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Return to Running with Prolapse

Let’s talk about your return to running with prolapse. This podcast conversation is a classic and full of ideas. Dr. Bri Grogan (now of Vibrant Pelvic Health) and I hash out how to begin to build back to running with pelvic organ prolapse and other issues like incontinence.  Prepare for Running with Prolapse Listen in […]

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Training the Reflexive Response of the Pelvic Floor

Q: Hey, Julie! Can your Pelvic Floor ever act automatically again without having to think about it? L A: Take heart! I do think many women can achieve an automatic response from their pelvic floor again, as a part of the whole continence system. But we have to train the system for that. So I take […]

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Q and A: What is the Goal of Prolapse Rehab?

Q: OK, here’s my question that I have been thinking about for a while. Is the goal to make the prolapse go away, is that possible or are we aiming to have no symptoms. Without a doubt these principles have alleviated symptoms ( many years past delivery) but I still have a stage 2 prolapse. […]

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How Do You Push The Baby Out?

When I get a question I don’t feel like I have the best answer for, I hit up pubmed for research and trusted colleagues for their insights and wisdom. Anita Lendach , pelvic health physical therapist,  is one of those colleagues. I posed a question to her that I had received. Specifically the inquirer wanted an […]

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Dear Depend and Poise: A Challenge

Last week a post on incontinence crossed my desktop. It came from a topical blog that regularly tackles issues for its audience of middle-aged and older adults. The author disclosed that this particular post was sponsored by Depend Incontinence Products. Paid post or not, I think that the author was earnestly sharing a perspective from […]

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Hypopressives? I’ve Got Questions.

After the fourth Hypopressives related email, tweet and direct message came my way in one day last week, I decided it was time for a blog! I have been asked about Hypopressives both privately and through social media outlets, but unfortunately, since most of the information is in Spanish, I have had very limited success […]

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Dear Dr. Oz….Pelvic Organ Prolapse

On Jan 20, 2012 DrOzfans.com posted some of Dr. Oz’s comments on pelvic organ prolapse. He suggested training the pelvic floor with.. “Kegel exercise(s). Dr Oz showed the audience how to do this by envisioning an elevator and breathing in and up. (It should take 10-15 seconds, when breathing in and up.)” I respectfully disagree…. […]

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What Goes Down Must Come Up

Pelvic organ prolapse and associated pelvic floor disorders used to be associated with the aging woman. Unfortunately, these diagnoses are now becoming more common with young women who exercise regularly. Jogging is a common culprit, creating a repetitive impact on a weakened pelvic floor which contributes to descent of the poorly supported pelvic organs. So what is an endorphin junkie who can’t quit the “kick’ they get from a good run to do about their heavy, painful sagging insides?

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