The Women’s Health Podcast
040 - Professor Peter O’Sullivan - How Has Pain Management Evolved?

040 - Professor Peter O’Sullivan - How Has Pain Management Evolved?

May 23, 2020

In this interview, Marika and Antony talk to Professor Peter O'Sullivan.

Peter is a clinical researcher at Curtin University and specialist physiotherapist at Bodylogic Physiotherapy, Perth WA. With his team, he has published over 250 peer review articles on MSK pain and its management, His passion is empowering people disabled with pain to get back to living again.

In this interview, we discuss
- how COVID-19 is resulting in more anxiety and how this is showing up in clinics
- helping people in pain via Telehealth
- Pete's journey as a physiotherapist and in particular his thoughts around pain and how they have evolved over the years. (He even goes back to his experiences as a child and how family shaped his responses to pain). He talks about how frustrated he was with the biomechanical model of pain in his early years and how his personality as a rule breaker probably helped him to think outside the box and develop new ideas (alongside his colleagues).
- things that you can do in order to keep growing professionally and how to create positive clinical environments
- the pros and cons of doing patient demonstrations in front of live audiences
- the Biopsychosocial Model - how the "Bio" is really important and not to be ignored. We also discussed where manual therapy and touch can fit into it (and when it is maybe not appropriate!).
- Cognitive Functional Therapy (CFT) - the model that Pete and others created and how it is not about "talking to people" and a lot is based on building relationships and trust, as well as performing behavioural experiments.
- minimum requirements for physiotherapists in order to implement CFT - incl a discussion on how for some people learning CFT is relatively easy whereas for others it takes a long time or it's just not a good fit.
- bottom line - patient-centred care is where we should start. All models will be criticised/critiqued and will evolve over time, but if we put the person in the middle of their journey (and put our egos aside), we'll be doing a decent job of it.

You can learn more about Pete at
https://bodylogic.physio/ 
[email protected] 

039 - Antony and Marika - Neurodiversity

039 - Antony and Marika - Neurodiversity

May 1, 2020

Ok, so this podcast is slightly different to our usual!
In this episode we talk about neurodiversity...and in particular, Antony discusses his personal experience living with ADHD.

We reiterate that we (Marika and Antony) are NOT neurologists, psychologists, psychiatrists etc - and we are definitely NOT experts in ADHD or other neurodevelopmental disorders. We just wanted to have a chat about
- some of the difficulties associated with living with ADHD - in particular organisation/planning, staying focussed and getting tasks finished
- how difficult social situations can be and the nuances that are often missed
- how online forums can be particularly challenging (esp for those who are literal (black/white) thinkers
- how medication has helped Antony (when he remembers to take it!)

We hope that this generates a bit of conversation around neurodiversity - how thinking differently comes with challenges but how it can also result in incredible creativity! We need people that can think outside the box and support those who struggle with fitting into our neurotypical-biased community.

Additional:
In this episode, we start out by discussing Antony's upcoming mentoring program. To join, please head to: www.physiodetective.com/masterclass 

Marika also discussed her online postnatal and pelvic "up and go" classes. If you would like to learn more, head to bodylogic.physio or email [email protected]. These classes can be attended by anyone living in Australia.

038 - Heather Edwards - Wait! Genitals Don’t Equal Gender!?

038 - Heather Edwards - Wait! Genitals Don’t Equal Gender!?

April 15, 2020

In this interview with Heather Edwards, Antony and Marika learn a lot about gender, sex, sexuality, BDSM and more!

Heather has been a pelvic physical therapist since 2003 and is one of only a few AASECT (American Association of Sex Educators, Counselors, and Therapists) certified sex counselors in the world. As an artist, she has a line of coloring books the blend gender-inclusive genital anatomy with fun and approachable designs. As a producer and host, she created a sex-ed-in-a-bar event series, Vino & Vulvas, in 2015.

In this episode, Heather tells us about her journey in pelvic health and how she fell into it when no one else wanted to! Along the way, Heather discovered an interest in sexuality and wanted to learn more about this topic, so she went on to do further studies.
Some of the questions that we asked Heather were:
- What does LGBTQIA stand for?
- What is the difference between sex and gender?
- As a health or fitness professional, how can we support people of all genders and orientations in our clinics? How important is the environment and our language? (NB Heather recommended the podcast Decolonising Fitness)
- Where can health and fitness professionals learn more about supporting LGBTQIA clients?
- When doing a subjective assessment, how do we create a safe space so that our clients feel comfortable sharing information?
- What does BDSM stand for and how can knowledge of this area help in working with clients with pelvic pain?
- When people talk of penetrative sex as being the goal, how can we introduce other aspects of sensuality into their rehabilitation program?
- Are there any particular things you’d like pelvic health physiotherapists to know about gender reaffirmation surgery?

Please go to the website www.womenshealthpodcast.com to download the coloring pages.

You can find Heather:
http://www.heatheredwardscreations.com 
[email protected] 
https://pelvicguru.com/event/trans-inclusive-trauma-informed-kink-aware-care-optimizing-sexual-wellness-in-atlanta-ga/ 

037 - Teresa Waser - TIIPPSS-FC On How To Help Your Female Athletes

037 - Teresa Waser - TIIPPSS-FC On How To Help Your Female Athletes

April 2, 2020

In this incredibly practical episode, we interview Teresa Waser and ask her for her top tips for helping female athletes.

Teresa is an Orthopaedic and Pelvic Health physiotherapist, operating within a non-traditional model. She works at RX Physiotherapy, her clinic located within a CrossFit gym in Leduc, Alberta, Canada where she has also coached running clinics and CrossFit, particularly in older adults. She also has a special interest in pregnant and postpartum athletes. When not in the clinic, she acts as Senior Teaching Assistant for Antony Lo’s The Female Athlete course, in addition to teaching her own seminars independently.

Teresa shares her journey within physiotherapy and her frustrations along the way as her beliefs were being challenged. She talks about when she discovered pain science and how her thought process changed after doing the Female Athlete Course and The Masterclass Program - Peak Simplicity - with Antony Lo.

Teresa then goes on to outline her acronym TIIPPSS- FC that she developed to help give course participants, and later all health and fitness professionals, a framework to think about what aspects of the person's presentation they could change.

T= tension to task (global and local)
I = Impact (eg with the body or with equipment)
I = Irritability (incl irritants of the pelvic organs or symptom irritability)
P = Posture and Position (ie static and dynamic)
P = Pressure (ie IAP. Modified by breathing, muscle contraction etc)
S = Strategy (eg technique, scaling)
S = Sensitivity (central and local. Consider sleep, stress, beliefs, attitudes etc)

F = Fatigue (is the person experiencing symptoms at the end of a session?)
C = Capacity (ie SAID principles)

  • Teresa then gives examples of how these principles can be applied to clients.
  • A client who has some mild low back pain with deadlifting.
  • A client who has some leaking with running.

You can learn more about Teresa here:

Website:
www.rxphysiotherapy.com 
www.pelvicguru.com/professional/teresa-waser/ 

Email:
[email protected]

FB:
www.fb.me/teresa.graysonwaser 
www.fb.me/rxphysiotherapy 

IG:
www.instagram.com/rxphysio 

036 - Molly Galbraith - Ask Me Anything! - Part 2

036 - Molly Galbraith - Ask Me Anything! - Part 2

March 31, 2020

Today we talk to Molly Galbraith, Woman-in-charge at Girls Gone Strong (GGS).  The GGS movement is dedicated to: 

  • teaching women how to find their own version of strength and confidence from the inside out
  • teaching parents how they can be better role models and leaders
  • and helping professionals empower the women they work with

We put the ball in your court and took questions from the community! Here are some questions that we asked:

  1. Where are the older female coaches? What challenges are they facing eg unemployment, recognition etc
  2. How did you get here – ie from the online business side of things to running courses in the Coaching and Training Women Academy?
  3. (Antony tries to sneak in more work for Marika to do in suggesting a webinar…hehe)
  4. Molly drops some great tips on WHY you need to be putting out great content even if you think that someone else has already done it before.
  5. What tips do you have for those who suffer Imposter Syndrome?
  6. What is your favourite family tradition?

Resources:

 

Website:

https://www.girlsgonestrong.com/

Instagram:

https://www.instagram.com/thegirlsgonestrong/

https://www.instagram.com/themollygalbraith/

Facebook:

https://www.facebook.com/GirlsGoneStrong/

Facebook Groups:

Health and Fitness Professionals: https://www.facebook.com/groups/GGSCoachingandTrainingWomen/

General public: https://www.facebook.com/groups/strongwomenlifteachotherup/

Pregnant/postnatal public: https://www.facebook.com/groups/StrongMomsSisterhood/

Free Home Workouts:
https://www.girlsgonestrong.com/free-home-workouts-download

Coalition of Health and Fitness Leaders Resource Pack:
https://www.precisionnutrition.com/wp-content/uploads/2020/03/CHFL_Coaching-Resource-Package.pdf

Coalition of Health and Fitness Leaders website (where the weekly expert panels take place):
https://healthandfitnesscoalition.com/

Brene Brown podcast on Comparative Suffering:
https://brenebrown.com/podcast/brene-on-comparative-suffering-the-50-50-myth-and-settling-the-ball/

035 - Molly Galbraith - Ask Me Anything! - Part 1

035 - Molly Galbraith - Ask Me Anything! - Part 1

March 31, 2020

Today we talk to Molly Galbraith, Woman-in-charge at Girls Gone Strong (GGS).  The GGS movement is dedicated to: 

  • teaching women how to find their own version of strength and confidence from the inside out
  • teaching parents how they can be better role models and leaders
  • and helping professionals empower the women they work with

We put the ball in your court and took questions from the community! Here are some questions that we asked:

  1. What is the Coalition of Health and Fitness Leaders and how are you helping health and fitness professionals during the COVID-19 outbreak?
  2. What is your health and fitness story? Tell us about your journey.
  3. When did you feel that your self-worth was no longer connected to your body shape?
  4. How long did it take you to get on top of your body image issues?
  5. How can you cultivate and strengthen a mindset that will help us through the next few weeks?
  6. Any nutritional advice for women with hypothyroidism? (Molly shares her personal experience) 

Resources:

 

Website:

https://www.girlsgonestrong.com/

Instagram:

https://www.instagram.com/thegirlsgonestrong/

https://www.instagram.com/themollygalbraith/

Facebook:

https://www.facebook.com/GirlsGoneStrong/

Facebook Groups:

Health and Fitness Professionals: https://www.facebook.com/groups/GGSCoachingandTrainingWomen/

General public: https://www.facebook.com/groups/strongwomenlifteachotherup/

Pregnant/postnatal public: https://www.facebook.com/groups/StrongMomsSisterhood/

Free Home Workouts:
https://www.girlsgonestrong.com/free-home-workouts-download

Coalition of Health and Fitness Leaders Resource Pack:
https://www.precisionnutrition.com/wp-content/uploads/2020/03/CHFL_Coaching-Resource-Package.pdf

Coalition of Health and Fitness Leaders website (where the weekly expert panels take place):
https://healthandfitnesscoalition.com/

Brene Brown podcast on Comparative Suffering:
https://brenebrown.com/podcast/brene-on-comparative-suffering-the-50-50-myth-and-settling-the-ball/

 

034 - Juan Michelle Martin - How Do You Get A Telehealth Service Started and People To Book In?

034 - Juan Michelle Martin - How Do You Get A Telehealth Service Started and People To Book In?

March 28, 2020

In this episode we talk to Dr Juan Michelle Martin. Dr. Martin is a pelvic floor physical therapist and telehealth consultant. She is the owner of JMM Health Solutions, a concierge practice offering in person and virtual sessions as well as the creator of the Zero to Telehealth and Telehealth Taster programs designed to get clinicians confidently started with and executing telehealth sessions with their clients.

We asked her lots of questions about how Telehealth has been helpful for her clients and she shared some fantastic ideas on how we can use this current situation as an opportunity to connect with people and help those in more rural areas.

Some of the highlights in this podcast:
- Her subjective assessment is collating the intake forms and then listening.
- Assessment can be ADLS in their environment. Watch them perform the aggravating task.
- In regards to treatment, always bring it back to the client’s goals
- Use social media as an opportunity to promote yourself as a specialist. Speak to the people.
- Get people on a video call rather than telephone call. It can help get them used to the idea of telehealth
- Before going online, get the legal stuff sorted. Become a legal entity, to protect yourself. Get consent forms, privacy, communication policy etc all sorted BEFORE starting. Make sure you have liability insurance and that it includes telehealth.
- In the USA you can only practice telehealth for clients that reside in states that you are licensed in. This is not a limitation though – most states have large populations and you have an opportunity to reach out to people in isolated areas.
- Consider doing a check-in with patients via video
- If you are a clinic owner, consider having a pelvic health PT that can consult via Telehealth.
- In the future, perhaps clients can have their physical therapist on video phone to be with them in consults with their doctor

A huge thank you to Dr Martin for her time today. It has given us lots of food for thought!

Juan Michelle has kindly shared her Telehealth consent form. You can find that here: https://www.jmmhealthsolutions.com/offers/wWeW93xn 

There are also more Telehealth resources at www.jmmhealthsolutions.com/telehealth 

You can find her at
Website: https://www.jmmhealthsolutions.com 
Facebook: www.facebook.com/JMMHealthSolutions 
IG: www.instagram.com/thepelvicperspective  
Phone: +1 (770) 569-3572

 

033 - Julie Granger - Telesanity! How To Find Joy and Fun In Telehealth!

033 - Julie Granger - Telesanity! How To Find Joy and Fun In Telehealth!

March 28, 2020

In this podcast we talk to Julie Granger, a physiotherapist who you may remember from episode 20 when we talked about working with teenagers.

In this episode we talk about transitioning to Telehealth and how you can maintain your Telesanity!

There are a LOT of gems in this episode, including
- how to help patients calm down, by encouraging them to feel the emotions and sit in them for 2mins
- how to assess and provide treatment via telehealth. She encourages you to brainstorm a previous client that you couldn’t do manual therapy with and think about how that would work in an online situation.
- Consider that 70% of the clients outcome is from lifestyle, 20% genetics and 10% what we do
- Her favourite author David Hawkins (esp the book “Letting Go")
- Think about who YOU are. Don’t put your identity in your profession. Eg I am me. I practise physical therapy. I choose to have these things.
- Do as much as possible and as little as necessary
- In regards to technology, if you have a system in place and it is compliant, stick with what you know. If it can be integrated, go with it. Make sure it is sorted in terms of legal and compliance.. then just get on and treat patients…
- How to help those clients who want/ expect manual therapy from their physical therapist. Break patients into groups- those that will follow you regardless should be booked straight away. Those who are "manual therapy or die" – like trying to turn the Titanic. Start planting seeds now. Consider a complimentary 15 min chat or every few weeks touch base and share stories of how you’ve helped others through telehealth
- Establish a human connection. “How are you?” Acknowledge their goals. Consider the what and how – and ask the client where they would like to start. Julie uses progress forms for each session.
- Each new session ask: “What 3 things went well since last session?” “What are the top three hiccups to success?” and “What are the three things you want to focus on?”
- Use reflective listening. Repeat their statements with no tone. Patient will hear it and verify the truth of it. Ask what and how questions such as : what if it did get better? What would you do with your time?
- Give the client options for management and ask which one they would like to choose.
- Wrap up with reassessment, measure change/ outcomes. Ask: how do you feel?
- Create business hours for yourself: don’t offer client bookings outside of that. Do admin time if you don’t have clients, not at night. Set boundaries
- Choose an electronic scheduler that is HIPAA compliant. Calendly Acuity
- Re: billing. Be very specific when you ask insurance companies about telehealth rebate and get it in writing

To find and follow Julie, here are her socials:
www.drjuliegranger.com/energizeyourhealth 
www.drjuliegranger.com 
www.instagram.com/drjuliegranger 
www.facebook.com/drjuliegranger 
www.twitter.com/drjuliegranger 

And here is an ebook book written by Julie specifically for young female athletes:
https://buildstrongirls.com/…/the-young-female-athletes-pl…/ 

And for those that don't know Julie, here is her bio:

Dr. Julie Granger, PT, DPT, SCS, WHC is a teen & women’s health and life coach, sports physical therapist, and career and business coach to physios and health professionals. She specializes in holistic treatment and coaching of active, busy women, teens and professionals.

Julie is fluent in “speaking teenager” and has a passion for helping girls and women find simple ways to fix or prevent health problems without sacrificing their whole lives to do it. She also loves helping health pros do more with less in their businesses or careers so they can spend more time living and less time working.

Dr. Granger loves sharing her passion & knowledge with others as an accomplished speaker. She is an adjunct clinical professor in the Emory University Doctor of Physical Therapy program, from where she also received her DPT degree & performed research on the holistic sports health of girl and teen athletes. She has lectured both nationally and internationally & is faculty member for the Integrative Women’s Health Institute (IWHI).

In early 2017 Julie published her first book, The Young Female Athlete’s Playbook.

As a lifelong elite swimmer & cancer survivor, Dr. Granger knows firsthand what her clients are stacked up against.

Now in an international coaching practice, she helps show women and teens that health is more than a never ending series of appointments, supplements, nutrition changes and out of the box lifestyle changes. Instead, she helps them embody the universal human truth that health begins and ends with the state of mind that we hold.

Dr. Granger swam collegiately at Duke University where she majored in child & adolescent developmental psychology. In her free time she enjoys swimming, being outdoors, drawing and painting, playing the clarinet, and traveling and adventuring with her husband, Daniel, and Labrador pup, Aspen.

032 - Maggie Bergeron - Telehealth, Embodia, And Their Amazing Offering!

032 - Maggie Bergeron - Telehealth, Embodia, And Their Amazing Offering!

March 25, 2020

In this episode, Antony talks with Maggie Bergeron, the co-founder of Embodia.

Antony and Maggie were messaging after having done the #PTTogether Episode 2 webinar earlier (available free on Embodia!). Anyway, Maggie mentioned she was up late because she had been busy doing support during this busy time with all the changes with COVID-19 and there had been some technical hiccups with their transition from Zoom for Business to Zoom for Healthcare...

...and so Antony, ever the questioner, had to ask why they were moving to Zoom for Healthcare since they are an education company!

Listen to the episode for the details but the bottom line is that subscription members of Embodia have access to unlimited free 40mins Zoom for Healthcare consults including bookings and sending home exercise program videos! And they are simply passing on the cost if you want longer than 40mins!

That's unbelievably good value considering Zoom for healthcare for one person would cost at least 10 times that amount of money!

So please take advantage of the fact that you can contact Maggie and ask any questions you need to.

Please note that NO COMMISSIONS OR PAYMENT was received for this podcast. Antony thought it was a great initiative and wanted to share this with you all.

Maggie Bergeron is a registered physiotherapist who received her Master of Science in Physical Therapy from McMaster University in 2009 after completing her undergraduate studies at the University of Ottawa.

Maggie co-founded Embodia in 2014 to modernize the patient experience and to provide a simple, easy way to take continuing education courses to all physiotherapists and rehabilitation practitioners, regardless of their location, budget or area of practice.

Maggie is also the host of HealthTO - a health technology event that brings together 200 health tech enthusiasts bi-monthly to network, learn, and collaborate. She has been an invited speaker at Universities, technology symposiums and healthcare conferences across Canada. Maggie currently serves as a mentor, placement host and holds a Status-Only Appointment (lecturer ranking) with the Department of Physical Therapy at the University of Toronto.

Outside of work, Maggie enjoys travelling, rock climbing and attempting to play ultimate frisbee.

You can contact Maggie at Embodia via the links below:

www.embodiaapp.com  
www.instagram.com/embodia  
www.facebook.com/embodia 

031 - Susan Clinton - Relax, Rest, And Digest! A Special COVID-19 Episode

031 - Susan Clinton - Relax, Rest, And Digest! A Special COVID-19 Episode

March 24, 2020

In this special episode, we speak to Dr Susan Clinton, physical therapist/physiotherapist extraordinaire, about how long periods of stress can affect our health and well being... and what we can do to try to combat this.

Around the globe, huge changes have been taking place since the arrival of COVID-19. Our daily routines and the simplicity of things like going to the gym or having a coffee with friends have been completely upended. We are all feeling some degree of anxiety, wondering "when will this end? How bad is it going to get?"

So we asked Susan, who has a love for the parasympathetic nervous system to come and give us some tips on how we can take care of ourselves during these difficult times.

Here are some of her thoughts in point form (we recommend listening to the whole thing though, so you can hear Susan expand on them):

1. Create a schedule
2. Break bread with friends and family eg over facetime
3. Habit stack
4. Practice self compassion (https://self-compassion.org/wp-content/uploads/2015/12/self-compassion.break_.mp3)
5. Find movement/exercise daily. Try and get a combination including slower forms such as tai chi or yoga.
6. Put the phone away
7. Consume alcohol on occasion only (eg for celebration, not regularly to relax or self soothe!)
8. Work on sleep hygiene. Get rid of those screens! Consider how you feel when you wake up in the morning.

We also had a great chat about children and how we can model some of those behaviours for our own kids during this period of homeschooling.

This was a wonderful chat and we are grateful for Susan sharing her time and compassion during this time.

You can find Susan at:
https://embody-pt.com/ 
https://www.thegeniusptproject.com/ 
https://toughtotreat.com/