Podcast appearances and mentions of emma brockwell

What can I say about today's guest? If you're working with postnatal women or female athletes, then Grainne Donnelly will be a familiar name to you. One of the busiest and most productive people in women's health - Grainne is a clinician, PhD researcher, educator, writer, editor of the POGP journal, business owner and mother of four!In today's chat, we discussed lots of different topics under the postnatal umbrella, from diastasis to sport & exercise to compression garments and the importance of functional and clinically relevant research, with a nod to evolutionary development of the pelvic floor!At Pelvicon last year, we got a glimpse into her PhD research looking at compression garments and the pelvic floor, so we get into the weeds with this today: compression garments - do they work? What should we consider when it comes to recommending them? Are they good for everyone?Grainne, along with Emma Brockwell & Tom Goom, completely changed the conversation with the Return to Running Guidelines in 2019; the 6R Framework on Returning to Sport Postnatally (BJSM 2021), her chapter on pelvic health in sports medicine, her 2025 paper on rugby & pelvic health - you can find all of her recent publications hereI'm a huge GD fan - it really is hard to think of someone who has done more to advance the evidence base for postnatal recovery from a physio perspective, so if you get the chance to learn from her - grab it!Grainne's online courses are available at absolute.physio and they are on sale for the summer - you can find her on instagram as @absolute.physio and she will be teaching a precon at Pelvicon about real time ultrasound in pelvic rehab and of course, the book she's editing on Pelvic Health in Sports Medicine will be out in April 2026Want to take a deeper dive into women's health, from the comfort of home, and at your own pace? All of my online courses, from Female Hormonal Health to Hysterectomy Rehab, Breast/Gynae & Bladder/Bowel Oncology Rehab to Female Pelvic Pain, Bowel Health to Back Pain - all of the info is at CelebrateMuliebrity.com or follow along on Instagram @michellelyons_muliebrityUntil next time, Mx (and don't forget to celebrate muliebrity!)

This is not just about pregnancy! 1 in 3 women are affected by pelvic floor dysfunction. Urinary leakage, urgency and even lower back pain may be signs that your pelvic floor could use some help! Top pelvic health specialist, Emma Brockwell, shares exactly what we should be doing to improve our pelvic floor health - and it's surprisingly simple.  Pelvic floor issues can affect anyone, at any age, regardless of whether they've had children or not. Whether you're a recreational runner, an elite athlete, or somewhere in between, your pelvic floor plays a huge role in your performance, recovery, and overall well-being. It's a topic that should be on everyone's radar. Through Emma's incredible work with professional women's football teams and contributions to the FIFA Female Health Project, she is playing a leading role in providing education about pelvic floor health and de-stigmatising pelvic floor disorders to achieve just that.  Follow Emma on Instagram: @physiomumuk Follow us on instagram & YouTube: @5mileseasy

Somehow it's the season 5 finale! And it's a good one!In this episode Helen speaks to the German footballer Melanie Leupolz who returned to play for Chelsea just months after giving birth to her son and to the pelvic health physiotherapist Emma Brockwell who worked with Melanie to get her back on the pitch. They talk about the unwavering support Melanie had under former Chelsea manager, Emma Hayes; a lack of female-specific research when it comes to elite sport; and how taking female health into consideration can be game-changing. We get an insight into how pelvic health conversations go down in the locker room and Melanie explains why she wanted to share her story.Buy Emma's book: Why Did No One Tell Me: How to Protect, Heal and Nurture Your Body Through Motherhood in my affiliate shop.Season 5 of Why Mums Don't Jump is sponsored by IMEDicare - Pelvic Health Naturally. IMEDicare supplies a range of easy-to-use, medically approved products including Lumana incontinence leggings and running shorts, the Efemia bladder support and Enna Pelvic Ball; a discount code is available via my online affiliate shop.Sign up for the Why Mums Don't Jump email newsletter for the latest news and offers! 

Ivi Casagrande is a High Performance Coach & Consultant, currently with the Republic of Ireland Women's National Team. She previously led performance for the Brazilian Women's National Team during the Women's World Cup in New Zealand/Australia. Ivi is also a Sport Scientist Lead with Lewes FC Women and a Technical Expert for FIFA and UEFA. She holds a Master's in Exercise Physiology and has coached in the American and English women's football leagues, including Orlando Pride and Brighton Women's. Originally from Brazil, Ivi played professional football before focusing on sports performance and coaching.Emma Brockwell is a Specialist Pelvic Health Physiotherapist in Surrey, UK, specializing in female athletes, pregnancy, and postpartum recovery. She works with Chelsea and Arsenal WFC, The Netball Players Association, and Harlequins Women's Rugby. Emma co-authored the 'Returning to Running Postnatal Guidelines' and serves on the advisory board for The Active Pregnancy Foundation. She authored ‘Why Did No One Tell Me?' and is a member of the FIFA Female Health Project.This episode is proudly sponsored by:YETI, who's all about helping you embrace a life lived fully and actively, supported by gear that never lets you down. Head to https://www.yeti.com/ to start living every moment to its fullest!

This Bitesize Clip is taken from Episode 26... To listen to the full episode go back and listen to Episode 26. How to protect, heal and nurture your body through Motherhood Emma Brockwell You are pregnant, and just like that your body starts undertaking huge physiological and psychological change. I think sometimes we, as women, forget that during pregnancy your entire system is adapted as your body focuses on growing a new little human being. Parts become stretched, weakened and shifted as your little one thrives and develops. Then there is the matter of childbirth and regardless of how this may happen for you it is a momentous time and arguably the biggest challenge your body will ever undergo. But you can't just put your feet up and recover as a new mum, you have a baby to care for and are often sleep deprived. And so all too often the incredible journey your body and mind have been on get forgotten and your nurturing and healing are neglected. But on this week's episode I am joined by an amazing guest, specialist women's health physiotherapist, mum and now author Emma Brockwell. Emma is a woman on a mission to empower and inform women about the changes taking place in pregnant and postpartum bodies and to support them on a journey to recovery in the right way. Women have, for far too many years thought that many embarrassing or unpleasant conditions relating to women's health were normal and something we should put up with. But the good news is that they are absolutely not, and Emma believes that all women should be informed and empowered with tools to look after and nurture their amazing bodies throughout pregnancy and motherhood.    Emma Brockwell is a Specialist Pelvic Health Physiotherapist. She treats women of all ages with all women's health related conditions. She is passionate about pre and postnatal rehabilitation and exercise. She specialises in enabling women back to exercise, particularly running if they have any pelvic health dysfunction or are postnatal. She has co-authored the first ‘Returning to Running Postnatal Guidelines' and has spoken about this subject at many medical and exercise conferences. Emma has written for many magazines including Women's Running and Women's Health magazine and has a book out in February 2021 called ‘Why did no one tell me? how to heal protect and nurture your body through motherhood.' Emma founded and leads a Walk and Running club, Oxted Ladies Run Club. She is the co-founder of Pelvic Roar a physiotherapy led collaboration aiming to promote and unite all things ‘pelvic health'. She is on the advisory board for The Active Pregnancy Foundation and is an associate member to the Perinatal Physical Activity Research Group. She now works privately in Surrey and London and is the co-presenter of a new podcast called At Your Cervix – the podcast. Check out Emma's fantastic Instagram page @physiomumuk  Linked below is Emma's book ‘Why did no one tell me?' A must read for expectant mums:  https://www.amazon.co.uk/Why-Did-One-Tell-motherhood/dp/1785043366/ref=sr_1_1?dchild=1&keywords=why+did+no+one+tell+me&qid=1611576403&sr=8-1 Extra Stuff: Midwife Pips Guide to a Positive Birth: https://www.midwifepip.com/midwife-pip-books Check out Midwife Pip's Courses - http://www.midwifepip.com/ Get in Touch: Instagram: https://www.instagram.com/midwife_pip Facebook: https://www.facebook.com/midwifepip Email: https://www.midwifepip.com/contact-us Enjoy Listening... and don't forget to subscribe!  Midwife Pip x  Learn more about your ad choices. Visit megaphone.fm/adchoices

On this week's Real Talk, Chelsea women's manager Emma Hayes, former England netballer Eboni Usoro-Brown, and British trampolinist and gymnast Laura Gallagher Cox discuss pelvic floor health in sport.They raise the importance of having more education on pelvic floor health - especially from a younger age, explore why certain sports can damage the pelvic floor and share how they've regained control by working with a specialist.A special thanks to Emma Brockwell, a physiotherapist specialising in pelvic floor health, who joins us on this episode to give us her expert advice.Plus, stay with us until the end of the podcast to follow presenter Miriam Walker-Khan as she gets her very own pelvic floor personal training session.Real Talk is a series from Sky Sports that looks at topics that aren't often spoken about in a sporting context. Please give us a follow, like, or subscribe, wherever you get your podcasts. You can also watch our interviews on YouTube (https://bit.ly/RealTalkSkySportsNews), read supporting articles on our website (skysports.com), and find us on social media @skysports.Real Talk is presented by Miriam Walker-Khan and is produced by Alice Reeves-Turner, Claire Taylor, Millie Stevenson and Chessie Bent.

Today I speak with Emma Brockwell and Gráinne Donnelly. Emma is a Specialist Pelvic Health Physiotherapist. She treats women of all ages with all women's health related conditions. She is passionate about pre and postnatal rehabilitation and exercise. She specialises in supporting women back to exercise, particularly running, football and netball if they have any pelvic health dysfunction or are postnatal. She has co-authored the first ‘Returning to Running Postnatal Guidelines' and has spoken about this subject at many medical and exercise conferences. Emma published her first book called ‘Why did no one tell me? How to protect, heal and nurture your body through motherhood.' She now works privately and is the co-presenter of the podcast, At Your Cervix – the podcast. Alongside Grainne Donnelly and Helen McElroy she co-founded the Athletic Female an evidence based course aimed at healthcare, fitness and medical professionals who work with female athletes.  Gráinne is an Advanced Physiotherapist specialising in pelvic health. She provides pelvic health clinics privately, educates health and fitness professionals about pelvic health and is currently developing her experience in the world of research and academia. She has recently published several papers on postpartum running and diastasis rectus abdominis. Her specialist interests are postpartum exercise, diastasis rectus abdominis and ultrasound imaging in pelvic health.  We talk about: -the importance of 'readying' an athlete during pregnancy -future proof her pelvic health and prepare for motherhood and a return to sport -busting myth around exercise during pregnancy -how pelvic health physiotherapists are integral to all women's perinatal journeys -benefits of social media  Time Stamps 1:00 introduction 3:50 intentions of exercise 6:20 unexpected outcomes from guidelines 18:10 interpreting guidelines for each patient 24:05 discussing guidelines in pregnancy 33:35 feedback from clinicians 40:00 bridging the gap 48:01 social media's influence 54:40 what's next  CONNECT WITH CARRIE IG: https://www.instagram.com/carriepagliano/ Website: https://carriepagliano.com  CONNECT WITH EMMA & GRÁINNE Website: www.physiomum.co.uk Website: https://absolute.physio/ IG: https://www.instagram.com/physiomumuk/ IG: https://www.instagram.com/absolute.physio/ The Active Mom Postpartum Podcast is A Real Moms' Guide to Postpartum for active moms & the postpartum professionals who help them in their journey. This show has been a long time in the making! You can expect conversation with moms and postpartum professionals from all aspects of the industry. If you're like me, you don't have a lot of free time (heck, you're probably listening at 1.5x speed), so theses interviews will be quick hits to get your the pertinent information FAST! If you love what you hear, share the podcast with a friend and leave us a 5 start rating and review. It helps us become more visible in the search algorithm! (Helps us get seen by more moms that need to hear these stories!!!!)

Welcome to Episode 17 and my conversation with Dr Julie Granger on the intersection of the roles of the clinician & the health coach. In this episode, we discuss: what is a health coach? why this matters in a biopsychosocially informed approach our own emotional baggage (& ego!) moving from being the expert to seeing the client as the expert in themselves dealing with resistance to change self care for clinicians - moving from burnout to thriving I met Julie in 2014 when I was teaching a course in Ohio on Pelvic Health for Athletes and I've followed her journey ever since - I think you'll enjoy this chat and hopefully it will be thought provoking for your own journey! Want to learn more? I'll have a Coaching Masterclass coming out before Christmas (just need to finish the Hysterectomy course first...) or if you're interest is in female athlete's pelvic health, that is covered in my online Female Hormonal Health Masterclass: Menstrual, Maternal & Menopausal Health (and you can also check out earlier episodes of this podcast where I discuss female athlete health with luminaries like Emma Brockwell & Grainne Donnelly in season 1) Keep up to date with the latest on my exploration of all things women's health on my Instagram feed and of course, all the course details can be found on celebratemuliebrity.com Until next time, Onwards & Upwards! Mx

It's a total pleasure to share the chat I had with the incomparable Emma Brockwell, who you may know as @physiomumuk! Emma is an amazing physio, researcher, author and one of the most collegiate and supportive colleagues and friends that I've ever met. She is the author of 'Why Did No-one Tell Me?' - this is the book I give to everyone I know who has had a baby - essential postnatal information for anyone who's had a baby We discuss what we need to consider about individualised postnatal recovery, the challenges female athletes face, female ACL injuries, a gendered approach to rehab, the importance of educating young girls & women about their pelvic/menstrual health, her awesome research around the 'Return to Running Guidelines' and of course, her fabulous book! And...if you'd like to learn more about postnatal health, then Module 2 of the Female Hormonal Health Masterclass might be just your cup of tea! Here's the link to ALL my online courses Make sure you're following my deep dive into all aspects of women's health on instagram - you can find me @michellelyons_muliebrity And all the info is also available at my website celebratemuliebrity.com Until next time...Onwards & Upwards! Mx (and don't forget to celebrate muliebrity!!)

Today we are talking with Dr. Amanda Olson. Dr. Amanda Olson is a dedicated and passionate Doctor of Physical Therapy specializing in treatment of pelvic floor disorders including incontinence, pelvic organ prolapse, pelvic pain, and pregnancy related issues. She is a certified advanced pelvic floor practitioner (CAPP-PF) by the American Physical Therapy Association and the Herman and Wallace Pelvic Institute (PRPC). She teaches on pelvic health content nationally. Dr. Olson is also the pelvic expert behind Intimate Rose, a women's health brand whose mission is to improve the health of women worldwide. She creates devices and educational resources to address common and treatable women's health issues for patients and other health care providers. She is the author of the book Restoring the Pelvic Floor For Women. Follow us @pelvicorerehab and share any questions you have on Pelvic Health or share your experience overcoming Pelvic Health related issues. Episode Notes: Here are some question we answered during this episode: What are some pelvic health issues that come up for runners? Running during pregnancy was a hard NO years ago but there is a transition going on and we are seeing more pregnant mamma running. What do you think has changed? What are some warning signs/red flags for pregnant moms to look out forin running during pregnancy? Do you get avid runner moms that come to you during pregnancy and want to optimize their system during pregnancy in order to return to running after birth? What do you think are some common mistakes moms make when returning to running after childbirth? Health care providers give moms the “ Green Light “ at their postnatal 6 week checkup. They are often told that they can return to all activities without restrictions. After Orthopedic surgery,like ACL surgery, athletes wouldn't dare not follow the rehab protocol but after birth we get this GO AHEAD and do anything. Do you think this is a big issue? How can we change this? There was recently a set of guidelines developed by Grainne Donnelly and Emma Brockwell what are your thoughts on this? How do you help moms return to running postnatally?What are the things that you feel are essential to establish in their strength? For moms that present with OVERACTIVITY, TENSION PATTERNS of the pelvic floor, How do you handle these runners? Do you first focus on relaxing the Pelvic floor or do lengthen and strengthen at the same time? Do you use Vaginal weights to prepare to return to running?  Where can you find more of Amanda Olson? https://www.intimaterose.com/ IG: @aolsondpt; @intimaterose FB: Intimate Rose TikTok: Intimaterose 2 day course on Running and Pelvic Floor: https://aptapelvichealthlivecourses.softr.app/listing-details?recordId=recG4CHJbu6xzZtQx Visit me at: My Website: https://www.pelvicorerehab.com/ Instagram : https://www.instagram.com/pelvicorerehab Facebook:https://www.facebook.com/pelvicorerehab/ Facebook Group: https://www.facebook.com/groups/pelvichealthplus YouTube:  https://www.youtube.com/channel/UCCiEl1ZFlA5SzN44MhUwzgA?view_as=subscriber Ebook Books links Pregnancy Ebook:  https://www.pelvicorerehab.com/pain-free-pregnancy-guide Bladder Leaking Ebook https://www.pelvicorerehab.com/leaking 8 steps to achieving pelvic healing  https://www.pelvicorerehab.com/ Pelvic Pain, Bladder leaking, and 8 steps to achieve pelvic healing https://www.pelvicorerehab.com/pelvicfloorguides Pelvic Pain  https://www.pelvicorerehab.com/pelvicpain Menopause Guide https://www.pelvicorerehab.com/menopauseguide Postpartum ebook https://www.pelvicorerehab.com/headtotoewellnessformommyandbaby  Disclaimer: Susan Winograd, PT offers health and fitness information intended to assist you in improving your general health and well-being. These videos and written text are designed for entertainment and educational purposes only. Please consult your physician before beginning or implementing this or any other technique or exercise program.  Do not rely on the information presented as a substitute for professional medical advice, diagnosis, or treatment. If you have any concerns or questions about your health, consult with a physician or other healthcare professional. Do not disregard, avoid or delay obtaining medical or health-related advice because of something you may have read, heard, or viewed on this site or channel. The use of any information provided on this (or any associated) video or website is solely at your own risk.

Returning to Running Postpartum with Emma Brockwell   Returning to exercise post birth, however you may birth is something that should be done with care and in a way that is respectful and supportive of the immense change your body has gone through and the need for recovery. Running however and it's high impact nature is something that needs extra consideration and the reality is we could damage ourselves if our return to running is not periodised or appropriate to where our bodies are at.    This week I am joined by an amazing guest, specialist women's health physiotherapist, mum and now author of her wonderful book ‘Why Did No One Tell Me' Emma Brockwell @physiomumuk.    Check out Emma's book here: https://www.amazon.co.uk/Why-Did-One-Tell-motherhood/dp/1785043366/ref=asc_df_1785043366/?tag=googshopuk-21&linkCode=df0&hvadid=500806356660&hvpos=&hvnetw=g&hvrand=9720876177148891461&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=1007222&hvtargid=pla-1214190016541&psc=1&th=1&psc=1 Thanks for listening. Midwife Pip www.midwifepip.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Today I speak with Emma Brockwell and Gráinne Donnelly. Emma is a Specialist Pelvic Health Physiotherapist. She treats women of all ages with all women's health related conditions. She is passionate about pre and postnatal rehabilitation and exercise. She specialises in supporting women back to exercise, particularly running, football and netball if they have any pelvic health dysfunction or are postnatal. She has co-authored the first ‘Returning to Running Postnatal Guidelines' and has spoken about this subject at many medical and exercise conferences. Emma published her first book called ‘Why did no one tell me? How to protect, heal and nurture your body through motherhood.' She now works privately and is the co-presenter of the podcast, At Your Cervix – the podcast. Alongside Grainne Donnelly and Helen McElroy she co-founded the Athletic Female an evidence based course aimed at healthcare, fitness and medical professionals who work with female athletes.  Gráinne is an Advanced Physiotherapist specialising in pelvic health. She provides pelvic health clinics privately, educates health and fitness professionals about pelvic health and is currently developing her experience in the world of research and academia. She has recently published several papers on postpartum running and diastasis rectus abdominis. Her specialist interests are postpartum exercise, diastasis rectus abdominis and ultrasound imaging in pelvic health.  We talk about: -the importance of 'readying' an athlete during pregnancy -future proof her pelvic health and prepare for motherhood and a return to sport -busting myth around exercise during pregnancy -how pelvic health physiotherapists are integral to all women's perinatal journeys -benefits of social media  Time Stamps 1:00 introduction 3:50 intentions of exercise 6:20 unexpected outcomes from guidelines 18:10 interpreting guidelines for each patient 24:05 discussing guidelines in pregnancy 33:35 feedback from clinicians 40:00 bridging the gap 48:01 social media's influence 54:40 what's next  CONNECT WITH CARRIE IG: https://www.instagram.com/carriepagliano/ Website: https://carriepagliano.com  CONNECT WITH EMMA & GRÁINNE Website: www.physiomum.co.uk Website: https://absolute.physio/ IG: https://www.instagram.com/physiomumuk/ IG: https://www.instagram.com/absolute.physio/ Emma's book: The Active Mom Postpartum Podcast is A Real Moms' Guide to Postpartum for active moms & the postpartum professionals who help them in their journey. This show has been a long time in the making! You can expect conversation with moms and postpartum professionals from all aspects of the industry. If you're like me, you don't have a lot of free time (heck, you're probably listening at 1.5x speed), so theses interviews will be quick hits to get your the pertinent information FAST! If you love what you hear, share the podcast with a friend and leave us a 5 start rating and review. It helps us become more visible in the search algorithm! (Helps us get seen by more moms that need to hear these stories!!!!)

Gráinne Donnelly is an Advanced Physiotherapist and educator in Pelvic Health who is also delving into the world of clinical academia. She is passionate about improving the standard of clinical practice and services that women access, and carrying out research on a population that is significantly under researched.  Emma Brockwell is a physio and founding member of the collaborative campaign group Pelvicroar and is on the Scientific Clinical Advisory Board of the Active Pregnancy Foundation and the Perinatal Physical Activity research Group. She is also a passionate runner and co-authored the UK's first Return to Running Postnatal Guidelines Together they co-host the podcast at your cervix which aims to bust taboos and open conversation around pelvic health. Hosts: Shanti & Marina Guests: Emma Brockwell and Gráinne Donnelly Sound Editor and Composer: Will Grant

Leaking urine when running is way more common than it should be. Every week I meet a runner in the clinic with this problem. The degree to which urinary incontinence with exercise has been normalized is really disheartening. This is a significant medical problem. It is NOT normal and it CAN be treated. If you, or someone you know, is having trouble with leaking when running you are going to be so pleased you listened to this episode. Emma Brockwell is a Pelvic Health Physiotherapist and an expert on urinary incontinence with running. She also happens to be an avid runner herself! This problem is massively underreported and under-treated. If you know someone with this problem, please do share this episode with them. You might just change their life. Follow Emma Brockwell Instagram: @physiomumuk Website: physiomum.co.uk Podcast: At Your Cervix Book: Why Did No One Tell Me? (amazon.com) Discussed in this Episode 00:00 Intro 13:47 What is Pelvic Health Physio? 16:48 Treatment for Leaking with Running 21:43 Pelvic Floor muscle training for Running 31:03 Pelvic Health Physio for Incontinence with Running 41:04 Pelvic Organ Prolapse and Constipation 44:47 Heavy Lifting and Leaking More from Matthew Boyd Physio Free Online Course: Running Fundamentals Subscribe to The Adaptive Zone Podcast Subscribe to The Adaptive Zone YouTube Channel Facebook @matthewboydphysio Instagram @matthewboydphysio Work with Matthew Boyd Physio Running Technique Analysis Running Coaching Running Injury Physiotherapy Strength Training for Runners --- Send in a voice message: https://anchor.fm/theadaptivezone/message

Emma Brockwell is a Specialist Pelvic Health Physiotherapist. She treats women of all ages with all women's health-related conditions. She is passionate about pre and postnatal rehabilitation and exercise. She specialises in supporting women back to exercise, particularly running and netball if they have any pelvic health dysfunction or are postnatal. She has co-authored the first ‘Returning to Running Postnatal Guidelines' and has spoken about this subject at many medical and exercise conferences. Over the past two years she has co-authored further publications on this subject. Emma has written for many magazines including Women's Running and Women's Health magazine and last year her first book called ‘Why did no one tell me? How to protect, heal and nurture your body through motherhood' was published. Emma founded and leads a Walk and Running club, Oxted Ladies Run Club. She is on the advisory board for The Active Pregnancy Foundation and is an associate member of the Perinatal Physical Activity Research Group. She now works privately in Guildford and Godstone and is the co-presenter of the podcast, At Your Cervix – the podcast. Alongside Grainne Donnelly and Helen McElroy, she co-founded the Athletic Female an evidence-based course aimed at healthcare, fitness and medical professionals who work with female athletes. You can follow her on Instagram @physiomumuk and find out all the links to the above on www.physiomum.co.uk In this podcast, I talk with Emma about the key pieces of advice from the ‘Returning to Running Postnatal Guidelines'. We talk about her other work and how she has managed to create an impact. Emma also gives her thoughts on what the gaps in the research are and her future research-related projects. Themes discussed: Conditions typically treat among athletes, as a Specialist Pelvic Health Physiotherapist The 'Return to Running Postnatal Guidelines': key advice from these recommendations Strongest research evidence supporting pelvic floor recovery Other activities (such as the ‘At Your Cervix' podcast, recent book and the Athletic Female course) and how these have created an impact Athletes' response and challenges encountered Improving pelvic floor - is it too late? Research ideas for the future Future projects

Pelvic health physiotherapist Emma Brockwell chats to journalist Rosie Taylor about what science says about the best ways to return to running and high-impact exercise after pregnancy and birth. Emma, who is the author of the pregnancy and postnatal health guide Why Did No One Tell Me?, also reveals the things that most surprise almost every new mum she sees in her clinic - and why it's OK not to be perfect at doing your pelvic floor exercises.You can follow Emma on Instagram: @physiomumuk, Facebook: @PhysioMum and Twitter: @emma_physiomum. For more information on returning to running, the guidelines are available on her website: www.physiomum.co.uk. You can also check out her podcast with Gráinne Donnelly, At Your Cervix.If you're interested in booking an appointment with a women's health physio, you can request an NHS referral via your GP or search for a local private physio here.Organisations that offer help and support with postnatal mental health issues include Pandas and Make Birth Better (for birth trauma).On the Mother Bodies podcast, Rosie is on a mission to find out why postnatal health is still so overlooked and to uncover the biases and inequalities which mean women so often don't get the care, support or treatment they need after having a baby. She speaks to fascinating guests about their personal stories of recovery after birth, how the politics of postnatal health affects us all - and the big ideas which could change mothers' lives for the better.www.motherbodies.comInsta: @motherbodiesTwitter: @motherbodies Hosted on Acast. See acast.com/privacy for more information.

We have a very exciting podcast today where we chat about all things running and pregnancy!We are joined today by three Hong Kong based running ladies, first up for the introduction is Katy, a British physio therapist who specialises in pre and postnatal care and specifically the pelvic floor, she shares some valuable tips and advice for those new or mums to be. We then have two new trail running mums Sayaka and Elsa who have had babies in the last two years and they run with UGlow a Hong Kong based running team. They chat to us all about their experience with staying active whilst pregnant and their postnatal experiences. We had an honest and candid chat all about expectactions vs reality with becoming a mum + how it honestly was for them mentally and physically, they also share some great personal advice with you!This is a beautiful conversation from the heart and one not to miss!The resources shared in the podcast below:Return to run guidelines by Tom Goom, Grainne Donnelly and Emma Brockwell, https://absolute.physio/wp-content/uploads/2019/09/returning-to-running-postnatal-guidelines.pdftherunnerphysio.com@physiomumuk

This week we are talking about staying active in pregnancy and getting back to activity in the post-partum period with two experts in this space - Emma Brockwell and Dr Marlize De Vivo. Emma is a Specialist Pelvic Health Physiotherapist . She has co-authored the first ‘Returning to Running Postnatal Guidelines' and published her book ‘Why did no one tell me? How to protect, heal and nurture your body through motherhood In 2021.Dr Marlize De Vivo is a qualified Biokineticist, Sports Rehabilitator and Trainer, and senior research fellow at Canterbury Christ Church University. She is also Co-CEO and and founding member of the Active Pregnancy Foundation This episode covers*Staying active safely in pregnancy *Benefits for mum and baby*situations where a woman may be advised not to exercise*Lifting weights during pregnancy*Pelvic girdle pain*getting active in the post-partum period*Running during and after pregnancy*how to train your pelvic floorIf you loved this episode make sure to give it a review, rating (hopefully 5 stars) and share it with your friends and family. Thank you to our season sponsor WHOOP. Right now, you can get your first month free when you checkout through join.whoop.com/thefoodmedic@thefoodmedic / www.thefoodmedic.co.uk

This week on 'Asking For A Friend' Gi discusses Pelvic Floor Health with founder of Pevic Roar and author of 'Why Did No One Tell Me?, Emma Brockwell. With tips on how to keep your pelvic floor healthy and your questions answered on everything from excercising when pregnant to urinary incontinence. See acast.com/privacy for privacy and opt-out information.

In this episode we discuss collaboration, when it works, when it doesn't, and how we stay in our lane when competition and comparison threaten to derail us. Find Emma on instagram @physiomumuk and twitter @emma_physiomum Find Grainne on instagram @absolute.physio and twitter @ABSPhysio Dont forget to put your Oxygen Mask on first by visiting MEHAB

In this episode we discuss collaboration, when it works, when it doesn't, and how we stay in our lane when competition and comparison threaten to derail us. Find Emma on instagram @physiomumuk and twitter @emma_physiomum Find Grainne on instagram @absolute.physio and twitter @ABSPhysio Dont forget to put your Oxygen Mask on first by visiting MEHAB

Fiona Rogers from Pelvic Floor Exercise talks with Dianne about pelvic floor equipment that could enhance the recovery of the pelvic floor for some postnatal mums. She highlights taking the time needed to “let yourself heal” following pregnancy and childbirth and gives advice on getting back to activity during this special time. Using her recent personal experience with recovering from wrist surgery, Fiona shares how she worked on what she could do, rather than focusing on what she couldn't do, in her return to Crossfit training, a perspective that could be helpful to postnatal mums. To contact Fiona visit www.pelvicfloorexercise.com.au Instagram @pelvicfloorexercise Facebook Pelvic Floor Exercise For further information: 5 Step guide  Pelvic floor weights Emma Brockwell's book: Why did no one tell me? Pelvic Floor Exercises Books and DVD's PN Return to running guidelines The Pregnancy Centre website

Our month's 'Focus on Nutrition' concludes with Part 4: ‘Nutrition for the Athletic Female'. Like the previous three parts, this episode is from the Sports Therapy Association Podcast, uploaded here to Runchatlive as nutrition is a topic of relevance to runners & professionals who work with runners. The podcast is recorded LIVE on the Sports Therapy Association YouTube Channel every Tuesday at 8pm (GMT+1). In this episode ‘Nutrition for the Athletic Female, we are joined by special guest Kathryn Stewart, a registered dietician with the Dublin Nutrition Centre, with a Masters in Sport and Exercise Nutrition. Kathryn has worked as a dietitian in both the UK and Ireland covering a range of clinical areas such as bowel surgery, gut disorders, oncology, stroke, respiratory conditions, heart health and weight management. Some of you may have seen the work Kathryn has done with The Athletic Female team Emma Brockwell, Grainne Donnelly and Dr Helen McElroy, who were guests on the show back in February 2022 in Ep.89 of the Sports Therapy Association Podcast: 'The Athletic Female'. Topics discussed: How to get experience as a Dietician or Nutritionist How important is gender when looking at nutrition for athletes? The problem of research historically being done by males on males Signs that your client/patient may have a nutrition related issue Using the menstral cycle to flag potential nutritional deficiency How to overcome 'taboo topics' in clinic Polycystic Ovary Syndrome (PCOS): how common is it and how much can diet modification help? Are there any particularly 'dangerous' diets out there? Athletic Amenorrhea: how much is it regarded as 'to be expected' by competitive female athletes? Frozen food: friend or foe? Supplements: necessary for female athletes or can everything be obtained in a healthy diet? Useful Links   Kathryn Stewart on Instagram: @edible_evidence The Athletic Female on Instagram: @theathleticfemale Our sincere thanks to Kathryn Stewart for giving up her time to be a guest!  Please Support Our Podcast! If you appreciate what we do on Runchatlive Podcast and the Sports Therapy Association Podcast, please take a couple of minutes to leave us a rating & review. It really does make all the difference in helping us reach out to a larger audience. iPhone users you can do this from your phone, Android users you will need to do it from iTunes.

Our month's 'Focus on Nutrition' concludes with Part 4: ‘Nutrition for the Athletic Female'. In this episode, we are joined by special guest Kathryn Stewart, a registered dietician with the Dublin Nutrition Centre, with a Masters in Sport and Exercise Nutrition. Kathryn has worked as a dietitian in both the UK and Ireland covering a range of clinical areas such as bowel surgery, gut disorders, oncology, stroke, respiratory conditions, heart health and weight management. Some of you may have seen the work Kathryn has done with The Athletic Female team Emma Brockwell, Grainne Donnelly and Dr Helen McElroy, who were guests on the show back in February 2022 in Ep.89 of the Sports Therapy Association Podcast: 'The Athletic Female'. Topics discussed: How to get experience as a Dietician or Nutritionist How important is gender when looking at nutrition for athletes? The problem of research historically being done by males on males Signs that your client/patient may have a nutrition related issue Using the menstral cycle to flag potential nutritional deficiency How to overcome 'taboo topics' in clinic Polycystic Ovary Syndrome (PCOS): how common is it and how much can diet modification help? Are there any particularly 'dangerous' diets out there? Athletic Amenorrhea: how much is it regarded as 'to be expected' by competitive female athletes? Frozen food: friend or foe? Supplements: necessary for female athletes or can everything be obtained in a healthy diet? Useful Links   Kathryn Stewart on Instagram: @edible_evidence The Athletic Female on Instagram: @theathleticfemale Our sincere thanks to Kathryn Stewart for giving up her time to be a guest on the Sports Therapy Association Podcast! Please Support Our Podcast! If you appreciate what we do, please take a couple of minutes to leave us a rating & review on Apple Podcasts. It really does make all the difference in helping us reach out to a larger audience. iPhone users you can do this from your phone, Android users you will need to do it from iTunes. Questions? Email: matt@thesta.co.uk

Returning to running postpartum is one thing. Then add pelvic floor problems to the mix. Now imagine you're an ultra-runner who likes to do 100-plus mile races. This is Sophie Power.Since a photo of her breastfeeding her baby mid-race went viral, Sophie has been working to empower more women to get active. Then she made a film about her postpartum return to running only to discover - on camera - that she has pelvic organ prolapse.Helen talks to Sophie about pelvic organ prolapse, incontinence and her journey back to fitness after childbirth - despite being told she may never run again - and how important it is that mums are helped to reach their goals, whatever they are. There's so much research that shows that the mums activity level is linked through their children's.  So if we want to have active children, we need to be active ourselves and we need help to be active. And what we need to do is make sure that women demand that care and demand that referralSophie Power is @ultra_sophie on Instagram You can watch 'Sophie Power - The Journey from Pregnancy to Performance' here Find out more about Squeezy App hereFor help with your pelvic floor exercises read thisFor great advice and info follow physio Emma Brockwell on Instagram Sophie campaigns for the charity, Women in Sport, which you can find hereSophie mentioned EVB shorts - find out more hereHelen talks about NHS England's plans to improve pelvic health by 2024, in part by making specialists clinics available to all. You can read more here 

In the final episode of this month's focus on 'Women's Health', we are absolutely honoured to be joined by special guests Gráinne Donnelly, Emma Brockwell, both physiotherapists passionate about developing the knowledge and awareness necessary to optimise each female athlete's potential. Gráinne and Emma and Dr Helen McElroy (unable to join us for this episode - wish you well Helen!) are about to launch a course entitled 'The Athletic Female', specifically designed for fitness & health care professionals & coaches working with female athletes. With input from a highly respected panel of multi disciplinary specialists and a growing online community to mix with fellow health care professionals, this course is something any therapist working with female athletes should seriously consider.    In this episode, Gráinne and Emma talk about how things have been changing since the release back in March 2019 of the first ever UK guideline to specifically offer evidence based recommendations for postnatal women returning to running – 'Returning to Running Postnatal  – Guidelines for Medical, Health and Fitness Professionals Managing this Population' (Goom, Donnelly & Brockwell 2019). Together they break discuss some of the most important considerations when working with a female athlete, all of which are key components of 'The Athletic Female' course: The importance & relevance of the Menstrual Cycle Working with female teenage athletes The athletic pelvic floor Breast Health RED-S (Relative Energy Deficiency in Sport) Implications of the perimenopausal and menopausal transition Common misconceptions about Diastasis recti About the Guests Gráinne Donnelly BSc Hons Physiotherapy, Pg Cert Continence for Physiotherapists, HCPC, MCSP Gráinne is the Advanced Physiotherapist and Team Lead for Pelvic Health in the Western Health and Social Care Trust (National Health Service) as well as running a busy private practice. She has a particular interest in Diastasis Rectus Abdominis and provides training and education about it within the UK as well as online platforms and podcasts to help improve knowledge and awareness of it on the global scale.  Emma Brockwell Bsc (Hons), HCPC, CSP, POGP Emma is a pelvic health physiotherapist working in the private sector. She specialises in perinatal rehabilitation and returning women back to running and exercise if they have pelvic floor dysfunction. She has co-written evidence based Return to Running Postnatal Guidelines which have been published as an infographic in the BJSM and spoken at many conferences including Sports and Exercise in medicine, POGP in London and Ireland and The Running Injuries Symposium. She is also an author, writing the new book ‘Why did no one tell me? How to protect, heal and nurture your body through motherhood' published by @eburybooks and has written in various magazines including Women's running magazine and women's health magazine. Useful Links: Website: The Athletic Female Gráinne's Website: absolute.physio  Emma's Website: physiomum.co.uk Instagram: @theathleticfemale Instagram: @physiomumuk Twitter: @ABSPhysio A huge thanks to Gráinne & Emma for giving up their time to join us! NEXT WEEK! In March our Focus turns to CPD, highlighting some fantastic CPD courses in the UK in the coming months. We start next Tuesday (March 1st) with Dan Williams and Mike Grice talking about the up & coming DermoNeuroModulation course courtesy of Mike Reoch and Rey Allen. James Morgan of Barefoot physio is hosting one in Exeter and Mike Grice in Birmingham. Make sure you subscribe to the Sports Therapy Association on YouTube and hit that bell icon to receive notifications!  Please Support Our Podcast! If you appreciate what we do, please take a couple of minutes to leave us a rating & review on Apple Podcasts. It really does make all the difference in helping us reach out to a larger audience. iPhone users you can do this from your phone, Android users you will need to do it from iTunes. Questions? Email: matt@thesta.co.uk

How much do male soft tissue therapists really know about Women's Health? How much should they know? In Part 3 of this month's focus on Women's Health, we look at these questions and more, with the Sports Therapy Association Videocast & Podcast now being streamed LIVE exclusively to YouTube and then uploaded as a podcast.  In order to discuss this topic, host Matt Phillips welcomes back to the show Matt Scarsbrook, one third of fantastic industry educators 'The Massage Collective' (with Anna Maria Mazzieri & Becky DeMott Horton). Matt & Matt are joined by special guest 'Katie', who having been in her own words the "token woman on the leadership teams in most of the businesses I have worked for" has graciously agreed to "step up and be the token woman to represent all the vaginas out there." Topics discussed include: How very little society talks about the Menopause How Women's Health issues are rarely talked about unless it happens to you or one of your friends The Government's Women's Health Strategy: Call For Evidence  Aristoteles and Female Testicles The implications of medical research being historically done by men on men or animals The lack of training across all health care providers Cardiovascular disease and women Could you tell if a woman was having a heart attack? Sex education: foo-foos and twinkles  How soft tissue therapists can help make a difference to reducing the taboo in Women's Health.       About the Guests Matt Scarsbrook is a Soft Tissue Therapist, one third of The Massage Collective and Physio Matters' new Digital Media Producer. He's recently started the Matt Scarsbrook YouTube channel aimed at bringing some trustworthy Musculoskeletal (MSK) information to the platform, using his own shamelessly terrible sense of humour. Katie (The Woman) is someone who by her own admission loves conversations that push the boundaries of social norms and asking deep and intimate questions to people she barely knows. Having been the token woman on the leadership teams in most of the businesses she has worked for, she welcomed the chance on our invitation to step up and be the token woman to 'represent all the vaginas out there'. And we're so glad she did. Thanks Katie! Useful Links: Matt Scarsbrook YouTube Channel Women's Health Strategy: Call for Evidence Women are Not Small Men: Stacy Sims | TEDxTauranga A huge thanks to Matt Scarsbrook & Katie for giving up their time to join us! NEXT WEEK! Our February Focus on Women's Health concludes next week with THREE special guests: Emma Brockwell, Grainne Donnelly and Dr Helen McElroy  will be joining us to discuss THE FEMALE ATHLETE. Make sure you subscribe to the Sports Therapy Association on YouTube and hit that bell icon to receive notifications!  Please Support Our Podcast! If you appreciate what we do, please take a couple of minutes to leave us a rating & review on Apple Podcasts. It really does make all the difference in helping us reach out to a larger audience. iPhone users you can do this from your phone, Android users you will need to do it from iTunes. Questions? Email: matt@thesta.co.uk

Emma Brockwell is a pelvic health physiotherapist, an advocate, an educator, a runner, a podcast host, a mum, and an author. She is brilliant and up to date with evidence around the pelvic floor, yet she still struggled at first to find answers to unexplained symptoms...of perimenopause. In today's episode, Emma so kindly shares her journey of early onset perimenopause, what she discovered in the research, and what has helped her. Web: https://www.physiomum.co.uk Instagram https://www.instagram.com/physiomumuk/ "Why Did No One Tell Me?" Book https://www.physiomum.co.uk/my-book Runnung Guidelines https://blogs.bmj.com/bjsm/2019/05/20/ready-steadygo-ensuring-postnatal-women-are-run-ready/ At Your Cervix Podcast https://www.physiomum.co.uk/podcast PelvicRoar Active Pregnancy Foundation Preparing for the perimenopause and menopause  Balance app https://www.balanceapp.com

This is our first episode interviewing two people! Grainnie Donnelly and Emma Brockwell are physiotherapists in the UK that are on the forefront of research and advocacy for women who want to continue running during pregnancy and postpartum. We discuss their running stories, current projects, return to running guidelines for the postpartum athlete and much more. This is a really fun and interesting conversation. If you have any questions about running during pregnancy this episode is for you!

In this episode Gráinne shares with us the often erroneous thought that the 6 week check up is all that is needed for postpartum women to return to exercise. She shares her beliefs and some tips about screening postpartum women for the everyday musculoskeletal private practice clinicians.Gráinne Donnelly is an Advanced Physiotherapist in pelvic health and an aspiring researcher.Want to learn more about this topic? Gráinne Donnelly and Emma Brockwell recently did a great Masterclass with us on reframing exercise during and after pregnancy. You can watch their Masterclass now with our 7-day free trial: https://www.physio-network.com/masterclass/reframing-exercise-during-and-after-pregnancy/Our host is Michael Rizk from Physio Network and iMoveU: https://cutt.ly/ojJEMZs 

In this episode Emma Brockwell takes us through the best current guidelines for exercise during pregnancy. Emma Brockwell is a Specialist Pelvic Health Physiotherapist. She is passionate about pre and postnatal rehabilitation and exercise and specialises in enabling women back to exercise, particularly running and netball.Want to dive deeper into this topic? Emma Brockwell and Gráinne Donnelly recently did a Masterclass with us on reframing exercise during and after pregnancy. You can watch their this class now with our 7-day free trial: https://www.physio-network.com/masterclass/reframing-exercise-during-and-after-pregnancy/Our host is Michael Rizk from Physio Network and iMoveU: https://cutt.ly/ojJEMZs

Postnatal health issues are still being ignored, overlooked, and dismissed by new mums and health professionals who are sadly pushed for time and resources. My guest on this episode - Emma Brockwell aka Physio Mum UK - is on a mission to empower women and birthing people to seek the help they need and care for themselves postnatally.Emma is a Specialist Pelvic Health Physiotherapist and the author of the excellent book Why Did No One Tell Me? How to Protect, Heal and Nurture Your Body Through Motherhood which is a guide for women to take control of and protect their changing bodies through pregnancy, childbirth and motherhood. It might (or might not) surprise you to hear that this is the first handbook from a leading women's health expert on prenatal and postnatal conditions. In my chat with Emma, we cover everything from why pelvic health is so important, practical things that you can be doing if you're pregnant to help with postnatal recovery and how to look after yourself in that fourth trimester and beyond.It's a must-listen episode for anyone who is pregnant, trying to become pregnant, or who has recently had a baby.Buy Emma's book here and follow her on Instagram here.This is the last episode of this series but I'll be back before you know it with series eight (can you believe it's been eight series already!)If you enjoyed this episode then please leave a rating or review - and you can subscribe to ensure you don't miss future episodes. Thank you! Not Another Mummy Podcast is brought to you by me, journalist and author Alison Perry. I'm a mum of three and I love interviewing people about parenthood on the podcast. You can check out my other episodes and you can come chat to me on Instagram: @iamalisonperry or on Twitter: @iamalisonperry. You can buy my book OMG It's Twins now. Producer: Imogen HartMusic: Epidemic SoundArtwork: Eleanor Bowmer See acast.com/privacy for privacy and opt-out information.

This episode is for pregnant women and new mums out there, who may feel confused about the conflicting information, or the lack thereof, about how to take care of their bodies properly during pregnancy and postnatal period. With me today is Emma Brockwell, a specialist pelvic health physiotherapist, who has just published her first book called “Why Did No One Tell Me?: How to Protect, Heal and Nurture Your Body Through Motherhood.” She's also co-authored “The Return to Running Guidelines”, is on the Clinical Scientific Advisory Board for the Active Pregnancy Foundation, and is an Associate Member of the Perinatal Physical Activity Research Group. When it comes to women's health and pre- and postnatal rehab, Emma is your woman. In this episode we are talking about how to navigate your pregnancy and postnatal experience. What Is Covered: - What is the job of a pelvic health physiotherapist, and when you might need to see one - Guidelines for exercising during pregnancy - What are some of the pelvic floor dysfunction symptoms that new mums might be experiencing in the weeks and months after giving birth - How to know when you can return to the level of physical activity you had before pregnancy - The importance of giving yourself time to heal and of listening to your body I can wholeheartedly recommend reading Emma's book, whether you are already a mum or are about to become one. Once you have all the information under your belt, you will know what to expect, and how to prevent any problems with your pelvic floor in the future. Resources: - Sign up for my Motivate and Move FREE Summer Fitness Challenge - Starting July 19th https://chickfit.lpages.co/motivate-move-july/ - “Why Did No One Tell Me?: How to Protect, Heal and Nurture Your Body Through Motherhood,” by Emma Brockwell https://www.amazon.co.uk/dp/1785043366/  - Return to Running Postnatal https://www.absolute.physio/wp-content/uploads/2019/09/returning-to-running-postnatal-guidelines.pdf  - Physical Activity Guidelines: Infographics https://www.gov.uk/government/publications/physical-activity-guidelines-infographics  - Follow Emma Brockwell on Instagram https://www.instagram.com/physiomumuk/  - Emma Brockwell's Website https://www.physiomum.co.uk/  - Join my brand new FREE Facebook group The Busy Woman's Guide to Fitness and Wellness https://www.facebook.com/groups/busywomansfitness - My website https://www.chickfit.co.uk/  - Find me on Facebook https://www.facebook.com/alixchickfit - Find me on Instagram https://www.instagram.com/alixchickfit 

Today, Brodie talks to Emma Brockwell during a FaceBook live within the podcast patron FB group. Emma is a Women's Health Physiotherapist who specialises in post natal rehabilitation. She has written for Women's Running & Women's Health Magazine along with co-authoring research papers, authoring her book 'Why did no one tell me" and co-hosting the At your cervix podcast. We touch on the considerations a runner needs to be aware of during pregnancy, along with the physiological, hormonal and systematic changes. Emma talks about the changes to heart rate, respiratory rate, water retention, posture & ligament structure. Emma then talks about the importance of running and keeping active throughout the entire pregnancy process for the health of the expected mother & for her baby. We then shift gears to focus on menopause and Emma shares her knowledge around running, strength training during this phase of life. Apple users: Click 'Episode Website' for links.. Emma Brockwell links: Twitter, Instagram, At your cervix Podcast, website: https://www.physiomum.co.uk/ For menopause info: Charity https://www.themenopausecharity.org/menopause/  Become a patron! Receive Run Smarter Emails Book a FREE Injury chat with Brodie Run Smarter App IOS or Android  Podcast Facebook group Run Smarter Course with code 'PODCAST' for 3-day free trial.

Recorded live on Tuesdays at 8pm (UK time) on the Sports Therapy Association Facebook Page and also streamed live to YouTube, host Matt Phillips (creator of Runchatlive) brings guests from the Sports Therapy industry to answer YOUR questions and discuss topics chosen by YOU. And so we arrive at Ep.50 of the Sports Therapy Association Podcast! Thank you everyone who has supported us! In this 'Pelvic Health Special' we are delighted to bring you an hour of LIVE chat with Gerard Greene, a hugely respected & experienced physiotherapist with a particular specialist interest in the Athletic Pelvis, both female and male.   Gerard's expertise in the area of Male pelvic pain leads him to treat patients from all over the UK for this condition. He also has special interests in female pelvic girdle pain, post natal rectus diastasis and post natal rehab.   In this episode, Gerard talks to us about the important role soft tissue therapists can play in helping identify significant but often missed pelvic health related symptoms, for both female and male clients. Topics discussed include Male & Female Pelvic Pain, Pelvic Floor type symptoms, Prolapse, Urinary symptoms, Rectus diastasis, Post Prostate surgery, Hard Flaccid Syndrome.  Be sure to check out Gerard Greene's courses, many of which are for soft tissue therapists, not just Physios!     Websites of interest: • https://www.greeneseminars.physio/ • https://www.harbornephysio.co.uk/ • Grainne Donnelly website • Emma Brockwell website • Bill Taylor website   Join us LIVE for Ep.51 - May 18th 9pm: 'Pain Management Special' with guest Dr Rachel Zoffness    Enjoyed the episode? Please take a couple of minutes to leave us a rating & review on Apple Podcasts. It really does make all the difference in helping us reach out to a larger audience. iPhone users you can do this from your phone, Android users you will need to do it from iTunes. All episodes are streamed live to our YouTube channel and remember all soft tissue therapists (non members included) are welcome to join us for the LIVE recording on Tuesdays at 8pm (UK time) on the Sports Therapy Association Facebook Page Questions? Email: matt@thesta.co.uk

On today's episode I joined by Emma Brockwell. Emma is a women's health physiotherapist specializing in postnatal rehabilitation and is passionate that all women return to postnatal exercise safely and effectively. Emma actively campaigns for improvements in women's health care co-founding Pelvic Roar, a pelvic health campaign group. She is also on the Clinical Advisory Board of the Active Pregnancy Foundation, The Perinatal Physical Activity research Group and Pandas UK.  Emma has also written for Women's Running and Women's Health Magazine. Finally, along with her co-authors Emma wrote the UKs first Return to Running Postnatal Guidelines. In this episode we discuss the benefits of post-natal exercise, how you can make a safe return to post-natal running, as well as other forms of exercise whether that be at an elite level or just recreationally, and finally end with some common questions on breastfeeding, post-partum clothing and even buggy running.If you enjoyed listening to this episode, please leave a rating and review, and please share with your teammates, coaches, friends, and family!Resources: Emma Brockwell: Instagram: @physiomumuk | Twitter: @emma_physiomum | Website: https://www.physiomum.co.uk/Season 1 of the podcast is kindly sponsored by Umi Health. Umi Health are on a mission to make pelvic health accessible to every woman, everywhere. Exclusively for the listeners Umi Health are offering a 7-day free trial - all you need to do is go to their website and enter the code PERIOD at either sign up or upgrade. For more information: www.umi-health.com| Insta @umihealth | Twitter: @HealthUmi | Facebook: @UmiHealthLtdCheck out more from The Period of The Period: www.periodoftheperiod.com | Insta @periodoftheperiod | Twitter @periodofperiod | Facebook @periodoftheperiodYou can also find us on Patreon. We have three different membership levels all priced under £4 a month. By becoming a Patron of the The Period of The Period you'll receive a range of benefits including early access, bonus episodes, and more! If you want to help us continue doing what we do then please head to www.patreon.com/periodoftheperiod*Disclaimer: Material and content discussed on  The Period of The Period Podcast are intended for general information only and should not be substituted for medical advice*.Support the show (https://www.patreon.com/periodoftheperiod)

How to protect, heal and nurture your body through Motherhood with Emma Brockwell You are pregnant, and just like that your body starts undertaking huge physiological and psychological change. I think sometimes we, as women, forget that during pregnancy your entire system is adapted as your body focuses on growing a new little human being. Parts become stretched, weakened and shifted as your little one thrives and develops. Then there is the matter of childbirth and regardless of how this may happen for you it is a momentous time and arguably the biggest challenge your body will ever undergo. But you can't just put your feet up and recover as a new mum, you have a baby to care for and are often sleep deprived. And so all too often the incredible journey your body and mind have been on get forgotten and your nurturing and healing are neglected. But on this week's episode I am joined by an amazing guest, specialist women's health physiotherapist, mum and now author Emma Brockwell. Emma is a woman on a mission to empower and inform women about the changes taking place in pregnant and postpartum bodies and to support them on a journey to recovery in the right way. Women have, for far too many years thought that many embarrassing or unpleasant conditions relating to women's health were normal and something we should put up with. But the good news is that they are absolutely not, and Emma believes that all women should be informed and empowered with tools to look after and nurture their amazing bodies throughout pregnancy and motherhood. Emma Brockwell is a Specialist Pelvic Health Physiotherapist. She treats women of all ages with all women's health related conditions. She is passionate about pre and postnatal rehabilitation and exercise. She specialises in enabling women back to exercise, particularly running if they have any pelvic health dysfunction or are postnatal. She has co-authored the first ‘Returning to Running Postnatal Guidelines' and has spoken about this subject at many medical and exercise conferences. Emma has written for many magazines including Women's Running and Women's Health magazine and has a book out in February 2021 called ‘Why did no one tell me? how to heal protect and nurture your body through motherhood.' Emma founded and leads a Walk and Running club, Oxted Ladies Run Club. She is the co-founder of Pelvic Roar a physiotherapy led collaboration aiming to promote and unite all things ‘pelvic health'. She is on the advisory board for The Active Pregnancy Foundation and is an associate member to the Perinatal Physical Activity Research Group. She now works privately in Surrey and London and is the co-presenter of a new podcast called At Your Cervix – the podcast. Check out Emma's fantastic Instagram page @physiomumuk Linked below is Emma's book ‘Why did no one tell me?' A must read for expectant mums: https://www.amazon.co.uk/Why-Did-One-Tell-motherhood/dp/1785043366/ref=sr_1_1?dchild=1&keywords=why+did+no+one+tell+me&qid=1611576403&sr=8-1 If you have found this podcast useful, please don't forget to subscribe and leave a review so it can help reach other expectant parents. For more information on the services and courses I offer (Antenatal Education, Your Pregnancy Journey and to get your hands on my free birth plan... Please visit: www.midwifepip.com Or check me out on my social media pages @midwife_pip Enjoy Listening Midwife Pip x

The important muscle that you probably need to work more. In this episode Physiotherapist, Emma Brockwell joins Katie to talk about pelvic floor health. As any new mum will agree, after birth you may find you have weakness in your tummy or pelvic floor which can result in instability, back pain and bladder and bowel issues.  Emma tells you the reasons why this happens, what to look out for, how to check yourself, what to consider when returning to exercise and even running, which is her speciality.  And as always mums on Mush put their questions to Emma.  This is your Companion to Motherhood. These episodes are designed to provide you with detailed information on the various steps in the first year of motherhood which you can listen to while you're feeding, changing, during nap time and just going about your day to day tasks. Think of it like a conversation with a friend who has been there before. Follow Emma on Instagram, check out her new book, or find out how you can work with her via her website. Download Mush the mum friend making app to connect with other mums (and expectant mums!), find it on the Play Store or App Store now. Follow Mush on Instagram or Facebook and for more information. , You can also visit letsmush.com

Today Emma Brockwell is here so we're Chewing Over her new book ‘Why Did No One Tell Me?' - How to protect, heal and nurture your body through motherhood. Emma is pelvic health Physio and co-host of the Physio Matters AT Your Cervix podcast. On today's show we hope to delve into Emma's reasons for writing the book, her favourite sections and what she hopes will the book will do for Mums everywhere! Your lunchtime daily show 12:30-13:00 with Jack Chew chatting about whatever is topical. Usually healthcare and education, occasionally current affairs, always honest.

Emma Brockwell is behind the Microphone this month interviewing Sophie Power who does some incredible things in the world of endurance running. Thats before you consider she did some of these things while either pregnant or just a few months post-partum. Covering topics like running while breast feeding, how to adapt your exercise while pregnant and more controversial topics such as event organisers getting annoyed at women breast feeding at their events... Make sure you follow the AtYourCervix social media feeds and subscribe to the channel to never miss an episode!

On this episode of the Healthy, Wealthy and Smart Podcast, I welcome Dr. Sarah Haag to talk about exercise and urinary incontinence. This interview was part of the JOSPT Asks interview series. Sarah is the co-owner of Entropy Physiotherapy and Wellness in Chicago. Sarah was awarded the Certificate of Achievement in Pelvic Physical Therapy (CAPP) from the Section on Women's Health. She went on to get her Doctorate of Physical Therapy and Masters of Science in Women's Health from Rosalind Franklin University in 2008. In 2009 she was awarded a Board Certification as a specialist in women's health (WCS). Sarah also completed a Certification in Mechanical Diagnosis Therapy from the Mckenzie Institute in 2010. In this episode, we discuss: The prevalence of urinary incontinence Is urinary incontinence normal Pelvic floor exercises Pelvic floor exam for the non-pelvic health PT Sports specific pelvic health dysfunction And much more Resources: Entropy Physiotherapy and Wellness JOSPT Facebook Page JOSPT Journal Page More Information about Dr. Haag: Sarah graduated from Marquette University in 2002 with a Master's of Physical Therapy. Sarah has pursued an interest in treating the spine, pelvis with a specialization in women's and men's health. Over the years, Sarah has seized every opportunity available to her in order to further her understanding of the human body, and the various ways it can seem to fall apart in order to sympathetically and efficiently facilitate a return to optimal function. Sarah was awarded the Certificate of Achievement in Pelvic Physical Therapy (CAPP) from the Section on Women's Health. She went on to get her Doctorate of Physical Therapy and Masters of Science in Women's Health from Rosalind Franklin University in 2008. In 2009 she was awarded a Board Certification as a specialist in women's health (WCS). Sarah also completed a Certification in Mechanical Diagnosis Therapy from the Mckenzie Institute in 2010. Sarah has completed a 200 hour Yoga Instructor Training Program, and is now a Registered Yoga Teacher. Sarah looks at education, and a better understanding of the latest evidence in the field of physical therapy, as the best way to help people learn about their conditions, and to help people learn to take care of themselves throughout the life span. Read the full transcript below: Read the Full Transcript below: Speaker 1 (00:06:25): So, and hopefully it doesn't want to lose what we're doing here. We'll see. Okay. Going live now. Okay. Welcome everyone to JLS. PT asks hello and welcome to the listeners. This is Joe SPT asks the weekly chat where you, the audience get your questions answered. My name is Claire Arden. I'm the editor in chief of Joe SPT. And it's really great to be chatting with you this week, before we get to our guest. I'd like to say a big thanks for the terrific feedback that we've had since launching [inaudible] a week ago. We really appreciate your feedback. So please let us know if there's a guest that you'd like to hear from, or if you have some ideas for the show today, we're in for a very special treat because not only are we joined by dr. Sarah hake from entropy physio, but guest hosting [inaudible] asks today is dr. Karen Litzy who you might know from the healthy, wealthy and smart podcast. Dr. Lexi is also a new Yorker. And I think I can speak for many of us when I say that New York has been front of mind recently with the coronavirus pandemic. And I'd like to extend our very best wishes to everyone in New York where we're thinking of you. So I'm going to throw to Karen now. We're, I'm really looking forward to chat today on pelvic floor incontinence and exercise over to you, Karen. Speaker 1 (00:08:25): Hi everyone, Claire. Thank you so much. I really appreciate your giving me the opportunity to be part of J O S P T asks live stream. So I'm very excited about this and I'm also very excited to talk with dr. Sarah Hagar. Sarah is an educator, a clinician, and an author. She is also co-owner of entropy wellness and our physiotherapy and wellness in Chicago, Illinois, and is also a good Speaker 2 (00:08:56): Friend of mine. So it's really a an honor for me to be on here. So Sarah, welcome. Thank you so much. I was really excited that all this came together so beautifully. Yes. And, and again like Claire had mentioned, we're all experiencing some pretty unprecedented times at the moment. And the hope of these J O S P T asks live streams is to continue to create that sense of community among all of us, even though we can't be with each other in person, but we can at least do this virtually. And as Claire said, last week, we want to acknowledge our frontline healthcare workers and colleagues across the world for their dedication and care to those in need. And again, like Claire said before, a special shout out to my New York city colleagues, we are they are really working like no other. Speaker 2 (00:09:52): And I also want to acknowledge not just our healthcare colleagues and workers, but the scientists, the grocery store workers, the truck drivers the pharmacist, police, firefighter paramedics, they're all working at full capacity to keep the wheels turning around the world. So I just want to acknowledge them as well and thank them for all of their hard work during this time. Okay. So, like Claire said today, we're going to be talking about the pelvic floor, which is something Sarah loves to talk about because what I also, I also failed to mention is she is a certified pelvic health practitioner. So through the American physical therapy association. So she is perfectly positioned to take us through. And as a lot of, you know, we had, you had the opportunity to go onto Slido to ask questions. You can still do that. Even throughout this talk, just use the code pelvic that's P E L V I C, and ask some questions. Speaker 2 (00:10:57): So we do have a lot of questions. I don't know if we're going to get to all of them. So if we don't then certainly post them in the Facebook chat and maybe Sarah can find those questions in the chat below. And we'll try and get to those questions after the recording has finished. All right, Sarah. So like I said, lots of questions and the way the questions were, were written out, kind of corresponds quite well with maybe how you would see a patient in the clinic. So let's start with the patient comes into your clinic. They sit down in front of you. Let's talk about the words we would use in that initial evaluation. So I'll throw it over to you. Okay. So being a pelvic health therapist, obviously most people when they're coming to females, Things that happen in the pelvis, I like to acknowledge it, that there's a lot of things happening in the past. So I have Speaker 1 (00:11:54): Them tell me kind of what are the things that have been bothering them or what are the things that have been happening that indicate something might be going on? Like if something's hurting, if they're experiencing incontinence, any bowel issues, any sexual dysfunction. And, and I kind of go from there. So if the talk that's the title of the talk today includes incontinence. Continence is a super common issue that let's see in general might pop in. And if you would bother to ask there's actually, I think it's like one out of two people over 60 are experiencing incontinence of some kind. The answer is going to be yes, some, so you can start asking more questions. But starting out with what, what is bothering them is really what I like to start with. Then the next thing we need to know is after we vet that issue or that priority list of things that are bothering them in the pelvis, and it's not uncommon actually to have. Speaker 1 (00:13:00): So let's say they start with a discussion of incontinence. I still actually ask about sexual function, any pain issues, any bowel issues, just based on the innervation of the various, the anatomical arrangement of everything. It's not uncommon to have more than one issue, but those other issues might not be bothersome enough to mention. So it's kind of nice to get that full picture. Then the next thing we really want art. So there are times I've met women who come in and they're like, Oh yeah, you know, I have incontinence. And you're like, okay. So when did it start now? Like 25 years ago. Okay. Do you remember what happened then? Typically it was a baby, but sometimes these women will notice that their incontinence didn't happen to like four or five years after the baby. Hmm. So that's information, that's very help if they say my baby that was born six weeks ago, our interventions and expectations are going to be very different than someone who's been having incontinence for 25 years. Speaker 1 (00:14:05): So again, knowing how it started and when it happens, when the issues are happening, I just kind of let them, it's like a free text box on a form. Like just, they can tell me so much more excuse me. And when we are talking about things, we, I do talk anatomy. So when it comes to incontinence, I talk about the bladder and the detrusor, the smooth muscle around the bladder, the basically the hose that takes the urine from the bladder to the outside world. I do talk about the vagina and the vulva and the difference between the two. And then actually we do talk about like the anus and the anal sphincters and how all of that is is all there together and supported by the pelvic floor. Speaker 1 (00:14:54): Cause that's in physical therapy, it's going to be something with that pelvic floor or something. Drought, does it need to be more, more pelvic floor focused or does it need to be behaviorally focused, which is the case sometimes, or is it that kind of finding that perfect Venn diagram of both for those issues that the person's having? And let's say you're in a part of the world. One of the questions was what if you're I think this question came from Asia and they said, what if you're in part of the world where you have to be a little bit, maybe more sensitive around even the words that you use. I know we had gotten a question a couple of years ago about a woman in the Southern part of the United States that was from very conservative area. And do we even use these words with these patients? Speaker 1 (00:15:48): So what is your response to that? My response is that as healthcare providers, we are responsible, I think for educating people and using appropriate words and making sure people understand the anatomy like where things are and what they're supposed to be doing. However, definitely when I'm having this conversation with someone I want them to feel at ease. So like I will use the Ana vagina anus, anal sphincters Volvo, not, it's not a vagina, it's a Volvo it's on the outside. But then if they use different terms to refer to the anatomy, we're discussing, I'm happy to code, switch over to what they're most comfortable with because they need to be comfortable. But I think as, as again, healthcare practitioners, if we're not comfortable with the area, we're not going to make them feel very comfortable about discussing those issues. Right. Speaker 1 (00:16:43): And that makes a lot of sense. Thank you for that. So now let's say you, the person kind of told you what's going on and let's, let's talk about when you're taking the history for women with incontinence, especially after pregnancy, are there key questions you like to ask? Yes. So my, my gals that I'm seeing, especially when they're relatively relatively early in the postpartum period, are the things I'm interested in is did they experience this incontinence during their pregnancy? And did they have issues before pregnancy? And then also if this is not their first, tell me about the first birth or the, or the first two birth. So the first three birth to really get an idea of is this a new issue or is this kind of an ongoing marked by so kind of getting a bigger picture of it. Speaker 1 (00:17:49): And then also that most recent birth we want to know, was it vaginal? Was it C-section with vaginal birth? If there's instrumentation use, so if they needed to use forceps or a vacuum that increases the likelihood that the pelvic floor went over, went under a bit of trauma and possibly that resulted in a larger lab. And even if there isn't muscles, it's understandable that things might work well, if it's really small and if it's still healing you know, different, different things like that. So understanding the, kind of like the recent birth story, as well as their bladder story going back. So you've met first baby or before that first baby so that we know where, where we're starting from. And the, the reason why I do that is because again, if it's a longterm issue, we have to acknowledge the most recent event and also understand there was something else happening that, that we need to kind of look at. Speaker 1 (00:18:58): So would I expect it all to magically go away? No, I wouldn't. There's probably something else we need to figure out, but if it's like, Nope, this onset happened birth of my baby three months ago, it's been happening since then three months is, seems like forever and is also no time whatsoever. It took 10 months to make the baby. So it's you know, if you tear your hamstring, we're expecting you to start feeling better in three months, but you're probably not back to your peak performance. So where are we in that? And sometimes time will cure things. Things will continue to heal, but also that would be a time like how good are things working? Is there something else going on that maybe we could facilitate or have them reach continence a bit sooner. Okay, great. And do you also ask questions around if there was any trauma to the area? Speaker 1 (00:19:56): So if this birth was for example, the product of, of a rape or of some other type of trauma, is that a question that you ask or do you, is that something that you hope they bring up? It's, that's honestly for me and my practice, something, I try to leave all of the doors wide open for them to, to share that in my experience you know, I've worked places where it is on it's on the questionnaire that they fill out from the front desk and they'll circle no to, to any sort of trauma in the past. Speaker 1 (00:20:34): Yeah. They just, they don't want to circle yes. On that form. So and also I kind of treat everybody like they might have something in their past, right. So very nonjudgmental, very safe place, always making them as comfortable in a safe as possible. And I will say that there's anything I can do to make you feel more comfortable and more safe. We can do that. And if you don't feel safe and comfortable, we're not doing this w we're going to do something else. Cause you're right. That it's always one of those lingering things. And the statistics on abuse and, and rape are horrifying to the point where, again, in my practice, I kind of assume that everybody has the possibility of having something in their past. Okay, great. Thank you. And now another question that's shifting gears. Another question that came up that I think is definitely worthy of an answer is what outcome measures or tools might you use with with your incontinence patients? So with incontinence, honestly, my favorite is like an oldie buddy, but a goodie, like just, it's an IC, it's the international continents questionnaire where it's, I think it's five or six questions. Just simple. Like how often does this happen? When does it happen? Speaker 1 (00:21:58): There's a couple of other outcome measures that do cover, like your bladder is not empty. Are you having feelings of pressure in your lower abdomen? It gets into some bowel and more genital function. Can you repeat that? Cause it kind of froze up for a second. So could you repeat the name of that outcome tool as it relates to the bladder and output? Oh, sorry. I see. IQ is one and then, but like I see IQ vs which renal symptoms, right? So there are, there's a lot of different forms out there. Another one that will gather up information about a whole bunch of things in the pelvis is the pelvic floor distress bins questions about bowel function, bladder function, sexual function discomfort from pressure or pain. So that can give you a bigger picture. I'll be honest. Sometimes my, the people in my clinic they're coming in, and even though I will ask the questions about those things, when they get the, the questionnaire with all of these things that they're like, this doesn't apply to me. I'm like, well, that's great that it doesn't apply to you, but they don't love filling, filling it out. So sometimes what I will go with is actually just the pale. Speaker 1 (00:23:24): Can you say that again? Please help me. Oh yeah. Oh, so sorry. The patient's specific functional scale where, where the patient says, this is what I want to have happen. And we kind of figured out where they are talk about what would need to happen to get them there, but it's them telling what better. Right. Cause I've had people actually score perfect on some of these outcome measures, but they're still in my office. So it's like, Oh, I'm so patient specific is one of my one of my kind of go tos. And then there's actually a couple of, most of these pelvic questionnaires finding one that you like is really helpful because, because there's so many and they really all or discomfort. So if you have a really good ability to take a really good history, some of the questions on that outcome measure end up being a bit redundant. Speaker 1 (00:24:26): So I like, and you know the questions on there, make sure people are filling them out. You look at them before you ask them all the questions that they just filled out on the form for you. Yes. Good. Very good advice. So then the patient doesn't feel like they're just being piled on with question after question and cause that can make people feel uncomfortable when maybe they're already a little uncomfortable coming to see someone for, for whatever their problem or dysfunction is. So that's a really good point. And now here's a question that came up a couple of times, you know, we're talking about incontinence, we're talking about women, we're talking about pregnancy. What about men? So is this pelvic floor dysfunction? Is this incontinence a women only problem? Or can it be an everybody problem? So it very much can be an everybody problem. Incontinence in particular for men, the rates for that are much lower. And typically the men are either much older or they are they've undergone frustrate removal for prostate cancer. Speaker 1 (00:25:33): Fleur plays a role in getting them to be dry or at least dryer. And then it's like the pelvic floor is not working right. That can result in pain. It can result in constipation. It can result in sexual dysfunction. It can result in bladder issues. So it's, so yes, men can have all of those things. In fact, last night we had a great talk in our mentorship group at entropy about hard flacid syndrome. So this is a syndrome with men where everything is normal when they go get, get tested, no no infections, no cancers, no tumors, no trauma that they can recall. And, but the penis is not able to become functional and direct. And with a lot of these men, we're finding that it's more of a pelvic floor dysfunction issue, or at least they respond to pelvic floor interventions. Speaker 1 (00:26:30): So having a pelvic floor that does what it's supposed to, which is contract and relax and help you do the things you want to do. If, if we can help people make sure that they're doing that can resolve a lot of issues and because men have pelvic floors, they can sometimes have pelvic floor dysfunction. Okay, great. Yeah. That was a very popular question. Is this a woman only thing? So thank you for clearing up that mystery for everyone. Okay. So in going through your evaluation, you've, you've asked all your questions, you're getting ready for your objective exam. What do you do if you're a clinician who does not do internal work, is there a way to test these pelvic floor muscles and to do things without having to do internal work? My answer for that question is yes, there are things that you can do because even though I do do internal exams, I have people who come to see me who are like, no, we're not doing that. Speaker 1 (00:27:31): So, so where can we start? And so the first one is pants on and me not even touching you pelvic floor, I wouldn't really call it an assessment or self report. So even just sitting here, if you, if you were to call me up and and this actually goes into, I think another question that was on Slido about pelvic floor cues. So there is actually then it seems more research on how to get a mail to contract this pelvic floor then actually females. But I would ask you like like this is one that my friend Julie, we would use. So like if you're sitting there and you just sit up nice and tall, if you pretend you're trying to pick up a Ruby with your PA with your vagina is not on the outside, but imagine like there's just a Ruby on the chair and you'd like to pick it up with no hands, breathe in and breathe out and let it go. So then I would go, did you feel anything and you should have felt something happen or not. So if, if you did it, would you mind telling me what you built? You're asking me, Oh my goodness. Oh yes. I did feel something. So I did feel like I could pick the Ruby up and hold it and drop it. Speaker 1 (00:29:04): Excellent. And that's, and that, that drop is key. Excellent. So what I would say is this is like like a plus, like a, I can't confirm or deny you that you did it correctly, but I like, I would have watched you hold your, like she holding my breath. Is she getting taller? Cause she's using her glutes. Did she just do a crunch? When she tried to do this, I can see external things happening that would indicate you're might be working too hard or you might be doing something completely wrong. So then we'll get into, I mean, you said, yes. I felt like I pick up the Ruby, but if it's like, Hmm, I felt stuffed, but I'm not really sure we would use our words because they've already said no to hands to figure that out. But again, I can't confirm it. People are they're okay with that. Speaker 1 (00:29:48): And I'm like, and if what we're doing based on the information you gave me, isn't changing, we might go to step two. If you can send in step two is actually something, any orthopedic therapist honestly, should not feel too crazy doing. So if anyone has ever palpated the origin of the hamstring, so where is the origin of the hamstring facial tuberosity? If you go just medial to that along the inside part get, don't go square in the middle. That's where everyone gets a little nervous and a little tense, but if you just Pell paid around that issue, tuberosity it's pretty awesome. If you have a, a friend or a colleague who's willing to let this happen is you ask them to do a poll of our different cues with that in a little bit. You say that again, ask them to do what to contract the pelvic floor. Speaker 1 (00:30:44): Okay. And again, figuring out the right words so that they know what you're talking about. We can talk about that in a minute, but if they do a pelvic floor contraction, you're going to feel kind of like the bulging tension build, right there may be pushing your fingers. You should feel it kind of gather under your fingers. It shouldn't like push your fingers away, but then you can be like, well, you could test their hamstring and see that you're not on the hamstring and you can have them squeeze your glutes and you can kind of feel the differences. The pelvic floor is just there at the bottom of the pelvis. So you can palpate externally, even through BlueJeans is a bit of a challenge, but if they're in you know, like their workout shorts for yoga pants, it's actually very, very simple. And, and honestly, as long as you explained to them what you're doing and what you're checking for, it's no different than palpating the issue of tuberosity for any other reason. Speaker 1 (00:31:36): And with that, I tell them that I can, it's more like a plus minus, so I can tell that you contracted and that you let go. That's all I can tell. So I can't tell you how strong you are, how good your relaxation Wells, how long you could hold it for any of those things. And then I tell them with an internal exam, we would get a lot of information we could, we can test left to, right? We can, I could give you more of like a muscle grade. So like that zero to five scale be use for other muscles. We can use that for the pelvic floor. I can get a much better sense of your relaxation and see how was that going and I can even offer some assistance. So so we have two really good options for no touching. Speaker 1 (00:32:19): And then just as long as we understand the information we might gain from an internal exam, we can, we can, the information we gathered from the first two ways, isn't sufficient to make a change for them. And then as let's say, the non pelvic health therapist, which there might be several who are gonna watch this, when do we say, you know, something? I think it's time that we refer you to a pelvic health therapist, because I do think given what you've said to me and you know, maybe we did step one and two here of your exams. I think that you need a little bit more. So when do, when is that decision made to reach the point of, they have a bother that I don't know how to address so we can actually go to like the pelvic organ prolapse. So pelvic organ prolapse is, is when the support for either the bladder, the uterus, or even the rectum starts to be less supportive and things can kind of start to fall into the vaginal wall and can give a feeling of like pressure in with activity the sensation can get. Speaker 1 (00:33:39): So then we have two options, which is more support from below with perhaps a stronger meatier pelvic floor by like working it out to hypertrophy. So like if, if I had someone who had that feeling when they were running and we tried a couple are lifting weights, let's go lifting weights. No, like I feel it once I get to like a 200 pound deadlift. Okay, well, let's see how you're lifting when you're doing 150 and let's take a look at what you're doing at 200 in fresh with your mechanics or what's happening. And if there's something that is in your wheelhouse where you're like, well, can you try this breath? Or can you try it this way and see if that feeling goes away? I'm good with that. And if the, that the person who's having issue is good with that. Awesome. But if you're trying stuff or the incontinence is not changing, send them to a pelvic floor therapist, because what we love to do is we can check it out. Speaker 1 (00:34:41): We're going to check it out. We're going to give some suggestions. And then my, the end of every one of those visits that I get from my, from my orthopedic or sports colleagues is I'm like, excellent. So you're going to work on this, keep doing what you're doing. Cause another really common thing is like, is I don't really believe that they can make a lot of these things worse doing the things that they're doing. And by that, I mean, they can become more simple MADEC, but in many cases you're not actually making the situation worse. So if the symptoms seem to be not getting better or even getting worse, doing the things they're doing, they go come back to the pelvic floor therapist. And then that pelvic floor therapist also has a responsibility that the things I'm asking them to do, isn't helping them get there. Speaker 1 (00:35:29): You can try something a little more intense, still not helping. Then that's when I actually would refer for females, especially with like pelvic pressure. So Euro gynecologist for an assessment in that regard. Yeah. So I think I heard a couple of really important things there. And that's one, if you are the sports therapist or the orthopedic physiotherapist, and you have someone that needs pelvic health support, you can refer them to the pelvic health therapist and you can continue seeing them doing the things you're doing. So just because they're having incontinence or they're having some pressure, let's say it's a pelvis, pelvic organ prolapse. It doesn't mean stop doing everything you're doing. Speaker 3 (00:36:12): Okay. Speaker 1 (00:36:15): Correct. Okay. Yeah. It may mean modify what you're doing. Stop some of what you're doing, listen to the pelvic floor therapist. And I'm also seeing, well now we're, aren't we this great cause we're creating great team around this, around this person to help support them in their goals. So one doesn't negate the other. Absolutely correct. And I, and I think too often even, even within the PT world is people start to get kind of territorial. But it's not about what each one of us is doing. It's that person. Right. so telling them to stop doing something, especially if it's something they love it seems like a bad start. It's like, okay, let's take a look at this. Tell me what you are doing. Tell me what you want to be doing. Tell me what's happening when you do that. And let's see if we can change it. Speaker 1 (00:37:02): Cause like I said, like the, the other, that being something they're going to make worse and worse and worse is if symptoms get worse and worse and worse, but they're not causing damage, they're not causing, I mean, what they're doing and say leaking a bit. Got it. And now I'm going to take a slight detour here because you had mentioned pelvic organ prolapse. You had mentioned, there comes a time when, if that pressure is not relieving, you've tried a lot of different things. You would refer them to a urogynecologist now several years ago. They're so you're, you're a gynecologist. One of their treatments might be surgery. So there was pelvic mesh sweats. It's hard to say pelvic mesh surgery that years ago made some people better and made some people far, far worse with, with some very serious ramifications. So can you talk about that pelvic mesh mesh surgery and where we are now? Speaker 1 (00:38:04): Oh, the last bit cut out a little bit. So the pelvic mess, mess surgery and, and Oh, the most important part and kind of where we are now versus maybe where we were, let's say a decade ago or so. Awesome. Yeah. So, so the pelvic mesh situation certainly here, I think it's not a universal problem. I think it's a United States problem is if you're at home during the day, like most of us are now you will see law commercials, lawyers looking for your business to discuss the mesh situation on what's happening is there was there were, it was mesh erosion and the resulting fact that that was a lot of pain because they couldn't just take it all out. And it was several women suffered and are still sad. Speaker 3 (00:38:55): Mmm. Speaker 1 (00:38:55): But that was from a particular type of surgery with a particular type of surgical kit, which thankfully has, was removed completely from the market and isn't being used anymore and mesh surgeries, I would say at least for the last five to 10 years, haven't haven't been using that and mesh surgeries are being done with great success in resolving symptoms. So I think it's important that if a woman isn't responding Speaker 3 (00:39:27): Yeah. Speaker 1 (00:39:30): Well changing their breath or making a pelvic floor or changing how they're doing things is to have that discussion with the Euro gynecologist because they do have nonsurgical options for super mild prolapse. There are some even like over the counter options you can buy like poise has one where it's just a little bit of support that helps you. Actually not leak because if you're having too much movement of the urethra, it can cause stress or it can be contributing to stress incontinence. But so there's some over the counter things or there's something called a pessary, which I think about it. Like I'm like a tent pole, but it's not a pole. It's a circle don't worry or a square or a donut. There's so many different shapes, but it's basically something you put in the vagina and that you can take out of the vagina that just kind of holds everything back up where it belongs, so it can work better. Speaker 1 (00:40:21): And that it's not awesome. But there are also people who are like due to hand dexterity, or just due to a general discomfort with the idea of putting things in their vagina and living them there that they're like, no, I'd rather just have this be fixed. So, so there are, it's not just surgery is not your only option. There are lots of options and it just depends on where you want to go. But with the surgery, if that's what's being recommended for a woman, I really do. Some women aren't worried at all. They've heard about the mash, but they're sure it won't happen to them, but there are when we're still avoiding surgery, even with significant syndromes, because they're worried about the mesh situation. And I would still encourage those women to at least discuss us, to see if that surgeon can, can educate them and give them enough confidence before they move forward with the surgery. Speaker 1 (00:41:18): Because the worst thing I think is when I had one patient actually put it off for years. Not, not just because of the mesh because of a lot of issues, but the first time the doctor recommended it, she had a grade four prolapse. Like that means when things come all the way out. And she it was so bad. Like she couldn't use the pastory okay, so she needed it, but she avoided it until she was ready and had the answers that made her feel confident in that having the surgery was the right thing to do. So it might take some time and the doctor, the surgeon really should, and most of them that I've met are more than happy to make sure that the patient has all the information they need and understand the risk factors, the potential benefits before they move forward. Speaker 2 (00:42:03): Excellent. Thank you so much for that indulging that slight detour. Okay. Let's get into intervention. So there are lots of questions on Slido about it, about different kinds of interventions. And so let's start with lot of, lot of questions about transverse abdominis activation. So there is one question here from Shan. Tall said studies in patients with specific low back pain do not recommend adding transverse abdominis activation because of protective muscle spasm. What about urinary incontinence in combination? What do you do? So there is a lot on transfer subdominant as you saw in Slido. So I'll throw it over to you and, and you can give us all your share your knowledge. Speaker 1 (00:42:55): Okay, well, let's all do this together. So I don't know how many people are watching, but if we just sit up nice and tall and I'm going to give a different cue for the pelvic floor. So what I want you to squeeze, like you don't want to urinate, like you want to stop the stream of urine. Okay. So as we're pulling that in anything else other than the underneath contract, what did you feel Karen? Speaker 2 (00:43:24): Well, I did feel my TA contract. I felt that lower abdominal muscle wall started to pull in. Speaker 1 (00:43:32): Yes. So, so the, the way I explain it is that the pelvic floor and the trans versus are the best is to friends. And this makes sense when you think about when you remember the fact that the pelvic floor, isn't just there regarding like bowel bladder and sexual function. It's one of our posture muscles. So if we're totally like, like slacked out and our abs are off and all of that, our pelvic floor is pretty turned off as well. And then if I get a little bit taller and like, so I'm not really clenching anything. Right. But this is like stuff working like it should, my pelvic floor is a little more on, but not, I'm not acting. It's just but then I could like, right, if I'm gonna, if I'm expecting to hit, or if I'm going to push into something, I can tend to set up more and handle more force into the system. Speaker 1 (00:44:21): So I like to think about it in those in those three ways, because the pelvic floor, isn't just hanging out, down there and complete isolation it's, it's part of a system. And so in my personal, like emotional approach to interventions is I don't want them to be too complicated. So if I can get someone to contract their pelvic floor, continue to breathe and let go of that pelvic floor, then we start thinking about what else are you feeling? Cause I don't know that there's any evidence that says if I just work my transverses all the time, my pelvic floor will automatically come along for the ride. So a great quote. I heard Karrie both speak once at a combined sections meeting and she goes, your biceps turn on. When you take a walk, it's not a good bicep exercise. So just the fact we're getting activity in the pelvic floor when we're working other muscles, what's supposed to work. And also if you want to strengthen that muscle, you're going to need to work out that muscle. Speaker 1 (00:45:26): And that makes a lot of sense and something that people had a lot of questions around where we're kind of queuing for these different exercises. And I really love the can. You've made it several times comparisons to other muscles in the body. So can you talk about maybe what kind of queuing you might use to have someone on? I can't believe I'm going to say this turn on and I use that in quotes because that's what you see in, in a lot of like mainstream publications for, for layman. So it might be something that our patients may see when they come in. So how do you cue that? To, to turn on the pelvic floor? So honestly I will usually start with floor and I do if I'm able to do a public floor exam, that's usually, again, a lot more information for me, but I'm like, okay, so do that now. Speaker 1 (00:46:27): And I watched them do it or I feel them do it and I'd be like, Oh, okay. What did you, what did you feel move? And I start there. And then I always say it's a little bit, like I get dropped into a country and I'm not sure what language people are speaking. So sometimes excuse me, one of the first cues that I learned was like, so squeeze, like you don't want to pass gas. Okay. So everybody let's try that. So sitting squeeze, like you don't care and you got taller. So I think you did some glutes. Speaker 1 (00:47:00): It's like, OK. So like lift, lift your anal sphincter up and in, but activating mostly the back part. So if you're having fecal issues, maybe that's a good place to start, but most people are having issues a little further front. So then we moved to the, can you pick a upper with your, with your Lavia? I had a, I learned the best things for my patients. One woman said it's like, I'm shutting the church doors. So if you imagine the Lavia being churched doors, we're going to close them up. And that, that gives a slightly different feeling. Them then squeezing the anal sphincter. Now, if you get up to squeeze, like you don't want to like pee your pants, like you want to stop the stream of urine. That will activate more in the front of the pelvis. Look, men who are like if it gets stopped the flow of urine, I wouldn't be here. Speaker 1 (00:47:57): So what else do you get? What's really cool is in the male literature. So this is a study done by Paul Hodges is he found that what activated the anterior part and the urinary sphincter, this rioted urinary speaker, sphincter the most for men. What a penis or pull your penis in to your body now for women. So when I was at a chorus and it's like, so let's, let's think of like other cues and other words, but even if, so, I don't have a penis this fall that probably don't have a penis. Even if you don't have a penis, I want you to do that in your brain, shorten the penis and pull it in. Speaker 1 (00:48:42): And did you feel anything happen? Cause we do have things that are now analogous to the male penis, if you are are a female. So I'll sometimes use that. Like I know it sounds stupid, but pretend to draw on your penis and it works and it does feel more anterior for a lot of people. So I'll kind of just, I'll kind of see what's, like I said, sometimes it's like the 42nd way of doing it that I've asked them to do where they're like, Oh, that, and you're like yeah. So then also just another, it's a little bit of like a little bit of a tangent, but so as you're sitting, so if you're, if you're sitting I want you to pick the cue that speaks most to your pelvic floor, and I want you to slouch really, really slouch, and actually to give yourself that cue and just pay attention to what you're feeling. So when you squeeze, give yourself that cue, breathe in and breath out and then let go, we should have felt a contraction, a little hole and a let go. Now, the reason why I say breathe in and breathe out is if you breathe in and out, that's about five seconds and also you were breathing. Cause another thing people love to do when they're trying to contract their pelvic floors, just basically suck it in. Speaker 1 (00:50:10): And so that's, that's not great, but we want to feel the contraction and we want to feel it, let go. And that's super important. I think that was another question on the Slido is that yes. For any muscle we're working, you should be able to contract it and let it go. There's not a muscle in our body where I just keep it contracted. It's going to do much. It might look great. Eventually, but like I couldn't get my coat on, like getting a drink of water would be a little weird. It's not very functional muscles have to relax so that they can contract. So that's a big, yes, it's just as important that the contraction pelvic floor that cue and we felt where it happened, not tall, like, like you're sitting out at a restaurant and you just saw someone looking at you and you're like, Oh, what are they looking at? And then you're going to do the exact same cue and you're gonna breathe in and breathe out and let it go. Speaker 1 (00:51:07): And then did it feel different than menu or slouch that it did it change position? I feel like Karen's Miami. It feels different. Now what I want you to do is if you can, depending on how you're sitting really give me like an anterior pelvic tilt, really happy puppy and then do the exact same thing and then let it go. And so again, some more EMG work from, from Paul Hodges is that when you're in a posterior pelvic tilt, you tend to activate the posterior portion more, which is fine. And if you're not having problems in the front, if you're having problems activating and maintaining continence in the front, actually increasing that lordosis can favor the front a bit. So this is, that's really awesome when people can feel that difference. Because I want you to think about, if you start to leak on your fourth mile of a half marathon, there's no way, no matter how awesome you are, but you're going to be able to squeeze your pelvic floor for the rest of that race. Speaker 1 (00:52:15): Like there's just, there's no way. But sometimes if, because remember your pelvic floor is still doing its thing while you're running is if you're like, well, hold on, when you're at your fourth mile, are you starting to get tired or hopefully not if it's a half marathon, but you know, like is something changing and how you're using your body. And can you, when you get to that point, remember to stay tall or lift your tail a little bit, or is there a cue or something they can change that will help them favor the front instead of going about four steps with the contracted pelvic floor and then losing it anyway. So there's, there's a lot of different ways you can actually make that your intervention for the issue you're having and then let's just get it functional. Perfect. And since you brought up running a question that's been, got, gotten a couple of likes on Slido is how would you approach return to running after pregnancy? Speaker 1 (00:53:15): Do you have any tips on criteria for progress, timeframe and a recreational runner versus a full time athlete? Because I would think the majority of physiotherapists around the world are seeing the recreational runner versus the professional or full time athlete. So first, how would you approach return to running any tips for progress? So that's going to be after pregnancy, sorry. After pregnancy. Yeah. So this is where I was really excited. So just last year I'm going to say her name wrong, but Tom goom Gran Donnely and Emma Brockwell published returned to running postnatal guidelines for health professionals managing this population. And the reason why I was super excited is because even though it was just published last year, it's the first one. There was definitely a lot of emotion and feelings about, about women getting back into sport after having a baby, but to be perfectly Frank, there's very few actual solid guidelines for recreational or others. Speaker 1 (00:54:30): So I have not personally had a child, but I will tell you of all the women I've seen over the years, basically doctors are like, it's been six weeks ease back into it, see how it goes. I'm not really even mentioning if you have a problem come back so we can figure it out. It's just kind of like good luck with that. And as a result, what happens is a lot of women don't get back into exercise or they get back into exercise and and kind of freak themselves out because stuff feels different. So to get back to the question of what do I do, actually this this guide from Tom and team really, really helpful. I think, and, and it's just basically it's it does have a series of exercises that I've actually started to use with my postpartum moms to go like, look, if you can do these things without feeling heaviness, you're good. Speaker 1 (00:55:30): You're good to start easing back into your running program, but get up, get walking because I'm going to post Sandy Hilton and like, you can't rest this better, like just waiting, isn't going to make it all go away. But it can also be deceiving because again, with polo, you don't feel that heaviness and you don't leak. And so I'm just going to stay right here where everything is fine. So that's obviously not a good option longterm option for a lot of reasons. So, so what do I do? I do look at the patient's goals, their previous running history, and if they're having any options I recently had a patient who she was runner exercise or sr after baby number two for a bit, some feeling of happiness that got completely better, baby number three came along. So I saw her a bit while she was pregnant because she got, I think two thirds of the way through pregnancy before she started to feel that heaviness. Again, she was still running, Speaker 1 (00:56:38): Tried to see if we could change that feeling while she was running. And she could until about the, when did she start? I think she didn't stop running to her 35th week, which is pretty impressive. But then she wanted to do a half marathon. I think it was just three months postpartum. Right. So this is like going from having baby to running 13. You think that a lot of people would probably feel that was too soon, too much too fast, but she was able to do it completely symptom-free. So as she was training and she was really fast, she was timing it so that she could get back in time to breastfeed. Like I was like, Oh my gosh, like I, that would disqualify me. Like, there's no way I could run fast enough to make that happen. But she was able to, to work it out where she could perform at her level without symptoms. And I was really happy that I was able to support her in that she did all the hard work. For general people recreational, where you a runner before, or is this completely new and are you having any symptoms and is there any thing you're worried about? Again, a lot of women are worried about giving. Speaker 1 (00:57:53): It's actually really hard to perhaps to give yourself one baby babies are a great way to do it. But that's like the risk factors I look up for something else a couple of years ago, I haven't looked recently, but like you really have any prolonged lifting. So not like your CrossFit three days a week, but like your, your physical labor for eight, eight hours, 10 hours a day every day could eventually do it also having babies. So like once you get to every baby increases your risk of pelvic organ prolapse, which makes good sense. And that, and that is what it is. So kind of looking at what are their risk factors, are there any, and letting them know that if they feel it more, it doesn't mean they made it worse. They just made it more symptomatic. Got it. Great. Speaker 1 (00:58:40): All right. So we have time for maybe one or two more questions, and then I'm going to throw back to Claire. Cause we're coming up onto an hour here, maybe time for one more it's so w what am I going to ask? I think I'm going to go with the gymnasts I work with all believe it's normal to leak a little urine during training or competition. And this is something we talk about a lot. It might be common, but is it normal? You already gave me the answer. What is it, Karen? No, no, no. And so, yeah, so the, the short answer for that is no. Or I agree with the question where it is very, very, very common, and it is still, I would say, not to leak urine. Unfortunately, so there's any researchers out there who want to get together. Speaker 1 (00:59:26): Let me know. We haven't, we have information on athletes and incontinence, but mostly it's prevalent that it happens a lot and gymnastics and dancing and volleyball. There's, there's even some swimmers who have it, right? So there's, there's incontinence across the spectrum, which basically tells me, yep. People have incontinence. Some of the some of the sports are more likely to have urgent continents. A lot of them though, we're looking at stress incontinence, however, for none of the athletes, have, we really had a great study that says, this is what we're finding. We're thinking, this is the cause of this incontinence. And we certainly haven't gotten to the point where it's like, and this is what we should be doing for these women in particular. So I'm, I'm pretty curious as to what we would have to do as, as a profession, as, as a team with researchers to figure out what do we need to look at in these athletes, especially the female athletes, because most of these are also they've never had babies, right? So a lot of these athletes are the liberos. And so we can't, we can't blame them. There's something with how things are working. That seemed to be the situation it's not necessarily trauma or anything like that. So what do we need to look at? What do we think is happening? Can we measure it and assess it? And then can we get an intervention? Speaker 1 (01:00:56): My brain, obviously, something isn't working as well as it could. So could something like that improve their performance, even I don't, I don't know. I'd like to think so. Yeah. That would be distinct study. Yeah. But we ultimately don't know. So if anyone has any ideas for studies or doing studies, let me know, because I can't wait to read them. But I think maybe the first step is to let coaches and parents and young gymnast know very common. Don't be ashamed. Don't let it stop you from doing what you want to do. But also don't just ignore it. Maybe we can figure this out. Speaker 2 (01:01:30): All right. One more question with a short answer, if you can. So, and I'm going to ask this question because I feel like the person who posted this I think posted this in earnest. So that's why I'm asking, this is the last question. So a female patient age, 20 years still bedwetting from her childhood, otherwise she is normal, no incontinence. So other than this, just while sleeping, she tends to urinate any thoughts on this or any place you can direct this. Speaker 1 (01:02:04): Yeah. So I did, I was like, Oh, great question. And I did actually do a little research for this specific question. There's a lot of reasons why nocturnal enuresis, which is what bedwetting is called in the literature happens. And I think it's really important. So I don't know what kind of tests or studies this person has had done or what other issues they may be having. So things like sleep apnea is is something that could be related if there's any medications, any sort of diuretics, any kind of sleeping medications. Again, the fact it's kind of carried on since childhood, I, I would really wonder about how, how is the bladder functioning? The fact that it's working fine throughout the day makes me wonder what's changing at night. And I did find a study where it talked about when they look compared adolescents or adults who were bedwetting to people who weren't, they did have like detrusor overactivity. So like basically like an overactive bladder that they could see on the testing. So I would, I would really encourage this person to find a urologist that they trust if they haven't already and really to maybe investigate some of those other, other factors that could be contributing so that they can get some better sleep and not have that problem anymore. Speaker 2 (01:03:28): Excellent. Excellent. Oh, okay. Claire says we can go for one more question. So I'm going to listen to the boss here. Speaker 1 (01:03:36): And, Oh boy, are you ready? Because this is a question that did kind of get a lot of thumbs up. Okay. So we spoke about Speaker 2 (01:03:44): Briefly before we started. Speaker 1 (01:03:47): So let's see treatment of nonspecific, pelvic girdle pain, not related to pregnancy, which strategy with no susceptive pain mechanisms and which strategy with non nociceptive pain mechanisms would you incorporate with this patient? Okay. So I would say in the clinic, it's, it can be pretty hard. Like, I don't know how I would distinguish being nociceptive and non nociceptive or what even like non nociceptive might be if we're talking more central issues or stuff like that. I don't, I don't know. But honestly I would just look at, so in Kathleen's Luca has a great book about looking at the different types of pain or the different categories of pain and the most effective medications for it. Right. So we're really good in pharmacology. Like if you had this inflammatory process and, and inflammatory and anti-inflammatory should help, if you're having neuropathic pain, you want a drug that addresses that when we get into like physical therapy interventions, what's really cool is exercise is in all the categories. Speaker 1 (01:04:59): And it's one of the things we have the best evidence for. So regardless of pelvic girdle pain in pregnancy or not pregnancy, and regardless of how it may have been labeled by somebody else is I would, I would mostly want to know when did the pain start? Is there anything that makes it better? Anything that makes it worse and see if I could find a movement or change something for that person. Or that made me sound like I was going to do a whole lot of work. If I could find something for that person to change for themselves to have that hurt less and have the I tend, I would tend to keep it simple, mostly cause in the clinic again, we could do a lot of special tests that might say, Oh, Nope, they definitely hurt there, but it's still, if we're looking at what's going to be an effective intervention, that that patient is going to tell me what that is. Speaker 1 (01:05:54): Sorry. It would help a fire mute myself. So looks like we have time for one more. And I, I really, Claire was not clarity did not pop up yet. So we've got time for one more and then we're going to work. We're wrapping it up. I promise stroke patients, dementia patient. We just got the no go. Yes, no, it's a super short answer if you want Claire super short answer. Okay. So stroke dementia patients with urinary incontinence, any useful ideas for the rehab program? Yes, but not get an idea of their bladder habits, their bowel habits, their fluid intake. Because a lot of that's going to end up being outside caregiver help with the, with the stroke, it's much different. It depends on the severity and where it is and all of that. But for people with dementia is if you just get that, like if you can prompt them or take them to the toilet, a lot of the times that will take care of the incontinence. Speaker 1 (01:06:48): It's not a matter of like Cagle exercises. It's more management. All right, Sarah, thank you so much. I'm going to throw it back over to Claire to wrap things up. Thank you both for a wonderful and insightful discussion. Sarah and Karen. So many practical tips and pointers for the clinician, especially I was loving learning about all of the things that I could take to the clinic. So I hope our audience find those practical tips really helpful as always the link to this live chat will stay up on our Facebook page and we'll share it across our other social media channels. Don't forget. You can also follow us on Twitter. We're at Dow SPT. You can also follow us here on Facebook. Please share this chat with your friends, with family colleagues, anyone who you think might find it helpful. And if you like JSP T asks, please be sure to tell people about it at that what we're doing so they can find this here, please join us. Speaker 1 (01:07:46): Next week when we host our special guest professor Laurie from the university of Southern California, Larry is going to be answering questions on managing shoulder pain. We'll be here, live on Wednesday next week. So Wednesday, April the eighth at 9:00 AM Pacific. So that's noon. If you're on the East coast of the U S it's 5:00 PM. If you're in the UK and at 6:00 PM, if you're in Europe, before we sign off for the evening, there's also really important campaign that I'd like to draw your attention to. And it's one that we at Joe SPT supporting and it's get us PPE. 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How do you find a new path to fitness when prolapse or incontinence is holding you back? How do you get past The Fear and learn to move again? How do you break a sweat without losing your insides? Helen meets Emma Brockwell, a specialist women's health physio, co-writer of the first guidelines for postnatal women returning to running and co-founder of the pelvic health campaign, Pelvic Roar.'You need to move. You can move. You possibly just need a bit of guidance as to how to start.'Website: www.whymumsdontjump.comInstagram: @whymumsdontjumpEmma Brockwell, Physiomum website is hereEmma's instagram: @physiomumukOther links from episode 6:Returning to running postnatal - guideline for medical, health and fitness professionals managing this populationPelvic RoarPopUp (Hayley Shevener)Squeezy AppHolistic Core RestoreElaine Miller (aka Gusset Grippers) is @gusset_grippers on Instagram

Grainne Donnelly and Emma Brockwell join us to discuss the recent publication of their Post Partum Return To Running Guidelines. You can find the guidelines here - https://mailchi.mp/38feb9423b2d/returning-to-running-postnatal-guideline