Podcast appearances and mentions of julie wiebe

Dr. E is joined by long time colleague and friend Dr. Julie Wiebe. She is a pioneer with pelvic health, being one of the first to advocate a non invasive approach. She tells her story about how trying to recover from birth was more difficult than she thought it would be. She then used Sports Medicine principles and some research to come up with her approach. You can find Julie's website, resources and seminars here.Untold Physio Stories is sponsored by⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com

The Episode was made possible by Immune Intel AHCC® & WeNatalMy guests today are some of the more important voices in birthwork in the United States today. Gail Tully is the founder of Spinning Babies®. Nicole Morales is a Spinning Babies® instructor and author of several books. Both of these women attend home births, and both fully embody informed consent and an individualized approach to maternity care. In this conversation, we get into positioning, movement, and breath to have a more easy birth, methods for getting your baby situated in the pelvis appropriately, and we even get into a soft debate around dogmatic concepts like “cardinal movements” and breech being a “variation of normal”. I love both Gail and Nicole so dearly, and I'm so excited that they're going to be educated at the upcoming 2024 Born Free Twins-Breech. Grab your ticket before we fill up!Visit the show notes for more.Connect with Gail:WebsiteLinkedInInstagramConnect with Nicole:WebsiteInstagramLinkedInReference from the show:Dynamic Body Balancing by Dr. Carol PhillipsForward Leaning Inversion to help baby turn from breech to cephalicA Manual of Midwifery, 1886 textbookLevels of the PelvisS.A.F.E. technique for breech (Adrienne Caldwell)Side-lying release to help with asynclitismBreath and the pelvic floor with Julie Wiebe, PTBIRTHFIT online programs (code BORNFREE for 10% off)2024 Born Free Twins-Breech Conference:Join 150 birth workers and 20+ amazing presenters in Louisville, August 8-11, to learn some new skills, make some new friends, and show up holistically for your birthing clients!Visit the website and...

In this episode, Tim talks with Physical Therapist Jule Wiebe about women's health, motherhood, and healing from traumatic injuries. This is a Mother's Day weekend special. It's full of great information and wisdom. To learn more from Julie, check her out at https://www.juliewiebept.com/ To train like Tim and design the body you want to have, go to https://osi-online.com/courses/design-your-body/ --- Support this podcast: https://podcasters.spotify.com/pod/show/original-strength/support

Welcome to the Practice Leadership Podcast. This season we're digging ever deeper into the PT industry's biggest movers and shakers. Join us, your co-hosts, Tim Reynolds and Bryan Guzski, the authors of Movers & Mentors, as we deep-dive with the big guns – answering the big questions every future and current PT wants to know. From Confluent Health and Evidence In Motion, The Practice Leadership Podcast's Movers & Shakers Season will go straight to the source, asking our industry heavyweights for their wisdom, deconstructing influential quotes and learning a thing or two along the way. This week we are connected with  More Links:  Website: https://www.juliewiebept.com/ Twitter: @juliewiebept Reference Paper 

Dr. Kimberly Durant (e-mail) of Leadbetter Rehabilitation and Dr. Meghan Musick (e-mail, LinkedIn, Twitter, Instagram) of Jefferson Physical Therapy are interviewed by Antigone Vesci regarding a presentation they gave at the 2021 AAOMPT Conference titled, “Fourth Trimester and Beyond - Where is the Treatment? What is the Evidence?” This episode contains information that will be interesting for practitioners who want to learn more about pelvic health as it relates to orthopaedic clinical practice and the postpartum population. Additionally, to find the resources mentioned during this interview use the following links: Podschun et al  2013 (the hamstring/pelvic floor case study), McArthur et al 2016 (urinary incontinence does not go away), Moore et al 2021 (BJSM and JOSPT systematic review about factors contributing to return to running), Dakic et al 2021 (effect of pelvic floor symptoms on women's participation in exercise), Cozen Screening Tool (for pelvic floor dysfunction), AAOMPT Pelvic Health Special Interest Group's Decision Tree, Brown et al 2006 (3 question incontinence screening tool), Talasz et al 2011 (phase-locked parallel movement of diaphragm and pelvic floor during breathing and coughing), the American College of Obstetricians and Gynecologists (ACOG) recommendation for postpartum exercise, Donnelly et al 2020 (return to running), Cassidy et al 2017 (Canadian pelvic health survey), Julie Wiebe courses (including external only techniques), Antony Lo (Physio detective), Evidence in Motion's Pelvic Health I course, Kelli Wilson of Alcove Education, Tough to Treat Podcast by Susan Clinton and Erica Meloe, Herman & Wallace Pelvic Floor Level 1 (internal course), and APTA Pelvic Health Pelvic Health Physical Therapy (Level 1 or PH1 is an internal course). Listeners may also find the BJSM Return to Running Blog to be useful.Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=enPodcast e-mail: aaomptpodcast@gmail.comPodcast website: https://aaomptpodcast.simplecast.fm

Welcome to this international party episode of The Pelvic Health Podcast.  Movers & Mentors is a new book by physiotherapists Tim Reynolds and Bryan Guzski featuring the thoughts and advice from leaders in physiotherapy and movement science - a book in which I was asked to contribute to along with absolutely brilliant names, including both Julie Wiebe and Sandy Hilton.  Tim Reynolds asked to interview me about some of my answers to very cool questions in this book and I thought it would be more fun to have Julie and Sandy join, and decided to make it even more international and exciting by inviting another brilliant physio - Biljana Kennaway. I hope you all enjoy!!!! Find the book HERE Bios via link on the names above :) Bios: Bryan Guzski PT, DPT, OCS, MBA, CSCS (couldn't party with us for this episode) is an outpatient orthopaedic physical therapist practicing in Rochester, NY working primarily with patients with spine related issues and persistent pain. Bryan earned his Doctor of Physical Therapy degree from Ithaca College in 2014, completed an orthopaedic residency program through Cayuga Medical Center in 2015 and received his Orthopaedic Clinical Specialist certification, and earned a Master of Business Administration degree from Simon Business School at the University of Rochester in 2021.    Tim Reynolds PT, DPT, OCS, CSCS is a Clinical Assistant Professor of Anatomy & Physiology at Ithaca College and a part-time physical therapist practicing at Cayuga Medical Center in Ithaca, NY where he predominately treats patients with spine or lower extremity impairments. Tim earned his Doctor of Physical Therapy degree from Ithaca College in 2014 and completed both his orthopaedic residency and spine fellowship through Cayuga Medical Center, and currently helps mentor and teach in both of these programs as well.     

Let's talk with Julie about breathing and how interconnected it is with the Core. It's time we understand the integrity of the functional core, its anatomy, its physiology, and how its appropriate activation transfers into movement. Julie touches base with the fundamentals of the true core and how lack of synergy manifests in paradoxical breathing. Julie rediscovers the science behind core, how to breathe during exercise, and how we cue breathing and the core appropriately to support athletes. She explores the pelvic floor, and what you can do to rehab your leaks! Learn more about your core, put simply and clearly! We need this paradigm shift. Checkout all Julie's courses: https://www.juliewiebept.com/products/online-courses/ 1:55 - Evolving understanding of core 5:21 - Paradoxical breathing 10:56 - Do athletes need their core gripped 15:00 - Is valsava necessary? 23:57 - An integrated system 26:21 - Group fitness. exercise is a dug that needs a dose 28:48- - Foundations to better core synergy 31:09 - Cueing a squat 40:53 - Appropriate gripping 44:20 - Blow before you go for partum? 51:16 - Individualization 55:48 - Julie courses 59:50 - Clinical reasoning 60:04 - Find out more about Julie Wiebe Check out Youtube for the visual version of my conversation with Julie! https://www.youtube.com/celestpereirayoga Learn More About Julie! Julie Wiebe, PT, DPT has over twenty-five years of clinical experience in Sports Medicine and Pelvic Health, specializing in pelvic/abdominal, pregnancy and postpartum health for fit and athletic females. Her passion is to return women to fitness and sport after injury and pregnancy and equip pros to do the same. She has pioneered an integrative approach to promote women's health in and through fitness. Her innovative concepts and strategies have been successfully incorporated by rehab practitioners and fitness professionals into a variety of populations (ortho/sports medicine, pelvic health, neurology, and pediatrics). A published author, Julie is a sought after speaker to provide continuing education and lectures internationally at clinics, academic institutions, conferences and professional organizations. She provides direct care to female athletes through telehealth and her clinical practice in Los Angeles, California. Julie joined the faculty at University of Michigan-Flint in the Spring of 2021 as a Clinical Assistant Professor of Orthopedics and loves every minute of it! Instagram: https://www.instagram.com/juliewiebept/ Youtube: https://www.youtube.com/user/JulieWiebePT Podcast: https://www.juliewiebept.com/ Don't forget! As a listener of the breathing series on the Love @ First Science Podcast, you get 20% off everything on my website! Head on over to my website and use code 'PODCASTLOVE' https://www.celestpereira.com/ My Socials: Instagram - http://instagram.com/celestpereirayoga Website - https://www.celestpereira.com/

In Part 2 of this interview with Julie (if you missed Part 1, make sure to check it out!) we take a deep dive into the evolution of her business.  We discuss social media - why it's such a powerful tool and why it's so badly misused by many practitioners.  There's certainly a love-hate relationship with social media we explore.And we discuss her career path and the lessons it holds for younger PTs!So grateful for this time with Julie and for her inspirational example for everyone in the field.Julie Wiebe, PT, DPTJulie  has twenty-four years of clinical experience in Sports Medicine and Pelvic Health, specializing in pelvic/abdominal, pregnancy and postpartum health for fit and athletic females. Following her passion to revolutionize the way women recover from pregnancy and injury to return to high levels of fitness and performance, she has pioneered an integrative approach to promote women's health in and through fitness.Make sure to follow her on Instagram (@juliewiebept) and check out her courses at www.juliewiebept.com (use the code 'Rising20' for 20% off any of her courses, especially the foundational Piston Science course!)Shout Out and Get in Touch!If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt).  Or send us an email at Nicole@PelvicSanity.com with your thoughts, questions or ideas.  We'd love to hear from you!About UsNicole and Jesse Cozean founded PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.They believe every pelvic physical therapist should find a position they love and feel confident in treating even the most complex patients.  They started Pelvic PT Rising to provide clinical and business resources to pelvic PTs to raise the level of our profession.

How do we keep from being pelvic floor isolationists?We're so excited for this conversation with Julie Wiebe!  She has such a unique perspective and has done an amazing job forcing the pelvic PT field (sometimes kicking and screaming) to recognize how important looking beyond the pelvic floor is.In this interview Julie and Nicole discuss clinical reasoning and philosophy, finding the why, looking outside the pelvic floor and practical ways to assess from an orthopedic perspective.Don't miss it - in Part 2 of this interview we discuss Julie's love-hate relationship with social media, where she thinks the field needs to grow and her own evolution into a business owner and now a professor.  Thanks to Julie for an eye-opening conversation and her contributions to the field!Julie Wiebe, PT, DPTJulie  has twenty-four years of clinical experience in Sports Medicine and Pelvic Health, specializing in pelvic/abdominal, pregnancy and postpartum health for fit and athletic females. Following her passion to revolutionize the way women recover from pregnancy and injury to return to high levels of fitness and performance, she has pioneered an integrative approach to promote women's health in and through fitness.Make sure to follow her on Instagram (@juliewiebept) and check out her courses at www.juliewiebept.com (use the code 'Rising20' for 20% off any of her courses, especially the foundational Piston Science course!)Shout Out and Get in Touch!If you're enjoying the podcast, please take a few seconds to take a screenshot and put it up in your Instagram Stories and tag Nicole (@nicolecozeandpt).  Or send us an email at Nicole@PelvicSanity.com with your thoughts, questions or ideas.  We'd love to hear from you!About UsNicole and Jesse Cozean founded PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.They believe every pelvic physical therapist should find a position they love and feel confident in treating even the most complex patients.  They started Pelvic PT Rising to provide clinical and business resources to pelvic PTs to raise the level of our profession.

In this episode, CEO of Julie Wiebe Physical Therapy, Inc., Dr. Julie Wiebe, PT, DPT, talks about running and pregnancy. Today, Julie talks about running/exercise and pregnancy, creating baselines, the research around female running form, and she busts some pregnancy myths. When can you return to running after pregnancy? What is Julie’s definition of ‘postpartum women’? She tells us about structuring exercises around their daily exercises and goals, pelvic health education, and she gives some advice to clinicians working with postpartum runners, all on today’s episode of The Healthy, Wealthy & Smart Podcast.   Key Takeaways “Landing mechanics are affected by what’s happening north.” “Let’s understand what they looked like beforehand so that we have a better idea of how to help them find their way back.” “Just because you had a baby doesn’t mean you should be in pain and weak for the rest of your life.” “Listen to what’s happening, but learn to interpret it.” “If your 10 minutes is spent running and that’s your goal, you’ll do it. But if I say you’ve got to lay down on the ground and do rehab exercises that make no connection for you, you’re not going to be motivated to do that.” “Pelvic health does not mean that you have to be clinically prepared to do internal work. It just means that you’re treating the musculoskeletal of someone who happens to have a pelvis, which, last I checked, is everyone. You don’t have to be certified as a women’s health specialist, but you can get information, read books, watch videos, take courses so that you are competent in treating a woman postpartum that wants to get back to running.” “The pelvic floor is not the only gatekeeper that creates pelvic health. It is a component of multiple body systems, and we need to understand that those systems affect the way the pelvic floor acts and behaves. The pelvic floor itself needs to have attention directed at it, but when we talk about just the pelvic floor, it isolates it away from relevance to other areas of care.” “Learn to ask questions, and ask questions that make you uncomfortable. You will get more comfortable with it, and understand that what you’re trying to do is open a door of communication.” “When you read the conclusion in research, is there any other explanation that could’ve come to that same conclusion based on what you’re seeing?” “We need to start broadening our lense, and I think we’re broadening it to look at females as not just little men.” “Instead of thinking of learning as this linear thing, include and transcend. Instead of it being a linear line, let it be concentric circles.”   More about Julie Wiebe Julie Wiebe, PT, DPT has over twenty-four years of clinical experience in Sports Medicine and Pelvic Health, specializing in pelvic/abdominal, pregnancy and postpartum health for fit and athletic females. Her passion is to return women to fitness and sport after injury and pregnancy, and equip pros to do the same. She has pioneered an integrative approach to promote women’s health in and through fitness. Her innovative concepts and strategies have been successfully incorporated by rehab practitioners and fitness professionals into a variety of populations (ortho/sports medicine, pelvic health, neurology, and pediatrics). A published author, Julie is a sought after speaker to provide continuing education and lectures internationally at clinics, academic institutions, conferences, and professional organizations. She provides direct care to female athletes through telehealth and her clinical practice in Los Angeles, California.   Suggested Keywords Physiotherapy, Pregnancy, Research, PT, Health, Therapy, Healthcare, Education, Training, Postpartum, Running, Exercise, Pelvic Health, Conversation,   Use the code: LITZY for 20% off the following courses from Dr. Wiebe:   Treating and Training the Female Runner (or Any Female Athlete) Foundations + Running Bundle A Foundations + Running Bundle B   Running Rehab Roundtable Live Broadcast https://www.crowdcast.io/e/runningrehab   To learn more, follow Julie at: Website:          https://www.juliewiebept.com Instagram:       @juliewiebept Twitter:            @JulieWiebePT YouTube:        Julie Wiebe LinkedIn:         Julie Wiebe   Subscribe to Healthy, Wealthy & Smart: Website:                      https://podcast.healthywealthysmart.com Apple Podcasts:          https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264 Spotify:                        https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73 SoundCloud:               https://soundcloud.com/healthywealthysmart Stitcher:                       https://www.stitcher.com/show/healthy-wealthy-smart iHeart Radio:               https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927   Read the full transcript:  Speaker 1 (00:07): Welcome to the healthy, wealthy, and smart podcast. Each week we interview the best and brightest in physical therapy, wellness, and entrepreneurship. We give you cutting edge information. You need to live your best life. Healthy, wealthy, and smart. The information in this podcast is for entertainment purposes only and should not be used as personalized medical advice. And now here's your host, Dr. Karen Litzy. Hey everybody. Welcome back to the podcast. I am your, Speaker 2 (00:39): The host, Karen Litzy and today's episode. I'm really excited to round out our month all about running injuries and running rehab with Dr. Julie Wiebe. She has over 24 years of clinical experience in sports medicine and pelvic health specializing in pelvic abdominal pregnancy and postpartum health for fit and athletic females. Her passion is to return women to fitness in sport, after injury in pregnancy and equip pros to do the same. She has pioneered an integrative approach to promote women's health in and through fitness. Her innovative concepts and strategies have been successfully incorporated by rehab practitioners and fitness professionals into a variety of populations, or at those sports medicine, pelvic health neurology, pediatrics, a published author. Julie is a sought after speaker to provide continuing education lectures internationally at clinics, academic institutions, conferences, and professional organizations. She provides direct care to female athletes to through tele-health and her clinical practice in Los Angeles, California. Speaker 2 (01:48): So Julie's amazing. And in this episode, we talk about some myths about running while pregnant and in the postpartum. And of course, the question that everyone always asks Julie is how can we return to run after pregnancy? So Julie answers that question and cause a lot of really helpful hints for practitioners to look for when evaluating postpartum women and those postpartum women, those runners can be anywhere from six weeks to six years, 16 years, 20 years after having a child. And she also encourages clinicians to think critically, to look deeper, to have a framework for evaluation, to try and, and, and get a baseline to ask your patients to film themselves while they're running or exercising so that you can understand what they look like when they're doing what they do. There's a lot of variables to post to running post-pregnancy and Julie really runs through all of them. Speaker 2 (03:01): So I want to give a big, huge thanks to Julie for coming on the podcast today and sharing all of this knowledge. And she also has a discount on the course. So she has a course on running a postpartum running. So she has a course for the listeners. So all you have to do is enter the promo code Litzy that's L I T Z Y my last name for 20% off treating and training the female runner. And just to be clear, this is for professionals, not for individuals. So this is for clinicians. So a huge thanks to Julie for that. We'll have all of the information, including links to everything in the podcast at podcast dot healthy, wealthy, smart.com. And tomorrow you can catch Julie live along with Dr. Ellie summers, Dr. Chris Johnson and Tom goom for our live round table discussion. That's tomorrow, March 30th at 2:00 PM Eastern standard time. Speaker 2 (04:10): If you can't make it still sign up because you'll still have a chance to get your question answered by the panel, and you will still get to watch the replay any time you want. And listen, this is a deal. It is $25 for four of, in my opinion, some of the best minds when it comes to running injury and rehab. So sign up today. If you're listening to this today, sign up today because you have until probably, I don't know, it starts maybe until like quarter to two tomorrow, which is March 30th to sign up for our live round table discussion. Again, that's with all four guests from this month, Ellie summers, Chris Johnson, Tom goon, and Julie Wiebe. So sign up to day. Hey, Julie, welcome back to the podcast. I think this is like your third visit to help you well, yes, thank you for sharing your platform with me again. Speaker 2 (05:11): I appreciate it. Of course. And, and this month, the month of March, we're talking all about running, running injuries, running rehab, and I know something that you're passionate about is caring for the postpartum woman that returned to running after giving birth. And, and we'll also talk a little bit about running while pregnant. Right. So I think that there are, there's a lot to cover. And so we are just going to, we're going to zoom right through this unintended since we're on zoom. But let's start first with running while pregnant. I feel like there's a lot of myths around running while pregnant. I don't know that it's understood very well by many people, including clinicians as well as the pregnant women. So I'm just going to kind of throw it over to you and let you just kind of talk about the, the running pregnant woman. Speaker 3 (06:14): Yeah. You know, and I think I think that regarding running and pregnancy, I mean, that's our focus, but really exercise and pregnancy. We still have, we are limited in our understanding of all things. Related to that I think we are started, we have information about things like cardiovascular response or, you know, some of those pieces of the puzzle. But in terms of the musculoskeletal, the neuromuscular, the response of the female host inter like how is that impacting the mom's body systems. Right. and I think that where we are struggling to have a lot of research there in part, because it's hard to find women that are willing to be participate in research. And then there's also a lot of, I, you know, we have to be protective of them. We have to protect them. And so, so it's this, you know, we want to honor that stage of life, but we also need to research it. Speaker 3 (07:13): So so I think we are struggling to, to understand all that, but we're starting to get more and more attention on it, which is awesome. As far as pregnant runners go there's only a few studies that I'm aware of that actually look at the pregnant runner and and of those one is a case study and one is on five women. So we have very limited understanding of what exactly goes on, but there were some themes. So I'll just share some themes. One is that in, in both the studies, they were, they were followed, the women were followed throughout the pregnancy changes were seen in all of the women on how they continue to run through the pregnancy meaning. And particularly the one with the five women, they all did something different, which is the variability is what we're seeing now. Speaker 3 (08:07): Everybody's bodies individually adapted differently. But the through line for them was there was a loss of pelvic and trunk rotation. So when we think about that pregnant runner, this is the way I've started describing it. The belly covers a ton of joints. Like it goes from the thorax to the pelvis. It it's basically, it takes all of these reciprocating joints and it turns it into a unit joint. Like it's one big joint, it blocks motion. So it reduces pelvic and trunk rotation. And so it limits, and then it forces them to rotate elsewhere. All of these are adaptions to help them continue to move through space appropriate for pregnancy and running. But when they go into the postpartum, they carry it with them. And that was what happened in both of these studies. They found that at six months for the woman who was the case study, and then at six weeks postpartum for the women, the five women in the other study, they held onto these, these some of these variables into the postpartum period and where that's significant is that women are given that okay by their doctor at six to eight weeks. Speaker 3 (09:19): This just like, you can just start doing your thing again. But their understanding is I got to just lose weight and get a flat belly. What our understanding needs to be is we need to understand what's changed for them. Biomechanically neuromuscularly emotionally, you know, fatigue, stress, like all of we have to understand all of those pieces and help them restore their interrelationships. Neuromuscularly biomechanically to be more like their baseline in order to prepare them for return to run. Like it's not just, okay, let's get him stronger. It's how do we help them restore that efficiency in their patterns that they lost, but no one realizes they lost it. So six years later, they show up to an orthopedic office and they have some of these running injuries, but how much of it is related to the compensations that they carried into their postpartum. So that's sort of a, an entry point into our conversation. Speaker 2 (10:17): Yeah. And that's, that is so interesting. And it makes sense that they would carry that over because our brain has is plastic and it's going to adapt. And our our sense of where we are appropriate susceptive sense is going to adapt to that. And it just doesn't end because the baby's not inside you anymore. Speaker 3 (10:40): Correct. And you're pulling it off, like in your mind, like you're still pulling off running, like you're actually running. So it, the understanding of what has changed is not understood globally. And I think like, I mean this, the running study related to the five runners that I mentioned, and that was from 2019. So this is, you know, relatively hot off the presses in terms of clinical understanding. So our job clinically is to help restore reciprocation that's really, and we understand the reciprocation is so important for all sorts of pieces of the puzzle for running. And one of those things is actually reducing ground reaction forces, getting our center of mass over that lead leg. Reciprocation is a huge piece of that. And so understanding just that, if that is all you walk away with today, understanding that you're a female that has a postpartum is postpartum, meaning they have a pregnancy in their history when you're working with them related to it, running injury. Speaker 3 (11:39): If it has a ground reaction force components like a knee or anything, you should be looking North of the border, not just foot strength, not just cadence, not like you have to look North and understand, are they actually reciprocating? Where's that reciprocation coming from? Because when you have a unit joint of the lumbar spine in the lower, the only thing that's left is like TL junction and above. So that's where they're reciprocating is way up high at the chest. And if you watch Fumo runner, that's what they're doing. They're punching the sky, it's all up, up, up, up chest high. And it's, that's the pattern that they partially developed during the pregnancy to continue running and pregnancy. There's nothing wrong with that. It co it's an appropriate compensation, but it does. If you don't restore actual reciprocation between the trunk and the pelvis, that's what you're looking for. And if the woman is in gripping her abs, cause she wants to get flat abs again, that's a UDA joint, it's a uniform engagement of the abdomen is what most women hang on to, or try to do while they're running. And that continues to keep their reciprocation high. So it's like understand what's going on North of the border for these women, versus just looking at things like landing mechanics, landing mechanics are affected by what's happening North so Speaker 2 (12:59): Well that's so, yeah, that is so interesting. And now I'm going to be, you know, in central park watching all these women to see, okay, are they just running with their, from like the thoracolumbar junction up? And then just having legs move like a cartoon character or are they actually getting excursion and rotation through the trunk? Speaker 3 (13:19): Amen. Yeah. And then we're getting into summer, right? I mean, I'm here in California, so we're gonna be able to see people's abdomens. And the thing that I, my cue for my clinician friends is what's going on with the navel. Like if their navel is staying straight, dead, straight, the whole time they're holding their abdomen. So stiffly through their run, that they aren't reciprocated. Like they can't be like, that's an indication that's a quick and dirty clinical sign that you can see that that means the reciprocation is likely coming up higher. And then it'll sort of clue you in and you'll see it. And they're, they're the ones punching high in the sky. They've got ribs flared up, like it's sort of, and that's a lot of our female runners. And it's a lot of our women that have never had children because they're holding their abdomens. Speaker 3 (14:03): Cause that's what they think they're supposed to do. And we also have studies that have shown us that stiff abdomen when they had men jump off a height actually increase their ground reaction forces. So it makes sense it's part and parcel, right? Like, you know, we just got to sort of brought in and I think that's my hope when I talk about stuff like this with my ortho and sports medicine, friends and colleagues because that's really, I'm a sports medicine, PT, I'm not a traditional pelvic health PT, but is to broaden our lens and add these ideas into our differential diagnosis. Like we need to start thinking about how these things are affecting. Some of the things we look for in sports medicine. Like we understand to look at how ground reaction forces what's happening, but we don't often this into our thought process. Like how, why is that a typical running pattern for women? It's not just because we have brought her hips and Q angles and, you know, blah, blah, blah, look North, look North with me. There's more going on for these women. And and we have some strategy pieces that we could add into our thought process to help them Speaker 2 (15:13): Yeah, amazing coming in hot, right out of the gate pair with a great tip for everyone. So thank you for that. And one one question that I want to ask, just so the listeners really understand when you talk about postpartum women, can you define what that means? Speaker 3 (15:32): I'll give you my definition. Sure. It doesn't necessarily mean that it is the definition. But I consider anyone who's ever had a baby. And, and here's what I'll say about that. I think technically it's the first year that might be kind of more of a technical thought process. And that's mainly because I started learning this backwards when my, on my patients who were 35 and 45 and 55 and 65. And they still look like me. This is million years ago. Now when I was at postpartum early postpartum, like the way that I was using my body and it was creating issues for me, they were using their bodies that same way. And they were like, well, they had grandchildren at that point. And so once we start understanding, yes, it's a normal process that women go through, but our job is to understand what they went through and help them find their way back to efficiency and effective use of their structure and their systems and their like I D I was Chris. I love that Chris Johnson talked about their ecosystems, like, you know, like looking at all of those pieces for them and understanding our job is to help them get back to their baseline, their individual baseline. Cause my torso is this, like this with this link legs. Some people have long legs short, let you know, like to understand that. So my, one of my big pushes I hope to achieve at some point is to get baselines, like, let's start getting baselines. I was women. Yeah, go. Speaker 2 (17:09): I was just gonna ask that you, you beat me to the punch. I was just going to say, so if someone is coming to me as a woman who is a runner and she had a child would say a year ago or two years ago, even how do I know what her baseline is? Speaker 3 (17:27): Correct? Well, what I do is I have them try to bring me film from prior to the injury. So these are for women that haven't had babies or like what they look like running prior to having a baby. And again, so many women have said to me, well, I leaked even before I had a baby when I ran. So then you might find stuff in their running form that might help explain that like Mabel's that go straight ahead? You know, things like that. But it does give us sort of an understanding of, is the running form that we're seeing right now, is that speaking to why they're having the injury, the, whatever it is, or is this the running form they've always had and they used to run without any difficulty. Like, you know what I mean? Like, so for me, that's how I started to create their baseline. Speaker 3 (18:15): Even if I can't see what they look like. And a lot of women will, like, when we talk about diastasis, like, you know, something like along those lines, which I might have to define for the audience, but some women will send me pictures of them in a bikini from like their early twenties. They're like, Oh my gosh, you're right. I actually had a line down the middle, but I never gave it any thought because my belly was flat. But now that my belly is not flat, you know? So it's like, that's where we can start to kind of get some comparisons for baselines. But one of my goals is to reach into the medical community, meaning the obstetricians and the midwives and the nurse practitioners. If any of you are out there is to say, let's start creating baseline. You're the first contact for some women they'll come in for a prenatal visit or something like that. Like, let's get some baselines, encourage them to take video. How will they're lifting how they're running? You know, how are they doing these things that they want to get back to afterwards so that they have a library of their own baseline? Like let's understand what they look like beforehand so that we have a better idea of how to help them find their way back. Speaker 2 (19:18): Yeah. Yeah. Great answer. Thank you. And so we've talked a little bit about this return to run after pregnancy. And I know you said that is, that's what people want to know from you. How do I go back to running after I had a baby and you know, everybody wants a protocol. If you could do this, then do this and this then do this. Right? Right. So when someone says to you, when can I start running after I had a baby, what is your answer? Speaker 3 (19:50): My answer is, and everyone hates it. It depends, but I tell them what it depends on. And so, and that's what it does get a little tricky in a situation like this, because these are some of the variables that I want to know. So my, whenever I get a question like that, my favorite is when I get it from a practitioner, what should I tell my patient who wants to get back to running? And I'm like, okay, well, my, my response to you is I actually wrote a blog like this. Like, and I always get, Hey, quick question. And I'm like, it's not a quick question. It shouldn't be a quick question. You know, did they have a vaginal delivery? Was it traumatic? Did they have forceps? Did they have a Syrian? Was it, you know, did they have bed rest? Were they on bed rest? Speaker 3 (20:29): If you're on bed rest, no, you're not gonna start running right out of the gate. You're like, you know, like there's so many variables there was it a complicated pregnancy? Was there, you know, what's been happening to them during the recovery process, have they, you know, are they having postpartum depression? You know, what's the you know, what are all these variables that they're experiencing? Where are they having postpartum depression? Or are they depressed or having baby blues, partly because they've lost their exercise program. Like what, what are all of these variables that we're looking for and what was their athletic capacity before? What is it now? Or what are their goals? Cause I like to make goal specific recommendations. So those are some of like, those are just that's scratching the surface, but I don't want to make it sound like this is an inaccessible population to work with because you don't know what all those things are. Speaker 3 (21:19): But what I usually talk to my patients about is I understand their goals and then I break them down and we start preparing for them. So my program for you needs to prepare you for what you want to do. And I need to understand the demands that you're up against. If you want to run, I need to prepare you for impact. I need to prepare you for endurance. I need to prepare you for power and possibly change of direction, depending on what you want to do. Trail runs and jump over rocks and things like that. Like I need to prepare you for what it is you're going to be up against. And part of that preparation is looking at your form, giving you great form twos, helping you build in new form, creating an interval program, getting you impact ready. Like there's, it's not just, I need you to do some curls and tell me stuff and some cables, and now you can run. Speaker 3 (22:10): And I think that that's, but that's a typical postpartum recovery program, but it isn't a prep for return to run. I need to teach you to reciprocate. I need you to strengthen into those reciprocal movement patterns. I need you to do single leg work. I need you to do single leg loaded work. I need you to do single leg impact work. You know, I gotta get you practicing some of those pieces. Then I know you're prepared. And if you're leaking or having pain or having an I give you these things we're looking for while we're doing the prep work, we're just not quite ready. We need to modify those things. Keep giving you opportunities to build capacity and strategies for the kind of work you want to do. I'm going to build that back into your system so that you're ready. And if you're, again, if you're symptomatic during all the prep work, we're just not quite ready for the actual events, but let's figure out what still needs to be tweaked and what needs work. You know what I mean? And then like, let's start with elliptical, let's start with hiking. Let's start with things that don't have impact. If we're not, if we're having symptoms with impact, like sort of really parse, what's still creating the problems so that we can troubleshoot that. And then, and then get you back into interval prep, walk, run. You know what I mean? Like it's yeah. So it's yeah. So that's running, that's more running specific. Speaker 2 (23:27): Yeah. So if you're not, it's not like, okay, the doctor gave you the all clear at six to eight weeks depending. So I'm just going to give you a walk run program. And that's what you will do. There is a lot more building because like you said you to monitor, you want to give people their program, you want to monitor their, their reaction to it, their symptoms, and then make the necessary adaptations that you need to make and use your clinical judgment. Because we know that there's not a whole lot of research around even returned to run after pregnancy. There's not a lot of research to that, correct? Speaker 3 (24:05): Yeah. We're getting, we're starting, we'll give credit where you know, we're trying, but we, yeah, we have a lot of work to do. We need to figure out there's a lot. We need to understand just basics. But, but like some of the things that I, I I'm trying to create like little things, people can remember, like prepare, then participate, monitor, and modify. Like just keep get like put those pieces together for yourself. Cause some people don't have access. That's the other thing, like if anyone out there doesn't have access for whatever reason to the practitioner, like you are, you have a lot of power by knowing what to monitor for knowing it's not normal to have pelvic pressure or leaking or pain while you're running. It's not normal. Like we want you to feel good while you're running and you know, just cause you had a baby, does it mean that you should be in pain and leak for the rest of your life? Speaker 3 (25:01): Like that's an incorrect, like I think we did. We say we're going to bust myths. Like that's a myth D please don't buy into it. So yeah, and I think I lost your question in there somehow. Did I? No, no, no, no. Boston my own head. No, not at all, but it is. It's like these, like what else? You know, and then follow the other thing I try to tell people is follow your success. If it seems to be that you're having more symptoms on the flats, but you're okay if you are going uphill, which is not unusual because it sort of helps you have a better running form automatically. Then let's walk the flats, run up the Hill. You don't like listen to what's happening, but learn how to interpret it. I think that's what I'm hoping clinicians can be, is really great interpreters of what's happening with the patient standing in front of them so that they can they can be better guides. Speaker 3 (25:54): I mean, that's really ultimately what we're doing. We're guiding people through their process because everyone's process is going to be a little bit different. It should be. And I would love for, I would w I went a hundred percent with lots of over the protocol, charge everybody 10 books now, but it doesn't exist because everyone is different everyone's path through pregnancy is different. That one study we have was so fascinating. All those women did something different to get through the pregnancy running. So, so we, we were just learning, right. We're learning about, about everybody's path through, through all this stuff. So how can we guide them? And I think monitoring modifying, progressing not gradually in a scared way, but in a smart way, like, Oh, we tried that. That was too far. All right. So backing off a little bit. Let's try this. Let's modify, modify, keep adapting. So I don't know. Now I'm going down a whole nother rabbit. Speaker 2 (26:48): No, no, no, that's it. This is all, this is all amazing. And I, and I really think the listeners will, we'll definitely come away with, you know, the, the monitor and make it adaptations and watch and listen. And also, like you said you sort of referenced Chris Johnson, sort of talking about the whole ecosystem. So again, I think it's important to when you are sitting down with this patient for the first time, you know, you have all these questions, but then your other questions are, well, how old, how old is your child? Do you have more than one? What are your responsibilities at home? Do you have a nanny? Are you a single mom? Are you working? What are your time constraints? Like, because all of that feeds into what kind of program you can give this person, because they may say, Hey, listen, I have 10 minutes a day to do some exercises. And, and what happens a lot is people think I only have 10 minutes a day. It's never going to work. Right. So how do you get around those with your clients? Speaker 3 (27:51): I usually use their exercise program is their fitness program, whatever it is, like rather than ask them to stop. I, and so, I mean, we're talking early postpartum versus someone who's maybe coming back two years later. Right? So you know, I try to integrate, my goals have always been, or my path has always been about building brain strategies, neuromuscular. So then I'm teaching them how to re-establish. Some of the, the, the, so let's talk early postpartum things get kind of funky in terms of how components of the central stability Central's control system operates. I'm working on helping them reconnect and implement it into their function. They have to take care of their kids. If you're lifting your kid, we're going to do it in a way that sort of pulls in the brain's going to use all these components to help them start, to learn, to be reintegrated into your movements, just movement going up the steps. Speaker 3 (28:50): Guess what steps is just like running. We're going to actually, if your goal is running, I'm going to make going up and down the steps with your laundry hamper or your baby as your prep for return to run. But we're going to do it super low impact. We're going to think it through. We're going to have to, like, we're going to rebuild that reciprocation through walking up and down the steps. We're going to, you know, match it to your function right now. But if you're two years out and you're, it's a different ball game, I'm going to use your running as your program. I'm going to adapt your running and keep you below your symptom threshold or make it look a whole heck of a lot like running so that you're motivated to do your, if your 10 minutes is spent running and that's your goal, you'll do it. Speaker 3 (29:32): Do you know what I mean? But if I say you got to lay down on the ground and do these rehab exercises that make no connection for you, you human, emotional, or your brain to your goal. You're not going to be motivated to do that. So I have always broken down their exercise programs, if they are CrossFitters or going to gym or whatever it is, show me three exercises that you like to do. Yoga, Pilates, whatever it is, what are three things let's implement these ideas and strategies under something that you enjoy, because I know you'll be compliant. And then they know you're listening. That therapeutic Alliance is there, like out of the gate, you want to help them get to their goals, Speaker 2 (30:11): Right? So it's, it's like, you can take things they're already doing and modify, adapt it, allow them, give them the tools they need to implement. What will help them in that exercise. And ultimately perhaps help them get back to their running or whatever it might be. Okay. Speaker 3 (30:31): Break it down, break it down and then build it back up. That's got it. That's a pretty straightforward way to do it with any athlete. It doesn't have to be running. But you got to know what they're up against. So I, if I am not familiar with something, I just say, show me, I don't know, show me what that is. And I don't know the words, I'm the first one to admit it, but I can't remember what that, can you just show me that and they'll sh and then you can break it down. Like, I think that's, to a lot of people's barriers to working with athletes is they don't feel comfortable with the sport. And then of course we have, you know, members of our community that say things like, well, do you lift, do you even run? I know. And it's like, like, it's really I don't, I don't surf and I will never, my first surfer when I moved to California, you know what I did, I looked at YouTube and I looked at, I watched, I watched videos. Speaker 3 (31:30): I looked, I tried to understand what are the physical demands of surfing, but that didn't mean I couldn't help him. You know what I mean? Like, don't get me started. So anyways, so I think that it intimidates because also like, that would mean that men couldn't work with female athletes too. Like, cause you don't have a vagina. Like that's, it's a, it's an illogical argument and it makes me mad. So anyway, surfing is I that's one of the examples that I use because I don't surf and I never will because I'm afraid of sharks. So we w w your job, our specialty physical therapist should be movement analysis. That to me is a pretty basic part of our definition. And I know that you can at least pick out efficiency. Do you know what I mean? Like, you can pick out efficiency and I use video, like crazy. Speaker 3 (32:19): Have them bring you videos of them. Weightlifting have them bring you videos of running, and then you can slow it down. Look at it, really carefully. Look at it at home before you stand in front of them, start to break it down, look online. What is a clean and jerk, and then ask them to send you a video of a clean and jerk compared them and start to pick out where it's different. There you go. You know what I mean? Like, I think that we create this barrier for clinicians to be able to participate in this kind of care if we make it unattainable because they don't actually participate in it anyway. Yeah. Speaker 2 (32:56): Listen, I could not agree more. I think that's the dumbest dumbest argument against a qualified physical therapist, seeing the person in front of them, because what if you're the only physical therapist for 50 mile radius? What are you supposed to like, sorry, pal. I'm not an Olympic lifter can help you. Speaker 3 (33:17): Yeah, it's so stupid. It's so stupid. Well, and it's really the other thing too then is it's also important to sort of highlight and carefully and kindly and respectfully say that's also how pelvic health is understood by so many. Well, it's not, that's not my department, but it's physically inside the woman standing in front of you. It's part of her department. So like, you may be the only practitioner for miles and you are the only person that understands the human body, the way you do as a physical therapist. It behooves you to start understanding some of these processes. When we start to talk about our differential diagnoses for runners is to understand what is happening, what, how might this have affected what I'm seeing clinically? And then it's not, it's not pelvic health, like in this movie way, it's pelvic health as a, it's a, it's a friend to helping you understand what's going on with these patients. Speaker 3 (34:16): So, so again, like in the same way that, you know, folks get scooted away from participating with female athletes or athleticism, we don't want to scoot them away from pelvic health because it's scary or UV, or it's not their department. Like we need to open those doors broadly and say, let's, let's skill everybody up. Let's equip everybody, the pelvic health community to understand fitness better, and the fitness community to understand pelvic health better. Like let's everybody come to the middle and not create barriers inside the community to those things. Like, let's appreciate the perspective that we each bring so that we can optimize the care for our patients who don't have resources to go down, you know, and with telemedicine creates new opportunities until unless we can't do it nationally. Right. Can we have a talk about that? Speaker 2 (35:08): Yeah. I would love to have a talk about that. Like maybe every, every licensing board across the country, again, it's so stupid because we take a national exam, but we're only licensed in anyway. Yeah. We could have, we could have a round table on that one. But you know, what you said is really important about so for the physical therapist or even other health professionals listening pelvic health, it does not mean that you have to be clinically prepared to do internal work, right? No, not necessary. And it just means that you're treating the musculoskeletal health of someone who happens to have a pelvis, which last I checked is everyone. And so, and so you should, you should be able to do that. You may not ha you don't have to be certified as a women's health specialist, but you can take get information, read books, watch videos, take courses so that you are competent in, let's say for the sake of this month, I'm runners treating a woman postpartum that wants to get back to running. Speaker 3 (36:25): Right. And there, and that's, and I think that that's partially, I mean, to just be fair, I think we all learn pelvic health in a very isolated way in PT schools. You know what I mean? So I think that there's been a huge change in the conversation in the pelvic health community over the years. And it's just starting to get out there in, in other ways. So it also behooves those of us. And again, like I find myself always serve in the middle of these worlds. Those of us who communicate it in a way that's relevant to like, let's be communicating in a way that is enticing to learn more. Like, I want those to gain those skills and and understand it in a way that is relevant. And I, and so, yeah, so we have a lot of work to do to the physical therapy educational programming to start to build it into models a little bit differently, so that it's under some of the other side a little differently too. Right. So it's just, we're all we're evolving, but it is true that it has classically been defined that way. Right. Like, right. And so I think so anyway, yeah. So I, I agree with you, there's a lot we can do there. And it's also like, can you at least talk about like, and to have some ability to do that is important, you know, so, Speaker 2 (37:45): Yeah. And, and hopefully people like yourself and maybe podcasts like this and other podcasts that are out there will really help clinicians. And non-clinicians, you know, your, your, your gal that, that just had a baby. Who's like, I, I don't know what to do. How, what do I do? Yeah. You know, I just had someone contact me today who is eight months pregnant and she's starting to have a little low back pain. And she said, you know, should I just go to the doctor or should I just go to any PT or what should I do? And and I was like, Oh, I'm so happy that she's reaching out for a physical therapist, you know? But a lot of people just don't even know that that's an option. Right. So, Speaker 3 (38:32): Yeah. Cause the messages, while you're pregnant, low back pain, you're pregnant, you know? And, and so it's really, there's a lot of education that needs to happen, but I do think you know, so much of it is around I'm trying to think of a good way to say this, centering the woman as like that, those concerns just because they're common. I hate the common. Not more, it's not, I hate that. I get it, but it's also like, it just always has been, but that doesn't mean that's how it should be, or it has to be moving forward. Like I think we're starting to get more female researchers, myself trying to do that too, to help, you know, we're trying to have females asking questions for females and to the credit of this one particular, he will never know. I should write him a note, but like I had a conversation once with a running researcher. Speaker 3 (39:28): And I was like, did you think about the fact that that lady was probably in continent? Like he had just done something at CSM and he goes, that would never have crossed my mind. And I, and he wasn't like a poopoo that couldn't possibly be a variable. He was like, it looks like you need to start doing some research. And it was, it was literally like the last nail in the coffin of me, like meeting that, like I knew I wanted to go that direction, but it was one of those, you know, those really landmarking conversations that just sort of are like, w wait, wait, wait, wait, wait, I'm point. Knowing what I'm doing, like cooking you in the right direction. Yeah. It's to say, you know, this is you, you understand it. And I think that's, you know, again, you know, we talked a little bit about clinical utility and research, like trying to ask the questions that women need to ask, you know, so we need for your eight month pregnant lady, we got to get better information to her and to people that can care for her in her local community. Speaker 2 (40:25): Yeah. And, and again, you know, we talked a little bit about this before we went on, but, you know, asking the right questions, asking questions, asking simple questions. Because as, as we've spoken about the research for even simple, for simple questions is not there. So before we went on, Julie was saying, you know, we don't know what the pelvic does when we go to sit to stand, what is it doing when we're walking? We don't, we don't know what's happening in the pelvis and the pelvic floor and, and, and articulations above and below. So how are we supposed to know with certainty what's happened when you're running or when you have impact or jumping? So I think these, like you said, these smaller questions need to be looked at and researched, and then hopefully that body of work can build up to something much more clinically. Speaker 3 (41:15): Yeah. We need to sort of, we need to build in the basics and, and, and, and we're working like there are teams working on that, like we have, and we're using computer modeling as a way that this is starting to get there because we can't the issue. And also, I really want to make something super clear before we get moving. This direction is one of the things that I'm trying to be really careful about is not just talking about the pelvic floor, but to talk about pelvic health, because the pelvic floor is not the only gatekeeper that creates pelvic health. And it is a component of multiple body systems. And we need to understand that those systems affect the way the pelvic floor acts and behaves and the pelvic floor itself, you know, needs to be, have attention directed at it. But B because when we talk about just pelvic floor, I think it isolated away from relevance to other areas of care. Speaker 3 (42:05): So I just want to be clear on that. So but we don't know what its behavior is. Cause we can't see it. We can't put a, you know, it's just, we are, but we're starting to get new ways to be able to understand it better through a technology advances. So we're getting there, right? Like, so that's been a barrier to understand this better in in the dynamic, in dynamic activity. And we are seeing computer modeling as an option to help us start to understand this a little bit better, but that modeling is usually done on like an N of one. One of my favorite studies is a computer modeling study, but it's with something, I can't remember the title now off the top of my head, but it was something like, you know computer modeling of pelvic, the pelvic floor during an impact activity and an athletic female or something like that, or for female athletes. Speaker 3 (42:52): But then it literally says in the methods section that the woman they chose wasn't athletic and I'm like, well, crap. Okay. But I mean, it gives us, it gives us new insight. We'll take it. But I would really like to see it on someone who is an athlete, because, you know, we want to understand all of those variables anyways. So, you know, we're just trying to get there, but we haven't always, we can't visualize the pelvic floor in when we're watching a runner, but we can watch it's relationships. We know it's related to the glutes. We know it's related to the pelvis and the low back and the abdomen and diaphragm, we can watch all those other relationships. And we're really good at that in ortho, in sports medicine. So there's all of these interrelationships that we can watch and understand that a little bit better and differently, but you know, there's elements of what's going on there today. I am grateful to our pelvic health community for their capacity to treat directly. Speaker 2 (43:49): Yeah, yeah, absolutely. And now, before we start to wrap things up what I'd like to ask you is for, let's say the clinicians that are listening to us right now what, what is your best advice to those clinicians who are working with, let's say female runners who are postpartum at any point postpartum, whether it be six weeks, six months, six years, what have you, Speaker 3 (44:22): Oh let's see. That's kind of a loaded question, but I think it would be to learn to ask questions like that would be my best advice, like, and ask questions that make you a little uncomfortable. You will get more comfortable with it. And understand that what you're trying to do is open a door of communication. Like create a conversation around this with your athletes. Here's what we know, which is not much, but my understanding is after you've had a baby or two, it affects your running form and you can hang on to those changes six weeks, six months, six years, whatever, wherever they are, unless we actually look at them. So I'm wondering how that as part of your medical history is affecting what you're doing, but along with that often comes problems with how you're activating your abdomen. Or you might have a public health consideration like leaking when you're running or painful sex constipation. Speaker 3 (45:24): Like there's other problems that women have that are under the public health realm. You know, and so so I'm going to ask you, so have them in your intake form, have them, you know, are you comfortable having a conversation with me about that part of your life and your experience? Cause I'm wondering how it might be affecting what we're seeing here. We understand that there's an interrelationship with learning. The research is limited, but, and if you're not comfortable talking to me, understand that, you know, it is something that I think might be a variable. And so I'm going to actually at least try to incorporate your pelvic floor and your diaphragm and some of those interrelationships into our programming. But I also have someone down the street that you can talk to a few, be more comfortable. I just want to open that door, like open the door to a conversation. Speaker 3 (46:07): Like if that, if nothing else, if they aren't comfortable, you also should be skilling up to understand these components. How do you, what should, what do you see in a typical postpartum runner start looking for navels, start looking, going to central park, whatever it is, start to pay attention to these other variables and serve to give fit, give it new. Meaning like I, cause I read a lot of running research and athletics like sports medicine research and the meaning that it's attributed that is attributed to it is often based on what we've understood in men or like a strength based model. Like, well, they're just there post your chain. Isn't strong enough. Well, my question is why, why would every freaking females post your chain the off? Let's put that. Let's start thinking about that. That's the kind of questions I want to ask. Like the why we're seeing that as our common, it's not just structure, it can't just be structured because women aren't all structured the same P S all women do not run it into your tilt. Speaker 3 (47:08): Like they don't, what do you mean? Come on. Nobody does the same thing. All of us. Like it can't be. So it's like with what we've put this meaning on it and if you're postpartum or you're pregnant, you're you have an anterior tilt. Well, we have to have research has shown us. That's not true. So it's like, and then I don't know how you can overstride and inter tilt at the same time. Like, we need to really think about that because, but we've always, that's sort of the lens. And so everything gets filtered through it to the point that we exclude, like other, like, instead of thinking, Oh, well, this can't be the explanation. Let's ask other questions. It's this becomes the definition. Does that make, am I making sense? A hundred percent. Yeah. So it's like, how do we start say, okay, that's we didn't get to the bottom of it. Speaker 3 (47:57): What other questions can we be asking? And and, and to start to look at women, not just women, men too. So it's, it's like, how can we start to ask our questions a little bit differently? How can we start to and really it's to look for the, why's not, what is, why, why in the world are we finding this with all of our female athletes? Could it be the way that we've trained them to suck their stomachs in all the time, since they were 12 and 10, you know, like how could that possibly affect an entire generation of, of participants, right. Let's start looking at this, you know, so yeah. So I love her. Yeah. I mean, we brought up Eric Miura prior, so we'll throw him a little shout out here, but I wanna, I, I heard him speak at a conference. Speaker 3 (48:45): I don't even know time has no meaning now, but and one of the things he said was I, which I love was talking about with research. When you read the conclusion and research, is, is there any other explanation that could have come to that same conclusion based on what you're seeing in the light? And I thought that's so smart because sometimes I'm like, Oh, yay. My biases, my biases, whatever affirmed. And, but I, but so he was referring to that related to the research, but I think one of the things that I keep trying to think through for myself, and I think would be a really wise way for all of us as clinicians to think about it is what are other reasons why they responded to my treatment? What are other reasons that they could be experiencing this problem that has nothing to do with what I've always understood? Speaker 3 (49:28): You know what I mean? And I am sharing my bias. Like when I look at a female runner, I'm not like, Oh, that calf looks weak. I'm like, Oh, wow. Look at their central control system. Cause that's, you know, that's my lens. So I, you know, so I want to be open to understanding all of that other stuff, but I already, I already learned all that stuff. And this piece is something that isn't being considered by a lot of permissions. And so, yeah, so again, we need to start just broadening our lens and I think we're broadening it. I hope to look at females as not just little men and the problem we have wider pelvises, estrogen, and Q angles. Like there's other things happening for us that, that are not explained by those things. You know what I mean? Speaker 2 (50:13): Absolutely. Yeah. Thank you. This was awesome. Now, where can people find more information about you, more information about your, you have a running a female running course, where can, yes. Where can, where can we find all of that? Speaker 3 (50:32): I am at Julie PT and I have discovered that you can misspell my name and still find me. So it's J U L I E w I E B E P t.com. And I have, I do have an online course that was recorded from alive lives online opportunity. So it does have that flair that feel, but it also has the questions, which I love. And, but I also have lots of free resources in terms of blogs, videos. I do a lot of podcasts and have a newsletter to let you know about when opportunities are coming up. Like this one and what's coming up for us this next week to be a part of the round table. But but yeah, and I'm on all the socials Speaker 2 (51:19): You're everywhere. Thank you so much. You're all over the place in a good way. Not in a bad way, in a good way. So thanks so much before we sign off, I'll ask you the same question I ask everyone, and I probably asked you at twice or three times already, but we'll ask again, you can keep giving the same answer I want growing and learning. So that's true, but that's true. Yeah. So what advice would you give to your younger self? You know, what I'm going to share? Speaker 3 (51:49): It's funny. I was just thinking about this before we got on, but, and this is something that I've learned during the pandemic and and it's from Aaron Nyquist just, but he was referring to the spiritual, but I'm going to relate it to our walkthrough. Learning is instead of thinking of learning as this linear thing that I learned this, and now I know this, so that's stupid. I learned I'm making it on my hand. No one can see me. I forgot it was on a podcast, but instead of it being linear, which is so much of what ends up happening in our rural this dichotomy, Oh, well, biomechanics is stupid pain. Science is everything like, instead of it becoming linear in our thoughts is to think include and transcend. And instead of it being a linear line that it'd be concentric circles. And I was like, Oh my gosh, if I could be a learner like that, always if I had started my thought processes that way, like, wow, that would have been important for me as a person growing, but as a clinician growing to like that, instead of it becoming these battles that we get between these dichotomous, like VMO and like Karen, you remember BIMA, well, remember BMO, but instead of these like dichotomous thought processes, let's see, what can we continue to include? Speaker 3 (53:05): And then how do we transcend it doesn't mean that what we used to think was horrible and versus stupid. It's like, how do we keep building on that in concentric circles versus this linear thought process? So, yeah, so that was, that was just on my mind today. Speaker 2 (53:19): What wonderful advice it's like, it's like a reverse, it's like a reverse funnel. Yeah. Yeah. It just keeps getting brought. Our perspectives should broaden our questions should really never be answered. Like we should never get to the end of that. Do you know what I mean? And I just, I, anyway, it was a really just as so much has changed and, and it's been a really challenging year for all of us. I thought it was a, and we're headed back to a new transcendent, normal that I hope will bring a lot of changes for all of us. You know, I just, it was, I, I think it's a really important perspective as clinicians to, so I thank you so much for sharing that and thank you for spending the time today and tomorrow. I know, and tomorrow is our round table with you and Ellie and Chris and, and Tom. Speaker 2 (54:08): And I was saying like, gosh, to have the four of you on like one stage is like, Holy crap. I can't even believe it. So thank you for that. And so everyone you can find out how to join us all by going to podcast dot healthy, wealthy, smart.com. I mentioned it in the beginning, in the intro as well. So Julie, thank you so much. I appreciate you and appreciate your, your knowledge and your insight. Well, thanks so much for having me again, Karen. I appreciate it. And everyone, thanks so much for listening. Have a great week and stay healthy, wealthy and stuff. Speaker 1 (54:38): Mark, thank you for listening. And please subscribe to the podcast at podcast dot healthy, wealthy, smart.com. And don't forget to follow us on social media.

Dr. Kimberly Durant (e-mail) of Leadbetter Rehab is interviewed by Becca Catlin regarding a presentation she gave at the 2020 Virtual AAOMPT Conference titled, “Bridging the Gap Between Pelvic Health and Orthopedic Physical Therapy.” Please note that the rehabilitation professions mentioned by Dr. Durant during the interview are Susan Clinton, Julie Wiebe, and Sarah Haag. This episode contains information that will be interesting for practitioners who want to learn more about how a non-pelvic certified orthopaedic physical therapist can begin to consider pelvic health during their clinical practice.Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=enPodcast e-mail: aaomptpodcast@gmail.comPodcast website: https://aaomptpodcast.simplecast.fm

Julie Wiebe, PT, DPT has over 24 years of experience in both Sports Medicine and Pelvic Health. Her passion is to return women to fitness and sport after injury and pregnancy and equip pros to do the same. This passion led her to pioneer an integrative approach to promote women’s health in and through fitness. A published author, Julie is a sought-after speaker to share her evidence-based, integrative approach internationally at clinics, academic institutions, conferences, and professional organizations and remotely through lectures and online coursework. Julie maintains a clinical practice in Los Angeles. She promotes innovative solutions and educated hope for women through her blog, videos, social media, live and online courses.  When not trying to change the world one pelvic floor at a time, Julie is happy to focus on her first passions: being mom to the Z’s (Zoe and Zack), and wife to David. To learn more about Julie's work click here. - To learn more about the Mindful Strength Membership click here

“If a woman can understand how she feels on different days her cycle, then she can start dialing and being more personalized with her training. When the hormones are low, this is where women have more power, more speed, recover better, have more “mojo” because they have less central nervous system fatigue. Around ovulation, with that boost of estrogen, some women feel bulletproof and other women feel a little bit flat, and then a couple days later they'll feel bulletproof, so, understanding that as well. And then when you get into the high hormone phase, with estrogen and progesterone being the highest, this is where we want women to deload more, where they're working functional technique and they're not doing too much high intensity, they're not trying to do top-end VO2 work because physiologically you're fighting your body because there's so many different metabolic and thermoregulatory and metabolic shifts that happen with the hormones. It's really hard to do that high, high intensity in the high hormone phase.” - Dr. Stacy Sims In the words of Stacy Sims, Ph.D, women are not small men.  Dr. Sims is an applied researcher, innovator, and entrepreneur in human performance, specifically sex differences in training, nutrition, and environmental conditions.   She is dedicated to educating women so that they can use their natural cycle to their advantage and train with their physiology, not against it. Dr. Sims earned her Ph.D. in Environmental Exercise Physiology and Sports Nutrition from the University of Otago in New Zealand.  From there, she began work as an exercise physiologist and nutrition scientist at Stanford University, where she specialized women's health and performance. During her tenure at Stanford, she had the opportunity to translate earlier research into a science-based layperson's book, ROAR: How to Match Your Food and Fitness to Your Unique Female Physiology for Optimum Performance, Great Health, and a Strong, Lean Body for Life.   In the book, she provides insights into how women can adapt their nutrition, hydration, and training to optimize their performance across the lifespan. Dr. Sims's contributions to the international research environment and the sports nutrition industry have established a new niche in sports nutrition and established her reputation as an expert in sex differences in training, nutrition, and health. She is a regularly featured speaker at professional and academic conferences, including those hosted by US Olympic Committee, High-Performance Sport NZ, and USA Cycling, and is a Senior Research Associate at AUT University. I was first introduced to Dr. Sims's work by Dr. Matt Dawson and today's co-host, Dr. Mike Mallin of Wild Health, and since then, it's seems like I've heard her name everywhere!  So many Pursuing Health listeners have suggested an episode with Dr. Sims, so I was excited to have a chance to chat with her to learn more about her work.  We discuss the general differences between male and female physiology, how women can tailor their nutrition, fitness, and hydration to optimize their performance at different times in their cycle, and considerations for peri- and post-menopausal as well as pre- and post-partum athletes. *Dr. Sim's bio adapted from her website     In this episode we discuss: Dr. Sims's background and how she became interested in women's health and performance The general physiological differences between men and women and the female hormone phases Ways women can adapt their training around their cycle Methods Dr. Sims's likes for tracking the female cycle How macronutrient consumption should be adjusted for different times in the cycle How hormones can affect thirst, and considerations for hydration The importance of adjusting training intensity at different times during the cycle Tips to help female CrossFit athletes optimize their training Changes women experience during peri- and post-menopause and exercise changes that should be considered Pregnancy and post-partum training and nutrition considerations for athletes Why fasting is not ideal for female athletes Lessons Dr. Sims would share with her younger self     You can connect with Dr. Sims on her website, Instagram, and Facebook. Links: Women are Not Small Men: a paradigm shift in the science of nutrition | Stacy Sims | TEDxTauranga Research publications by Dr. Sims Wild.ai FitrWoman Clue Flo Related episodes: Ep 83 - Pelvic Floor Health for Athletes with Julie Wiebe, PT Ep 126b - Nicole Christensen on Coaching Pregnant Athletes Ep 155 - FACTS about Fertility with Dr. Marguerite Duane Ep 172 - Optimal Health through Genomics Based Personalized Medicine   If you like this episode, please subscribe to Pursuing Health on iTunes and give it a rating. I'd love to hear your feedback in the comments below and on social media using the hashtag #PursuingHealth. I look forward to bringing you future episodes with inspiring individuals and ideas about health every Tuesday. Disclaimer: This podcast is for general information only, and does not provide medical advice. We recommend that you seek assistance from your personal physician for any health conditions or concerns.

In today's episode, Stuart welcomes Lisa Gimenez Codd. Lisa was one of the first ever guests on the show back in 2017. She's someone that many of the LTB community continue to turn to for advice when working with the female client. In this episode, we discuss parenthood and why they both find it extremely difficult, some misconceptions around pregnancy and the prenatal stage, when to start making changes with a pregnant client, postnatal considerations, getting the pre baby body back and more. If you work with clients who are pregnant or have had kids, you'll pick up a lot in this episode.      Timestamps: [02.21] - How Lisa's lockdown experience has been? [05.54] - What does it mean to her to be a parent? [15.41] - Have we grown as an industry with pre/postnatal since we last spoke in 2017? [22.10] - Misconceptions around prenatal. [24.40] - How to have the conversation around 'eating for two' when a client is pregnant? [26.50] - Considerations and questions a trainer should have when a client says they are pregnant? [29.00] - When should we start to make changes around our programming & nutrition advice? [36.01] - Miscarriage and how to help your client. [41.55] - How long does it take before a postnatal client is ready to return? [46.10] - Postnatal considerations. [50.15] - Why breastfeeding may not be as easy as you think for your client. [53.30] - Getting the pre baby body back... [58.50] - The pelvic floor and pregnancies impact on it [60.10] - The menopause.     Find Out More About Lisa: Instagram & Facebook: @myoptimumhealth Website: https://www.optimum-health.me.uk/  Anthony Lo: https://physiodetective.com/courses/female-athlete-tfa-2/  Julie Wiebe (core health, diastasis recti): https://www.juliewiebept.com/?s=diastasis+recti  Umi Health pre&postnatal: https://www.umi-health.com  Returning to running guidelines: https://www.absolute.physio/wp-content/uploads/2019/09/returning-to-running-postnatal-guidelines.pdf      Find Out More About LTB: Website Instagram Facebook

If you have diastasis recti or any other condition associated with giving birth (ahem - incontinence), do NOT miss this episode! Dr. Julie Wiebe is a PT with her doctorate in physical therapy, and she has a wealth of knowledge in sports medicine, but also with a specialty and passion for pelvic health. In this episode, we discuss all things diastasis recti and how Julie helps her patients (myself included) return to fitness and get back to healthy function. Julie is a beacon of hope and a breath of fresh air when it comes to this subject. Even if you are many years postpartum, what she has to say can help. But don't take my word for it: have a listen!For full show notes, visit www.themomfeed.comLike this episode? There are a few ways to show your love! First, please subscribe to The Mom Feed so you never miss an episode. Second, screenshot this episode, tag me on Instagram (@The_mom_feed), and third, leave a review! Every month I pick a lucky winner to win a special gift as a token of my gratitude for leaving a review.If you want to get more involved and dive deeper into these and other topics about becoming a mother, be sure to join our private Facebook Group, The Mom Feed Podcast. There is where our community really comes to life, and the support system you need awaits.Enjoy!

“When women learn to chart these observable external signs or symptoms that help them understand what's happening internally with their hormones, it is so empowering, and we really should be about empowering our patients with this information. I mean, that's why we encourage our patients to track with they're their eating, or patients with diabetes to monitor their blood sugar so that they can use that information to to make healthier choices to better improve their overall health and well-being.  Fertility awareness based methods are such an incredibly effective tool to educate and empower women, and honestly, engage men back in the conversation of family planning.” - Dr. Marguerite Duane   Dr. Marguerite Duane is a board-certified family physician and co-founder and Executive Director of FACTS, the Fertility Appreciation Collaborative to Teach the Science.  She serves as an Adjunct Associate Professor at Georgetown University, where she directs an introductory course on natural or fertility awareness based methods of family planning. She is a practicing direct primary care physician and she has served on the board of the American Academy of Family Physicians (AAFP) and the Family Medicine Education Consortium (FMEC). After receiving a Bachelor of Science with Honors and a Master of Health Administration from Cornell University, she earned her medical degree from the State University of New York at Stony Brook and completed her family medicine residency at Lancaster General Hospital. During her residency, she was surprised to hear her senior resident explain to a postpartum patient that there is a way women can learn to manage their fertility without any medical side effects, such as those that occur from hormonal birth control.  She wondered how it was possible this topic hadn't been covered in her medical training. This insight planted the seed that changed the trajectory of her career. Dr. Duane began to focus on learning more about these methods, for her own personal health as well as that of her patients.  She went on to complete training in the Creighton Model of natural family planning and has since made it her passion to educate other healthcare providers and patients. After recently completing the FACTS course for medical students and residents myself, I was excited to have the opportunity to chat more with Dr. Duane about the basics of the female cycle, the efficacy of natural family planning, and the science behind fertility awareness based methods. *Dr. Duane's bio adapted from the FACTS website.   In this episode we discuss: How Dr. Duane became interested in fertility awareness based methods How FACTS came to be The need to educate doctors about FABMs The benefits of being in tune with your cycle The efficacy of this method and the best way to get started The basics of the female cycle, and what women can observe throughout their cycle How following your cycle can give insights to your health How FABMs can help explain underlying reasons for infertility Where to look for a practitioner and how to get started Factors to consider when choosing the right method for yourself Preferred apps and what to look for when selecting an app to use The value of using FABMs to help with underlying medical conditions Dr. Duane's experience with Teen STAR and the benefits of learning these methods from an early age Three things that Dr. Duane does on a regular basis that have the biggest positive impact on her health One thing she struggles to implement that could have a big impact on her health What a healthy life looks like to Dr. Duane You can follow the Fertility Awareness Collaborative to Teach the Science (FACTS) on Instagram,  Facebook and Twitter. Links: Natural family planning: physicians' knowledge, attitudes, and practice Women's interest in natural family planning Survey of attitudes regarding natural family planning in an urban Hispanic population The Female Cycle as the 5th Vital Sign Webinar Billings Ovulation Method Sympto-Thermal Method Standard Days Method Marquette Model What is charting? The Performance of Fertility Awareness-based Method Apps Marketed to Avoid Pregnancy The Natural Cycles app The Dot app Phendo app for endometriosis FEMM Health app Cycle Pro Go app Chart Neo Fertility app Kindara app Related episodes: Ep 83 - Pelvic Floor Health for Athletes with Julie Wiebe, PT Ep 126b - Nicole Christensen on Coaching Pregnant Athletes If you like this episode, please subscribe to Pursuing Health on iTunes and give it a rating. I'd love to hear your feedback in the comments below and on social media using the hashtag #PursuingHealth. I look forward to bringing you future episodes with inspiring individuals and ideas about health every other Tuesday.   Disclaimer: This podcast is for general information only, and does not provide medical advice. We recommend that you seek assistance from your personal physician for any health conditions or concerns.   This post was originally published on August 3, 2020.

“Being a professional athlete, it's a really selfish lifestyle that you need to lead. You're number 1, 2, and 3.  You think about yourself -  it's your life.  Like Cami said, it's that extra percent that you put in that people don't see.  It's the sleeping during the night, the recovery in the evening, the food that you eat, the meal prepping, the training. It is everything, it's the whole package.  So, all of a sudden - my body is my work tool and all of a sudden it's not mine anymore.  I'm sharing this with someone else, and my body isn't going to come first anymore.  She's going to come first, no matter what, and I'm grateful for that, but it's definitely something that you… It's weird.  It's a weird feeling.  It's an incredible feeling, but it's also really, really strange.” - Annie Thorisdottir   Known as “Iceland Annie,” Annie Thorisdottir is a two-time Fittest Woman on Earth (2011-2012) and ten-time CrossFit Games veteran. With a background of gymnastics, pole vaulting, and boot camp, Annie made her Games debut in 2009 at 19 years old.  Since then, Annie has been a staple in our sport and she is known to train hard and always compete with a smile. After placing second in the world in the 2020 CrossFit Open, Annie declined her invitation to the 2020 CrossFit Games as she prepares for her next big event: she and her long-time partner, Fred Aegidius, are expecting their first child in August of 2020. Camille Leblanc-Bazinet began her Crossfit Games journey in 2010, and she has competed every year since, ultimately earning the title of “Fittest Woman on Earth” in 2014.  In 2019 she made the transition from individual athlete to team competitor and took home silver as a member of Team CrossFit Krypton.  A former gymnast and Level 1 Seminar staff member, Camille has also been a member of the Canadian National Olympic weightlifting team and holds a chemical engineering degree.  She and her husband, Dave Lipson, recently announced that they are expecting their first child in September of 2020. Annie, Camille and I recently caught up for a long overdue chat.  We compared notes on how their pregnancies are progressing, talked about how their training routines have changed, and discussed how their experiences as competitive athletes are helping prepare them for motherhood.  And, of course, we shared lots of laughs along the way!     In this episode we discuss: Camille's intention to retire from competition, and Annie's desire to compete again Camille's pregnancy experience vs. Annie's pregnancy experience so far How they shared the news with their partners How Camille and Annie's training has changed  since becoming pregnant How every woman's pregnancy is different and the importance of listening to your body Lessons Annie & Camille have applied from their competition days to support their pregnancies What it's been like to experience pregnancy alongside their exceptionally fit and supportive partners The lessons they hope to instill in their children     You can follow Annie on Instagram, Facebook, Twitter, and YouTube. You can follow Camille on Instagram, Facebook, Twitter, and YouTube. Links: I'm PREGNANT - 10 Weeks In, Annie Thorisdottir Camille's announcement to Dave Féroce Fitness Renaissance Periodization Dottir Project Related episodes: Ep 14 - Camille Leblanc-Bazinet on Moving Forward, Engineering, and Body Image Ep 57 - Annie Thorisdottir and Fred Aegidius on Team Work and Individual Performance Ep 81 - Postpartum Training and the Road Back to the CrossFit Games with Lindsey Valenzuela Ep 82 - Training during Pregnancy and Healing Diastsis Recti with Lisa Ryan Ep 83 - Pelvic Floor Health for Athletes with Julie Wiebe, PT Ep 110 - Kara Saunders on CrossFit and Expecting Baby She-Bear If you like this episode, please subscribe to Pursuing Health on iTunes and give it a rating. I'd love to hear your feedback in the comments below and on social media using the hashtag #PursuingHealth. I look forward to bringing you future episodes with inspiring individuals and ideas about health every other Tuesday. Disclaimer: This podcast is for general information only, and does not provide medical advice. We recommend that you seek assistance from your personal physician for any health conditions or concerns.   This post was originally published on April 27, 2020.

Women who experience incontinence know, it’s a bummer—and it feels shameful. Sports medicine physical therapist Julie Wiebe wants to change that. She is one of the world’s foremost experts and advocates for women’s pelvic health—particularly how it relates to sports. In this episode, Julie shares innovative ways of preventing leakage and her evidence-based, integrative approach to treating patients. The LA-based PT believes that whether you’ve had multiple pregnancies, hit middle age or enjoy a strenuous work-out, incontinence does not have to be simply accepted. From proper breathing to analyzing what else is going on with the body, Julie shares the state-of-the-art ways she is treating her patients, mostly “busy moms,” and dispels some of the myths surrounding incontinence. For more in Julie and her Los Angeles area practice, go here. To find a professional in your area, go here.

Practice Bulletin #155 - Published November 2015 (Reaffirmed 2018) Special guest: Ryan Stewart, DO (his 2nd appearance!) Ryan's four pearls: 1. Urinary incontinence is extremely common, but it's not normal. Screening for incontinence is vital for all physicians with female patients. 2. A correct incontinence diagnosis is of utmost importance. Treatment will only work if you know what you're treating. 3. Minimum evaluation for a woman presenting with incontinence: history, urinalysis/= (and maybe culture), physical exam, demonstration of stress incontinence, evaluation of urethral mobility, and post-void residual. 4. Behavioral therapy and pelvic floor exercises improve symptoms of incontinence and may be recommended as first line therapy Shout-outs: - Julie Wiebe, PT on Twitter (and Instagram) - Julie's interview in Ep 35 "Hope for the Pelvic Floor" - Lori Forner, PT on Twitter (and Instagram) - Patagonia makes quality sh*t SHOW NOTES This episode pairs nicely with the 2017 Pinot Noir by Meiomi Wines. Main theme music by my main amigo, Evan Handyside

SPECIAL EPISODE - Interview w/ Julie Wiebe, PT (website, Instagram, and Twitter) Six pearls: Low back pain, incontinence, and painful sex aren’t inevitable after pregnancy, we have new tools to help. Kegels are not the beginning and end of what we can offer patients. Our new tools include a growing understanding that the pelvic floor doesn’t act alone to maintain continence. The pelvic floor is part of the team of muscles that provide “core” stability”, that same system of muscles helps maintain continence. Intra-abdominal pressure management strategies are critical for preventing pelvic health considerations, and need to be addressed in pregnancy recovery and return to fitness programs. Returning to activity and fitness postpartum women need more parameters than “listen to your body”, they need to know what to listen for (pain or leaking are both signals that they need to modify a movement or allow for more recovery). A place to partner between doctors/midwives and rehab/fitness is to help us get baselines in order to help women have more realistic expectations of what recovery looks like (ex: get a diastasis measurement early in pregnancy or pre-pregnancy). Shout-outs: - Chante Perryman, doula and birth educator - Cassie Cunningham, doula, birth educator, and birth photographer - Rebecca Dekker, PhD, and her website EvidenceBasedBirth.com (and buy her book!) - Gail Tully and her program Spinning Babies - Nicole Morales, midwife in San Diego and The Art of Opening SHOW NOTES This episode pairs nicely with the 2017 Serie A Malbec from Zaccardi Wines. Main theme music by my main amigo, Evan Handyside

Practice Bulletin #214 - Published November 2019 Special guest: Ryan Stewart, DO (a real life expert in Female Pelvic Medicine and Reconstructive Surgery) We'll cover: - risk factors for POP - diagnosis and classification of POP - conservative management options - pessaries - evaluation for occult stress urinary incontinence before surgical management - the variety of surgeries - the mesh controversy - Nathan and Ryan spend far too long moaning about docusate sodium -...and more! Shout-outs: - Ryan Stewart, DO on Twitter - H Clark Distillery (Tennessee Bourbon) - Things We Do For No Reason: colace blog post - Daring Greatly, by Brene Brown - Brene Brown's Netflix special - Julie Wiebe, pelvic PT SHOW NOTES This episode pairs nicely with the 2017 Russian River Valley from Siduri Winery. Main theme music by my main amigo, Evan Handyside

I have written about this before, finding out what your "normal" is and by doing that, you need to have an understanding of what your baseline is? No idea what that is...check out this episode on how you can establish your own baseline and then listen to another wonderful PT, Julie Wiebe, who discusses the importance of establishing your baseline and how doing this now can have an impact on the next generation of mothers. This can apply to all aspects of your life, nutritionally, mentally, emotionally, but hear I discuss it in the context of pelvic floor/women's health. I am hoping by doing this, we can turn the tide of misinformation, lack of advocacy, body literacy and even guidance as we navigate motherhood. https://www.juliewiebept.com/lets-future-build-for-the-next-generation-of-moms/ --- Support this podcast: https://anchor.fm/themasterfulartofselfcare/support

The Connected Yoga Teacher Podcast Ep 134: Pelvic Health for Pregnancy & Beyond with Julie Wiebe   Description: What is the recovery time after birth for prenatal yoga students? What are some things to consider in the recovery of postnatal students looking to get back to full strength and fitness? There are a lot of myths around pelvic and abdominal health during pregnancy and postpartum, which Julie Wiebe busts through on this episode. Julie Wiebe is a Physical Therapist (PT) with over twenty years of clinical experience in both Sports Medicine and Women's Health. She is also an educator and women's health advocate working to create awareness of pregnancy recovery, postpartum and pelvic and abdominal health issues in fitness. Pregnancy and birth is a period during which the body changes and adapts to accommodate the growing baby, and post-birth, there is a period of rehabilitation that is necessary for the body to return to its regular function. Julie shares some of the misconceptions around post-birth recovery, hyperlordosis, urinary incontinence, Kegels and much more. She also highlights some breath techniques and poses yoga teachers can use to help their students regulate intra-abdominal pressure, and the importance of teaching from a place of educated hope instead of educated fear.This episode is meant for any yoga practitioner or teacher who has been pregnant, who plans to be pregnant, or who really wants to help the pregnant and postnatal yoga student - Julie's insights on this topic are really eye-opening! Key Takeaways: [7:45] Shannon introduces her guest for this episode - Julie Wiebe. [9:07] What does Julie do and who does she do it for? [10:21] Why is there a rehabilitation period after pregnancy and giving birth? [12:43] Julie recommends for people to come to her prenatally and postnatally. [15:10] Julie shares some statistics around how paid maternity leave affects infant and parental health. [19:16] What are some things that Julie would want prenatal yoga teachers and students to know about the changes in the body? [21:59] How can we teach people to breathe optimally? [27:01] What pose does Julie recommend to get into the closure of the rib cage? [29:45] During pregnancy, there is a lot more weight on the front of the body. How does that affect alignment, and the lumbar curve? Julie busts some myths around anterior pelvic tilt in pregnancy. [34:16] Where does Julie start to help people find alignment? [37:24] What does it mean to strengthen the diaphragm? [41:09] Julie and Shannon discuss the condition of incontinence, specifically leaking urine. [45:20] Kegels is not always the answer! Julie addresses this myth that Kegels is always a good exercise after birth. [48:45] What else can yoga teachers be doing to help their students in terms of movement, breath or information? [53:28] Why is it important to be having conversations around pelvic health, pregnancy and postpartum rehabilitation and recovery? [58:36] Get in touch with Julie and check out the wealth of resources, articles and videos she has available on her website. [59:40] Shannon shares some of her key takeaways.   Links: Julie Wiebe The Connected Yoga Teacher Podcast Episode 121: Yoga for Pelvic Health with Shannon Crow The Connected Yoga Teacher Podcast Episode 129: Pelvic Floor 101 with Marie-Josée Forget  The Connected Yoga Teacher Podcast Episode 133: Yoga for Painful Sex with Casie Danenhauer paper for her doctorate re: maternity leave and study with 50% reduction / 75% reduction? Study about less depression with maternity leave[00:17:03]  The Connected Yoga Teacher Podcast Episode 007: Breath and Pelvic Health with Trista Zinn MamaNurture Prenatal Yoga Teacher Training with Shannon Crow (Meaford, ON) MamaNurture Prenatal Yoga Teacher Training with Rena Wren (Arkansas)   Gratitude to our Sponsor Schedulicity and Mama Nurture   Quotes from this episode:   "There are changes that come because of the pregnancy...what my job is, is to help you rebalance those changes and get you back to function and fitness without any limitations."   "What would we see down the line with pelvic health knowing that women had an opportunity just to recover?"   "If I could do anything for anyone, if I could do one thing, it would be to optimize their breathing."   "Form or alignment, for me, has a lot to do with access to muscles."   "We need to start looking at individuals and understand their needs, and that's tricky."

Episode 28: Female Athletes and Pelvic Health with Orthopedic and Sports Medicine Physical Therapist Julie Wiebe by PT Below The Waist

Jamille and Jessica interview orthopedic sports medicine physical Therapist Julie Wiebe. They discuss female athletes that are experiencing pelvic health conditions such as diastasis recti, prolapse, and incontinence and how they can safely return to exercise. Julie Wiebe debunks myths about exercise and activity limitations they must follow and promotes fitness and empowerment instead.

Lecturer, researcher and physiotherapy clinician, Dr. Monika Leitner, discusses her research on pelvic floor muscle activity and pelvic floor kinematics in continent and incontinent women during running. Julie Wiebe, who has been on the podcast before, was meant to join us but I gave her the wrong date and time (face palm)! Monika Leitner, PT, is a lecturer, researcher and clinician. She graduated in physiotherapy in 1989 at the University Hospital Graz (Austria). Since then she has been working in Switzerland at medical centers, hospitals and in own physiotherapy clinic. She completed a Master in Advanced Studies in Health and Fitness and a Master of Science in Sports physiotherapy. She works as a lecturer in the bachelor physiotherapy program at the Bern University of Applied Sciences. She has finished her PhD on the pelvic floor at the Graduate School of Health Sciences of the Bern University. Her research work focusses on the dynamic function of the pelvic floor muscles, and she is devoted to contributing to women's health, particularly to the topic of physical activity and urinary continence. In her clinical work she is focusing on pelvic floor rehabilitation and musculoskeletal physiotherapy. Links: https://www.bfh.ch/de/ueber-die-bfh/personen/hj5uaeyu6dtt/ https://www.researchgate.net/profile/Monika_Leitner

Discussing the pelvic floor should be no different than discussing the knee, and a literature review of how athletics affects the pelvic floor should turn up more than a few low quality studies that all say: More research is needed. Join me for this week’s episode with physical therapist, Julie Wiebe, as she discusses not […] The post MOTM #110 – #EducatedHope and Making the Pelvic Floor Less Taboo with Julie Wiebe appeared first on The Movement Maestro.

Physiotherapist Julie Wiebe and I have a very candid conversation about how impact activities like double unders (skipping) and running influence the pelvic floor and how we may use what research we have, as well as our clinical minds, to address these biomechanics on dysfunction like stress urinary incontinence.  If you would like to become a patron and support the podcast, head to Podbean.com or click the money-bag icon in the Podbean app. As a thank you, you get access to patron-only episodes and the one of latest ones discusses some more ideas surrounding double unders. Thanks for listening everyone! https://www.ncbi.nlm.nih.gov/pubmed/28675537 https://www.ncbi.nlm.nih.gov/pubmed/27794169 https://www.juliewiebept.com/about/  

Admit it, most of us weren't even aware of the significance of pelvic floor health either when we got pregnant or until after we had kids. And if you're like me, you didn't realize the importance of getting the pelvic floor checked out postpartum! To this day I have only been once! Julie Wiebe, a sought after physical therapist of over 20 years, and author, is going to tell us why incontinence, heaviness, leaking, pain and discomfort are NOT normal even though sometimes society has us believing that.   Go to https://www.soulmammas.com to read more on her story, show notes, take-aways and more! Also have you downloaded the new free pdf on 5 Self Care Tips for the New Year!? It's free! Go to the website & pick it up!  Come on over to the Facebook Group & hear happenings from our community and follow me on Instagram where you will also receive episode updates, photos & audio clips!

This is 1 episode with two very different conversations. First up is Duke Universities Kyle Covington talking about their innovative faculty residency program. Yes, going to school to become a professor in a PT program, it's a thing! Kyle talks about the why's and how's of the program giving prospective students an idea of what the program is like just in case they might want to apply. Next up is Julie Wiebe who talked about an interaction with @Crossfit on twitter. She was trying to build a bridge between the fitness organization and the PT profession. The interaction started when she reached out to let them know that "PeeRing" or Urine leakage while working out, shouldn't be celebrated. She wanted them to know it was an opportunity for a pelvic floor expert to help those who might leak with exercise.

When a woman gives birth, it seems like everyone wants to know how the baby is doing. What does it weigh? Is it breathing right? Did it cry? But it turns out that, in the United States, we're not doing to great at asking how the mom, who just pushed something the size of a pot roast out of something the size of a Cheerio, is doing. This week we talk to anthropologist Kate Clancy about her postpartum experience and how it is becoming distressingly common, and we speak with Julie Wiebe about prolapse, what it is and how it's...

"'If you just hold your tummy tight you’ll be fine’…we’ve communicated, stiff equals strong, but really that dynamic quality is more like function and fitness, we move and so that system needs to move too to mimic that” We speak with physical therapist Julie Wiebe about the role of breathing and the pelvic floor in the core system, and how this can be integrated into fitness. Julie also discusses common patterns she sees in assessments and how changing these patterns can improve someones function.  Visit JulieWiebePT for more info. 00:29 Can you introduce yourself? 01:53 What are your thoughts on pregnancy and exercise? 03:14 Can you explain the core system? 04:26 How does breathing and the pelvic floor work together? 05:57 Why do you call that piston science? 07:15 How can someone’s breathing pattern become altered? 09:40 What are some common breathing patterns you see? 11:09 Is belly breathing a good strategy to use? 12:52 When do you assess peoples breathing pattern? 15:20 How do you pick up a patients breathing pattern in an assessment? Do you tell them you’re looking at their breathing? 16:19 Do you think that someone’s posture has a big effect on breathing? 17:33 How do you get people back to sports/activities? 19:08 How long does it take people to change their breathing pattern without having to think about it? 21:09 How often do you get people to use these patterns to reinforce the strategy? 22:31 How do you help athletes going back to sports where they cannot use an optimal breathing strategy? 24:45 Are there good and bad ways of breath holding? 27:52 How do you know how someone is using their pelvic floor with sport specific movements? 29:38 Do cues for breath holding change if someone is wearing a weight lifting belt? 32:41 For non-pelvic health physios, when would you recommend they refer to a pelvic health physio? 35:07 How do you test core strength? 36:11 What are the basic movements you look at in a first assessment with someone? 36:49 What are your thoughts on knee valgus with single leg squat? 39:14 Is there any research that involves the pelvic floor and core/breathing system? 42:05 Where can people find out more about you?

In this episode, we explore the pelvic floor! We talk about the connection between self-worth, self-love, the pelvic floor and the root chakra. Lulu guides us through a breathing exercise to help us learn about the relationship between the pelvic floor and the diaphragm and she shares the best practices we can use to help us bring awareness to this area of our body for lifelong wellness!   Julie Wiebe http://www.juliewiebept.com/   Find Lulu: http://www.lulujayphysiotherapy.com/ Instagram: https://www.instagram.com/luluthephysio/ Facebook: https://www.facebook.com/LulujayPhysiotherapy/   Find Anna: http://annamarshnutrition.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Facebook: https://www.facebook.com/annamarshnutrition/   Find Ché: https://www.chedyer.com/ Instagram: https://www.instagram.com/indieyogalife/ Facebook: https://www.facebook.com/chedyeryoga/

LIVE from the Combined Sections Meeting in New Orleans, Louisiana, Shannon Sepulveda guest hosts and interviews Julie Wiebe on pelvic health and the female athlete. Julie Wiebe, PT has over 20 years of experience in both Sports Medicine and Pelvic Health. Her passion is to return women to fitness and sport after injury and pregnancy and equip pros to do the same. She advocates for the awareness of pelvic health issues in fitness and promotes innovative solutions for women through her blog, videos and social media. She shares her evidence-based, integrative approach internationally with both professionals and women through live and online educational programs. Find out more and connect with Julie at www.juliewiebept.com In this episode, we discuss: -How to support pelvic floor health for return to sport in the female athlete -Linking orthopedic and women’s health physical therapy -When to refer your athletes to a pelvic health physical therapist -Educating coaches on incontinence in the adolescent female athlete -And so much more!   Pelvic health is a component of an athlete’s sport performance as Julie encourages, “Start to think about the pelvic floor as more than just something we can strengthen, it’s something we can control and have it perform.”   The pelvic floor has an important role in the body’s proximal control and stability system. Julie stresses, “There is really no separation in the body, the pelvis and the pelvic floor are part of everything.”   Orthopedic physical therapists can include pelvic floor rehabilitation in their return to sport protocols as Julie reminds, “If we understand the pelvic floor and the pelvic floor complex as a muscle group, just treat it like any other muscle group and talk about it that way.”   For more information on Julie: Julie Wiebe, PT has over twenty years of clinical experience in both Sports Medicine and Women’s Health. Following her passion to revolutionize the way women recover from pregnancy and return to high levels of fitness, she has pioneered an integrative approach to promote women’s health in and through fitness. Her Diaphragm/Pelvic Floor Piston Science concepts have been successfully incorporated by rehab practitioners and fitness professionals into a variety of populations. Julie is a sought after speaker to provide continuing education courses and lectures internationally at clinics, academic institutions, professional organizations, state and national professional conferences. Julie maintains a cash-based clinical practice in Los Angeles and shares her approach to bridge the gap between rehab and fitness with pros and women worldwide through online courses and mentoring. A published author, she advocates for awareness of pelvic health in fitness on her blog and through social media (Twitter/FB/IG-JulieWiebePT) www.juliewiebept.com When not trying to change the world one pelvic floor at a time, Julie is happy to focus on her first passions: being mom to the Z’s (Zoe and Zack), and wife to David.   For more information on Shannon: Shannon Sepulveda, DPT, M.Ed., CSCS, WCS is the owner and Physical Therapist at Shannon Sepulveda, DPT, PLLC. She is an Orthopedic and Women's Health Physical Therapist and is currently the only Board-Certified Women's Health Physical Therapist (WCS) in Montana. Shannon received her undergraduate degree from Dartmouth College, Masters in Education from Harvard University (M.Ed.) and Doctorate of Physical Therapy (DPT) from the University of Montana. She is also a Certified Strength and Conditioning Specialist (CSCS). She has been a practicing Physical Therapist in Bozeman, Montana for over 6 years. In her free time, she enjoys running, biking, skiing, hunting and spending time with her husband, son and daughter.   Resources discussed on this show: Julie Wiebe Website Julie Wiebe Facebook Julie Wiebe Instagram Julie Wiebe Twitter Shannon Sepulveda Website Shannon Sepulveda Facebook   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen    

“So then, what I needed to understand, and as a former female athlete, and still… I love to be fit, I wanted to be fit postpartum. They wanted to continue in their fitness, so it became my mission to try … Continued The post Ep 83 – Pelvic Floor Health for Athletes with Julie Wiebe, PT appeared first on Julie Foucher | Reebok CrossFit Games Athlete.

We went live at the APTA Combined Sections Meeting in New Orleans Louisana.  We talked to Kyle Covington of Duke Physical Therapy and Julie Wiebe about her interactions with @Crossfit on twitter. Kyle Covington Dr. Covington is a neurologic physical therapist and 2004 graduate of the DPT program. He joined the faculty in 2007. After completing his Ph.D. in Educational Research and Policy Analysis at North Carolina State University, he now serves as the DPT program’s director of assessment and evaluation. Dr. Covington's experience as a neurologic PT is utilized in the classroom during our foundational examination and neurologic practice management coursework. Dr. Covington's research interests include professional curricular formation and assessment, collaborative student learning, and professional development of physical therapists. Kyle currently is serving as the CSM program I gotta committee chair for APTA’s Education Section, is a member of the APTA Special Committee to review House documents and is President of the North Carolina Physical Therapy Association We talked about -One of the founding program directors for Duke’s faculty development residency. This is the only accredited residency by ABPTRFE that devoted to helping young professionals interested in an academic career learn how to teach and be successful on a PT faculty!!  (And we’d love to promote it to a national audience) Julie Wiebe Julie Wiebe, PT has over twenty years of clinical experience in both Sports Medicine and Women’s Health. Following her passion to revolutionize the way women recover from pregnancy and return to high levels of fitness, she has pioneered an integrative approach to promote women’s health in and through fitness. Her Diaphragm/Pelvic Floor Piston Science concepts have been successfully incorporated by rehab practitioners and fitness professionals into a variety of populations. A published author, Julie is a sought after speaker to provide continuing education and lectures internationally at clinics, academic institutions, conferences and professional organizations. Julie maintains a clinical practice in Los Angeles and shares her approach for post pregnancy and pelvic health recovery and return to fitness with women worldwide through online courses. When not trying to change the world one pelvic floor at a time, Julie is happy to focus on her first passions: being a mom to the Z’s (Zoe and Zack), and wife to David. Follow it all on twitter @juliewiebept. Join the conversation with Julie on Facebook. Get your questions answered by Julie and find more content on You Tube. https://www.ptpintcast.com/2017/02/24/ep-167/ https://www.ptpintcast.com/2017/12/25/top-10-2018-aunt-marys-story/ https://www.ptpintcast.com/2017/11/22/254-sacred-heart-university-live-1-2/

When a woman gives birth, it seems like everyone wants to know how the baby is doing. What does it weigh? Is it breathing right? Did it cry? But it turns out that, in the United States, we're not doing to great at asking how the mom, who just pushed something the size of a pot roast out of something the size of a Cheerio, is doing. This week we talk to anthropologist Kate Clancy about her postpartum experience and how it is becoming distressingly common, and we speak with Julie Wiebe about prolapse, what it is and how it's...

On the first Healthy Wealthy and Smart LIVE on Facebook, I am joined by Julie Wiebe to discuss the pelvic floor and sports performance. Julie Wiebe, PT has over 20 years of experience in both Sports Medicine and Pelvic Health. Her passion is to return women to fitness and sport after injury and pregnancy and equip pros to do the same. She advocates for the awareness of pelvic health issues in fitness and promotes innovative solutions for women through her blog, videos and social media. She shares her evidence-based, integrative approach internationally with both professionals and women through live and online educational programs. Find out more and connect with Julie at www.juliewiebept.com or via social media twitter/FB/IG JulieWiebePT. In this episode, we discuss: -The anatomy of the pelvic floor and its vital role in biological functions -How to broach the topic of pelvic floor health with your patients -Julie’s go-to biomechanical screening tests for performance and pelvic health -Enhancing breathing patterns for pain management and sports performance -And so much more!   Incontinence following pregnancy has unfortunately been normalized in our society and it’s up to clinicians to educate women about pelvic health and advocate for greater access. Julie stresses, “We have better solutions now for athletes than we’ve had in the past.”   One of the most important functional tasks that Julie addresses with all of her patients and clients is the act of breathing as Julie believes, “Breathing is your gateway into all these systems.”   Julie utilizes recruitment of core muscles and breathing techniques in her treatment interventions to promote movement fluidity. She stresses, “It has to be a team, it’s all working together and it needs to move in a responsive way.”   For more information on Julie: Julie Wiebe, PT has over twenty years of clinical experience in both Sports Medicine and Women’s Health. Following her passion to revolutionize the way women recover from pregnancy and return to high levels of fitness, she has pioneered an integrative approach to promote women’s health in and through fitness. Her Diaphragm/Pelvic Floor Piston Science concepts have been successfully incorporated by rehab practitioners and fitness professionals into a variety of populations. Julie is a sought after speaker to provide continuing education courses and lectures internationally at clinics, academic institutions, professional organizations, state and national professional conferences. Julie maintains a cash-based clinical practice in Los Angeles and shares her approach to bridge the gap between rehab and fitness with pros and women worldwide through online courses and mentoring. A published author, she advocates for awareness of pelvic health in fitness on her blog and through social media (Twitter/FB/IG-JulieWiebePT) www.juliewiebept.com When not trying to change the world one pelvic floor at a time, Julie is happy to focus on her first passions: being mom to the Z’s (Zoe and Zack), and wife to David.   Resources discussed on this show: Julie Wiebe Website   Julie Wiebe Facebook Julie Wiebe Instagram Julie Wiebe Twitter Online Courses: Grab 20% off Adult Pro Course bundles with code Healthy20 (Piston Science Bundle A and B), Sports Med Bundles A and B, and Piston Science Module One. For individuals-Pelvic Floor Piston: Foundation for Fitness. Blog Live Courses Video Blog/Previous Podcasts Media Samples   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen    

Liz and Kate chat about pelvic prolapse, and Kate interviews the amazing Julie Wiebe, a pelvic floor therapist who pioneered the "pelvic floor piston" method of breathing. Check out the show notes at www.kateclancy.com/period19.

This episode features Julie Wiebe, PT of www.JulieWiebePT.com - Julie Wiebe, PT has over twenty years of clinical experience in both Sports Medicine and Women’s Health. Following her passion to revolutionize the way women recover from pregnancy and return to high levels of fitness, she has pioneered an integrative approach to promote women’s health in and through fitness. Physical Therapists Rob Vining, PT of www.PTlive.me and Dave Kittle, DPT of www.Vinitial.com discuss current topics in Physical Therapy and Technology. Video for this episode can be seen with all PT TechTalk videos on YouTube at www.ow.ly/2Dad30aEn9U

Sarah and co-host Adrienne Martini dig deep for a highly informative (and entertaining!) conversation about pelvic floor health with Julie Wiebe, a physical therapist specializing in women’s health and sports medicine + a mom of two. Julie starts by telling of her decade+ mission to find solutions for women athletes for a host of issues and injuries—and how so many of the answers lie in what’s called the “core stabilizing system.” She explains how the three components work together to maintain stability at your center—a crucial element of running form. Julie tells how to improve access to your system, allowing you to regain energy and get more propulsion in your running stride. (Score!) Find out why you should “blow before you go.” And, yes, there’s a lot of talk of leakage, including Julie explaining how incontinence can be a signal of a problem in the system that can lead to (or be the cause of) a host of injuries. She also tells how to find a pelvic floor physical therapist. Laugh out loud at the hashtag the gals bandy about—and delight along with Sarah when Julie gives her full-throated approval of looking for #foundchange while running! To save 20% off registration to Julie’s online course that she talks about at the end of the interview—it’s called The Pelvic Floor Piston: Foundation for Fitness--use discount code MotherRunner20 before midnight PDT on September 15, 2017. (Code is case sensitive.) The convo with Julie begins at 16:20. Learn more about your ad choices. Visit megaphone.fm/adchoices

008: Core Breath and Pelvic Health with Kim Vopni   This week Shannon is pleased to share insight from another enthusiastic expert on the subject of pelvic health. Kim Vopni, also known as The Fitness Doula, is the mother of two children. Her pregnancy and birthing experiences, along with her educational background led her to focus on women's pelvic health. Kim holds a BA in Psychology and a Post Graduate Diploma in Health and Fitness.   Kim's impressive education includes her certification as a personal trainer and pre/postnatal fitness consultant. She has completed training in The Hypropressive Method and Pfilates (Pelvic Floor Pilates) along with the Pregnancy Exercise and Birth Programming certificate with Burrell Education.     Kim is passionate about normalizing the conversation around pelvic health and is an active voice for women of all ages. She is the author of “Prepare to Push- What your Pelvic Floor and Abdomen Want You to Know About Pregnancy and Birth”, offers courses through Bellies Inc., and is a distributer of the EPI-NO, a pre-pregnancy tool that helped Kim through her own pregnancies. She is also the owner of Pelvienne Wellness Inc. and co-founder of Bellies Inc.     Kim's story 4:35   Bellies Inc. Courses (online and in person) 6:30   What is Core Breath? 10:50   What is the Core? (core 4) 11:45   How to do Core Breath 12:20   How to find your Natural Pelvis from a Seated Position 16:25   How your Sitting Posture affects the Pelvic Floor 17:25   Kim's Cues for Pelvic Health Awareness 18:55   Kim's take on Mulha Bundas and Kegals 24:50   Is the Core Breath Safe for Everyone? 27:20   Benefits of Core Breath 29:40   Piston Image- Helping Bodily Systems Work Efficiently 31:55   Feeling that you are Breathing “backwards” 33:15   Bellies Inc. Courses 35:55   Links:   Kim's Email: kim@belliesinc.com   Kim's Book: Prepare to Push   EPI-NO   Bellies Inc.   Julie Wiebe   Katy Bowman   Article: Core Breathing- Core 4 by Shannon Crow   Article: What is Diastasis Recti? By Shannon Crow and Kim MacDonald-Heilandt   Video: Core Breath Video by Kim Vopni   Video: Core Breath on Bellies Inc. Site by Kim Vopni    Today's Episode is Sponsored by:   Shannon Crow's Yoga for Pelvic Health: Online Training for Yoga Teachers   Special Thanks to: Laura Cameron for writing such great show notes (even when I send an episode at the last minute) and to Rob Muir for editing the episodes (between moose sightings and cat snuggles)

If you are a woman, do not miss this episode! Julie Wiebe, an LA based physical therapist with over twenty years of clinical experience in both Sports Medicine and Women’s Health, is committed to revolutionizing the way women recover from pregnancy and return to high levels of fitness. And… she has pioneered an integrative approach to promote women’s health in and through fitness. As we discuss on the podcast, pelvic health challenges are not just exclusive to women who have been pregnant. As a woman (mama or not), you would be doing yourself (specifically your pelvic health) a favor by listening to this information packed episode. Click here to learn about today's listener special! Loving this podcast? Head over to iTunes and leave a review so the Grace and Grit message can spread to more women who need to hear it. Looking for more Grace & Grit? Visit GraceandGrit.com

Your pelvic floor is one of those things that you take for granted before giving birth. It's just there. Then you give birth and it's not! After my first pregnancy, I went to a weekly buggy workout where we were talked through the kegel exercises and I remember being so utterly bored by them that I quickly lost interest in doing them. Give me crunches or squats any day, but kegels?! [spp-player] All those well meaning pieces of advice about doing them while sitting at a red light or while making a cup of tea didn't help at all. My head is way too full of thoughts to remember doing things like that. The thing is, I'm paying for it now. I didn't realise quite how much until I went trampolining with my daughter. Yikes! Well after ten minutes, let's just say that I was sitting it out. So, when I'm sitting here telling you how important it is to look after your pelvic floor, I mean it! Thankfully, I have Anita Lambert on the podcast today, who is going to help you look after your pelvic floor. But not only that, but she is also going to share with us her wonderful positive birth story. Anita starting listening to the podcast before she was pregnant as she wanted information for her pregnancy and post-natal clients. Then she got pregnant and had two super reasons for listening. She also shares how she used the head trash clearance method to tackle some of her fears duing her pregnancy. One of the fears Anita worked on during her pregnancy was her fear of pain and interestingly, she says that she didn't really experience pain during labour. I say "interestingly" because I'm sure that has a lot to do with the fact that she didn't fear it. There is a known scientific link between a fear of pain and our experience of it and *that* is why is find that so interesting! Anita went on to have a lovely birth which you can hear all about. Here she is with her gorgeous little daughter!   Looking after your pelvic floor Anita is a physio from Toronto who works with women during pregnancy and afterwards to help them to improve their pregnancy and birth experience, but also to assist them with their post-birth recovery. There is so much that Anita shares in terms of how you can work closely with a physio during your pregnancy and afterwards that it's well worth a listen. She's also makes it all sound so straightforward! Some of the things Anita shares include; what your pelvic floor actually is and how to think about it the pelvic floor check you can have BEFORE you're pregnant the physio appointment that is worth having at 37 weeks to check that you're well aligned for birth pelvic floor exercises you can do other than the dreaded kegel ones why it's important to be able to relax your pelvic floor as well as tighten it what you can do to help you go trampolining again what you can do to help make sure you can sneeze or laugh without looking silly why it's not too late to get your pelvic floor "fixed" and what you can do the importance of the mind-body connection when it comes to your alignement We also talked about Pelvic Girdle Distress aka symphysis pubis dysfunction (SPD) as this was something that I suffered from during my second pregnancy. This is an important episode and I would urge you to listen. Resources Anita has kindly shared some fabulous resources to support you in this area. Spinning Babies - this is a great resource by midwife, Gail Tully, for creating pelvic balance and alignment during pregnancy and labour to help with a smoother childbirth (and can help turn a breech baby) Julie Wiebe, Women's Health and Sport Medicine physical therapist explains how to find your ideal alignment to access your deep core to support your body during pregnancy and after birth: Prepare to Push TM - ebook / ecourse created by Kim Vopni of Pelvienne Wellness and Bellies Inc with helpful information to prepare your body for birth and postpartum recovery

 “I swear I’ve seen a lot of stuff in my life. But that was awesome” -Tommy Boy In this episode of Therapy Insiders podcast, we are joined by renowned physical ...

The Paleo Solution Podcast - Episode 243 Featuring guest Julie Wiebe www.juliewiebept.comTwitter @juliewiebeptFacebook.com/JulieWiebePTYou Tube http://bit.ly/u80mb

Despite its inclusion in most definitions of the core, few rehabilitation or fitness programs integrate the pelvic floor into strength training. When linked to the diaphragm, the pelvic floor acts as a powerful stabilizer of your low back, hips & pelvis ensuring efficient lower extremity & upper extremity mechanics. Evidence of dysfunction in this system can manifest across a woman’s lifespan: at puberty possibly contributing to non-contact ACL injuries in adolescent girls, during pregnancy and beyond as a myriad of musculoskeletal complaints and finally as balance and incontinence dysfunction in older women. What are the true core muscles? How can I engage them? What can physical therapy do to help me? What can I do to help myself? Join Dr. Ivan Huergo and Julie Wiebe as they answer these questions and discuss strategies for you to increase stability, decrease low back pain, improve breathing efficiency and help you move through life with strength and confidence.