Tag Archives: urinary incontinence

Incontinence articles related specifically to urinary incontinence

The vSculpt May Help Women With Stress Incontinence

female-incontinenceAs we enter into the new year, doctors and medical researchers are discovering more and more ways to treat and relieve stress incontinence in both men and women. In their research, they noticed that stress incontinence and forms of sexual dysfunction are quite common in many women and even–on occasion–go hand in hand with one another. However, in the past few years, doctors have discovered a plethora of ways to treat both of these common afflictions, allowing women to find the reprieve they so desperately need and, ultimately, improving their overall quality of life.

A Common Occurrence In Women

Currently, 40% of women will experience some form of urinary incontinence at one point in their life, with the most common form being stress incontinence. Leaks from stress incontinence typically occur from coughing, sneezing, or from different forms of exercise or for many women, after childbirth.

As women age, urinary leakage tends to get worse, especially after menopause. To correct this troublesome issue, many doctors tend to recommend two different forms of treatment; conservative treatment such as lifestyle changes, weight loss, or medication, pelvic floor exercises or a more intense treatment course such as surgery.

Although pelvic floor exercises yield the highest results, it requires the training and monitoring of a physician or physical therapist to ensure that the patient is executing them properly. However, in light of the high demands of the NHS, many physiotherapists are overworked and boast long waiting lists and follow-up lists, which proves to be a problem for patients who desperately need help in controlling their urinary incontinence problems.

The vSculpt May Help

Due to the sheer number of women that deal with the issue, there have been recent  developments of medical devices that assist women with incontinence, with the latest device being the vSculpt.

The vSculpt is a device that’s inserted vaginally and uses multi-modal technology to improve the strength of a woman’s pelvic floor muscles. To do this, the vSculpt uses a combination of light therapy, heat, and therapeutic vibration. This combination works to restore both the tissue and the muscle of the pelvic floor and promotes better control over leaks and natural lubrication; both of which can help to improve not only urinary incontinence, but minor forms of sexual dysfunction as well.

To support this claim, the International Urogynecology Journal published a study that was conducted by doctors of Seattle, Washington. This study evaluated the patients who used the vSculpt for 45 days, 55 women total. At the end of the study, researchers examined the results by using a 1-hour pad weight test, pelvic floor muscle strength test, and a series of questionnaires that looked into the patient’s quality of life–with a concentration in stress incontinence and sexual function issues. Their studies yield significantly high results and showed that with this new device, women actually saw a vast improvement in both their urinary incontinence and sexual function problems, significantly improving their overall quality of life.

With these results, more and more doctors around the country are recommending the vSculpt as a minimally invasive treatment for urinary incontinence.

vSculpt is not available yet in the U.S, but you can learn more information about it here.

Urinary Incontinence Can Affect Teenagers Academically

teenage-incontinence

Did you know that urinary incontinence can affect the learning abilities and academic performance of teenagers?

Unfortunately, incontinence problems are one of the most common health issues that occur in young children–however, it’s an issue that can easily resolve itself over time. In a new study, researchers discovered that teenagers with incontinence problems have an even larger risk of struggling with their academics. With the constant need to use the bathroom and to struggle through the sometimes present symptoms of burning pain, it proves to be a difficult challenge to sit through class and pay attention to studies, which is why it’s highly important for teenagers to seek professional help as soon as they feel symptoms of incontinence issues.

Additionally, teenagers who are suffering from incontinence problems need to more help and support in order for them to succeed in all their academic endeavors.

Working Through Incontinence

Currently, urinary incontinence occurs in approximately 4% of teenagers, while only 1% suffer from bowel incontinence problems. In a study conducted by the University of Bristol,  researchers looked deeply into the impact of the middle school environment on young children with incontinence struggles in the UK. in the beginning stages of their study, researchers interviewed 20 children that were in between 11 and 19 years of age. These 11 girls and 9 boys each struggled from a range of continence issues–daytime bed wetting, soiling pants, leakage, etc.

Additionally, 17 out of the 20 children participated in full-time education practices. Here are the 5 reoccurring themes they discovered from their data intake:

  • Boundaries of disclosure amongst family members, friends, and teachers
  • Social consequences resulting from avoidance
  • The constant interruption from learning
  • Intimate actions in public areas (public restroom instances)
  • Strict and oblivious restroom rules (source)

Researchers discovered that many of these children suffered from the incapability of being able to confide in teachers, friends, and family members about their incontinence issues. They noted that this incapability derived from the fear of being bullied by other students. With this in mind, it’s extremely important for teachers and other school staff to become more aware of this issue–have the ability to catch onto the signs and symptoms–this way they can easily detect if a student is having a problem and be able to get them the help and support that they need. In addition to a teacher’s heightened awareness, officials believe that any student who suffers from this inconvenient issue should be able to have 100% unrestricted access to the bathroom at all times throughout the school day. Moving on, researchers also discovered that many of these students also experienced setbacks in school that resulted from their incontinence. Many claimed that their need to use the bathroom so frequently would take them away from their classes far too often–resulting in them falling behind and missing important information. Some even reported that they would leave a class from 3 to 4 times a day just to use the bathroom.

The Need For Incontinence Awareness

From this information, it’s so important to spread the awareness of the terrible symptoms incontinence. It’s very apparent that there needs to be a greater awareness for incontinence not only in the household, but at school as well. With a greater awareness for incontinence, as well as more lenient restroom rules, children who suffer from this medical issue will be able to find more comfort in school and have the help they need always be available to them–this will allow them to have 100% focus on their work, without the distraction of incontinence

The 5 Biggest Incontinence Triggers

urinary-incontinence

Urinary incontinence is the uncontrollable, sporadic leakage of urine due to a weakened urinary sphincter. Though this problem is widely known for to be a problem for the elderly, it’s actually an issue for millions of men and women across a spectrum of age groups. Unfortunately, living with urinary incontinence can be a daily battle that drastically affects one’s quality of life.

Avoiding the Biggest Incontinence Triggers

Let’s take a look at the 5 biggest incontinence triggers and how to avoid them.

1.Obesity

According to the NHS (National Health Service), obesity is a huge trigger in stress incontinence. The excess weight that is carried around by those who are obese has the ability to place a lot of pressure on one’s already weakened bladder. With extra pressure, the weakened bladder is more inclined to release urine in order to relieve the stress that’s being placed on it.

Losing weight, regimenting your diet, and taking part in daily exercise can do wonders in relieving stress incontinence due to obesity.

2.Alcohol

In many cases, consuming alcohol can be a major contributor to urge incontinence. Alcohol has the ability to stimulate the detrusor muscles–the group of muscles found in the wall of the bladder–to contract too often, leading to leakages.

Drinking less alcohol can help to alleviate the symptoms of urge incontinence.

3.Lack of Fluids

 Not drinking enough fluids on a regular basis–though it sounds counterintuitive–can be a major factor in incontinence. Without fluids like water to flush out the urine in your system, a build of very strong, concentrated urine can occur, irritating one’s bladder significantly.

4.Medications

If you read the label on some medications, you will notice that sometimes, some of the symptoms result in overactivity of the bladder. Many medications have the ability to disorder the regular process of passing and storing urine in one’s body; it even has the ability to increase urine production. Some medications that cause these symptoms include ACE inhibitors, antidepressants, sedatives, hormone replacement therapy meds, and diuretics.

If you suffer from incontinence and use the medications listed above, talk to your doctor to see what your best course of action would be.

5.Constipation

This is another popular trigger for urge incontinence due to its ability to cause a blockage in the bladder. To help ease the symptoms of constipation without using a diuretic, be sure to eat plenty of fiber, drink plenty of fluids, and keep active.

If you are noticing signs of incontinence that are unrelated to the above factors, be sure to contact your doctor for more information and for a more specific treatment plan.

At Wearever, we strive to make life easier for those that suffer with incontinence. Our incontinence panties, incontinence briefs, and reusable bed pads are quality products that you can rely on for sturdy protection.

Kegel Exercises Just Got A Lot More Fun

kegel-exercises

Kegels are an exercise that most women participate in order to manage their incontinence and strengthen their bladders. It’s a common misconception that Kegels are only done by women who have recently given birth as a way to strengthen their vaginal walls; however, this exercise is actually very commonly used to ease the symptoms of stress and urge incontinence.

Just recently, a new program has hit the shelves that are turning Kegels into a less boring and more fun exercise to take part in.

A Fun New Way to Complete Your Kegels

For those who are unfamiliar with Kegels or lead a very busy life, it can be hard to keep up with the exercise and remember the reps and counts you are supposed to do each day. Even for those who are very dedicated to building up their bladder strength by using a vaginal weight have trouble keeping up with the demands of the exercise–not to mention these small and sometimes expensive weights have a tendency to get misplaced far too often.

Now, a new Kegel exercise companion is on the market that is changing the way women are doing Kegels while promoting an altogether stronger vaginal wall and bladder.

Introducing the Perifit

The Perifit is a brand new, pelvic floor trainer that has the ability to send a Bluetooth signal to its accompanying app on your phone. When turned on, the app allows you play a fun video game that assists you in your Kegel exercises. And for those who are not tech savvy, don’t fret, because this trainer and app are very simple to use. The device itself is moderately sized and inconspicuous; lightweight and only 4 inches in length. It also comes with a small travel case and a guide to help new users get the hang of it. Once you have downloaded the app onto your phone, you will be able to choose the type of program that best fits your needs–i.e post-pregnancy, intimate well-being, and incontinence. From there, it will put together a 5-day treatment regimen based on your preferences.

The awesome part about this device is that the app is wired to your trainer. So, the games you are playing while using the device, are actually simulating it to move within you vaginal wall; helping you navigate the Kegel exercises. With each game you play, the tokens you collect, and levels you master, the device with expanding and contract, teaching you the ways of performing proper Kegels and therefore promoting ultimate bladder strength. Due to its small size and inconspicuous shape, this device is fairly simple to use when you are on the go. Many women even claim to use it while they are out and about and even wearing a skirt–however, we recommend that you only do this once you’ve mastered the Kegel technique.

 

Is The O-Shot Effective Against Incontinence?

Urinary incontinence transpires when a person’s urinary sphincter grows weak and in turn, leads to involuntary, and unexpected leakage of urine on a daily basis. This is a problem that affects many people but occurs most frequently in women of all ages. Though incontinence is highly prevalent in the elderly, it can also affect women who have experienced pregnancy, menopause, and other related medical conditions.

According to the American Congress of Obstetricians and Gynecologists, 25% of premenopausal women, 50% of middle-aged women or postmenopausal women, and 75% of elderly women suffer from incontinence. With such a high percentage of women suffering from incontinence, researchers have estimated that nearly $19.5 billion has been spent on a plethora of treatments, including surgery, in the effort to reduce the symptoms.

Just recently, a new treatment for stress incontinence was discovered and doctors are calling it the O-Shot. This new treatment has peaked the interest in many women who are plagued by incontinence and are in search for any means necessary to end their involuntary leaks.  

How the O-Shot Works

incontinence-o-shot

The O-Shot is an injection that is made from platelet-rich plasma that is directly taken from the patient’s blood and spun together. Due to its properties and yellow hue, doctors are calling the plasma, ‘liquid gold’. A doctor starts by drawing blood from the patient’s arm and place it in a centrifuge. After time, the centrifuge separates the red blood cells from the plasma.

Dr. Beverly Mikes explains that the plasma produced is rich with growth factors that promote cells to increase their production of elastin–a protein found in the dermis of the skin–collagen, and vasculature and nerves (Source). The plasma then helps to regenerate and stimulate new tissue which in turn, treats stress incontinence.

Once this process is completed, the doctor administers a topical numbing cream followed by an injection of a local anesthetic and injects four cc’s of the liquid gold into the vaginal wall and the remaining 1 cc into the clitoris. Women who have received this treatment must keep in mind that results are not immediate and any signs of noticeable improvement may take a while.

A data bank maintained by the O-Shot’s founder Dr. Charles Runels has shown that there is a 65% success rate within three months of the injection. If there are still no signs of improvement within the three months, doctors recommend that the patient receive a second shot. The data bank notes an 85% success rate for those who were administered a second shot.

For women who have experienced reduced incontinence symptoms in the O-Shot treatment, it is recommended to receive yearly injections. Currently, a single treatment of the O-Shot is priced at $1,500 and is not covered by insurance. 

 

Not Enough Research

Like any experimental branch of medicine that has been newly discovered, questions and controversy have followed the development of the O-Shot.

As eager as many women are to try out this new treatment, the lack of peer-reviewed scientific evidence is leaving many questioning its effectiveness and its level of risk. Unfortunately, due to the insufficient scientific data, the American Congress of Obstetricians and Gynecologists have yet to include the O-Shot treatment in its Practice Bulletin for Urinary Incontinence in Women. Obstetricians and Gynecologists are advising their patients to heed caution to the O-Shot due to the placebo effect. Many women who suffer from urinary incontinence are very embarrassed to admit that they have this problem–even though it is more common than most believe it to be. Because of this, there is a heightened chance of the placebo effect occurring. Sometimes, all it takes is one woman’s positive testimony of the procedure to convince the rest that the treatment will work just as well for them. Hopefully, as time passes and more research is conducted, obstetricians and gynecologists can officially deem the O-Shot as an effective treatment for urinary incontinence.

There Are Many Ways To Manage Incontinence

Until more research is done, doctors recommend that patients practice pelvic muscle training to make your bladder and pelvic muscles strong enough to stop an unexpected leakage. Surgery, medication, and behavior therapy are recommended to those with extreme and debilitating cases of incontinence.

For extra protection from incontinence, we at Wearever have the all the supplies you need. Our incontinence underwear for men and incontinence panties are discrete, durable, fashionable, economically priced, and can go right in the wash after each use. For overnight protection, Wearever has a selection of washable bed pads to choose from that are long-lasting and will keep your bed dry. Wearever has you covered from those unexpected leaks.  

Incontinence May Be Preventing People From Exercising

incontinence-exercise

Incontinence affects nearly 25 million adults in the U.S., almost 80% of those being females (Source). Contrary to being such a prevalent disorder, many people wait an average 6.5 years before consulting their condition with a doctor.

Incontinence can interfere with one’s ability to live a regular life, due to fear leakage accidents. In turn, this involuntary leakage may result in people becoming withdrawn from social activity as well as physical activity.

The Effect That Incontinence Has On Exercise

There is a time in everyone’s life when physical ability and stamina degrades noticeably as this is the effect of getting older. This is amplified when one has incontinence.

Studies reveal that urinary incontinence is preventing people from exercising, but this does not have to be the case (Source). The trick to regulating urinary incontinence is to manage its symptoms, as Science Daily reports, which is relatively simple to do. This would include doing exercises that suit the condition. Since urinary incontinence generally does negatively affect people’s lives, it’s important to make them aware that lack of exercise will only make the side effects worse.

Another study suggests that women who didn’t experience a decline in muscle strength over the three year study period were less likely to suffer from stress incontinence (Source). When the abdomen area experiences pressure, the likelihood of leaking is high, but diminishes over time with exercise. Women over the age of 70 have a reduced risk of incontinence if they simply maintain their grip strength and muscle mass as they get older (Source

Having incontinence is no reason to refrain from physical activity. Getting your heart pumping and blood flowing is a great way to boost metabolism, increase longevity, and reduce incontinence symptoms.

The side affects of aging are never enjoyable, but lacking physical activity due to incontinence will only make you age quicker. Did you know that partaking in just 30 minutes of physical activity per day will actually help manage and regulate incontinence issues?

Exercises To Help Manage Incontinence

Some great workouts that will keep you keep fit while managing your incontinence are:

  • Kegel exercises
  • Pelvic floor exercises
  • Squeeze and hold muscles for five seconds, repeat
  • Yoga
  • Pilates

Quality Incontinence Products From Wearever

At Wearever, we are doing our part to help those with incontinence live better lives. Our incontinence briefs, incontinence panties, and reusable bed pads provide the protection you need while you are working on managing your incontinence.

The Effective Ways Seniors Can Treat Incontinence Issues

incontinence-treatment-for-seniors

There’s no shame in experiencing incontinence; it can happen to anyone. From the bubbly teenager who drank a little too much water, to the mom who had her first baby, to the elderly man whose bladder isn’t as strong as it used to be, incontinence isn’t as uncommon as you may think. 

If incontinence is a personal a struggle for you, there are plenty of treatment methods to consider

What to do First?

The best course of action would be to see a doctor. By making an appointment with your doctor, they will be able to determine if the incontinence that you are experiencing is stress incontinence, if you leak unexpectedly, or urge incontinence. Once the distinction is made, you can be set up on a proper treatment plan.

Find a Treatment Plan That Works For You

Depending on the severity of incontinence, you can choose from non-drug therapies and standard medications.

Some non-drug therapies include Kegel exercises, and bladder training–keeping a log of urination and accidents while increasing the time between using the bathroom.

Studies also show that cutting back on drinking alcoholic and caffeinated beverages can help lower incontinence rates. It may also help to get a sufficient amount of fiber in your daily diet and try to maintain a healthy diet (Source). For women with stress incontinence, a pessary can prove to be very helpful. A pessary devices shaped as a ring that you can insert to lift and support your bladder

Incontinence Medications

There are many medications that are approved for incontinence, mostly urge incontinence. With the guidance of your doctor, you can be prescribed Myrbetriq, Ditropan XL or its generic brand, Vesicare, and Detrol or the generic version as well (Source). Though these medications were specifically created for incontinence, they are not for everyone as there are many common side effects (constipation, drowsiness, dry mouth, blurry vision and dizziness).

Many of these side effects have led to patients discontinuing the use of them. If these medications aren’t for you, you also have the option to get Botox injected into your bladder to help tighten the muscles, but please advise your doctor first before making any decisions.

Natural Incontinence Remedies

For more natural remedies, try taking magnesium supplements or Vitamin D.

  • Magnesium is a mineral known for its assistance with nerve and muscle function. A small study revealed that more than half of the women who took magnesium hydroxide pills twice a day had improvements with their incontinence problems.
  • Vitamin D has also proved to be a useful supplement for incontinence. Another study showed that women between the ages of 20 and older who had normal vitamin D levels were less likely to have an incontinence disorder

Electrical Stimulation To Treat Incontinence

Electrical stimulation is another treatment for incontinence patients. During this process, mild electric shocks are directed into the lower back or the pelvic area. This stimulation can strengthen the muscles that are involved in urination. Electrical stimulation has proven to be helpful for both urge and stress incontinence (Source).

Incontinence Supplies “Wearever” You Need Them

While you are searching for the perfect treatment that will help with your incontinence, we have you covered. At Wearever, we supply quality incontinence products for both men and women. Our incontinence briefs and incontinence panties that are easily affordable, durable, and discrete. 

Stop worrying about accidents while you sleep and check out our incontinence bed pads as well!

 

 

How Do You Know if You Have Incontinence?

how-do-you-know-if-you-have-incontinence

Incontinence is becoming less of a taboo topic as more people are opening up about their diagnosis, symptoms and treatments. Accordingly to Urology Care Foundation, approximately 33 million Americans live with urinary incontinence. Could you be one of them?

If you want to learn more about incontinence, check out the list of symptoms below.

Symptoms of stress incontinence:

  • Involuntary release of urine, especially when you cough, sneeze or laugh
  • Leaking a small to moderate amount of urine

Symptoms of urge incontinence:

  • Frequent and sudden incontrollable need to urinate
  • May leak anywhere from a small to large amount of urine

Symptoms of overflow incontinence:

  • Frequent or constant dribbling of urine
  • Bladder never feels empty

Symptoms of functional incontinence:

  • Experiencing a physical or mental impairment that keeps you from making it to the bathroom in time
    • Example: arthritis could prevent someone from being unable to unbutton pants

Symptoms of mixed incontinence:

  • Experiences one or more of the above symptoms

If you or someone you love is experiencing these symptoms, we recommend seeing your doctor to learn more about your options. For those already diagnosed with incontinence, know there are resources and solutions to help you stay comfortable and worry free!

The Role Bacteria Plays in Incontinence

bacteria-and-incontinence

In order to understand the role that bacteria plays in urinary incontinence, one must understand the way scientists understood bacteria’s habitation in the human urinary system. The urinary tract has long thought to have been a clean and sterile environment where no bacteria can grow. Since urine is constantly being produced and expelled from the system, it was thought, there was not enough time for bacteria to grow therein. Until today, researchers did not have the invasive tools needed to examine the growth of bacteria in the urinary system. As of today, however, the proverbial floodgates have opened and we now know more than ever about what is causing urinary incontinence.

The Cause of Urgency Incontinence May Lie In Bacteria

It was originally thought that urgency incontinence was caused by weak muscles, psychosomatic triggers, and abnormal signaling that prompted the bladder muscles to contract involuntarily. Unfortunately, these factors only seemed to account for about 3/5ths of the cases. That is, not all of the urgency incontinence cases could be explained by these causes.

Scientists and researchers continued to search for the other underlying conditions that made 2/5th of cases respond adversely – or not respond at all – to treatments catered to the above conditions. Researchers at the university of Oregon Health and Science University recently published a study in Frontiers in Cellular and Infection Microbiology, and found that that the bacteria that live in the urinary tract may hold the answers we seek (Source).

Bacteria Discovered In Urinary Tract

Even when clinical cultures come back negative, there still may be a host of biological life (i.e. bacteria) in the urinary tract. These bacteria may be responsible for many of the symptoms individuals with incontinence face. Researcher’s’ goal was to find how the urinary microbe is different between women with urgency urinary incontinence, and women without urgency urinary incontinence.

Healthy Bacteria: Key Differences Between Women With and Women Without Incontinence

They collected urine samples using a transurethral catheter and sequenced the samples with Illumina MiSeq., afterwards, processing them with workflow package QIIME. What that basically means is that the bacteria samples obtained were unadulterated or mismatched with other bacteria that may have come from external tissues. The findings were sound and suggested that there is a community of bacteria that live in the urinary tract! The most surprising finding: women with urgency urinary incontinence had less bacteria than women without urgency urinary incontinence.

This bacteria community creates a “microbial diversity” in women with urgency urinary incontinence. Between women with and women without urinary incontinence, it was discovered that women with actually had 14 less types of bacteria on average. The more severe your urinary symptoms, the less bacteria you are likely to have.

The Difference Between Healthy and Unhealthy Bacteria

We need both good and bad bacteria in our bodies. An unhealthy balance of good versus bad bacteria can be what leads to you feeling unhealthy or ill (Source). Bad bacteria can multiply and grow, leading to irritation, inflammation, and infection. Left untreated, bad bacteria can also contribute to a variety of health problems. Probiotics, defined as good bacteria actually help with a variety of bodily functions including digestion and homeostasis. Probiotics also help reduce the occurrence of urinary tract infections, a real concern for individuals afflicted by urinary tract.

Incontinence Underwear For Men and Women

Incontinence briefs and incontinence panties by Wearever are designed to minimize the bacteria that cause unpleasant odors. Bonded waterproof outer layers prevent leakage and spotting, while inner layers wick away moisture from the body while absorbing stray urine. The middle layer, made with Agion™ antimicrobial fibers prevent bad bacteria from multiplying and growing out of control.

Dedicated To Awareness and Further Education

At Wearever we are dedicated to bringing you the most current news relating to urinary incontinence. We wish to give our readers methods in which to better understand their conditions and any new remedies that are on the horizon. Until next time, stay dry!

Show Your Leaks Who’s Boss!

incontinence-products

Our mission is to do whatever we can to help men and women living with incontinence feel comfortable and confident. Incontinence doesn’t have to stop you from enjoying everything life has to offer and our incontinence products were specifically designed to improve quality of life.

We love hearing about how our incontinence products have made lives better. Check out what one of our customers told us about how our incontinence underwear revitalized her “leaky situation.”:

“After my second child I noticed if I coughed or sneezed, I leaked a little. I soon realized that from then on I would be stuck using panty liners daily just in case.  Ladies you know how much we pay a month for our feminine products then add the cost of daily absorbent panty liners YIKES!! I cringed every time I added them to my shopping cart. There had to be a way to not only save the environment but my pocketbook as well.

Wearever has stylish and comfortable incontinence underwear for men and women who so that they can live life to the fullest with confidence and comfort.  Wearever incontinence underwear are reusable and they provide maximum protection for female and male incontience. Yay! No more filling the landfills. The underwear has sewn-in Unique-Dri pads that trap liquid and are treated with odor eliminating fibers. They are recommended to keep you dry through 200-250 washes. That’s a big money saver.

Wearever offers a large selection of absorbent female incontinence panties in all different styles and material including cotton, lace and nylon. You can choose light, moderate and heavy absorbency. Wearever offers men the same protection and with incontinence briefs and boxers.”

– Freebies 4 Friends blogger (read more here)

We want to hear your story! Let us know how Wearever incontinence supplies have changed the way you manage and live with your incontinence. At Wearever, we are fully committed to providing the best products that help people deal with incontienence. In addition to incontinece underwear for men and women, we also carry waterproof bed pads and diabetic socks from Buster Brown.