Understanding Incontinence

Incontinence refers to the inability to control bowel or bladder functions, leading to unintentional leakage of urine or feces.

What is Incontinence?

Incontinence refers to the inability to control bowel or bladder functions, leading to unintentional leakage of urine or feces. This condition can significantly impact a person’s quality of life, and understanding its causes and management is essential for effective treatment.

Symptoms:

  • Unintentional Urine or Fecal Leakage: Inability to control bowel or bladder functions.
  • Frequent Urges to Urinate: Sudden, compelling urges to urinate or have a bowel movement.
  • Pelvic Discomfort: Sensation of pressure or discomfort in the pelvic region.
  • Skin Irritation: Skin problems resulting from prolonged exposure to urine or feces.

Causes of Incontinence

1. Muscle Weakness:
Weakened pelvic floor muscles can contribute to both urinary and fecal incontinence.

2. Nerve Damage:
Conditions such as diabetes, multiple sclerosis, or spinal cord injury can affect nerve signals.

3. Prostate Issues:
Enlarged prostate or prostate surgery can impact urinary control in men.

4. Hormonal Changes:
Menopause-related hormonal changes in women can contribute to urinary incontinence.

5. Certain Medications:
Side effects of medications may affect bladder or bowel function.

Your Path to Continence and Comfort

Understanding the complexities of incontinence is the first step toward effective management. At Napa Pain Institute, we are committed to partnering with you on your journey to continence and comfort.

We offer many treatments including:

InterStim

Our personalized and multidisciplinary approach aims to address the challenges associated with incontinence and enhance your overall well-being.

Real Stories of Hope & Healing

Our Patients share their journeys

David B.

“She changed the quality of my life so drastically and in such a positive way I can honestly tell people that she and Napa Pain Institute changed my life.”

Carolyn C.

“I highly, highly recommend Napa Pain Institute for anyone dealing with chronic or acute pain. They will find you a solution. And they are all wonderful.

Bruce F.

“I would easily give them and their facility the highest rating. They care and you are always treated with respect”.

Jeff B.

"I transferred to Napa Pain Institute 3 years ago and it was the best thing I have ever done."

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DR. MELANIE D. JOHANSSON, MD, FACEP

Dr. Johansson comes to us as a fellowship-trained and board-certified pain management specialist with nearly a decade of experience. She completed her fellowship training at Walter Reed National Military Medical Center in Bethesda, MD where she then became the associate program director of the pain medicine fellowship and an assistant professor of military and emergency medicine. She graduated from the Virginia Commonwealth University School of Medicine in Richmond, Virginia, was Pre-medicine at San Diego State University, and received her BSN from Marquette University in Milwaukee, Wisconsin.

Her breadth of experience comes from a full career of serving in the United States Navy where she was the recipient of multiple academic and military service awards including a Meritorious Service Medal, three Navy Commendation Medals, and numerous other individual, unit, and campaign awards. She has multiple published works and is the founding member of a military Pain Medicine Special Interest Group with the American Society of Regional Anesthesia.

In her free time, Dr. Johansson enjoys traveling, is newly married, loves dogs, and enjoys cooking and baking, as well as other creative pursuits. She has a particular interest in advanced procedural techniques for chronic pain relief and the effects of lifestyle on pain and healing. She looks forward to continuing our mission of providing our patients with the best care, every day.

Eric Grigsby, MD, MBA

CEO & Founder of Neurovations

Dr. Eric Grigsby enjoys a national reputation for excellence in the field of Pain Management. He has a background as a researcher, teacher and clinician and brings over 30 years of clinical experience to the Napa Pain Institute. Dr. Grigsby attended elementary and secondary school in his hometown of Knoxville, Tennessee, and received a Bachelor’s Degree in Biology and Economics from Brown University in Providence, Rhode Island. He formed an interest in Pain Management as a career while working at Boston Children’s Hospital in the Department of Orthopedic Surgery.

After graduating from Boston University Medical School in 1984, Dr. Grigsby trained in General Surgery, Anesthesiology, and Pain Management at the Mayo Clinic in Rochester, Minnesota. He was invited to join the Medical Staff and teach at the Mayo Medical School until moving to California in 1989. The Dean of the University of California at Davis Medical Center then invited Dr. Grigsby to establish their first Pain Management Center, where he served as Medical Director until 1992. Following his post at UC Davis, Dr. Grigsby established his private Pain Management practice in Napa, California.

Today, he and his staff of over 50 professionals consult with patients throughout Northern California and the western United States.  More recently, Dr Grigsby completed his Masters in Business Administration from Duke University’s Fuqua School of Business. He speaks nationally on topics such as non-operative treatment of spinal disorders, the safe use of medications for the treatment of pain, and the legal and regulatory issues relating to the proper treatment of patients with chronic illness.