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Dear Friends and Colleagues

Dear Friends and Colleagues, This is a bit of a departure from my typical Dear So-and-So blog (Dear Coach, Dear Dr. Oz, Dear Depend and Poise, etc.). Instead it’s about an actual departure….mine. As of today, I am taking a break, a sabbatical of sorts, for some much needed rest until the Fall. Here’s what […]

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Should We Cue The Multifidus?

Q: Just curious, what are your thoughts as to what the multifidus is doing in the flow of dynamic stability?  You don’t talk about it much. What gives? P A: You right, I don’t tend to include the Multifidus in my conversations in social media, videos, and blogs in regards to the Pistoning system that […]

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Breath Holding and Your Pelvic Health

Q: I know breath holding is bad from my pelvic floor. Should I never hold my breath again? M A: This is a great question as we continue to expand our conversation about intra abdominal pressure in pelvic health issues, is it a friend or foe? Historically, we have counseled women away from certain activities because […]

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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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The Challenge of Incontinence for Kids with Challenges

Because I talk about incontinence, I often get pegged as the pelvic floor lady. Sometimes I get flack because some say I think “it’s all about the diaphragm”. But really… I am all about the system. I am suggesting a new approach to central stability that the pelvic floor just happens to be a part […]

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Intra-Abdominal Pressure: Pelvic Health Friend or Foe?

Recently, I was asked a few questions by Lorraine Scapens of PregnancyExercise that grew into a three part blog series. I wanted to share some highlights. This exerpt is a question I get a lot about excessive abdominal pressure caused by certain exercise that could contribute to pelvic health issues. My answer may surprise you. […]

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prolapse symptoms?

Squats vs Kegels: The Great Debate

Recently, I was asked a few questions by Lorraine Scapens of PregnancyExercise that grew into a three part blog series. I wanted to share some highlights. This exerpt is a question I get a lot about the paradigm shift proposed a few years ago to ditch kegels, and do sustained, deep squats instead. Check it […]

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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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Q and A: Isn’t the Piston Approach just a Kegel Plus Breath?

The idea of the Piston is a component of a larger system that I teach. I hope it will steer folks toward a functional and relationship based approach to pelvic health and understanding of the role of the pelvic floor as a partnere in movement and performance. Some have asked but isn’t it just a kegel […]

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Dear Diastasis Community….Can We Talk About Planks?

Planks have become a dirty word in diastasis chat rooms, forums and blogs. Blanket edicts of no more planks have emerged. But this has thrown a lot of women into a state of confusion…we can’t do crunches, and can’t do planks…what can we do? This speaks to the no-man’s land that so many women find […]

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