophy of the pelvic floor muscles, and spasm or imbalanced muscle tension of the pelvic floor muscles.

hi® directly stimulates the pelvic floor and abdominal muscles through clothing.  If needed a light feminine pad may also be worn.

hi® percussive stimulation appears to both help pelvic floor muscles relax, while simultaneously strengthening them.

How the three hi® massage positions work to strengthen your pelvic floor

First, hi®  is placed sideways on the lower abdomen, just above the pelvic bone.

This sends a shock wave directly into the bladder.  After multiple uses, this appears to simultaneously relax and tone the tissue.  It also compresses the bladder several thousand times per minute.  If urine is in the bladder this creates thousands of small pressure waves that challenge the inner urethral sphincter.  Over time this appears to strengthen the sphincter and reduce urine leakage.

Second, hi® is placed on the pelvis above and below the pelvic bone (pubic symphysis) without the lower blue vibrational guide turned on.

The upper percussive head compresses the bladder in a manner similar to the first position.  Simultaneously the lower percussive head sends a compression wave into the mons pubis.  This compression wave travels directly through the area of the urethra and urethral sphincter.  This appears to both induce rapid myotatic reflex contractions in the pelvic muscles as well as stimulate general circulation.


Optionally the lower blue vibrational guide can be turned on.  This appears to strongly stimulate the puborectalis and iliococcygeus muscles, while simultaneously triggering the bulbocavernosus reflex.


Third, hi® is placed on the pelvis with the upper percussive head just below the pelvic bone (pubic symphysis) and the lower percussive head on the rectum.

This appears to strongly stimulate puborectalis, pubococcygeus, and iliococcygeus muscles, while also triggering the bulbocavernosus reflex.

This position strongly stimulates all the pelvic floor muscles – through clothing.



Take the hi® 30-day challenge and discover how hi® can change your life.

Order hi® and follow the daily program.  If you are completely satisfied after 30 days (and you complete the program), send hi® back to us for a full refund.  You just pay return shipping.

Please note that hi® has not been evaluated by the Food and Drug Administration. No medical claims are being made. The hi® product, and or any statements made by this site as well as any associated video, audio, or written content therein, are not intended to diagnose, prevent, treat, or cure any disease.  hi® and its related training programs are not intended as medical advice, or to replace the guidance from a qualified health care professional. This site and all associated content, and products are intended to help share knowledge about wellness and relaxation approaches. Visitors and customers with any medical or health-related concerns are encouraged to contact a qualified health care professional.

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