Shows
The Pelvic Floor Project94. Hemorrhoids, fissures and itchy anus with colorectal surgeon Dr. Ritha BelizaireIn this episode I sit down with dual board certified general and colorectal surgeon, Dr. Ritha Belizaire to discuss: What are hemorrhoids? What causes anal fissures?Anal itchinessHow the pelvic floor is related to these conditionsTreatment options including creams, physio, botox, stress management, bowel hygiene, surgery and moreDr. Ritha Belizaire is a dual board certified general and colorectal surgeon in Houston, Texas and the owner of Houston Community Surgical, a solo colorectal surgery private practice. She is passionate about providing accessible, inclusive surgical care. Dr. Belizaire is an expert in colorectal related pelvic floor disorders such as...2024-05-2759 minThe Pelvic Floor Project93. The voice and pelvic floor connection with speech language pathologist, Ashley MichaelisIn this episode I sit down with speech language pathologist (SLP) Ashley Michaelis to discuss: Similarities between the voice box and pelvic floor Relationship between voice, breathing and pelvic floorMissed connections in the researchWays we can use the pelvic floor to train the voice and the voice to train the pelvic floorHow sounds we make in birth influence the pelvic floorNoises we make in sport to increase performance Ashley Michaelis (she/her/hers) embarked on her undergraduate journey in Voice Performance & Music Education at Case Western Reserve University and the Cleveland Institute of Music. During her studies, she...2024-05-1355 minThe Pelvic Floor Project92. Is it my hormones (menopause/pregnancy/postpartum) or am I underfueling? With Brittany Klingmann and Melissa HardyIn this episode I sit down with physiotherapist and olympic weight lifter, Brittney Klingmann and Dietician Melissa Hardy to discuss: Common symptoms women experience (tired, low mood, decreased performance, low libido, pelvic floor symptoms)How do we know if they are due to hormones, stress. Lack of sleep, nutritional deficiency?The difference between RED (relative energy deficiency) and LEA (low energy availability)Low energy availability in the perinatal, athletic, perimenopausal populationsMelissa Hardy is a sport dietitian and private practice owner at East Coast Performance Nutrition located in Antigonish Nova Scotia. Melissa holds board certified designations as a...2024-04-2956 minThe Pelvic Floor Project91. Puberty and sex; what our kids are learning in school and how to continue the conversation at home - Part 2In part 2 of this 2 part episode, I sit down with Sexual Health Education Teacher, Jenny Rabinovich to discuss:Ways that habits, beliefs and knowledge from our childhood carries forward to adult related pelvic floor issues The Sexual Health Education curriculum Middle years and high school focus focus (grades 7-12) healthy vs unhealthy relationshipsconsentsexual decision makingcontraception prevention of sexually transmitted infections.Suggestions for parents (how to ask them what they are learning at school and supplement their learning at home)Jenny is mom to two amazing teenagers and is currently a Sexual Health Education Teacher with the Central Okan...2024-04-151h 07The Pelvic Floor Project90. Puberty and sex; What our kids are learning in school and how to continue the conversation at home - Part 1In part 1 of this 2 part episode, I sit down with Sexual Health Education Teacher, Jenny to discuss:Ways that habits, beliefs and knowledge from our childhood carries forward to adult related pelvic floor issues The Sexual Health Education curriculum Elementary years focus (grades 4-6) puberty education (periods, hormones, pimples, hair, body odour)reproduction and pregnancyhygiene (vulvar and penile considerations)personal safety/consent for touch (self touch, good vs bad secrets) Suggestions for parents (how to ask them what they are learning at school and supplement their learning at home)Jenny is mom to two amazing teenagers and is c...2024-04-011h 05The Pelvic Floor Project89. Forceps and vacuum birth with Urogynecologist, Dr. Merry GongIn this episode, I sit down with New Westminster BC based Urogynecologist, Dr. Merry Gong to discuss: Operative vaginal birth (vacuum, forceps, episiotomy)What do these instruments look like and indications for their useIndications for operative vaginal birth vs. Cesarean birthRisks associated with vacuum and forcepsCanada has the highest rates of obstetrical traumaC-section rates risingWays to decrease rates of operative vaginal birth Ways to support those with pelvic floor injuries after birthDr. Merry Gong completed her medical undergraduate training, residency in Obstetrics and Gynaecology, and a fellowship in Female Pelvic Medicine and Reconstructive Surgery at the Un...2024-03-1858 minThe Pelvic Floor Project88. Sexual trauma and the pelvic floor with Psychotherapist Lucy SniderIn this episode, I sit down with psychotherapist, Lucy Snider to discuss:How the pelvic floor is related to previous sexual traumaWhat you can expect at a pelvic physiotherapy appointmentWhat may take place at a psychotherapy appointment What is EMDR therapy?Suggestions to help progress to pleasurable sexual activityHow do you know when you are ready to process sexual trauma?Differences in how survivors process sexual traumaHow previous sexual trauma may affect your preparation for birthLucy Snider (she/her) is an experienced Psychosexual and Relationship Psychotherapist and Sexual Health Educator based in Kelowna, BC. She has b...2024-03-0458 minThe Pelvic Floor Project87. Compression garments for prolapse, diastasis, c-section, pregnancy, hysterectomy and so much more with SRCIn this episode, I sit down with physiotherapist clinician/researcher Dr. Sinead Dufour and Sinead O’Donovan from SRC to discuss:The evidence based benefits of compression The quality garments SRC has developed for incontinence, prolapse and the perinatal populationAustralian trends for use of compressionGiven the data to support, some reasons why we may not be implementing this as well in North America Details on the use of compression (how much, how tight, how long)To check out SRC products: https://srchealth.com/?ref=Sto_l3PawmnH4For 10% off your order: THEPELVICFLOORPROJECT...2024-02-1951 minThe Pelvic Floor ProjectBONUS Episode: HELP NEEDED! Midlife women and menopause research with Dr. Lori BrottoIn this episode I sit down with Dr. Lori Brotto; Professor in the UBC Department of Obstetrics and Gynaecology, Registered Psychologist and Executive Director of the Women’s Health Research Institute of BC and Principal Investigator in the HER-BC Research Study on Midlife Women and Menopause to discuss:The impacts of perimenopause/menopause on midlife women The lack of current researchAims of the HER-BC Research Study on Midlife Women and Menopause:To describe the health experiences and behaviours of midlife women (aged 39-60)Impacts on QOL and ADLS including caregiving and workHealth-seeking experiences and behaviours The barriers to obta...2024-02-0720 minThe Pelvic Floor Project86. Can the kegel chair and physiotherapy be friends?In this episode, I sit down with physiotherapy clinician and researcher Dr. Sinéad Dufour and Founder and CEO of Urospot, Erin Craven to discuss: Kegel chair (emsella) controversyVarious marketing strategiesPhysiotherapy skepticisms HIFEM technology and the evidenceHow we use other modalities as physiotherapists to help “reboot the system” (muscle stim, IMS or TENS)The Urospot care model (education, health coaching and technology)Where might HIFEM technology fit into our care plan?Treatment costErin Craven is a passionate leader and champion of women’s health. Over her 25 year career, Erin held Executive positions in both private and Fortune 1...2024-02-051h 03The Pelvic Floor Project85. How persistent pain is related to the brain with psychotherapist Christie UipiIn this episode, I sit down with Christie Uipi, a psychotherapist specializing in the treatment of chronic pain, anxiety and depression and the founder of The Better Mind Center to discuss: Pain is invisible and so are pelvic floor issuesHow pain works Why each person experiences pain uniquely Why sometimes pain goes away quickly and reasons why it persistsMessages to patients who feel they go between many health care practionersEmotional and physical aspects of pain How physiotherapists and psychotherapists can work togetherWhat psychotherapy has to offer and the negative stigmas associatedPersonality traits that are common amongst people with pers...2024-01-2250 minThe Pelvic Floor Project84. Diastasis: Do we need to close the gap? With Munira HudaniIn this episode I sit down with fellow pelvic health physiotherapist and leader in the field of diastasis, Munira Hudani to discuss:The increasing awareness around the topic of diastasis rectus abdominis and the confusion that comes with itConflicting messaging ranging from “be careful, you shouldn’t do those exercises” to “all exercises are good exercises”Trends in messaging and how these have changed over timeWhat the research is telling usThe importance of ‘zooming out’ to figure out what is important to the patientWays to meet patients where they are atHow physiotherapy can help and how it cannotHow important is t...2023-12-111h 07The Pelvic Floor Project83. Should physiotherapists give patients what they want with Sarah Lord FergusonIn this episode, I sit down with clinician-researcher Sarah Lord Ferguson to discuss: Current trends in physiotherapyPhysiotherapy as a businessExpectations that patients may have of their physiotherapistPatients are not a blank slateThe importance of meeting patients where they are atBlending evidence based care with what our clients may be asking for or expectingHow can patients find the right physiotherapist for their needsSarah is a clinician-researcher from Vancouver, Canada who is inspired by the problems that physiotherapists and other healthcare providers face. She has a special interest in patient psychology including patient belief systems and patient expectations o...2023-11-2740 minThe Pelvic Floor Project82. Female sexual issues with urogynecologist Dr. Alexandra DubinskayaIn this episode, I sit down with Beverly Hills based urogynecologist, Dr. Alexandra Dubinskaya to discuss: The importance of sex and difficulties when it comes to talking about itThe female sexual response cycleDesire: various types of sexual desires, common issues related to sexual desire, and available treatmentsArousal: Factors that can impact sexual arousal and strategies to enhance itOrgasm: Health issues that can affect the quality of orgasm and treatment optionsThe role that your various health care providers can play Alexandra Dubinskaya is a board-certified gynecologist, specializing in urogynecology with an emphasis on female pelvic medicine and reconstructive sur...2023-11-1351 minThe Pelvic Floor Project81. Hysterectomy and the pelvic floor with gynecologist, Dr. Kate CollinsIn this episode, I sit down with Kelowna based OBGYN Dr. Kate Collins to discuss: Reasons/symptoms that may indicate a hysterectomy could be beneficialDifferent surgical procedures (vaginal, open abdominal, laprascopic) Types of hysterectomy Surgical menopause What can be expected after surgeryPostoperative suggestionsPain management Sexual intercourse after hysterectomyPhysiotherapy considerations before and after surgeryThe use of a compression garment after surgeryDr. TB Kate Collins is a general obstetrician gynecologist currently working at KGH in Kelowna, BC. She is originally from Nova Scotia and graduated from Dalhousie Medical School. She then went on to complete her residency in Obstet...2023-10-3048 minThe Pelvic Floor Project80. Pelvic organ prolapse: pessaries, physiotherapy and surgical management with urogynecologist, Dr. Alexandra DubinskayaIn this episode, I sit down with Beverly Hills based urogynecologist, Dr. Alexandra Dubinskaya to discuss: What is prolapse?Typical sequence of events that happens when patients experience symptoms of prolapse and how they may end up in the office of a surgeon. Conservative management optionsHow the decision is made to proceed with surgeryTypes of repair and how this is individual to the patientDifferences between countries, centres and surgeonsDiscussion around meshRecovery after prolapse repairPhysiotherapy considerations before and after surgeryAlexandra Dubinskaya is a board-certified gynecologist, specializing in urogynecology with an emphasis on female pelvic medicine and reconstructive sur...2023-10-161h 11The Pelvic Floor Project79. This isn’t about menopause, it’s about your health with Shirley WeirIn this episode, I sit down with women health advocate and self proclaimed menopause chick, Shirley Weir to discuss: The negative stigma around the term ‘menopause’The relationship between perimenopause, menopause and post menopauseSymptoms commonly experienced in these stagesIs women’s health support experiencing a wave of momentum?What Shirley learned on her personal journey with menopause and the 50,000+ member women’s health community she has created to help othersThe very popular vaginal moisturizer Shirley and her team have createdImportant take home messages for listeners as well as practitioners Shirley Weir introduces herself as a Menopause Chick. Now 56, he...2023-10-0258 minThe Pelvic Floor Project78. Your colonoscopy is related to your pelvic floor with registered nurse, Kirsten CurruthersIn this episode, I sit down with registered nurse, Kirsten Curruthers who was curious to know ways she can better support her patients who undergo colonoscopy. Here are some of the things we discuss: Common patient symptom patterns Kirsten notices in the colonoscopy clinicAdvice typically given when colonoscopy results are negative How the pelvic floor is related to our gastrointestinal systemHow a pelvic floor physiotherapist can help with stool incontinence or feelings of inadequate emptying after bowel movementsWays pelvic floor physiotherapy can help people suffering with constipationHow constipation and straining can contribute to GI pathologyWays that breathing and ab...2023-09-181h 03The Pelvic Floor Project77. Finding confidence as a new pelvic health physiotherapist with Anniken Chadwick and Trish GipsonIn this episode, I sit down with Anniken Chadwick and Trish Gipson from the Cheerful Academy to discuss: Reasons why new physiotherapy graduates are starting off in niche areas like pelvic healthDifferences between practicing in orthopaedic vs pelvic health The gap that exists between what we learn in pelvic health courses and what is like in the treatment roomCommon struggles clinic owners experience when introducing a pelvic health practitioner to their teamAs a clinic that employs many pelvic health physiotherapists, what are some common struggles that new practitioners bring up with you?What led you to start the Ch...2023-09-0446 minThe Pelvic Floor Project76. Cesarean birth: The sequence of events with OBGYN Dr. Kate CollinsIn this episode, I sit down with Kelowna based OBGYN Dr. Kate Collins to discuss: The stress that uncertainty and lack of control can have on an expecting momHow far out can moms planning a c-section expect to know their delivery date?The sequence of events that unfolds once you arrive at the hospitalHow is this different in an emergency situation?When is my husband/partner/support allowed in the room?How is the birth site prepared and anaesthesia administered? Who will the people be in the delivery room?What layers of tissue are affected with th...2023-05-2940 minThe Pelvic Floor Project75. Abdominal compression garments after c-section with Katie KellyIn this episode, I sit down with fellow physiotherapy clinician, researcher and educator, Katie Kelly to discuss: Similarities in acute care needs between limb surgery and cesarean birthHow can abdominal compression support help after c-sectionWhat does the research tell us about compression after cesarean birth?People are looking for a black/white answer “is it good or bad”?Do you recommend people talk to OBGYN before using? When is it recommended to start use? Recommendations for type of band/compressionSuggestions for how long in the day and how to know when to discontinue Suggestions to mediate recovery other than com...2023-05-1539 minThe Pelvic Floor Project74. For the husbands/partners/support: Tips to help the postpartum mom recoverIn this episode, I sit down with Kristin Eapen, a birth doula and Lamaze certified childbirth educator to discuss: Reasons why new moms have a hard time asking for help How physical recovery after birth is similar to recovery after a knee surgerySuggestions to support your entire household (including you)Suggestions to support the new mom Tips for the times she is resistant to your helpWhat does rest actually look like and why is it important?The importance of prioritizing short periods of time for herselfKristin Eapen (LCCE, CD(DONA)) is a birth doula and Lamaze cer...2023-05-0144 minThe Pelvic Floor Project73. Urinary tract infections (UTIs) and the pelvic floorIn this episode I sit down with Kiran Mann, a resident doctor in obstetrics and gynecology and member of the Be Pelvic Health Aware Campaign to discuss: Definition and symptoms of a urinary tract infection (UTI)Factors that may make someone more prone Effects of menopause DiagnosisAre antibiotics overused?Consequences of an untreated UTIHow the pelvic floor may be involvedWhy intercourse can make some people more susceptible to UTIs Douching, vaginal steaming, special soapsThe effectiveness of cranberries for UTIKiran Mann is a first year obstetrics and gynecology resident at McMaster University and completed her undergraduate and medi...2023-04-1751 minThe Pelvic Floor Project72. Nutrition to support the pelvic floor before and after birth with registered dietician Haeli DraperIn this episode, I sit down with Registered Dietician Haeli Draper to discuss: Nutritional considerations leading up to birthThe effects of constipation on the pelvic floor and nutritional suggestions for softer stoolsAre there ideal foods to consume leading up to birth?Suggestions for eating in the postpartum periodTips for family and friends that want to bring meals for the new momNutrition for milk supplyThe nuances that come from pressure to lose weightWhen it may be helpful to consult with a registered dietician Haeli is a Registered Dietitian practicing and living in the beautiful Okanagan for the last 9 ye...2023-04-0356 minThe Pelvic Floor Project71. Is weight lifting ‘damaging’ to the pelvic floor? with Brittany KlingmannIn this episode, I sit down with fellow physiotherapist, Brittany Klingmann to discuss: Various messages that people hear regarding weight lifting and the pelvic floor:“Weightlifting causes too much pressure on the pelvic floor”“Weightlifting causes prolapse”“Valsalva should be avoided and you should always exhale when you lift”“Weight lifting is too hard on the pelvic floor and that is why you leak”Brittany’s personal journey with CrossFit and weightliftingThe use of weightlifting beltsTips for people who want to progress to liftingA recent study published by Christina Prevett et al ‘Impact of Heavy Resistance Training on Pregnancy and Postpar...2023-03-2051 minThe Pelvic Floor Project70. Birth trauma: How your story may be related to your physical symptoms with Teela TomassettiIn this episode, I sit down with Registered Provisional Psychologist and PhD candidate who specializes in the area of birth trauma.In this episode we discuss: How birth trauma may present itself in a pelvic health physiotherapy appointmentThe prevalence of birth traumaThe subjective nature of birth traumaHow trauma affects the nervous system, emotional and physical symptomsPartner trauma Various quotes that Teela has shared on her instagram account “we sell people on a Hollywood version of pregnancy and childbirth and then desert them when it doesn’t transpire”“ I don’t know who needs to hear this but mom brain...2023-03-0657 minThe Pelvic Floor Project69. Trauma, the nervous system and the pelvic floor with Anniken ChadwickIn this episode, I sit down with fellow physiotherapist, Anniken Chadwick to discuss: How common it is for clients to have experienced some form of trauma in their pastWhat questions pelvic health physiotherapists may ask in history taking and why we ask themNon verbal signs that we may observe that can suggest that a client may have experienced traumaThe importance of having a trauma informed practice as a pelvic health physiotherapistHow a previous trauma can be influencing your physical symptomsExamples from previous clients who have had various forms of trauma including birth trauma, medical trauma, sexual trauma and e...2023-02-201h 05The Pelvic Floor Project68. Low back pain and the pelvic floor with Carolyn VandykenIn this episode, I sit down with fellow physiotherapist and leader in the field, Carolyn Vandyken to discuss: The growing body of literature showing strong correlation between persistent low back pain and pelvic floor dysfunctionThe research conducted by Carolyn Van Dyken and Sinead Dufour investigating pelvic floor findings when clients present with low back painHow orthopedic physiotherapists can screen for pelvic floor involvement without internal examThe current delineation between orthopedic and pelvic floor physiotherapy and how this needs to changeThe relationship between the central nervous system and back pain Considerations for assessing low back pain using a biopsychosocial ap...2023-02-061h 02The Pelvic Floor Project67. Genitourinary syndrome of menopause (GSM) and the potential role of physiotherapy with urologist Dr. Jennifer LockeIn this episode, I sit down with urologist, Dr. Jennifer Locke to discuss:The research she is conducting to investigate the effectiveness of physiotherapy when addressing symptoms of genitourinary syndrome of menopause (GSM) and dyspareuniaAn explanation of GSM with common signs and symptomsClinical trends Dr. Locke sees when working with this client population as a urologistCommon themes I see as a pelvic health physiotherapist when working with this client populationThe evidence based options for those experiencing GSM (over the counter lubricants, hormone based, laser, physiotherapyThe importance of conducting research and gathering data to inform evidence based practice. D...2023-01-3030 minThe Pelvic Floor Project66. Tips to progress back to planking and pushups postpartum with Jamie StrakerIn this episode, I sit down with Pregnancy and Postpartum Athleticism Coach, Jamie Straker to discuss:The fears around doing planks and pushups postpartumSome harmful messagingReasons why getting back to planking and pushups is helpfulHow to start with the basics Ways to progress back to planking and pushupsSigns your body may be finding the exercise too difficultJamie is a Pregnancy and Postpartum Athleticism Coach and owner of JS Fitness. She has a passion for educating people and motivating them to move their bodies in ways that empower them and make them feel strong throughout pregnancy, pos...2022-12-0525 minThe Pelvic Floor Project65. Caesarean birth preparation through a free in-app community with Lynda Brown-Ganzert of Stronger TogetherIn this episode, I sit down with RxPx CEO, Lynda Brown-Ganzert to discuss their Stronger Together project for C-section parents. How Lynda’s personal experience led her to her visionThe company’s initiative to support women preparing for cesarean birth and their caregivers The funding behind the project that enables free accessThe research component of the projectInterior Health involvement How can people sign up for the appWhat users can expect once inside the appCompany information:RxPx (previously known as Curatio) provides peer to peer patient apps to help deliver personalized social support, education, coachin...2022-11-2325 minThe Pelvic Floor Project64. Tips to progress back to crunches postpartum with Jamie StrakerIn this episode, I sit down with Pregnancy and Postpartum Athleticism Coach, Jamie Straker to discuss:The fears around doing crunches postpartumSome harmful messagingReasons why getting back to crunches is helpfulHow to start with the basics Ways to progress back to crunches/sit upsSigns your body may be finding the exercise too difficultJamie is a Pregnancy and Postpartum Athleticism Coach and owner of JS Fitness. She has a passion for educating people and motivating them to move their bodies in ways that empower them and make them feel strong throughout pregnancy, postpartum and beyond. J...2022-11-2131 minThe Pelvic Floor Project63. 3 things I encourage as early as possible after vaginal or cesarean birthIn this episode, I want to share some information with moms and those who work with moms within the first 6 weeks postpartum. We shouldn’t be waiting 6 weeks to give recovery guidanceWorking with a physio doesn’t mean “pushing your body”3 simple yet effective tips you can start right after vaginal or cesarean birthHi I’m Mel, the host of The Pelvic Floor Project Podcast, aimed at providing evidence based information through conversation with experts in their field.It’s my goal to educate and help you on your journey to optimal pelvic health using a whole...2022-11-0722 minThe Pelvic Floor Project62. The pelvic floor in kids: bedwetting, constipation and so much more with Angus MacKayIn this episode, I sit down with paediatric physiotherapist, Angus MacKay to discuss:Kids and pelvic floorsWhat a pelvic health assessment looks like for kidsKids and constipationBed wettingToilet training Pee and poop habitsWhat is normal and outside of normal when it comes to peeing and poopingHow to normalize conversation around these topicsDiastasis in kidsBorn in Austin and raised in Kelowna, Angus has long had a love for the outdoors and a desire to help those around him. Looking to combine these two passions, Angus and his wife Sydney moved to Brisbane, Australia, to study Physiotherapy at t...2022-10-3158 minThe Pelvic Floor Project61. Cesarean recovery: A call for physiotherapy in the early healing phase with Dr. Rebecca SegravesIn this episode, fellow physiotherapist Dr. Rebecca Segraves and I discuss:The lack of support for c-section recoveryHow physiotherapists support patients in the hospital after other surgical proceduresHow physiotherapists can support women after cesarean birth and how this can decrease complications, enhance recovery and improve mental wellbeingThe disparities Dr. Rebecca Segraves witnessed when working with the maternal population in hospitalThe motivation behind her recent clinical commentary and how it has sparked changeWays to initiate conversation around change in our current health care systemRebeca Segraves, PT, DPT is a physical therapist and Board-Certified Women’s Health Clinical Spe...2022-10-2444 minThe Pelvic Floor Project60. What you need to know about pelvic pain in pregnancy with Jodie PulsiferIn this episode, I sit down with fellow physiotherapist, Jodie Pulsifer to discuss the recent editorial Reframing beliefs and instiling facts for contemporary management of pregnancy-related pelvic girdle pain. Jodie Pulsifer, along with Susannah Britnell, Adrienne Sim, Sinead Dufour and Jessica Adaszynski have been credited for combing through all related evidence on the topic to create a helpful resource for clinicians and clients in infographic form. In this episode we discuss the details including: Causes of pelvic pain in pregnancyHow common messaging is misleading practitioners and clientsStability of the pelvis in pregnancyThe hormonal and postural changes expected in p...2022-10-171h 06The Pelvic Floor Project59. Strength training to feel confident and capable in your body with Teresa WaserIn this episode, I sit down with fellow physiotherapist, Teresa Waser to discuss the benefits of strength training through the female life span. In this episode we cover:The benefits of strength training during pregnancy and postpartumThe benefits of strength training during perimenopause/menopauseThe benefits of strengthening for older adultsWhat the evidence says about strength trainingA variety of ways to incorporate strength training into your lifeCommon misconceptions about strength training Teresa Waser is a passionate educator driven to help healthcare and fitness professionals reignite their curiosity, challenge what they believe, and strive towards a truly biopsychosocial approach. S...2022-10-1058 minThe Pelvic Floor Project58. Your postpartum mental health affects your physical well being with Dr. Pip HoughtonIn this episode, I sit down with Dr. Pip Houghton, a family doctor and maternal mental health advocate to discuss:Dr. Pip’s personal experience with postpartum mental health strugglesSocietal and cultural pressures of being a new mom/parent Signs that your mental health may be “unwell” postpartumSuggestions to help you check in with what your needs and wants are Ways to ask for help from the people around you and with your health care provider The relationship between physical and mental health Trends that I see as a physiotherapist who works with perinatal clients Actionable steps for those that...2022-10-0345 minThe Pelvic Floor Project57. Beyond in person care: The value of going virtual with Dr. Sinéad DufourThis episode is a follow up to episode 18 with Dr. Sinéad Dufour- The research behind vaginal devices, chairs, laser and online apps to treat incontinence In this episode, I welcome back Dr. Sinéad Dufour to discuss: The emerging use of telehealthResearch to supports it’s effectivenessThe soon to be released SOGC guideline on telehealthReasons for resistance from practitioners and clientsUsing telehealth for prolapse, incontinence, perinatal, paediatrics etcWays to start incorporating more telehealth in your practiceDr. Sinéad Dufour is an Associate Clinical Professor in the Faculty of Health Science at McMaster University. She teac...2022-09-2652 minThe Pelvic Floor Project56. Lichens Sclerosis with Gynecologist, Dr. Melanie AltasI am joined in this episode by Gynecologist, Dr. Melanie Altas, the Director of the BC Centre of Vulvar Health to discuss:What is lichens sclerosisSigns and symptomsHow a diagnosis is madeSuggested treatmentHow lichens sclerosis can affect sexual function and emotional well being The benefits of early detection and relationship to cancerSuggestions for people who suspect lichens sclerosis The potential role of factors like environment, stress, dietWays that your doctor or gynecologist can work with youThe role of pelvic health physiotherapist Dr Melanie Altas is a Gynaecologist and Clinical Associate Professor in the Department of Obstetrics & Gynaecology at U...2022-09-191h 00The Pelvic Floor Project55. Pessary use for prolapse with gynecologist Dr. Paula EspinoIn this episode, gynecologist Dr. Paula Espino and I discuss:The SOGC guidelines for prolapse management What is a pessary?Different types of pessaryWays pessaries can be used and managedSymptoms of prolapseTypical course through the health care system for someone who has symptoms of prolapseWait times for seeing a gynecologist in CanadaWhat an assessment by a gynecologist entailsThe role of pelvic health physiotherapy The role of vaginal hormonesWhen surgery may be indicatedDr. Paula Espino is an OBGYN practicing in Kelowna, BC, Canada.Thanks for joining me! Here is where you can find mo...2022-09-1252 minThe Pelvic Floor Project54. Vulvovaginal hormone therapy with urologist Dr. Rachel RubinIn this episode, I sit down with board-certified urologist and sexual medicine specialist, Dr. Rachel Rubin to discuss: GSM (genitourinary syndrome of menopause) Symptoms that bring a woman in to see a pelvic health physiotherapist that often go hand in hand with GSMWhy hormones are important and what happens during perimenopause/menopauseWhat a physical exam of the vulva may reveal Options for hormone therapy (creams, rings, tablets)Systemic vs. local hormone therapyThe fears around hormone therapyWhat the research says Reasons why it isn’t easy to find answers Gaps in our health care systemPositive changes being seen An action p...2022-09-0547 minThe Pelvic Floor Project53. Advocating for yourself in birth and how this benefits your pelvic floor with doula, Robyn HooperIn this episode, Robyn Hooper (doula) and I discuss:Birth isn’t something that happens to you.. it happens with you Differences seen in birthing peopleBirth preferences Benefits of having a relationship with your nurse Benefits of having a doulaWays to advocate for yourself Ways your partner can advocate for you Knowing your birth location, provider and what to expectHow does this relate to the pelvic floorRobyn Hooper is a certified CD(DONA) birth doula (labour support) professional providing support from prenatal to postpartum period to mothers and their birth partners. Robyn completed DONA (Doulas of North A...2022-08-2946 minThe Pelvic Floor Project52. Discussing bladder leaks, treatments and surgery with urologist, Dr. Jennifer LockeIn this episode, I sit down with urologist Dr. Jennifer Locke to discuss:The evidence based guidelines that guide assessment and treatment for stress urinary incontinence The recommended first line treatmentsThe benefits of pelvic floor physiotherapyThe recommended course of action when physiotherapy isn’t enoughTests a urologist may recommendNon surgical optionsSurgical options, the risks and outcomesDoes our health care system follow the recommendations for assessment and treatment Current research being done in the fieldDr. Jennifer Locke is a Royal College of Physicians and Surgeons of Canada certified Urologist with subspecialty training in reconstructive urology (female urology, male...2022-08-2243 minThe Pelvic Floor Project51. Postpartum recovery care: A bird’s-eye view with Gráinne DonnellyIn this episode, fellow physiotherapist, Gráinne Donnelly and I discuss:The big picture view of postpartum recovery care What others countries are doing?Gaps in care What is being done to change this?Current research being done in the fieldDrawing parallels between rehabilitation of other musculoskeletal injuries and postpartum recoveryResources available for those looking to take a proactive approachGráinne Donnelly is an Advanced Physiotherapist in Pelvic Health. More recently she has become a clinical researcher, undertaking research in the areas of perinatal exercise and diastasis recti. She is an honorary member of the Perinatal Phys...2022-08-151h 07The Pelvic Floor Project50. Postpartum advice… the not so good messaging with Hayley KavaIn this episode, I sit down with fellow physical therapist and Instagram star, Hayley Kava to break down some “not so good” messaging out there: “Pelvic floor symptoms are due to a weak and loose pelvic floor”“Don’t start physio until 6 wks after baby”"A pelvic health PT is only helpful for those that have had a vaginal birth”“Just give it time and wait for the hormones to go away” “Be careful your abs don’t split open”“Be careful or your organs will fall out”“Just wait until you are done having kids and then have surgery”“If physiotherapy did...2022-05-231h 11The Pelvic Floor Project49. Tailbone pain (coccydynia) with Susannah BritnellIn this episode, I sit down with fellow physiotherapist, Susannah Britnell to discuss: Symptoms typically seen with clients who have tailbone pain What muscles and structures attach to the coccyx/tailboneReasons why people have tailbone pain Typical course of treatment What pelvic health physiotherapy has to offerWhat the research says Susannah Britnell works mostly in private practice at Urban Healing in Vancouver BC, working collaboratively with clients of all ages and genders in the areas of pregnancy and postpartum, orthopedics, pelvic health and persistent pain, including genital pain and bladder, bowel and sexual pain concerns. Susannah worked fo...2022-05-1653 min
Women's PerformanceMelissa Dessaulles - A Physio for the Embarrassing ThingsWhy can't we talk openly about our leaking pee and poo? As we know, it is incredibly challenging to find trustworthy information for active women, especially in relation to "taboo" topics. Refreshingly, Melissa Dessaulles says "f*** that" and talks about all things pelvic health. Melissa, aka the pelvic expert, is a physical therapist that focuses on the female pelvic region, especially for perinatal and postpartum athletes and active women.This week, Sara and Melissa discuss the ways women can advocate for their needs as athletes while pregnant and in the years that follow. With so much misinformation...2022-05-1657 minThe Pelvic Floor Project48. Using dilators to address painful penetration with Dr. Amanda OlsonIn this episode, I sit down with Dr. Amanda Olson, physical therapist and pelvic expert behind Intimate Rose to discuss:The messaging that dilators are used to "stretch tight tissue" Reasons why penetration with intimacy, tampon use and medical exams can be painfulThe connection between brain and pelvic floor How dilators can be used to help the brain and body tolerate penetrationIntimate Rose product details (sizing, what they are made of, lubrication to accompany, ordering)Ways to progress when using a dilator How to know if a dilator(s) would be an option for youDr. Olson ear...2022-05-0944 minThe Pelvic Floor Project47. Pain with intercourse: Looking beyond the pelvic floor muscles with Dr. Lori BrottoIn this episode, I sit down with Dr. Lori Brotto a Professor in the UBC Department of Obstetrics and Gynaecology, and a Registered Psychologist as well as PHD student, Natalie Brown who is currently conducting research related to treatment of vaginismus to discuss:The relationship between our emotional brain and physical bodyThe pelvic floor’s involvement when vaginal penetration is painfulCommon themes with discomfort and lack of enjoyment with intercourseThe role that context including culture, spirituality, beliefs, history, stress play in vulvovaginal pain Messages and advice women are commonly givenThe role of medications and hormonesPelvic health physiotherapy approachDr. Bro...2022-05-0245 minThe Pelvic Floor Project46. Bladder leaks with cough, sneeze or physical activity with Adrienne SimIn this episode, I sit down with fellow pelvic health physiotherapist, Adrienne Sim to discuss: What is stress incontinence and why does it happenCommon beliefs and myths surrounding stress incontinenceSome ways that women are currently managing stress incontinenceWhat the evidence based guidelines suggest for management The strong evidence to support pelvic health physiotherapy What you can expect when you see a pelvic health physiotherapistOptions when physiotherapy isn’t enough Adrienne Sim is a Physiotherapist, practicing pelvic health in Langley, BC as a member of Full Circle Physiotherapy – A Pelvic Health Collective. Adrienne trained in Perth Australia, obtaining a Master...2022-04-251h 05The Pelvic Floor Project45. Pelvic floor education before birth: The evidence with Kimberley JohnsonIn this episode, I sit down with Kimberley Johnson, a PhD student doing fabulous research in psychology with a specific focus on perinatal and pelvic health to discuss: Birth related pelvic floor trauma and the association with higher rates of perinatal mood and anxiety disorders. Kimberley’s personal experience that led to her research questionsThe study hypothesis -Lack of pelvic floor focused education may be associated with greater distress following pelvic floor trauma and its sequelae The staggering results that demonstrate the lack of information perinatal women are provided and the impact this has on them. Reasons why this i...2022-04-1852 minThe Pelvic Floor Project44. Pushing and the pelvic floor during vaginal birth with Anita LambertIn this episode, I sit down with fellow physiotherapist Anita Lambert to discuss:How pelvic health physiotherapists can play a role in helping women prepare for birthThe anatomy of birthIs there a right and wrong way to push?How do birth positions play a role?Different ways you may be coached to pushWays to feel prepared and empowered What the research saysHow to bring this topic up with your care provider Anita Lambert is the owner of Holistic Health Physiotherapy, creator of the Bump to Birth Method and co-host of the To Birth & Beyond podcast.Sh...2022-04-111h 01The Pelvic Floor Project43. Perimenopause and menopause with Michelle LyonsIn this episode, I sit down with physiotherapist, Michelle Lyons to discuss: The link between pelvic health physiotherapy and menopauseMeaning of the terms perimenopause and menopauseRole of estrogen and progesterone in the bodyHow the various body systems (brain, digestive, heart, bladder, vagina, bones, muscles, tendons etc) may respond to hormone changes The importance of our monthly cycleHormone changes postpartumThe lack of awareness around menopause Why women experience menopause differentlyHow to educate and advocate for yourselfMichelle Lyons is a leader in the field of physiotherapy with 25+ years of clinical experience. Her passion now is teaching clinicians and hea...2022-04-041h 10The Pelvic Floor Project42. When postpartum running doesn’t go as plannedIn this episode, I sit down with Celia Peters, runner and mom. Celia shares her struggles with postpartum recovery despite doing everything she could to prevent them. She brings a honest and refreshing perspective while inspiring others to become experts in their own body. Celia’s goal to be proactive and prevent postpartum issuesWhat things she did to prepare during pregnancy and for birthThings that stand out with the early postpartum period“Comparison is the thief of joy”Harmful messages Celia had heard and how she has learned to change her mindsetWhere she is nowHer message to other postpar...2022-03-2941 minThe Pelvic Floor Project41. Navigating endometriosis with Jill MuellerIn this episode, I sit down with fellow physiotherapist, Jill Mueller to discuss: An explanation of endometriosisCommon symptomsHow a diagnosis is madeCausesTreatment optionsHow pelvic health physiotherapy can helpResources to help you advocate for yourselfJill Mueller has been a physiotherapist since 2001. Her interest in Pelvic Health Therapy stems from experiencing her own journey with endometriosis and fertility challenges for 10 years. Through learning more about the disease, implementing pain neuroscience and visceral therapy, she has taught herself how to escape her monthly cycle of pain. Jill is passionate about sharing what she has learned with other Pelvic Physiotherapists and...2022-03-211h 03The Pelvic Floor Project40. Preparing the mind for birth with doula, Elise RuelIn this episode, I sit down with Elise Ruel, full spectrum doula, breastfeeding educator and childbirth educator to discuss:What it means to prepare for birth?Birth as a natural process that cannot be “controlled” but rather “helped” Ways that cultural differences and beliefs play a role in birth preparationThe benefits of thinking through your wishes, fears, and preferencesThe benefits of being surrounded by a supportive birth teamHow to prepare the nervous system and mindsetHow doulas and pelvic health physiotherapists can support you as you prepare for birthElise Ruel (Sinclair) is of mixed settler/ Anishinaabe heritage. She has en...2022-03-1453 minThe Pelvic Floor Project39. Moxibustion for turning a breech baby with Naturopath Dr. Susan FrameIn this episode, I sit down with Naturopath Dr. Susan Frame to discuss: What is moxibustion? How does it work?What does the research say?How it can be used as a tool to turn a breech babyHow many sessions are required?What does this look like for clients?When should women be referred in their pregnancy?Dr. Susan Frame is a naturopathic doctor in Kelowna BC with a special interest in women's health concerns - specifically in pre-conception, pregnancy and postpartum health, as well as hormonal concerns of any kind. She also loves working with kiddos of...2022-03-0731 minThe Pelvic Floor Project38. Epidurals: A midwife prospective with Ashley CourtneyIn this episode, I sit down with Ashley Courtney, registered midwife from Malachite Midwives in Kelowna BC to discuss:Epidurals and midwifery careWays an epidural may affect labour and birth variablesMaking an informed decision that is right for youThe negative stigma around epidurals Ashley Courtney grew up in France and Africa, yet ended up in Toronto for most of her elementary schooling. Her path to becoming a midwife has been long, interesting and full of adventure; during which she completed a BA in International Development and a MSc in Sustainable Development, while raft guiding down the Chilliwack r...2022-02-2820 minThe Pelvic Floor Project37. The physical effects of birth trauma with Kate BorsatoIn this episode, I sit down with therapist, Kate Borsato to discuss:What is birth trauma?The reasons everyone has a unique experienceBirth trauma and PTSDBirth person vs partner trauma?Do most women recognize their birth was traumatic?What symptoms/feelings might be experienced?Are there any automatic services in place?How can people seek out help themselves?Kate is a perinatal mental health therapist and educator for moms, and leads thousands of parents to find balance, joy, connection, and mental wellness despite the many challenges that come with parenthood. She runs a virtual therapy clinic across C...2022-02-2150 min