Welcome to this week's episode, where we're starting to look at preparing for the upcoming festive season - full of stress, different eating, sleeping and travel planning - the perfect recipe for stress, unregulated nervous systems, digestive systems and pelvic floor dysfunction! All this month, we're going to look at the evidence for multimodal pelvic rehab & lifestyle strategies for pain & digestive distress. Let's start the conversation with Inflammatory Bowel Disease - including Croh...
Nov 03, 2024•30 min
Hello & Welcome to the latest episode of the CelebrateMuliebrity podcast! In today's episode, I have the pleasure of chatting with Dr Amanda Homen, a Toronto based physiotherapist and we chatted about the role of Hypermobility in Pelvic Health. Some of the topics we discussed include: what is hyper mobility and why we need to know about it in pelvic rehab why a systemic approach is needed - looking beyond the joints to the effects on the gastrointestinal and connective tissue effects The int...
Oct 27, 2024•54 min
Hello & welcome to this week's episode of the podcast! Today is World Osteoporosis Day and it falls right in the middle of both Menopause Awareness and Breast Cancer Awareness month (probably not a coincidence as bone health is a major issue for both of these often overlapping groups) In last week's episode, I talked about musculoskeletal health at menopause, and everything I said then is applicable for women going through breast cancer treatment, especially if they are on endocrine treatmen...
Oct 20, 2024•24 min
October is awareness month for both Menopause & Breast Cancer, and one area of overlap between these two issues is that of musculoskeletal health Sometimes, when we think about musculoskeletal health at menopause, we might immediately think of osteoporosis. Although that's a really important issues, and one I'll be addressing in upcoming episodes, for today I want to talk about muscle & joint pain at menopause Musculoskeletal dysfunction affects between 70 and 80% of women going through ...
Oct 13, 2024•29 min•Season 4Ep. 52
Welcome to the latest episode of the Celebrate Muliebrity podcast! In today's episode I have the pleasure of chatting with Surabhi Veitch, an amazing physiotherapist from Toronto (Before I tell you what we talked about - please note I had an equipment malfunction about 18 minutes in - it gets scratchy just on my end for approx 60 seconds then settles down - if it was just a solo episode I would have redone it but Surabhi gave so many clinical pearls I had to share this! we talked about: how we n...
Oct 06, 2024•43 min
NEW PODCAST ALERT! Pain Science & Pelvic Pain: Episode 50 with Dr Millie Mardon Hello everyone and welcome to today's episode where I'm sharing a recent conversation I had with newly minted PhD, Dr Amelia (Millie) Mardon In this podcast episode we discuss: Millie's latest research paper ' I wish I knew then what I know now - pain science education concepts important for female persistent pelvic pain' How she brought her own experience with endometriosis and pelvic pain into her research Expl...
Sep 22, 2024•47 min
Hello and welcome to this week's episode where I'm sharing my top 5 non-hormonal approaches for pelvic health at Menopause. GSM or Geniturinary Syndrome of Menopause covers the pelvic health changes we see as oestrogen levels decline and includes such issues as overactive bladder, continence, VV dryness/ irritation and pelvic floor muscle dysfunction. Although topical hormonal therapies such as oestrogen or dhea can be great - not every woman wants to or can use them - I wanted to share the late...
Sep 15, 2024•27 min
Hello everyone and welcome to today’s episode where I had the pleasure of discussing what’s new in pelvic rehab when it comes to Menopause, Cancer & Pelvic Pain. September is actually awareness month for those three (big!) topics so I was excited to chat with Elise Fraser from the University of Melbourne about the new & exciting research showing the benefits of physio in each of these (sometimes overlapping) spheres 👏👏👏 In this chat, some of the things we discussed: 👉 the variety of ...
Sep 08, 2024•37 min
Hernias & Female Pelvic Pain: Episode 47 with Dr Shirin Towfigh Hello everyone and welcome to today’s episode where I had the pleasure of a most illuminating conversation with global leader in hernia care, Dr Shirin Towfigh In this chat, we discussed: 👉 typical presentation and history of hernias as pain drivers in women (spoiler: women may present with pelvic pain but no bulge) 👉 why hernias in women can be potentially life threatening 👉 how hernias are diagnosed and surgically managed �...
Sep 01, 2024•42 min
New Podcast Alert 🚨 Labour and Delivery Prep. - Episode 46 with Susannah Haarmann And we’re back! I have some great episodes coming up for the rest of the year and to kick off this latest batch, here’s my chat with Susannah about a biopsychosocial approach to helping women prepare for labour and delivery We talked about: 👉various methods of tuning into and lengthening the pelvic floor for delivery 👉evidence based approaches to reduce pain before, during and delivery 👉how we can help improve ...
Aug 25, 2024•41 min•Season 4Ep. 46
Why do periods go missing? (and why it matters?!) In part 1 of this mini-series, we talked about de-mystifying the menstrual cycle and in part 2, I covered period pain management, and here in part 3, I want to explore missing menstrual cycles and the implications, for both performance and health In this episode, I talk about: Different causes of amenorrhea including POI, PCOS and REDs Recognising the signs & symptoms of each the implications for bone health, muscle function & recurrent i...
Aug 04, 2024•26 min•Season 4Ep. 45
In today's episode, I am delighted to chat with Terri Robertson Elder, about movement optimism in pelvic health. In the intro to the episode, I talk about some new research that I recently came across from Briand et al (2024) looking at changes in body composition and how women lose lean muscle mass starting at the age of 31!!! Pelvic health shouldn't be a barrier to movement but there's still a lot of mythology about what we should and shouldn't do in postnatal recovery, for people with diastas...
Jul 28, 2024•49 min•Season 4Ep. 44
Spice Warning! This episode may have you questioning many concepts you once held dear as a pelvic physio! If you’ve ever taken a course with Taryn, you’ll know she’s an expert when it comes to breaking down the research and exploring what it means! In this episode, we discuss: • why the PERFECT score is imperfect for assessing pelvic floor muscle strength • current understanding of our role in management of stress urinary incontinence • the importance of the p value • prolapse - what role does p...
Jul 14, 2024•57 min•Season 4Ep. 43
Vulvodynia - is it a mucosal issue, a pelvic floor issue, a psychological issue...or all of the above? That was the question I asked on my Instagram feed recently, paraphrasing the research into this topic by Chisari et al. So in this week's episode, I'm delighted to welcome Dr Jessica Reale back to the podcast, this time, to discuss Vulvodynia. It can be an intimidating diagnosis for both patient and provider but we explore what it takes to be an effective clinician working with people on this ...
Jul 07, 2024•32 min•Season 4Ep. 42
This is part 2 of my Menstrual Health mini-series (pt1 covered the basics of the menstrual cycle and pt 3 will cover The Missing Menstrual Cycle - stay tuned!) In this episode, we’ll cover dysmenorrhea (from the Greek, meaning ‘painful monthly bleeding’ Did you know that menstrual pain affects 90% of those who menstruate, with 9% of those dealing with severe pain? That endometriosis affects at least 10% of women worldwide? That although meds and surgery are often offered as first line approaches...
Jun 30, 2024•22 min•Season 4Ep. 41
What is good communication and why does it matter when we are working with people dealing with chronic pain? There are a couple of papers that have caught my attention on this - Kays (2021) paper looking at the lack of empathy and its effects when we work with people who have chronic pelvic pain, but especially Kays (2022) paper 'Effects of Provider Interactions on diagnosis and care of people with chronic pelvic pain’. These papers discuss the consequences of negative patient/ provider interact...
Jun 23, 2024•40 min•Season 4Ep. 40
Menstrual Cycles - what are they, what do they mean, what happens when they're painful...or when they go missing? In this short menstrual miniseries, I'm hoping to do some menstrual myth busting and really get to grips with the menstrual cycle so we are starting with an overview of the menstrual cycle & what's happening hormonally (spoiler: menstruation is only one small part of the menstrual cycle!) If we want to understand menopause...or return to exercise postnatally...or hormonally drive...
Jun 16, 2024•19 min•Season 4Ep. 39
It is Diabetes Awareness Week...and I'm updating the PCOS modules in my online coursework so I thought we should have a chat about the link between PCOS and Diabetes risk for women. Did you know that Poly Cystic Ovarian Syndrome is the most common endocrine disorder affecting females? That it has implications for the menstrual, maternal and menopausal years? That inflammation and insulin resistance are the cornerstone of PCOS, not just testosterone dominance? That lifestyle approaches are the pr...
Jun 04, 2024•27 min•Ep. 38
Dr Carina Siracusa is a polymath of pelvic rehab - with expertise in oncology, neurology, paediatrics and gender surgery rehab. But...for today's conversation, we are talking about sexual health and the symbiotic relationship between pelvic floor dysfunction, sexual health issues and a bio psychosocial approach to helping people live well In this conversation, we discuss: how people often have a combination of pelvic health issues and sexual health issues the people that we work with clinically,...
May 28, 2024•38 min•Season 4Ep. 37
hello there! I'm in the throes of going though the new research that's emerging in the menstrual, maternal & menopausal space, and looking for what's going to change how we help women live well at each of these pivotal life stages. There will be a deep dive and big updates in my online Hormonal Health Masterclass later this summer (you can sign up now and get the updates for free when they go live). Expect info on the influence of menstrual health (including endometriosis) on athletes, lots ...
Apr 18, 2024•22 min•Season 4Ep. 36
Continuing the Hysterectomy conversation with the excellent Dr Lori Mize! I've been deep in the research around hysterectomy as I've been creating my latest online course, 'Hysterectomy: Prehab to Rehab' (available now!) Part of that research has been reaching out to friends & colleagues for their perspectives (have you listened to my interview with Lola Turvey about her personal & professional experience with hysterectomy yet? Episode 33 - so good!) Full Disclosure: this is a serious to...
Apr 02, 2024•35 min•Season 4Ep. 35
I had the pleasure of meeting Emily at the World Endometriosis Congress in Edinburgh last May and I was delighted when she accepted my invitation to come on the podcast to discuss her approach to working with people with Endo We discussed: *what health coaching is (and isn't) and the difference between coaching, mentoring & being a clinician *the role of health coaching in supporting people with endometriosis and how it can be the missing link *Emily's defining question - why don't we do the...
Mar 26, 2024•41 min•Season 4Ep. 34
New Podcast! 🔊🔊🔊 In this episode I’m joined by Lola Turvey, @theliftingmidwife who is an amazing midwife and antenatal/postnatal fitness expert… who is also recovering from a hysterectomy. In our conversation Lola shared her journey through & beyond her surgery, including: 👉 why we need to talk more about preparing for the recovery process, both the physical AND the emotional process 👉 prehab and setting realistic expectations afterwards; do women understand what is happening with THEIR...
Mar 12, 2024•34 min•Season 4Ep. 33
Postnatal & Perimenopausal Athletes What Happens When You’re Postnatal AND Perimenopausal? And maybe throw in some REDs, children and ageing parents… if you’re having a baby in your late 30’s or early 40’s… We talk about: Why we need hormonal literacy: beyond watching The Golden Girls … The intersection of Genitourinary Syndrome of Lactation and Genitourinary Syndrome of Menopause … Making strength training accessible for everyone … The perimenopausal changes that we aren’t talking about, pa...
Mar 05, 2024•44 min•Season 4Ep. 32
Are you ready to nerd out with me and my fellow Pelvicon alum, Dr Yeni Abraham? We tried & failed to rein it in but we covered A LOT of ground! Including: hormonal & reproductive health and how it influences the pelvic floor understanding PCOS why fibroids matter the role of pelvic rehab in fertility why lifestyle medicine is the future of healthcare and much much more! Dr Yeni is doing so much to advance our field and to support women going through major hormonal challenges and I thorou...
Feb 27, 2024•43 min•Season 4Ep. 31
She's back! I'm delighted to welcome Teresa Waser back to the podcast for another conversation. This time, we are taking a deep dive into Pelvic Organ Prolapse & Exercise We discuss: how we need to acknowledge the mismatch between the stage of prolapse and the symptoms why we need to make sure our focus is not just on the bio but also encompasses the psychosocial challenging the perceptions of danger/safety when it comes to resistance exercise educating about the necessity of strength traini...
Feb 06, 2024•56 min•Season 4Ep. 30
In this episode, I'm chatting with Angela Kenneally, who is the physio for the Irish Women's Football team (soccer for our U.S. listeners!) We discussed: her journey to working in a position combining women's health in sports medicine which is the big difference - is it sex or is it gender? nurturing physical activity and sports in girls and keeping women in sport the importance of understanding how women's health is more than pelvic health - we talked about REDs, ACL injuries, the importance of...
Jan 30, 2024•38 min•Season 4Ep. 29
Hello friends! I'm really happy to share this conversation with you that I recently had with Krystyna Holland. I first met Krystyna at Pelvicon in 2022 and I'm really happy to share this conversation with you. we talked about: gender inclusive care, getting things right and what to do when you get it wrong asking questions...and respecting the answers understanding what trauma informed care looks like - for your patients but also for you as a caregiver putting all this theory into practice and I...
Jan 23, 2024•37 min•Season 4Ep. 27
We're back!! after an extended festive break, I have a glorious new batch of chats for you, with some changes along the way, including some solo clinical spotlights from me - let me know if you'd like me to cover a specific topic! And who better to officially launch this new season than Munira Hudani? Whether you call it diastaysis or die ah stasis, this is a contentious topic in postnatal rehab, and I think the conversation around Diastasis rehab is still evolving. I had the pleasure of hearing...
Jan 16, 2024•53 min•Season 4Ep. 26
Happy New Year! I'm delighted to be back with this new batch of podcast episodes with some fascinating guests & clever colleagues and friends January is often a time of behaviour change...and perhaps some of OUR behaviours need to change as well? I'm joined in this episode for a fascinating conversation by Lindsey Vestal, an OT specialising in pelvic health In this episode we discuss: the importance of inter-disciplinary pelvic rehab how we can develop a person centered and practical approac...
Jan 03, 2024•43 min•Season 4Ep. 25
