Pelvic Service Announcement: Recent Episodes
Pelvic Service Announcement
A podcast hosted by two pelvic health physical therapists hoping to educate the public about pelvic floor conditions.
With all the information coming out about the heavy metals in tampons, it's hard to decide what is valid information and what is clickbait. So, before you go throwing away the box of tampons you bought from the store, give this episode a listen so you can make an informed decision and decipher the facts accurately.
In this episode, Callie and Rachel explore lichen sclerosis, a chronic skin condition typically affecting the genital and anal areas. Learn about its symptoms, diagnosis, and impact on pelvic health. Discover why pelvic floor physical therapy providers can be a valuable tool in treating this as well as ways to alleviate symptoms and improve quality of life.
In this episode we examine the practice of urethral dilations, once a common treatment for urethral strictures and other urinary issues. We delve into why this practice is now considered outdated and discuss the potential risks and complications associated with it. Our discussion highlights the latest research showing that pelvic floor physical therapy is a superior treatment approach for many conditions previously treated with urethral dilations. We explore how specialized exercises and targeted therapies can effectively manage and improve urinary health, often providing longer-lasting relief without the need for invasive procedures.
In this episode, we delve into the often-overlooked genitofemoral nerve, exploring its anatomy, function, and clinical significance in detail. We explain how this nerve innervates the genital region and upper thigh, providing essential sensory and motor functions. Understanding the genitofemoral nerve is crucial for recognizing its impact on pelvic floor health, including its role in conditions like genitofemoral neuralgia.
You've heard the PSA girls discuss the importance of nutrition before, but never quite like this. In this episode, they are joined by orthopedic physical therapists Mattisun and Alyssa, who break down the essential aspects of nutrition in an easily digestible way. They cover the differences between micronutrients and macronutrients, supplementation, and the key calculations you need to know to succeed on your nutrition journey. Whether you're a fitness expert, recovering from a sports injury, or simply a regular person interested in health, this is an episode you don't want to miss!
Vaginal wind, queefing, vaginal gas, vart, vaginal flatulence, fanny fart—all of these are names to describe the same thing: noisy air that escapes the vaginal canal. While this is typically a benign condition, the PSA girls provide education regarding common causes and ways to address it, while also trying to remove the shame surrounding this occurrence. Callie and Rachel often have patients who report this symptom, and it can very often be remedied with pelvic floor physical therapy and activity modifications.
Pelvic floor dysfunction occurs in 33% of all female athletes and 50% of those who play high-impact sports. But as we've said before and will say again, common is not synonymous with normal! This episode addresses considerations for female athletes, including pelvic floor muscle dysfunction and the female athlete triad. If you're a female athlete or work closely with female athletes, this one's for you.
In this episode, we dive into Sjögren's Syndrome, an autoimmune disorder that primarily affects the body's moisture-producing glands, causing symptoms like dry eyes and dry mouth. But did you know that Sjogren's can also impact the pelvic floor? The PSA girls explore the implications of this syndrome and offer practical tips for maintaining pelvic floor health, reducing discomfort, and improving quality of life.
In this episode the PSA girls delve into the complex world of chronic pelvic pain, exploring a phenomenon known as the "evil twins." Often intertwined, these two conditions—Interstitial Cystitis (IC) and Endometriosis—cause debilitating pain and discomfort for millions of women worldwide. We discuss the common symptoms, challenges in diagnosis, and why these conditions are often misdiagnosed or overlooked
Get ready for one of the most exciting guests ever to be featured on Pelvic Service Announcement. This week, the PSA girls were honored to host Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI for the first-ever Herman & Wallace podcast collaboration. Holly is the Director of Education for the Herman & Wallace Pelvic Rehabilitation Institute and shared some valuable insights into the world of pelvic health education, managing complicated cases, and navigating interpersonal relationships in the clinic. Whether you're a patient, clinician, or just someone with a love for pelvic health, this is an episode you don't want to miss.
The thought of tearing during childbirth is frightening for many people, especially first-time moms. However, the PSA girls are here to educate you and help ease your anxiety. Although perineal tearing occurs in 80-90% of women, there are ways to mitigate the risk and give the tissue the best possible chance to heal. If you're someone who experiences more severe grades of perineal tearing or undergoes an episiotomy, there's hope for a full recovery and this episode is the first step.
This episode covers everything you've ever wanted to know about bowel function and more! Rachel attended an online course on bowel dysfunction, and in this episode, she shares some of the valuable information she learned. Tune in to learn about digestion, dysfunction, and much more!
Breastfeeding can be a beautiful thing, but it can also entail more hormonal changes in your body. This episode gives a brief overview of some implications for the pelvic floor during this time, as well as ways to mitigate some of the hormone-related changes that may result in discomfort. Find out how pelvic floor physical therapy can help support and aid your healing while you are navigating the world of breastfeeding.
Creatine is one of the most highly researched supplements on the market. This compound is responsible for supplying energy to our muscles and has long been supplemented in the fitness industry to improve muscle growth and recovery. In addition to providing a basic understanding of how creatine works, the PSA girls explore new and exciting research on the potential the benefits for rehabilitation, fertility, fetal development, and so much more. This is an episode you don't want to miss!
70-80% of the population will suffer from low back pain at least once in their life, and only 15% of low back pain cases will be attributed to a specific cause. This leaves the majority of low back pain to fall into the 'non-specific' category, but the good news is that this pain can still be treated, even when the cause is unknown.
Callie and Rachel dive into recent research that highlights a link between neurodivergence, hypermobility, dysautonomia, and pain. They discuss not only what this means for these patient populations but also what it means for us as providers. So, what do these three things have in common? Listen to this episode to find out.
Having so much knowledge at our fingertips can be a wonderful thing, but it can also be overwhelming trying to wade through all of the information on the internet and sort out the good information from the bad. In this light hearted episode, the PSA girls spend some time googling pelvic floor related content and sorting through the popular results.
Urinary incontinence impacts millions of people and is one of the most common issues we treat as pelvic floor physical therapists. This episode breaks down the various types of urinary incontinence, including identifying factors and addressing the root causes of bladder leakage.
When should you be concerned about your green poop? Your bowel movements can reveal a lot about your overall health, including consistency, color, and buoyancy. There is a wealth of information that we can glean from our poop. Tune into this episode to learn everything you need to know, and perhaps discover some things you didn't want to know about pooping.
To conclude their series on menopause, the PSA girls address the impact that menopause can have on the pelvic floor and ways to combat tissue changes. They also discuss what the current research states about prescription vaginal estrogen and its implications for breast cancer.
In this continuation of the menopause series, the PSA girls address common causes of symptoms that can occur during perimenopause and menopause. They also offer practical suggestions for dealing with these symptoms.
Menopause is defined as the time that marks the end of your menstrual cycles and is diagnosed 12 months after the last menstrual period. In this introductory episode, the PSA girls lay the groundwork for a whole new series that will address what menopause is, what the symptoms are, why they occur, and what the implications for the pelvic floor are.
With so much speculation, shame, and misinformation surrounding vibrators, it can be difficult to discover any of their actual potential uses and benefits. The PSA girls use this episode to do their part in removing the stigma surrounding these toys, providing listeners with information regarding the use and benefits of vibrators for enhancing their sex lives. They also offer information that will help you choose the vibrator that is right for you.
What makes up the male reproductive system? In this episode, the PSA girls dive into the intricacies of the male anatomy including the internal and external physical structures as well as the hormones responsible for sperm production and sex drive.
Vulvodynia, a medical condition marked by chronic pain in the vulvar area, profoundly affects the lives of many women. Join the PSA girls in this episode as they explore the multifaceted aspects of vulvodynia—unveiling its symptoms, potential causes, and the significant physical and emotional toll it exacts on those living with it. Additionally, the hosts provide crucial insights into the medical facets of vulvodynia, engaging in discussions about diagnosis, treatment options, and stressing the importance of seeking professional help. Tune in to gain a comprehensive understanding of this often overlooked condition and the support available for those navigating its challenges.
In this episode, we explore the technology of InterStim and its role in helping individuals reclaim control over their lives despite the challenges of overactive bladder. Whether you're personally affected by OAB or simply interested in cutting-edge medical advancements, this episode promises to be an enlightening journey into the intersection of technology and healthcare.
We've said before that knowledge is power, and when it comes to knowing your body, understanding your anatomy is key. This episode dives into the external and internal anatomy of the female reproductive system. Knowing how to properly identify and describe your anatomy is important for many reasons. The PSA girls strive to empower all women by helping them understand their bodies; you can't recognize abnormalities if you don't even know what normal is.
In today's episode, we delve into a topic that affects many, yet is often overlooked as something that is normal. Once again, the PSA girls are here to remind you that common is not the same thing as normal. Normal urinary voiding intervals range anywhere from 2-4 hours, and that's even if you are someone who drinks a lot of water. Feeling like you need to go every hour or like you need to rush to the bathroom to empty your bladder is not normal, and this episode can help you create good habits, removing your bladder from the driver's seat.
With Christmas right around the corner, the PSA girls are here to help if you are stumped on what to get for friends and loved ones. This episode is full of pelvic floor-centered gift ideas for someone special or if you just feel like treating yourself. From squatty potties to lubricant to kettlebells, this episode has all the recommendations to bring all the pelvismas joy this holiday season.
In this episode, we delve into one of the most essential yet often overlooked aspects of our daily lives - sleep. Sleep is not merely a time of rest; it's a critical period during which our bodies and minds undergo a multitude of vital processes. We'll discuss how sleep plays a pivotal role in immune system support, weight management, and the prevention of chronic diseases. You'll be amazed at how a simple habit like sleep can have such a profound impact on your overall well-being. So, if you've ever underestimated the importance of a good night's sleep or struggled with sleep issues, this episode is a must-listen.
In this last Movember episode we start the essential conversation as we work towards breaking the silence and fostering a culture where men feel empowered to prioritize their mental health. It's time to reshape the narrative and create a space where everyone's well-being is valued. Don't miss this episode that aims to inspire, inform, and support the journey to better mental health for men everywhere.
Join us as we shed light on this prevalent yet often overlooked form of cancer, discussing its risk factors, symptoms, and the crucial importance of early detection. This episode is designed to empower listeners with knowledge and foster a proactive approach to their well-being. Testicular cancer affects men of all ages, and our aim is to break the silence surrounding this issue, inspiring a positive shift in how we perceive and address men's health.
In this episode, we're putting the spotlight on Movember. November isn't just a month; it's a movement. Join us as we delve into the world of Movember and discuss the critical importance of prostate cancer awareness. You'll understand why prostate cancer awareness is crucial and explore key statistics that highlight the significance of early detection, intervention, and prevention.
In this episode of "Pelvic Service Announcement," we explore the intricate connection between fibromyalgia and the pelvic floor. Join us as we unveil how these two elements of well-being intersect, discussing fibromyalgia basics, the role of the pelvic floor, overlapping pain, and practical tips for managing these complex conditions. Whether you're a patient, caregiver, or health enthusiast, this episode promises valuable insights for an improved quality of life.
In this episode, we delve into the world of singing and its remarkable health benefits while uncovering the intriguing link between singing and the pelvic floor. We will explore the numerous health advantages of singing, such as its positive impact on both physical and mental well-being, including stress reduction, improved breathing, a strengthened immune system, and an enhanced mood. Additionally, we'll provide insight into the pelvic floor's role in singing, helping you understand how it influences vocal control, posture, and breath support, ultimately contributing to a more powerful and resonant singing voice.
Did you ever suspect that your TMJ pain or teeth grinding might be linked to your pelvic pain? If you did, you would be correct. The pelvic floor muscles and the jaw musculature develop similarly in utero; furthermore, both are highly linked to the stress response. What does this mean for the pelvic floor? Learning to relax and release jaw tension might just be the key to helping overcome pelvic pain.
Picture this: you're hitting a PR on your long run, you're five miles in, and you've never felt better. Your legs are moving, your breathing is controlled, and suddenly, you get a cramp in your stomach and you feel it—the call of the wild. In a study of long-distance runners, researchers found that 62% of them had to stop to have a bowel movement during their run. So what is it exactly that causes the "runner's trots", what are the implications for your pelvic floor, and most importantly, what can you do to fix it?
This episode, listeners get to hear from special guest Tammy Swartz, who has actually been through pelvic floor physical therapy and come out the other side successful! Tammy is an inspirational woman who has not only advocated for her own pelvic health but has been extremely active in educating those around her and encouraging them to advocate for their own health. She explains what led her to seek treatment, how her first visit compared to expectations, how she is doing now, and so much more.
The PSA girls wrap up their miniseries over dysfunction during orgasm with an episode about anorgasmia. Anorgasmia is when orgasm is delayed, infrequent, diminished in intensity, or absent all together in the presence of sufficient sexual stimulation and arousal. They discuss common barriers to achieving climax and ways to overcome them.
In part two of this three-part series, the PSA girls address climacturia, or urinary incontinence during climax. They provide research-backed information regarding the prevalence, cause, and treatment of this dysfunction. The episode also provides insight into how detrimental sexual incontinence can be to overall health and the importance of continuing to ensure these issues are heard and treated.
In this three-part miniseries over dysfunction during orgasm, Callie and Rachel kick things off with dysorgasmia, or pain with climax. This can occur in men or women and may last anywhere from a few seconds to several days. The PSA girls explain the variety of factors that can cause this dysfunction and how to seek treatment to go from "O" No, to "oh yes"!
Persistent genital arousal disorder, or PGAD, is characterized by intense genital arousal characterized by increased blood flow and increased tension in the genitals without the presence of desire. This disorder impacts around 1% of the population and can have serious mental and physical implications. The PSA girls explore the causes of this disorder and the complex nature of the treatment options available to them.
There are many barriers that prevent people from getting help for pelvic floor dysfunction. From intrinsic to extrinsic factors, the PSA girls address the most common barriers and offer advice on how to overcome these barriers and get the help that you deserve.
"Diastasis" is the word for a separation of parts of the body that are normally joined. Diastasis rectus abdominis, or "diastasis recti," as it is very commonly shortened to, is the separation of the abdomininals muscles that occurs very often during pregnancy; however, problems can occur when this separation does not close on its own during the postpartum period. This episode explains how to screen for a diastasis, how to prevent it from becoming worse, and how to take steps towards closing the separation.
The 6-week mark is often seen as the last mile stone for postpartum healing, but rarely do women feel back to "normal" at this time, especially if they had a C-section. Healing is not linear, but there are ways to speed up and enhance recovery, and the PSA girls share information on how to set yourself up for success after that 6-week milestone.
With so much information out there, it can be hard to know where to start on the road to post-c-section recovery. While the healing process is different for everyone, the PSA girls hope to guide mothers with some information that will make it safe and smooth during weeks 1-6.
One of the questions that we get asked most commonly is "Does pelvic floor physical therapy benefit someone who has had a C-section?". In the first episode of this series on C-sections, the PSA girls address why someone who had a C-section birth can still benefit from physical therapy and why they might need it MORE than someone who undergoes a traditional vaginal delivery.
We have all experienced the wonderful soothing effect of aloe vera on a bad sunburn after enjoying some pool time a little too long, but did you know that there are other ways that this medicinal plant can be used? Aloe vera juice, when ingested, can help manage constipation, improve bladder health, and aid in the short-term management of IBS symptoms. The PSA girls discuss the research and scratch the surface of some of the things that aloe vera can be used for.
Ehlers-Danlos syndrome is a genetic condition that causes connective tissue fragility, in the skin, ligaments, tendons, vessels, and hollow organs. But how exactly does this relate to the pelvic floor? Current research shows that due to the large amount of collagen-rich tissue throughout the urinary and gynecological systems, EDS can result in a high number of problems that pelvic floor physical therapy may be key to treating.
5.5 million Americans struggle with some form of fecal incontinence, yet this problem is rarely discussed. People rarely talk to their providers about this, let alone their friends and peers. The lack of conversation around fecal incontinence leaves those struggling with this fairly common condition feeling embarrassed, isolated, and alone. This episode dives into the varying severities, from not being able to control flatulence to losing control of a fully formed stool. This form of incontinence is very treatable, and the first step is talking about it so you can get help.
Coccydynia or tailbone pain is one of the most common things treated by pelvic floor physical therapists. The PSA girls break down the many causes of this condition and explain why physical therapy is the gold standard, first line defense treatment.
With board exams looming for many soon-to-be physical therapists, Callie and Rachel decided to share all their PT school tips and tricks. The PSA girls offer advice about what to major in if you plan on attending PT school and ways to make your applications more appealing, as well as some of their board exam tips and tricks. No matter if you are just considering PT school or in the thick of it studying for the board exam, this episode has something for everyone.
Jess is a licensed occupational therapist who has devoted herself to helping women from all around the world heal from vaginismus. She chats with the PSA girls about how this complex condition often requires so much more than treatment of the physical symptoms and offers treatment options to women in search of healing. Jess explores how things like purity and diet culture can contribute to and have a lasting impact on women's psychological and physical health. If you struggle with vaginismus, you are not alone, and there is help out there.
In the twentieth century, women's sexuality was seen as "men's sexuality lite": basically the same but not quite as good. Using groundbreaking research, Emily Nagoski changed the game by exposing the truth of female sexuality with her New York Times best-selling book, "Come As You Are". The PSA girls reflect on the truths they gleaned from this book and how the concepts Dr. Nagoski explains go so far beyond sexual wellbeing.
This episode explores some of the plastic surgeries available to men and women as well as the risks involved. The PSA girls also discuss vaginal rejuvenation and all the buzz surrounding these treatments. Is this type of treatment actually beneficial to sexual wellbeing? What about the risks involved? Do we need vaginal rejuvenation? All these questions and more are addressed, along with the important conversation of why society makes people feel like they need to change their bodies. This episode does not contain discussions of sexual reassignment surgeries or gender-affirming care.
Have you ever been told by your doctor that you have a tilted uterus? It may be more common than you think. Retroverted or “tilted” uteruses appear in a significant portion of the population and can be completely normal or a result of various things such as a weak pelvic floor, endometriosis or scar tissue. In most cases, there is nothing to worry about, but if you still have questions, this is the episode for you.
Callie and Rachel review two of their success stories with the characters of Julie and Sandy. Julie and Sandy are two women with fictitious names but very real symptoms. The story of their recovery is true with name and detail changes to protect patient anonymity and comply with HIPPA regulations.
This neurologic control of the bladder is extremely complex. Like an orchestra with multiple moving parts, the bladder, brain, spinal cord, and pelvic floor work together to ensure we are able to void at the proper time. This episode provides a broad overview of what goes into bladder control as well as what can go wrong.
Pelvic pain can be extremely difficult to deal with. As the partner of someone who is struggling, it can be hard to know what the right thing to do is. This episode walks listeners through how to create a safe space for your partner and how to find ways to be intentional with intimacy to avoid emotional and physical pain.
While getting a pelvic exam or a pap smear is no one’s favorite thing to do, it should not be something that is painful or causes anxiety. This episode explains what to expect from a routine appointment and offers techniques to help reduce pain and anxiety with internal examinations.
Sexually transmitted infections can be a difficult topic to address, but that doesn’t mean the conversation shouldn’t be had. This episode explores some of the most common STIs and their implications for the pelvic floor.
Libido is one of the most complex topics in sexual medicine. With so many contributing factors and variability from person to person, it's no surprise that so many people are left feeling confused about what a "normal" sex drive should look like. This episode discussed the various things that can impact desire and when a diminished libido becomes something you should seek help from a medical provider for. Stay tuned after the episode for some bloopers.
Calling all our pregnant ladies!! Callie recently took a Herman and Wallace course and is here to share all the labor and delivery prep she learned. While there’s no way to be completely prepared for the birthing process, there are some tips and techniques that can set you up for success.
KT Taping has been popular in the athletic and PT community for a while but what does the research really say? What is KT tape appropriate for and what is it not appropriate for? In this episode Callie and Rachel take and evidence based approach to this treatment tool to answer all those questions.
Polycystic ovary syndrome is one of the most common causes of infertility in women. Affecting more than 5 million women worldwide, this condition has no cure, but there are several treatment options. Callie and Rachel discuss the current research surrounding PCOS and explore the various methods of treatment. If you are suffering from PCOS, you are not alone, and there is help out there.
Aletta Davis-Pitre, known by many names—pelvic health pioneer, clinic owner/director, mentor, friend, and work mom—is the one that started it all. In this exciting episode, listeners get to hear from the woman who founded Optimal Physical Therapy, gave Callie and Rachel their first "big girl jobs," and made the pelvic service announcement podcast possible. Aletta shares her journey from the days of G-spot stimulators as pelvic wands to owning two clinics and imparts a lot of wisdom along the way. This is one you don’t want to miss.
Often, testosterone gets blamed for many things such as road rage, fist fights, and anger issues, but is that actually what too much of this sex hormone looks like? In this episode, the PSA girls discuss the role of testosterone in men and women and what true testosterone deficiencies and overabundances really look like. They also examine some of the new research discussing hormone replacement therapy and the associated risks and benefits.
Personal trainer Rebekah Goguen joins the PSA girls as they discuss all things fitness. Rebekah shares her exercise journey through pregnancy and how she navigated the waters of postpartum, revealing how she "built back better." Whether you're a new or expecting mother dealing with stigmas and misinformation or simply someone looking to begin their fitness journey, this episode has it all, with some fun girl talk thrown in for good measure.
Another Tuesday for the boys! In the spirit of reaching more male listeners, Callie and Rachel talk about all thing’s relevant in the world of football right now. They also provide listeners insight into the common causes and treatment options for erectile dysfunction. Male or female this is an episode you don’t want to miss.
While not as well known as the sciatic nerve from last week, the pudendal nerve is no less important and can be every bit as irritable. The pudendal nerve plays a vital role in the pelvic floor as it handles most bladder, bowel and sexual functions. The PSA girls educate listeners on how to keep the nerves healthy and provide treatment options for those presenting with pudendal neuralgia.
The sciatic nerve is one of the most popular nerves in the human body. As a combination of lower lumbar and upper sacral roots, this monster has many opportunities for compression as it travels down the posterior leg, making it a common source of pain. The PSA girls discuss anatomy, physiology, examination, and treatment for the sciatic nerve, as well as how the pelvic floor can play a surprising role in addressing these issues.
It's no secret that lubrication can help to spice things up in the bedroom, but choosing the best one for you can be intimidating, especially if you don't know what you are looking for. The PSA girls break down the different types of lubrication as well as provide insight into ingredients that could be doing more harm than good. They also explain the common causes of vaginal dryness and how to address the issue at its source.
With a new year comes an exciting announcement from the PSA girls. This episode is full of all the positive things that should carry over into the new year and the negative things we are leaving behind in 2022. This episode includes an overview of the things discussed throughout with year while also providing a brief insight into the exciting things that 2023 has in store for the PSA peeps.
For many people, the holidays mean traveling. Traveling can be stressful mentally and physically and that is why the PSA girls are here to give you all the tips for maintaining a healthy pelvic floor while you’re on the go. From avoiding travel induced constipation to stress management techniques, this episode has all you need to help you get to your holiday destination with minimal physical worry.
Dr. James Marion Sims is known as the "Father of Gynecology," the founder of the first women's hospital in America, and is credited with the invention of the speculum. While these accomplishments seem praiseworthy at first glance, the truth behind his success is something out of a horror film. Callie and Rachel investigate the sinister origins of this man's success and attempt to give a voice to the women that served as his test subjects.
In episode 2 of this 3 part series Rachel and Callie continue to explore the medical practices of old. This week they focus on birth control, superstitions and common birthing practices.
Part one of this three part series introduces the origins of physical therapy and offers a glimpse into the not so glamours past of medicine. Between 460 BCE-370 BCE the Greek Physician Hippocrates was credited with developing the theory of the four humors-blood, yellow bile, black bile and phlegm. The thought was that the presence of disease or illness was due to an imbalance in the humors and should be treated with humor-restoring agents such as blood letting. With the advances of moderne medicine, medical care in 2022 looks vastly different that it did back then, however some practices still used today such as leeches and maggots feel reminiscent of a darker time.
Spinal cord injuries can come with a wide variety of functional changes, but what does damage to this vital part of our central nervous system mean for the pelvic floor? This episode aims to define what a spinal cord injury is and provide a broad overview to how damage at various levels will affect the function of the pelvic floor and what that means for recovery of bowel, bladder and sexual function. Callie and Rachel also discuss up and coming research that shows how stimulation of nerves in the lower leg might be key in recovering sexual function.
Research shows that 95% of men achieve orgasm while only 25% of women are able to consistently achieve orgasm during intercourse. This episode Rachel and Callie review the arousal response and explore explanations as to why only a fourth of women are climaxing with intercourse. They include education on how to improve your ability to orgasm as well as dysfunctions that can occur in men and women.
Constipation, irritable bowel syndrome, depression, fibromyalgia, chronic pelvic pain; is it possible there is a link between these conditions? The 10th cranial nerve or Vagus nerve is crucial for the "rest and digest" functions of the body by acting as a bridge between the brain and internal organs. Through exploration of the Polyvagal Theory, Callie and Rachel provide insight into why chronic stress and anxiety can impact the functions of this "wanderer nerve" and how restoration of vagal tone may be key in addressing the afore mentioned conditions.
For so many patients the treatment for their cancer leaves them with severe functional deficits. This episode is dedicated to explaining how physical therapy can help bridge the gap for these people to make sure the don’t only survive but thrive.
This week Callie and Rachael answer some of the most common questions they receive concerning pelvic organ prolapse. They discussion prevention, treatment options, and management strategies in this enlightening episode.
In this exclusive interview Rachel gives an insight into what it takes to be a competitive body builder. She describes what motivates her, as well as the mental and physical discipline it required to win the overall in the bikini category at the All South Championship in Little Rock Arkansas.
According to the National Breast Cancer foundation 1 in 8 women women are diagnosed with breast cancer each year. To kick off breast cancer awareness month Callie and Rachel discuss what to look out for, ways to screen yourself and how to modify your risks.
Hysterectomies have historically been marketed as the magic cure all for any problems a female might experience. Women have tales of doctors recommending the removal of this vital organ simply because they are past their child bearing years and "don't need it any more", or "just in case they develop problems later". The truth is, a prophylactic hysterectomy is as archaic as the institutionalizing of women for "female hysteria". Callie and Rachel discuss the realities of a hysterectomy, the residual complications that can arise from this surgical procedure, when is it appropriate and more importantly when it is not appropriate.
If there's one thing we know about runners its that nothing will stop them from running. New mom's are no exception to this rule but there are some important considerations to ensure they are able to return to running safely. Callie and Rachel discuss the safe time frame after giving birth, special considerations for breastfeeding, strength training and more in this episode.
There are so many benefits to lifting weights for both men and women however; fear of being "too bulky" or being the only girl in there has kept women out of the weight room for too long. Callie and Rachel discuss how resistance based training can help lower the risk of type 2 diabetes, balance hormones, decreased the risk of osteoporotic bone changes, increase confidence and so much more in attempts to remove that fear and get women in the weight room.
Dry needling is a highly researched tool in some clinician's tool belt's. Callie and Rachel explain what dry needling is, how it should be used in treatment, and the ways is can realistically benefit their patients. They also explain how it differs from acupuncture and when this tool is not appropriate.
What is pain? Understanding pain, specifically chronic pain is the first step in treating it. Pain in its proper place is a useful safety mechanism but when those signals refuse to turn off, it becomes a problem. By helping patients understand the mechanisms behind their pain we can treat these chronic conditions more efficiently.
Documentation in any field is often a bore at best, and at worst a time consuming drudgery; however, in this episode the PSA girls discuss why proper documentation is vital for clinician safety and patient success.
Midwifery is an intertwined practice of art and science. The art of midwifery is in the knowledge and devotion to keeping birth normal. The science is knowing when and how to intervene if it becomes necessary. Silvia Esparza, a certified nurse-midwife, walks Callie and Rachel through the holistic, and beautifully natural experience that bringing a new life into this world can be. She describes the benefits to home births or birthing centers, how she keeps women safe during out of hospital births and so much more in this special episode.
Low back pain is a complicated dysfunction that requires a comprehensive approach to treat successfully. Callie and Rachel discuss how the pelvic floor can be the missing piece of the puzzle and explain how dysfunction here can contribute to low back pain.
Studies show that 20-50% of men and women will experience unwanted pain with intimacy at some point in their lives. So many things factor into this complicated dysfunction but research shows pelvic floor physical therapy can often be used to treat it. Callie and Rachel discuss things that contribute the various types of pain with intimacy and offer some wisdom on how to overcome it.
There are so many misconceptions about pelvic health and hygiene. "Does urinating after sex prevent UTIs?", "Will eating pineapple cause changes in vaginal odor?" Callie and Rachel spend this episode separating pelvic health facts from fiction to give you the most accurate information about your body.
Pelvic wands, kegel weights and dilators oh my! If you have ever googled “pelvic floor PT” you may have seen some of these of these devices. Callie and Rachel answer the question of "are these tools the same thing as sex toys?", as well as when the use of these devices would be indicated.
How do you know if you actually have a UTI? What actually helps to treat it and what is really just a myth? Do you even have a true UTI? This episode answers all these questions and more!
"I have a small bladder", "Once you have kids you just can't hold it", "I know where all the restrooms are in my town". If these sound familiar you're going to want to listen closely to this episode. Callie and Rachel explore all things related to what is known as overactive bladder. They discuss what the term "overactive bladder" actually mean, and how to retrain your bladder so that you don't have to use the bathroom all the time anymore!
Just because your baby has arrived does not mean your body is back to normal. Callie and Rachel discuss all things postpartum including: what is going on with you body, your hormones, your pelvic floor and so much more. They also provide information on how pelvic floor therapy can ensure you recover and quick and completely as possible.
The body is truly an incredible thing. Baby Mark finally makes his arrival into the world along with an explanation of what goes on with the pelvic floor and the rest of the body during the delivery process. Callie and Rachel explain the hormones that play a role in this process as well as the benefits of a medicated and a non medicated birth and so much more.
Baby Mark has made it to his third trimester and so many exciting things are happening! This episode explores what should we be doing to prepare the body for birth including; how we can control pain during this time, what should be happening with the pelvic floor, what is colostrum and should you be storing it up prior to giving birth? All your questions are answered in this jam packed episode, with information on how to survive and be as prepared as you can be to give birth.
In this episode Callie and Rachel reveal the gender of their fictitious baby and they give it a name. They also explore further fetal development in the second trimester as well as changes that the mother can expect.
Callie and Rachel deep dive into the first trimester of pregnancy. They explore everything from what is happening with the mother’s hormones to baby’s development. They also discuss exercises during pregnancy and if it is safe.
Due to the hormone cycle we talked about in episode 16 "The Hormone Monster", females experience the wonderful process of mensuration for 3-7 days each month. This episode discusses the various menstrual products that are out there, in hopes of helping you decide what is right for you and your pelvic floor. From period panties, to menstrual cups, this episode discusses it all, including the breakdown of the horrifying toxic shock syndrome that plagues most new tampon user's nightmares.
When it comes to birth control there are many options out there. Callie and Rachel break down all forms of birth control from abstinence to IUDs. They break down mechanism of action for hormonal versus non hormonal birth control and how that impacts the hormone cycle (discussed in the last episode) as well as the pelvic floor.
Have you ever wondered what causes the inside of your uterus to throw a temper tantrum once a month and shed its entire lining causing you to bleed for the next 4-6 days? Callie and Rachel spend this episode discussing the hormone cycle including what hormones play a role, and how they regulate things such as ovulation, menstruation and fertility.
When you have your ACL repaired, knee replaced or rotator cuff repair, a physical therapy referral is the standard of care. The goals of therapy are to improve motion, decrease scar tissue, and improve overall function. When you undergo a hysterectomy, C-section, or other abdominal/pelvic surgery, therapy is almost never prescribed. In most cases patients who undergo abdominal surgeries stand to benefit from physical therapy just as much as patients who undergo orthopedic procedures. This episode Callie and Rachel discuss a generic break down of the most common abdominal/pelvic surgical procedures and why these patients would benefit from therapy.
In the second part of this two part series, Callie and Jim continue their discussion on mental health. This week they dive into PTSD, trauma and depression and how these things manifest physically. This episode contains discussion of physical abuse, sexual abuse, and other traumatic events that may be disturbing to some listeners. Listener discretion is advised.
In part one of this two part episode, Callie and Dr. James Warnica, a retired clinical psychologist, discuss mental health and the physical manifestations it can have on the body. This episode discusses the definition of anxiety, and how it can present as muscle tension, how that can impact function, and so much more!
Each month Callie and Rachel read a new book that pertains to the pelvic floor and discuss it on the show. This month's featured book is "The Vagina Bible", written by a witty Canadian gynecologist. The PSA girls provide an overview of the book, their personal thoughts on the subject matter and why they think men and women everywhere should read this book.
"Do guys even have a pelvic floor?" "How do you evaluate the male pelvic floor?" "What does pelvic floor dysfunction look like in men?" If these are questions you have ever asked yourself then this is the episode for you. This weeks episode is all about the male pelvic floor and how pelvic floor physical therapy is not just beneficial for women, but can significantly improve the quality of life in men as well.
Callie and Rachel dive into all things revolving around sexual dysfunction and explain how the pelvic floor can be the root of the problem. So many factors can play a role, and being able to recognize dysfunction is the first step in fixing it. If you are someone who struggles with this, you are not alone, and there is help out there. Do not settle.
Everybody poops, it is a simple fact of life. Callie and Rachel spend time in this episode discussing what can go wrong with your bowel movements and how your water intake, diet and most importantly pelvic floor muscles can play a role in causing and fixing the problem.
A lot of people think that all their pelvic floor problems are the result of muscle weakness and they turn to kegels in attempts to find the solution. But what if kegels are actually not the answer, or could even make the problem worse? Callie and Rachel dive into the two most common types of pelvic floor muscle dysfunctions and the differences between muscles that are too tight verses true muscle weaknesses. So often the symptoms look very similar, but they are treated in completely different ways.
This episode Rachel and Callie dive in to all things bladder and urinary related. They explore everything from leaking when you sneeze, to the difference between peeing during sex and squirting during sex. No amount of urinary incontinence (wetting your pants) is normal, even if you have had children! If you struggle with this, find a pelvic health physical therapist who can help you discover the source of the problem.
"People that have pain with intimacy will often endure it on Valentine's Day because they feel like they should". For all our ladies out there struggling with pain during intercourse, this one is for you. This episode is all about ways to spice up and enjoy your Valentine's Day in a pain free way. We discuss everything from date night ideas, love languages to ways to be intimate with limited contact. If you have pain with penetrative intercourse, please do not "endure it" just because a holiday makes you feel like you should.
Have you ever wondered what your hosts do when they aren't helping people keep their pants dry? Callie and Rachel take a break from the heavier stuff to discuss what they do in their free time, what they were like in physical therapy school and how their relationship has evolved.
So you received a referral to pelvic floor physical therapy, now what? So often the hardest fear to face is the fear of the unknown. In this episode, Callie and Rachel do their best to remove all the fear surrounding your first pelvic floor physical therapy appointment by letting you know what you can expect and answering some of their most commonly asked question. They also spend some time addressing red flags and things to look out for in a pelvic floor physical therapy provider.
Just what exactly is the pelvic floor? Callie and Rachel unravel the intricacies that make up the pelvic floor and explain how all the muscles, bone, ligaments, and nerves work together. If you are an anatomy nerd, or you're interested to know how being chronically constipated may affect your ability to have an orgasm, this one is for you.
How can we begin to understand abnormal if we do not understand what normal is? In this episode Callie and Rachel discuss the functions of the pelvic floor muscles and what a healthy, fully functioning pelvic floor looks like. Check out this link to find a pelvic floor therapist near you if you don't think your pelvic floor is functioning properly https://aptapelvichealth.org/ptlocator/ or just come see Callie and Rachel at Optimal PT solutions in Amarillo, Tx.
In this introductory episode, Callie and Rachel discuss who they are, the road that led them to pelvic health physical therapy, and the creation of this podcast. Tune in to hear what this show is all about, and the extensive dumpster diving that made it possible.