copper’s have a show of hands if you’ve ever had low back pain before awesome
ever had low back pain before awesome
ever had low back pain before awesome and what about havoc floor issues and by
and what about havoc floor issues and by
and what about havoc floor issues and by this I might mean leaking from your
this I might mean leaking from your
this I might mean leaking from your bowel or bladder or pelvic organ
bowel or bladder or pelvic organ
bowel or bladder or pelvic organ prolapse where your organs are falling
prolapse where your organs are falling
prolapse where your organs are falling outside of your body or a Rick Dale
outside of your body or a Rick Dale
outside of your body or a Rick Dale dysfunction this conversation just got a
dysfunction this conversation just got a
dysfunction this conversation just got a bit uncomfortable than that we hear
bit uncomfortable than that we hear
bit uncomfortable than that we hear about back pain all the time so we know
about back pain all the time so we know
about back pain all the time so we know it’s a considerable problem affecting a
it’s a considerable problem affecting a
it’s a considerable problem affecting a large proportion of the population there
large proportion of the population there
large proportion of the population there are at least a dozen teeth talks on the
are at least a dozen teeth talks on the
are at least a dozen teeth talks on the subject but if you have even heard about
subject but if you have even heard about
subject but if you have even heard about perfect flourishes at all you probably
perfect flourishes at all you probably
perfect flourishes at all you probably think this to fix just a small
think this to fix just a small
think this to fix just a small proportion of the population namely
proportion of the population namely
proportion of the population namely pregnant woman or the very elderly who
pregnant woman or the very elderly who
pregnant woman or the very elderly who have lost all control of their bodily
have lost all control of their bodily
have lost all control of their bodily functions but pavatt floor issues are as
functions but pavatt floor issues are as
functions but pavatt floor issues are as prevalent as low back pain affecting up
prevalent as low back pain affecting up
prevalent as low back pain affecting up to eighty percent of the population an
to eighty percent of the population an
to eighty percent of the population an effect the most of the time when you’re
effect the most of the time when you’re
effect the most of the time when you’re Becker saw your pelvic floor is likely
Becker saw your pelvic floor is likely
Becker saw your pelvic floor is likely to be involved but if you’re not one of
to be involved but if you’re not one of
to be involved but if you’re not one of these eighty percent you can be forgiven
these eighty percent you can be forgiven
these eighty percent you can be forgiven for thinking it’s just doesn’t true I
for thinking it’s just doesn’t true I
for thinking it’s just doesn’t true I don’t know anyone affected by this well
don’t know anyone affected by this well
don’t know anyone affected by this well I’m here to tell you that you do but
I’m here to tell you that you do but
I’m here to tell you that you do but they’re just not talking about it
they’re just not talking about it
they’re just not talking about it because when you’ve got issues with your
because when you’ve got issues with your
because when you’ve got issues with your back it’s highly likely you’ll tell
back it’s highly likely you’ll tell
back it’s highly likely you’ll tell someone about your pain and you’ll get
someone about your pain and you’ll get
someone about your pain and you’ll get tons of advice like which practitioners
tons of advice like which practitioners
tons of advice like which practitioners you could see or what stretches or back
you could see or what stretches or back
you could see or what stretches or back rubs you might try but you are far less
rubs you might try but you are far less
rubs you might try but you are far less likely this year over coffee how your
likely this year over coffee how your
likely this year over coffee how your vulva pain is really playing up today
vulva pain is really playing up today
vulva pain is really playing up today or how yeah I’d love to play netball but
or how yeah I’d love to play netball but
or how yeah I’d love to play netball but I’m worried my uterus is going to fall
I’m worried my uterus is going to fall
I’m worried my uterus is going to fall out
out
out well how premature ejaculation is
well how premature ejaculation is
well how premature ejaculation is ruining your relationship pose wheeze
ruining your relationship pose wheeze
ruining your relationship pose wheeze and sex they are fundamental parts of
and sex they are fundamental parts of
and sex they are fundamental parts of life and yet we don’t like to speak
life and yet we don’t like to speak
life and yet we don’t like to speak about such things when they’re going
about such things when they’re going
about such things when they’re going well we certainly don’t like to talk
well we certainly don’t like to talk
well we certainly don’t like to talk about them when they’re not we kept it
about them when they’re not we kept it
about them when they’re not we kept it so used to keeping our private parts so
so used to keeping our private parts so
so used to keeping our private parts so private we don’t even know about our own
private we don’t even know about our own
private we don’t even know about our own I’m a physiotherapist and I have a
I’m a physiotherapist and I have a
I’m a physiotherapist and I have a master’s degree in musculoskeletal
master’s degree in musculoskeletal
master’s degree in musculoskeletal physiotherapy so I thought I had a
physiotherapy so I thought I had a
physiotherapy so I thought I had a pretty good grasp on human and enemy but
pretty good grasp on human and enemy but
pretty good grasp on human and enemy but it was like I used to keep this little
it was like I used to keep this little
it was like I used to keep this little black box over the pelvis and genitals
black box over the pelvis and genitals
black box over the pelvis and genitals and no-go zone that I would skip around
and no-go zone that I would skip around
and no-go zone that I would skip around for fear of embarrassing myself or my
for fear of embarrassing myself or my
for fear of embarrassing myself or my clients I’d had to attend a few lectures
clients I’d had to attend a few lectures
clients I’d had to attend a few lectures which covered this area of anatomy in a
which covered this area of anatomy in a
which covered this area of anatomy in a subject that used to be called Women’s
subject that used to be called Women’s
subject that used to be called Women’s Health physiotherapy but I had no
Health physiotherapy but I had no
Health physiotherapy but I had no interest in it whatsoever at 18 years
interest in it whatsoever at 18 years
interest in it whatsoever at 18 years old when I entered physio school I
old when I entered physio school I
old when I entered physio school I dreamed of perhaps heading to the
dreamed of perhaps heading to the
dreamed of perhaps heading to the Olympics with a team or getting the
Olympics with a team or getting the
Olympics with a team or getting the chance to rub down the All Blacks
chance to rub down the All Blacks
chance to rub down the All Blacks I couldn’t even say the word vagina
I couldn’t even say the word vagina
I couldn’t even say the word vagina without blushing I did not intend on
without blushing I did not intend on
without blushing I did not intend on including them in my career but then I
including them in my career but then I
including them in my career but then I had children
and I discovered the true importance of
and I discovered the true importance of this structure literally holding our
this structure literally holding our
this structure literally holding our bodies together a part of you that you
bodies together a part of you that you
bodies together a part of you that you take very much for granted until it’s
take very much for granted until it’s
take very much for granted until it’s not functioning properly and a part that
not functioning properly and a part that
not functioning properly and a part that due to the sensitive awkward even
due to the sensitive awkward even
due to the sensitive awkward even downright embarrassing nature is
downright embarrassing nature is
downright embarrassing nature is underreported and it’s undertreated it’s
underreported and it’s undertreated it’s
underreported and it’s undertreated it’s the pelvic floor now pelvic floors not
the pelvic floor now pelvic floors not
the pelvic floor now pelvic floors not just a clever name it’s literally the
just a clever name it’s literally the
just a clever name it’s literally the floor of our pelvis which is pretty
floor of our pelvis which is pretty
floor of our pelvis which is pretty useful because it stops all our insights
useful because it stops all our insights
useful because it stops all our insights falling out it’s made up of a group of
falling out it’s made up of a group of
falling out it’s made up of a group of muscles but also a fresher and
muscles but also a fresher and
muscles but also a fresher and connective tissue which holds everything
connective tissue which holds everything
connective tissue which holds everything in its place so much easier for me to
in its place so much easier for me to
in its place so much easier for me to stand up here and teach you about your
stand up here and teach you about your
stand up here and teach you about your biceps for example because I could say
biceps for example because I could say
biceps for example because I could say here it is and this is what it does I’m
here it is and this is what it does I’m
here it is and this is what it does I’m not showing you my pelvic floor but if I
not showing you my pelvic floor but if I
not showing you my pelvic floor but if I can get you all to sit up nice and tall
can get you all to sit up nice and tall
can get you all to sit up nice and tall in your chairs I want you to imagine
in your chairs I want you to imagine
in your chairs I want you to imagine you’re walking into really cold water so
you’re walking into really cold water so
you’re walking into really cold water so as that icy cold water gets higher up
as that icy cold water gets higher up
as that icy cold water gets higher up your thighs I want you to try and lift
your thighs I want you to try and lift
your thighs I want you to try and lift your most sensitive bits up and out the
your most sensitive bits up and out the
your most sensitive bits up and out the way
way
way that’s your pelvic floor your pelvic
that’s your pelvic floor your pelvic
that’s your pelvic floor your pelvic floor is a rock star of a muscle group
floor is a rock star of a muscle group
floor is a rock star of a muscle group that we all want working optimally
that we all want working optimally
that we all want working optimally because it has some really useful
because it has some really useful
because it has some really useful functions like it stops you a leaking
functions like it stops you a leaking
functions like it stops you a leaking urine and feces it also helps you
urine and feces it also helps you
urine and feces it also helps you eliminate these when it’s convenient it
eliminate these when it’s convenient it
eliminate these when it’s convenient it keeps your pelvic organs inside your
keeps your pelvic organs inside your
keeps your pelvic organs inside your body and has a role in the functioning
body and has a role in the functioning
body and has a role in the functioning of both your bowel and bladder and it is
of both your bowel and bladder and it is
of both your bowel and bladder and it is essential in a satisfying sex life but
essential in a satisfying sex life but
essential in a satisfying sex life but on top of all that it’s also responsible
on top of all that it’s also responsible
on top of all that it’s also responsible for holding our bodies together it is
for holding our bodies together it is
for holding our bodies together it is the floor of the so called core muscle
the floor of the so called core muscle
the floor of the so called core muscle group you’ve all probably heard this
group you’ve all probably heard this
group you’ve all probably heard this term core muscles bandied about and most
term core muscles bandied about and most
term core muscles bandied about and most people think this is their abdominal
people think this is their abdominal
people think this is their abdominal muscles but your core muscles are
muscles but your core muscles are
muscles but your core muscles are transversus abdominus at the front
transversus abdominus at the front
transversus abdominus at the front multifidus at the back your respiratory
multifidus at the back your respiratory
multifidus at the back your respiratory diaphragm at the top and your pelvic
diaphragm at the top and your pelvic
diaphragm at the top and your pelvic floor at the base now when we have
floor at the base now when we have
floor at the base now when we have children the pavatt floor muscle can
children the pavatt floor muscle can
children the pavatt floor muscle can stretch up to three hundred and fifty
stretch up to three hundred and fifty
stretch up to three hundred and fifty percent of its resting length and this
percent of its resting length and this
percent of its resting length and this is incredible because no other muscle on
is incredible because no other muscle on
is incredible because no other muscle on the body could do that they would wrap
the body could do that they would wrap
the body could do that they would wrap sure if it was stretched beyond 150 so
sure if it was stretched beyond 150 so
sure if it was stretched beyond 150 so when I had my babies I knew
when I had my babies I knew
when I had my babies I knew giving birth would be no walk in the
giving birth would be no walk in the
giving birth would be no walk in the park but I guess I thought that once all
park but I guess I thought that once all
park but I guess I thought that once all was said and done I’ll just be pre-baby
was said and done I’ll just be pre-baby
was said and done I’ll just be pre-baby clear but with the baby how quickly I
clear but with the baby how quickly I
clear but with the baby how quickly I learnt becoming a mother is a complete
learnt becoming a mother is a complete
learnt becoming a mother is a complete identity shift one of the most
identity shift one of the most
identity shift one of the most significant physical and psychological
significant physical and psychological
significant physical and psychological changes a woman will ever experience
changes a woman will ever experience
changes a woman will ever experience becoming a mum can feel like the rug has
becoming a mum can feel like the rug has
becoming a mum can feel like the rug has been pulled out from under your feet and
been pulled out from under your feet and
been pulled out from under your feet and in my case I felt like the floor was
in my case I felt like the floor was
in my case I felt like the floor was also taken from my pelvis
also taken from my pelvis
also taken from my pelvis I had a relatively enviable birth story
I had a relatively enviable birth story
I had a relatively enviable birth story a fast water birth of no pain relief and
a fast water birth of no pain relief and
a fast water birth of no pain relief and no instrumentation needed and yet I was
no instrumentation needed and yet I was
no instrumentation needed and yet I was torn from front to back and part of my
torn from front to back and part of my
torn from front to back and part of my pelvic floor muscle was ripped right off
pelvic floor muscle was ripped right off
pelvic floor muscle was ripped right off the bone so it’s devastating because I
the bone so it’s devastating because I
the bone so it’s devastating because I had no idea that was even possible I
had no idea that was even possible I
had no idea that was even possible I hadn’t yet learned that 90% of woman
hadn’t yet learned that 90% of woman
hadn’t yet learned that 90% of woman will receive some degree of tearing
will receive some degree of tearing
will receive some degree of tearing during the delivery and for most woman
during the delivery and for most woman
during the delivery and for most woman after the birth the focus becomes solely
after the birth the focus becomes solely
after the birth the focus becomes solely on the well-being of their child their
on the well-being of their child their
on the well-being of their child their pelvic health doesn’t get a second
pelvic health doesn’t get a second
pelvic health doesn’t get a second thought so despite the fact I sustained
thought so despite the fact I sustained
thought so despite the fact I sustained significant injury during my delivery I
significant injury during my delivery I
significant injury during my delivery I was actually one of the lucky ones
was actually one of the lucky ones
was actually one of the lucky ones because although I knew nothing about
because although I knew nothing about
because although I knew nothing about public health myself at that time I knew
public health myself at that time I knew
public health myself at that time I knew there are people who did so I didn’t
there are people who did so I didn’t
there are people who did so I didn’t wait to see what issues of heaven future
wait to see what issues of heaven future
wait to see what issues of heaven future I took myself to see a public health
I took myself to see a public health
I took myself to see a public health physiotherapist and I learned that while
physiotherapist and I learned that while
physiotherapist and I learned that while things have most differently changed I
things have most differently changed I
things have most differently changed I could retrain and reconnect with what
could retrain and reconnect with what
could retrain and reconnect with what was left of my pelvic floor and like
was left of my pelvic floor and like
was left of my pelvic floor and like with any other significant injury with a
with any other significant injury with a
with any other significant injury with a period of rehabilitation and some hard
period of rehabilitation and some hard
period of rehabilitation and some hard work it’s possible to return to good
work it’s possible to return to good
work it’s possible to return to good health
health
health but pelvic floor issues aren’t just due
but pelvic floor issues aren’t just due
but pelvic floor issues aren’t just due to pregnancy and childbirth though it
to pregnancy and childbirth though it
to pregnancy and childbirth though it can be affected by constipation heavy
can be affected by constipation heavy
can be affected by constipation heavy lifting chronic coughing obesity surgery
lifting chronic coughing obesity surgery
lifting chronic coughing obesity surgery pain aging stress so all men or women
pain aging stress so all men or women
pain aging stress so all men or women and children anybody with a body can
and children anybody with a body can
and children anybody with a body can have pavatt floor issues so if these
have pavatt floor issues so if these
have pavatt floor issues so if these issues are so common and is so
issues are so common and is so
issues are so common and is so problematic why don’t we hear anything
problematic why don’t we hear anything
problematic why don’t we hear anything about it
about it
about it embarrassing some of the first issues
embarrassing some of the first issues
embarrassing some of the first issues that something’s not right with your
that something’s not right with your
that something’s not right with your pelvic floor is leaking from your bowel
pelvic floor is leaking from your bowel
pelvic floor is leaking from your bowel and bladder and who wants to admit to
and bladder and who wants to admit to
and bladder and who wants to admit to that I’d bet you be shocked to learn
that I’d bet you be shocked to learn
that I’d bet you be shocked to learn that the number of people who suffer
that the number of people who suffer
that the number of people who suffer from fecal incontinence that’s leaking
from fecal incontinence that’s leaking
from fecal incontinence that’s leaking poos is one and eight so in this room of
poos is one and eight so in this room of
poos is one and eight so in this room of approximately 800 people that means is
approximately 800 people that means is
approximately 800 people that means is up to a hundred who have issues with
up to a hundred who have issues with
up to a hundred who have issues with soiling their pens at least once a month
soiling their pens at least once a month
soiling their pens at least once a month that’s more than the number of people in
that’s more than the number of people in
that’s more than the number of people in here who have diabetes osteoporosis and
here who have diabetes osteoporosis and
here who have diabetes osteoporosis and cancer combined
cancer combined
cancer combined that is it’s also what motivates me
that is it’s also what motivates me
that is it’s also what motivates me to do this because these people aren’t
to do this because these people aren’t
to do this because these people aren’t this these numbers don’t even clued
this these numbers don’t even clued
this these numbers don’t even clued those people living in care facilities
those people living in care facilities
those people living in care facilities where the numbers are even higher this
where the numbers are even higher this
where the numbers are even higher this is people like you and I in our
is people like you and I in our
is people like you and I in our community who tell nobody about this not
community who tell nobody about this not
community who tell nobody about this not their nearest and dearest and not their
their nearest and dearest and not their
their nearest and dearest and not their GPS they feel an overwhelming sense of
GPS they feel an overwhelming sense of
GPS they feel an overwhelming sense of shame and embarrassment and because no
shame and embarrassment and because no
shame and embarrassment and because no one talks about it and they don’t tell
one talks about it and they don’t tell
one talks about it and they don’t tell anyone
anyone
anyone they’ll assume that they’re the only
they’ll assume that they’re the only
they’ll assume that they’re the only ones suffering from such issues everyone
ones suffering from such issues everyone
ones suffering from such issues everyone else seems to believe in their Facebook
else seems to believe in their Facebook
else seems to believe in their Facebook really lives I believe that pelvic
really lives I believe that pelvic
really lives I believe that pelvic health is a key missing link in our
health is a key missing link in our
health is a key missing link in our approach to wellness we have so much
approach to wellness we have so much
approach to wellness we have so much access information on well-being these
access information on well-being these
access information on well-being these days and yet we keep our Public Health
days and yet we keep our Public Health
days and yet we keep our Public Health taboo and people suffering from poverty
taboo and people suffering from poverty
taboo and people suffering from poverty law issues will slowly withdraw from
law issues will slowly withdraw from
law issues will slowly withdraw from their own lives they withdraw from
their own lives they withdraw from
their own lives they withdraw from exercise from travel from sex because
exercise from travel from sex because
exercise from travel from sex because you can imagine it’s really hard to
you can imagine it’s really hard to
you can imagine it’s really hard to motivate yourself to exercise if you
motivate yourself to exercise if you
motivate yourself to exercise if you can’t make it around the mountain
can’t make it around the mountain
can’t make it around the mountain without wetting your pants or you don’t
without wetting your pants or you don’t
without wetting your pants or you don’t take up the opportunities to go on your
take up the opportunities to go on your
take up the opportunities to go on your child’s school trips or overseas
child’s school trips or overseas
child’s school trips or overseas holidays or starting your relationships
holidays or starting your relationships
holidays or starting your relationships because of embarrassment over your
because of embarrassment over your
because of embarrassment over your toileting habits this might not be
toileting habits this might not be
toileting habits this might not be life-threatening in the short term but a
life-threatening in the short term but a
life-threatening in the short term but a certainly life diminishing the only time
certainly life diminishing the only time
certainly life diminishing the only time we hear anything about public health is
we hear anything about public health is
we hear anything about public health is in advertising for say incontinence pads
in advertising for say incontinence pads
in advertising for say incontinence pads but I try to minimize the impact and
but I try to minimize the impact and
but I try to minimize the impact and make it almost popular in funky LBL
make it almost popular in funky LBL
make it almost popular in funky LBL light bladder leakage just
light bladder leakage just
light bladder leakage just we problem affects one in three women
we problem affects one in three women
we problem affects one in three women therefore it’s normal seriously no
therefore it’s normal seriously no
therefore it’s normal seriously no amount of leaking urine is normal it is
amount of leaking urine is normal it is
amount of leaking urine is normal it is really common yes but it is not normal
really common yes but it is not normal
really common yes but it is not normal and in the majority of the time it’s
and in the majority of the time it’s
and in the majority of the time it’s treatable if you just satisfied to wear
treatable if you just satisfied to wear
treatable if you just satisfied to wear pads without investigating the reason
pads without investigating the reason
pads without investigating the reason it’s like taking a pen adult everyday
it’s like taking a pen adult everyday
it’s like taking a pen adult everyday for a headache without looking into the
for a headache without looking into the
for a headache without looking into the cause so if you’re getting home and
cause so if you’re getting home and
cause so if you’re getting home and putting the key in the door and getting
putting the key in the door and getting
putting the key in the door and getting a really sudden difficult to defer urge
a really sudden difficult to defer urge
a really sudden difficult to defer urge to pee or you leak on cough sneeze
to pee or you leak on cough sneeze
to pee or you leak on cough sneeze laughs and exercise this is super common
laughs and exercise this is super common
laughs and exercise this is super common it’s not normal if you’re struggling and
it’s not normal if you’re struggling and
it’s not normal if you’re struggling and straining to pass a bowel motion and
straining to pass a bowel motion and
straining to pass a bowel motion and having to wipe hundreds of times to feel
having to wipe hundreds of times to feel
having to wipe hundreds of times to feel clean it’s really common it’s not normal
clean it’s really common it’s not normal
clean it’s really common it’s not normal if you’ve got painless sex loss of
if you’ve got painless sex loss of
if you’ve got painless sex loss of sensation and ability to achieve orgasm
sensation and ability to achieve orgasm
sensation and ability to achieve orgasm or erectile dysfunction these are all
or erectile dysfunction these are all
or erectile dysfunction these are all really common not normal if you’ve got a
really common not normal if you’ve got a
really common not normal if you’ve got a heavy dragging pain feeling like you’re
heavy dragging pain feeling like you’re
heavy dragging pain feeling like you’re pavatt organs are sitting lower than
pavatt organs are sitting lower than
pavatt organs are sitting lower than they should this is surprisingly common
they should this is surprisingly common
they should this is surprisingly common it’s not normal you do not need to put
it’s not normal you do not need to put
it’s not normal you do not need to put up with it you do not need to accept it
up with it you do not need to accept it
up with it you do not need to accept it as your lot in life and seeking
as your lot in life and seeking
as your lot in life and seeking treatment for this you can get benefits
treatment for this you can get benefits
treatment for this you can get benefits and all aspects of your well-being as
and all aspects of your well-being as
and all aspects of your well-being as I’m speaking I can sense you’re all
I’m speaking I can sense you’re all
I’m speaking I can sense you’re all still madly trying to contract and those
still madly trying to contract and those
still madly trying to contract and those pelvic floors because everyone assumes
pelvic floors because everyone assumes
pelvic floors because everyone assumes when a physio talks about pelvic health
when a physio talks about pelvic health
when a physio talks about pelvic health we’ll just be encouraging you to do your
we’ll just be encouraging you to do your
we’ll just be encouraging you to do your kegels all day every day and doctor at
kegels all day every day and doctor at
kegels all day every day and doctor at dr. Arnold Kegel was a legend he did the
dr. Arnold Kegel was a legend he did the
dr. Arnold Kegel was a legend he did the world a great service from back in the
world a great service from back in the
world a great service from back in the 1940s after 18 years of researched he
1940s after 18 years of researched he
1940s after 18 years of researched he discovered the pelvic floor muscles like
discovered the pelvic floor muscles like
discovered the pelvic floor muscles like any other muscle able to return to
any other muscle able to return to
any other muscle able to return to function with an appropriate exercise
function with an appropriate exercise
function with an appropriate exercise regime he described the pelvic floor
regime he described the pelvic floor
regime he described the pelvic floor muscles as these most versatile muscle
muscles as these most versatile muscle
muscles as these most versatile muscle group in the entire human body and
group in the entire human body and
group in the entire human body and before his work these muscles in their
before his work these muscles in their
before his work these muscles in their role in supporting the pelvis were
role in supporting the pelvis were
role in supporting the pelvis were largely ignored but it seems as though
largely ignored but it seems as though
largely ignored but it seems as though public perception of poverty for
public perception of poverty for
public perception of poverty for rehabilitation stopped with his
rehabilitation stopped with his
rehabilitation stopped with his techniques published in the 1940s and
techniques published in the 1940s and
techniques published in the 1940s and there are no areas of medicine or
there are no areas of medicine or
there are no areas of medicine or Exercise Science that have remained calm
Exercise Science that have remained calm
Exercise Science that have remained calm for the last 70 plus years so please
for the last 70 plus years so please
for the last 70 plus years so please don’t think this of public health kegels
don’t think this of public health kegels
don’t think this of public health kegels are not your only option and they’re not
are not your only option and they’re not
are not your only option and they’re not a blanket treatment for anything to do
a blanket treatment for anything to do
a blanket treatment for anything to do with pelvic health so if you’ve tried a
with pelvic health so if you’ve tried a
with pelvic health so if you’ve tried a few squeezes before perhaps following a
few squeezes before perhaps following a
few squeezes before perhaps following a pamphlet or dr. Google if this hasn’t
pamphlet or dr. Google if this hasn’t
pamphlet or dr. Google if this hasn’t changed what’s happening for you well
changed what’s happening for you well
changed what’s happening for you well maybe you weren’t doing it right or
maybe you weren’t doing it right or
maybe you weren’t doing it right or maybe it wasn’t what you needed in the
maybe it wasn’t what you needed in the
maybe it wasn’t what you needed in the first place because dr. kegels work
first place because dr. kegels work
first place because dr. kegels work focused on what he called pavatt floor
focused on what he called pavatt floor
focused on what he called pavatt floor relaxation where the muscles were
relaxation where the muscles were
relaxation where the muscles were stretched and week week usually
stretched and week week usually
stretched and week week usually following vaginal birth but more than
following vaginal birth but more than
following vaginal birth but more than half the woman and the majority the men
half the woman and the majority the men
half the woman and the majority the men I see in my clinic they don’t suffer
I see in my clinic they don’t suffer
I see in my clinic they don’t suffer from pelvic floor relaxation but rather
from pelvic floor relaxation but rather
from pelvic floor relaxation but rather an overactive pelvic floor one that’s
an overactive pelvic floor one that’s
an overactive pelvic floor one that’s too tight an inability to relax your
too tight an inability to relax your
too tight an inability to relax your pelvic floor and tight does not equal
pelvic floor and tight does not equal
pelvic floor and tight does not equal strong this causes its own set of
strong this causes its own set of
strong this causes its own set of problems but a lot of pain pain in your
problems but a lot of pain pain in your
problems but a lot of pain pain in your hips back pelvis and genitals painless
hips back pelvis and genitals painless
hips back pelvis and genitals painless sex worsening menstrual pain but also
sex worsening menstrual pain but also
sex worsening menstrual pain but also frequency and urgency the way and
frequency and urgency the way and
frequency and urgency the way and difficulty evacuating your bowels if we
difficulty evacuating your bowels if we
difficulty evacuating your bowels if we use our biceps again to show this
use our biceps again to show this
use our biceps again to show this example if I get you all to squeeze your
example if I get you all to squeeze your
example if I get you all to squeeze your biceps as tight as you can squeeze it as
biceps as tight as you can squeeze it as
biceps as tight as you can squeeze it as tight as you can
tight as you can
tight as you can it only takes a couple of seconds before
it only takes a couple of seconds before
it only takes a couple of seconds before that starts to feel a bit uncomfortable
that starts to feel a bit uncomfortable
that starts to feel a bit uncomfortable right and you’re probably not feeling as
right and you’re probably not feeling as
right and you’re probably not feeling as strong of this position is compared to
strong of this position is compared to
strong of this position is compared to as if you’re in a more mid-range
as if you’re in a more mid-range
as if you’re in a more mid-range position where you can both contract
position where you can both contract
position where you can both contract relax and extend muscles like to hang
relax and extend muscles like to hang
relax and extend muscles like to hang out in a mid-range position and so too
out in a mid-range position and so too
out in a mid-range position and so too with a perfect floor it doesn’t wanna be
with a perfect floor it doesn’t wanna be
with a perfect floor it doesn’t wanna be stuck in a short type position where it
stuck in a short type position where it
stuck in a short type position where it can’t work well with those other pelvic
can’t work well with those other pelvic
can’t work well with those other pelvic floor muscles it hurts and it’s not as
floor muscles it hurts and it’s not as
floor muscles it hurts and it’s not as strong and coordinated so if you leak
strong and coordinated so if you leak
strong and coordinated so if you leak please don’t assume you must be leak
please don’t assume you must be leak
please don’t assume you must be leak weak this is a much harder concept for
weak this is a much harder concept for
weak this is a much harder concept for people to grasp because everything we
people to grasp because everything we
people to grasp because everything we thought we knew about public health was
thought we knew about public health was
thought we knew about public health was that it must be weak and lengthened how
that it must be weak and lengthened how
that it must be weak and lengthened how does it get too tight there are so many
does it get too tight there are so many
does it get too tight there are so many ways in our modern life but trying to
ways in our modern life but trying to
ways in our modern life but trying to suck your tummy in all the time being
suck your tummy in all the time being
suck your tummy in all the time being told we have to engage our core and also
told we have to engage our core and also
told we have to engage our core and also some high load repetitive sports there’s
some high load repetitive sports there’s
some high load repetitive sports there’s a study that looked at 300 elite female
a study that looked at 300 elite female
a study that looked at 300 elite female college athletes competing in a variety
college athletes competing in a variety
college athletes competing in a variety of sports from basketball to
of sports from basketball to
of sports from basketball to leigh sees a strong fit young girls and
leigh sees a strong fit young girls and
leigh sees a strong fit young girls and only 13 had previously had a child and
only 13 had previously had a child and
only 13 had previously had a child and yet 52 percent reported leakage of some
yet 52 percent reported leakage of some
yet 52 percent reported leakage of some kind and only 3% had discussed it with a
kind and only 3% had discussed it with a
kind and only 3% had discussed it with a medical provider there’s also a strong
medical provider there’s also a strong
medical provider there’s also a strong correlation between our emotional
correlation between our emotional
correlation between our emotional well-being and our public health
well-being and our public health
well-being and our public health depending on your thoughts around
depending on your thoughts around
depending on your thoughts around evolution we like many other mammals may
evolution we like many other mammals may
evolution we like many other mammals may have had a tail at some stage and now
have had a tail at some stage and now
have had a tail at some stage and now we’ve just got a tail bone and these
we’ve just got a tail bone and these
we’ve just got a tail bone and these pavatt floor muscles all attached to our
pavatt floor muscles all attached to our
pavatt floor muscles all attached to our tail bone so when you’re stressed or
tail bone so when you’re stressed or
tail bone so when you’re stressed or anxious or upset or hurt it’s like we’re
anxious or upset or hurt it’s like we’re
anxious or upset or hurt it’s like we’re trying to tuck our tail in see what
trying to tuck our tail in see what
trying to tuck our tail in see what happens next time someone pisses you off
happens next time someone pisses you off
happens next time someone pisses you off at work or cuts you off at traffic does
at work or cuts you off at traffic does
at work or cuts you off at traffic does your body feel all open and relaxed or
your body feel all open and relaxed or
your body feel all open and relaxed or short and tight so when we’re looking at
short and tight so when we’re looking at
short and tight so when we’re looking at treating pelvic floor issues we need to
treating pelvic floor issues we need to
treating pelvic floor issues we need to treat take a holistic approach meaning
treat take a holistic approach meaning
treat take a holistic approach meaning we take the whole body we can’t now that
we take the whole body we can’t now that
we take the whole body we can’t now that we’ve taken that black box of the pelvis
we’ve taken that black box of the pelvis
we’ve taken that black box of the pelvis we can’t focus all our attention there
we can’t focus all our attention there
we can’t focus all our attention there pervert floor exercises might be
pervert floor exercises might be
pervert floor exercises might be included in step one to reacquaint
included in step one to reacquaint
included in step one to reacquaint yourselves with this part of our body we
yourselves with this part of our body we
yourselves with this part of our body we can be completely dissociated from but
can be completely dissociated from but
can be completely dissociated from but then we need to look at posture at
then we need to look at posture at
then we need to look at posture at breathing how these muscles work with
breathing how these muscles work with
breathing how these muscles work with the rest of the core muscles and indeed
the rest of the core muscles and indeed
the rest of the core muscles and indeed with the whole body look at stress
with the whole body look at stress
with the whole body look at stress management you’ll exercise and movement
management you’ll exercise and movement
management you’ll exercise and movement of choice what you’re eating and
of choice what you’re eating and
of choice what you’re eating and drinking in your toileting habits there
drinking in your toileting habits there
drinking in your toileting habits there are so many pieces to the puzzle and so
are so many pieces to the puzzle and so
are so many pieces to the puzzle and so many tips and tricks you can learn to
many tips and tricks you can learn to
many tips and tricks you can learn to regain control over your situation one
regain control over your situation one
regain control over your situation one of my most favorite things to teach is
of my most favorite things to teach is
of my most favorite things to teach is how to properly you don’t even know that
how to properly you don’t even know that
how to properly you don’t even know that you don’t know how to do it but if you
you don’t know how to do it but if you
you don’t know how to do it but if you think about the lifespan of your pelvic
think about the lifespan of your pelvic
think about the lifespan of your pelvic floor so having a baby is a pretty big
floor so having a baby is a pretty big
floor so having a baby is a pretty big event but if you do that at all you’re
event but if you do that at all you’re
event but if you do that at all you’re likely to only do this two to four times
likely to only do this two to four times
likely to only do this two to four times maybe more if you’re really keen but
maybe more if you’re really keen but
maybe more if you’re really keen but opening your bowels we don’t get a
opening your bowels we don’t get a
opening your bowels we don’t get a choice in that you all need to do that
choice in that you all need to do that
choice in that you all need to do that hopefully in most days until you die so
hopefully in most days until you die so
hopefully in most days until you die so you biscuit that right so there’s no
you biscuit that right so there’s no
you biscuit that right so there’s no one-size-fits-all prescription every
one-size-fits-all prescription every
one-size-fits-all prescription every person is tough
person is tough
person is tough the demands they place on their pelvic
the demands they place on their pelvic
the demands they place on their pelvic floor is different and the integrity of
floor is different and the integrity of
floor is different and the integrity of their pelvic floor is different accurate
their pelvic floor is different accurate
their pelvic floor is different accurate assessment is essential in determining
assessment is essential in determining
assessment is essential in determining the best treatment so I urge any of you
the best treatment so I urge any of you
the best treatment so I urge any of you if you’re having any issues with your
if you’re having any issues with your
if you’re having any issues with your pelvic floor don’t hide in shame seek
pelvic floor don’t hide in shame seek
pelvic floor don’t hide in shame seek help
help
help don’t let embarrassment stand in the way
don’t let embarrassment stand in the way
don’t let embarrassment stand in the way of good health going Google Public
of good health going Google Public
of good health going Google Public Health physiotherapy in your region and
Health physiotherapy in your region and
Health physiotherapy in your region and get yourself booked in today because
get yourself booked in today because
get yourself booked in today because while ignorant may be bliss knowledge is
while ignorant may be bliss knowledge is
while ignorant may be bliss knowledge is power
power
power get to know all of your ever-changing
get to know all of your ever-changing
get to know all of your ever-changing body and don’t ignore the signs that
body and don’t ignore the signs that
body and don’t ignore the signs that sending you and remember you’re not
sending you and remember you’re not
sending you and remember you’re not alone in this is super common but it’s
alone in this is super common but it’s
alone in this is super common but it’s not normal
”
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