The Women’s Health Podcast
016 - Grainne Donnelly and Emma Brockwell - Post Partum Return to Running Guidelines

016 - Grainne Donnelly and Emma Brockwell - Post Partum Return to Running Guidelines

April 22, 2019

Grainne Donnelly and Emma Brockwell join us to discuss the recent publication of their Post Partum Return To Running Guidelines.

You can find the guidelines here - https://mailchi.mp/38feb9423b2d/returning-to-running-postnatal-guideline 

015 - Antony Lo - Lifting Weights and Pelvic Floor Dysfunction

015 - Antony Lo - Lifting Weights and Pelvic Floor Dysfunction

April 8, 2019

Lifting Weights and Pelvic Floor Dysfunction

Show notes by Elaine Stevenson of The Myotherapy Reading Room - https://www.patreon.com/MyotherapyRea... - see below for more details.

Show Notes:

Antony Lo is the co-host of The Women’s Health Podcast. In addition to his degree in Physiotherapy he also holds a Masters in Physiotherapy and took part in the Musculoskeletal Physiotherapy Specialisation training program – the highest form of training a physiotherapist can take in Australia. Antony’s special interests include pelvic floor issues, antenatal and postnatal, and strength-based training. In this podcast, Antony and co-host Marika introduce the topic of lifting weights, focussing on pelvic floor dysfunction in the context of some of the common myths.

Themes covered in the discussion include:
- different types of lifting, including techniques, standards, rules (for sport-related lifts)
- relationship between weight and repetitions (reps)
- strategies for lifting
- common reasons why patients seek assistance from strength-based health professionals when lifting
- physical therapy as a ‘legal performance enhancing’ intervention
- considerations for women experiencing pelvic organ prolapse
- role of a women’s health physio for return to lifting
- important information to obtain from your women’s health physio
- biomechanics and movement variability
- breathing / breath techniques
- loading strategies
- diastasis and lifting

Links:
Biography: http://physiodetective.com/antony-lo/
Website: http://physiodetective.com/
Instagram: https://www.instagram.com/physiodetec...
YouTube: https://www.youtube.com/channel/UC9j2...
Twitter: https://twitter.com/physiodetective
Facebook: https://www.facebook.com/physiodetective
Email: [email protected]

Sponsored by the Myotherapy Reading Room The Myotherapy Reading Room provides a curated, keyword-indexed feed of topical peer review paper, podcasts, clinical practice guidelines and systematic reviews together with links to related papers and resources, all specifically selected to support subscribing clinicians in the application of evidence-based practice with particular regard to musculoskeletal pain and injury presentations, including chronic pain. It’s rapidly growing subscriber base includes physiotherapists, osteopaths, chiropractors, exercise physiologists, myotherapists, strength and conditioning coaches, fitness professionals, massage therapists and others from Australia, Canada, the United States, and the United Kingdom. https://www.patreon.com/MyotherapyRea...

014 - Amy Eicher’s SIJ Pain Story

014 - Amy Eicher’s SIJ Pain Story

March 15, 2019

Amy Eicher’s SIJ Pain Story

Show notes by Elaine Stevenson of The Myotherapy Reading Room - https://www.patreon.com/MyotherapyReadingRoom - see below for more details.

Amy Eicher is an Author, Speaker, Pain Coach, clinician, athlete, and mother of two who, having spent years trying to get back her life from the abyss of pain, now focuses on empowering women with persistent pain to restore their lives through movement, self-discovery and education.

In this podcast, Amy speaks with Antony and Marika about her journey from being an elite level swimmer via a painful injury which was attributed to a ligamentous strain in the SI joint, which took her out of the pool and which culminated in years of pain, tears and frustration followed by surgery which failed to deliver the promised resolution.

In telling her story, the discussion covers the following:

  • how explanations and environment influence pain;
  • the role of fear;
  • Amy’s journey through different therapists, therapeutic approaches and explanations, including physical therapy, surgery and medication;
  • how living with pain has the potential to shrink one’s world;
  • the importance of being able to get back to things that mattered (eg swimming, friends);
  • strategies for managing pain and flare-ups;
  • getting out of the abyss;
  • recognising positives;
  • challenging believes and why it’s not always the most important facet of care;
  • understanding communication styles and needs;
  • calming stuff down; and
  • building stuff up.

Links:

Book: https://www.amazon.com/Restoring-Venus-Journey-Chronic-Possibilities-ebook/dp/B07PND16JW

Biography:  http://restoringvenus.com/about-me-pain-coach/ 

Website:   http://restoringvenus.com/ 

Facebook:   https://www.facebook.com/RestoringVenus/

Instagram:   https://www.instagram.com/restoringvenus/ 

Podcast: http://restoringvenus.com/podcast/ 

Email:    [email protected]

Sponsored by the Myotherapy Reading Room 

The Myotherapy Reading Room provides a curated, keyword-indexed feed of topical peer review paper, podcasts, clinical practice guidelines and systematic reviews together with links to related papers and resources, all specifically selected to support subscribing clinicians in the application of evidence-based practice with particular regard to musculoskeletal pain and injury presentations, including chronic pain.

It’s rapidly growing subscriber base includes physiotherapists, osteopaths, chiropractors, exercise physiologists, myotherapists, strength and conditioning coaches, fitness professionals, massage therapists and others from Australia, Canada, the United States, and the United Kingdom.

 

013 – What is important to your doctor and trainer? With Dr Amal Hassan and Elizabeth Davies

013 – What is important to your doctor and trainer? With Dr Amal Hassan and Elizabeth Davies

February 26, 2019
TWHP – 013 –What is important to your doctor and trainer? With Dr Amal Hassan and Elizabeth Davies
 
Show notes Sponsored by Elaine Stevenson of The Myotherapy Reading Room - https://www.patreon.com/MyotherapyReadingRoom - see below for more details.
 
Dr Amal Hassan is a UK-based Sports and Medicine Exercise Physician who completed her Masters degree in the sub-speciality of female athletic health.  She experienced difficulties returning to exercise after the birth of her first child and as a result of that experience is now focussing on updating information available in the UK for postnatal women on meeting national physical activity guidelines.
 
Elizabeth Davies is a personal trainer who specialises in the needs of female clients in the west and south-west of London.  She has two children and as a result of her own experiences in returning to returning to exercise after the birth of her second child, decided to leave her career as a barrister to retrain in the fitness industry.  Elizabeth often works in partnership with women’s health physios and is passionate about helping women to get back to the activities they love, as well as empowering them to perhaps try something new. 
 
In this podcast, Amal, Elizabeth and Antony discuss the need for better information for postnatal women and the role of ‘The Pelvic Floor Patrol’.
 
Themes covered in the discussion include:
- Experiencing pelvic floor ‘dysfunction’ as a mum
- The lack of awareness among fitness professionals about pelvic floor ‘dysfunction’
- Difficulties postnatal women experience in accessing information about resuming physical activity
- Physical activity guidelines; what they are and the role they play
- Pelvic health barriers to resuming activity
- The need for positive, aspirational and empowering health information  
- The potential mental health burden of restrictive advice
- The importance of focussing on how women conceptualise their physical state
- Remaining active throughout life
- Importance of educating health and fitness professionals about pelvic floor issues
- Pelvic health screening in fitness settings
- Self-assessment and self-measurement
- The need for governments to review/revise policy re pelvic health issues
- The role of ‘safety-netting’
- Relative Energy Deficiency in Sport (REDS)
- The need for individualised care and goal-centred approaches for women returning to physical activity
- The importance listening to patients and constantly reflecting on the validity of one’s own knowledge and preconceptions
 
Related Reading and Resources:
 
Links:
Email:   [email protected] 
 
Sponsored by the Myotherapy Reading Room
 
The Myotherapy Reading Room provides a curated, keyword-indexed feed of topical peer review paper, podcasts, clinical practice guidelines and systematic reviews together with links to related papers and resources, all specifically selected to support subscribing clinicians in the application of evidence-based practice with particular regard to musculoskeletal pain and injury presentations, including chronic pain.
 
It’s rapidly growing subscriber base includes physiotherapists, osteopaths, chiropractors, exercise physiologists, myotherapists, strength and conditioning coaches, fitness professionals, massage therapists and others from Australia, Canada, the United States, and the United Kingdom.
 
012 - Molly Galbraith - Feeling fragile, uncomfortable, and lack confidence in your post baby body?

012 - Molly Galbraith - Feeling fragile, uncomfortable, and lack confidence in your post baby body?

February 1, 2019

Show notes by Marika Hart and Elaine Stevenson of The Myotherapy Reading Room - https://www.patreon.com/MyotherapyReadingRoom

Show Notes:
Molly Gallbraith is a US-based Strength and Conditioning Specialist and Coach who has experience in cheerleading, gymnastics, figure competition and bodybuilding. She co-founded Girls Gone Strong. She has dedicated her life to helping women “give themselves grace and compassion when it comes to their bodies so that they can discover and accept what their best body looks like”.

In this podcast, Molly Galbraith discusses the postnatal period, with particular reference to the issue of body image after pregnancy.

Themes covered in the discussion include:

  • The pressure women experience to ‘bounce-back’ after the birth of a child
  • Physical and mental changes that occur during pregnancy and in the post-natal period
  • How these changes impact on a woman’s self-image
  • Advice for mum (of children of all ages) to help us learn to love our post-partum bodies
  • Tips for health and fitness professionals to support women in achieving their goals

Related Resources:
Pre- and Post-Natal Coaching Certification (CPPC): https://go.girlsgonestrong.com/cppc-enrollment-order?affiliate_id=1279297

(Clicking this link will support the podcast - all commissions earned will go to keeping the podcast technical costs and the charities we support)

Other Links:
Biography: http://mollygalbraith.com/about/
Websites: https://www.girlsgonestrong.com/and http://mollygalbraith.com/
Twitter: https://twitter.com/MollyGalbraith
Instagram: https://www.instagram.com/themollygalbraith/
Facebook: https://www.facebook.com/GirlsGoneStrong
YouTube: https://www.youtube.com/user/GirlsGoneStrong

011 - Robin Kerr - Why is there still so much back pain?

011 - Robin Kerr - Why is there still so much back pain?

February 1, 2019
Show Notes by Elaine Stevenson from The Myotherapy Reading Room - https://www.patreon.com/MyotherapyReadingRoom  
 
Robin Kerr is an Australian Physiotherapist whose special interests include pelvic floor issues, low back pain, pelvic pain, persistent pain and motion training. In addition to her qualifications in Physiotherapy, Robin also holds post-graduate qualifications Continence Management and Pelvic Floor Rehabilitation.  Robin has a diverse range of experience including stints spent working with the RAAF, with track and field athletes, including those involved in international competition, and in private practice in sports, orthopaedic and women’s health settings. 
 
In this podcast, Robin gets into the nitty gritty of back pain, what it is, and what we can do about it.
 
Themes covered in the discussion include:
- How common is back pain
- What is pain and why do we experience it
- Neuroplasticity and the role of the brain in pain
- Tissue damage vs pain; is it possible to have one without the other
- Tissue healing and protective mechanisms
- Central nervous system issues
- How the way we manage back pain (as clinicians) can sometimes make it worse
- How management of back pain has evolved over time and what patients should expect from their clinicians
- What clinicians mean when they refer to the biopsychosocial approach and why it’s important
- Factors indicative of a rapid recovery
- Potential ‘red flags’ which may suggest persistent pain
- The importance of staying active
- Pain recurrence, what it is how to deal with it
- The role of movement and exercise 
- General advice for patients with back pain, including what to expect from your health professional
- Pain as a nervous system issue
- Suggestions for ways to ‘hack’ your nervous system
- Future directions in back management 
 
Related Reading and Resources:
The Lancet – Low Back Pain Series (2018): https://www.thelancet.com/series/low-back-pain
 
Individual Papers: 
Buchbinder R, van Tulder M, Öberg B et al. Low back pain: a call for action. Lancet 2018; 391(10137): 2384-2388.
Clark S, Horton R. Low back pain: a major global challenge. Lancet 2018; 391(10137): 2302.
Foster NE, Anema JR, Cherkin D et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet 2018; 391(10137): 2368-2383.
Hartvigsen J, Hancock MJ, Kongsted A et al. What low back pain is and why we need to pay attention. Lancet 2018; 391(10137): 2356-2367.
 
Links:
Email:   [email protected] 
010 - Jessica Drummond - Why Do New Mothers Feel So Tired

010 - Jessica Drummond - Why Do New Mothers Feel So Tired

February 1, 2019
Show notes by Elaine Stevenson of The Myotherapy Reading Room - https://www.patreon.com/MyotherapyReadingRoom 
 
Why Do New Mums Feel So Tired?
 
Show Notes:
Dr. Jessica Drummond is a physical therapist and functional nutritionalist who is passionate about empowering women who struggle with chronic pelvic pain conditions and hormonal imbalances, and female athletes, and supporting women’s health and wellness professionals globally. She has two decades of experience working with women using physical therapy and functional nutrition, and teaching her colleagues, from an integrative, evidence-based, and conservative perspective.   
She regularly lectures on topics such as integrative pelvic pain management, natural fertility options, optimal hormone health, female athletes, and functional and integrative nutrition for rehabilitation, nutrition, wellness, fitness, and medical professionals.  She was educated at the University of Virginia, Emory University, Duke Integrative Medicine, and Maryland University of Integrative Health.
 
In this podcast, Jessica Drummond discussed the issue of energy depletion and fatigue that many women experience in the first twelve months after delivery, including the impact of sleep deprivation and fatigue which is unrelieved by sleep.
Themes covered in the discussion included:
- Reasons why energy levels may be reduced including nutritional aspects, bodily requirements for energy, digestive system factors and factors related to immune function
- The importance of not missing other issues which may be contributing including rheumatoid arthritis, psoriatric arthritis, vulvodynia, endometriosis
Learning from the quietening of autoimmune processes during pregnancy
- Hormonal changes and their impacts
- Regulation of insulin levels and the impact of caffeine and cortisol
- The role of stress and anxiety and factors which can help to buffer them
- Tips for new mums
- Timing of pregnancies
- Exercise and recovery
- Exercise and conception
- Nutrition and pelvic pain
 
Related Reading and Resources:
Alice Domar. Preparing for Pregnancy. Link: https://www.domarcenter.com/fertility/preparing-for-pregnancy/
Drummond J, Ford D, Daniel S, Meyerink T. Vulvodynia and Irritable Bowel Syndrome Treated With an Elimination Diet: A Case Report. Integr Med (Encinitas) 2016; 15(4): 42-7.
Kroenke CH, Michael YL, Poole EM et al. Postdiagnosis social networks and breast cancer mortality in the After Breast Cancer Pooling Project. Cancer 2017; 123(7): 1228-1237.
Rooney KL, Domar AD. The relationship between stress and infertility. Dialogues Clin Neurosci 2018; 20(1): 41-47.
Rooney KL, Domar AD. The impact of lifestyle behaviors on infertility treatment outcome. Curr Opin Obstet Gynecol 2014; 26(3): 181-5.
 
Jessica’s Book Chapters:
Drummond J.  ‘Chapter 5 Functional Nutrition for Pelvic Health’ in Chughtai B, Stein A, Espinosa G (Eds).  Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies. New Jersey: World Scientific Publishing. 2016.  [details]
Drummond JR. ‘Chapter 17 The Adolescent Female’ in Irion JM, Irion GL (Eds). Women’s Health in Physical Therapy. Lippincott, Williams & Wilkins. 2010. [details]
 
Links:
009 - Grainne Donnelly - Is Diastasis A Disaster?

009 - Grainne Donnelly - Is Diastasis A Disaster?

January 17, 2019

Show Notes by Elaine Stevenson from Myotherapy Reading Room

Gráinne Donnelly is an NHS Specialist Physiotherapist, in Pelvic, Obstetric and Gynaecological Physiotherapy.   She has a particular interest in the assessment and treatment of diastasis recti.

The word diastasis has an unfortunate tendency to strike fear into pregnant and post-natal women, and their clinicians alike, much of it unjustified.

Themes covered in the discussion included:

  • why diastasis is such a feared condition
  • relationship between fear and misinformation 
  • a review of the anatomy of the affected tissues
  • common referral pathways, including self-referral
  • when treatment is required
  • differentiating between functional vs problematic
  • physical strategies used in treatment: breathing, abdominal wall control, pelvic floor function and exercises
  • the importance of seeing a pelvic health physio before returning to high intensity exercise, eg running, for all women
  • the role social media plays in driving unrealistic expectations
  • training of the rectus abdominus and address atrophy
  • navigating the confusion created by conflicting opinions and perspectives of the health and fitness professions
  • the importance of language and lessons from our understandings about pain
  • appearance (‘mummy tummy’), strength and function
  • need for education of health professionals re role of women’s health physiotherapists in the management of this condition
  • links to low back pain, urinary incontinence, pelvic floor function and pelvic organ prolapse
  • measurement issues: size of gap vs strength
  • importance of setting meaningful goals and getting back into sport and activities (ie moving away from ‘can’t do’ cultures)
  • pathways, physio rehab, referral into surgery, rehab post surgery (where surgery required)
  • strategies that affected women use to cope with diastasis
  • the importance of seeking help between pregnancies, as opposed to waiting until you’ve finished your family
     

Related Reading and Resources:

Video: Lisa and Erin - https://www.instagram.com/p/BrBJqyOB7ok/

Benjamin DR, Frawley HC, Shields N et al.  Relationship between diastasis of the rectus abdominis muscle (DRAM) and musculoskeletal dysfunctions, pain and quality of life: a systematic review.  Physiotherapy 2018.  doi: 10.1016/j.physio.2018.07.002. [abstract]

Bø K, Hilde G, Tennfjord MK et al. Pelvic floor muscle function, pelvic floor dysfunction and diastasis recti abdominis: Prospective cohort study.  Neurourol Urodyn 2017; 36(3): 716-721. [abstract]

Davenport MH, Ruchat SM, Sobierajski F et al. Impact of prenatal exercise on maternal harms, labour and delivery outcomes: a systematic review and meta-analysis. Br J Sports Med 2019; 53(2): 99-107. [abstract]

Gillard S, Ryan CG, Stokes M, Warner M, Dixon J. Effects of posture and anatomical location on inter-recti distance measured using ultrasound imaging in parous women. Musculoskelet Sci Pract 2018; 34: 1-7.

Dianne Lee & Associates Physiotherapy. Diastasis rectus abdominis & postpartum health. https://dianelee.ca/article-diastasis-rectus-abdominis.php

Mommers EHH, Ponten JEH, Al Omar AK et al. The general surgeon's perspective of rectus diastasis. A systematic review of treatment options. Surg Endosc 2017;31(12):4934-4949

van de Water AT, Benjamin DR. Measurement methods to assess diastasis of the rectus abdominis muscle (DRAM): A systematic review of their measurement properties and meta-analytic reliability generalisation. Man Ther 2016; 21: 41-53. [abstract]

Links:

Biography:https://www.absolute.physio/aboutus
Practice: Absolute Physioat Maguiresbridge, County Fermanagh in Northern Ireland.
Twitter:https://twitter.com/ABSPhysio
Twitter:https://twitter.com/diastasisphysio
Instagram:https://www.instagram.com/absolute.physio/
Instagram: https://www.instagram.com/diastasis.physio
Facebook:https://www.facebook.com/Absolute.PhysioNI/
Email: [email protected]

008 - Ante Natal Exercise - Overview Discussion

008 - Ante Natal Exercise - Overview Discussion

November 6, 2018

Marika and Antony discuss Ante-Natal Exercise in this overview. Future episodes on Ante-Natal exercise will focus on different topics.

007 - A Day For Women By Women - Mish Wright

007 - A Day For Women By Women - Mish Wright

September 19, 2018

Mish Wright talks about her journey from school teacher to fitness professional to a leader and educator in women's health bringing fitness professionals and allied health professions together at the Women's Health And Fitness Summit...and now for the Public with A Day For Women By Women.

To win free tickets to this event, please go to the following:
1. Go to the Facebook Event page and show your interest.
General Public - https://www.facebook.com/events/681670842201367/ 
Health and Fitness Professionals - https://www.facebook.com/events/2165351603699083/ 

2. Tag a friend about it

3. Use the hashtag appropriate below
General Public - #ADFWBW18
Health and Fitness Professionals - #WHFS18

4. Use the hashtag #WHPodcast

Terms and Conditions apply.

Thanks for your inspiring story MIsh!