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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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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: 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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Butt Wink, Hip Openers and the Pelvic Floor

Butt wink is the awesomely named tucking under of the bum at the bottom of a squat (loaded and unloaded). Some great blogs on the subject include a great review of the anatomical/structural contributions to the issue by Ann Wendel for Girl Gone Strong. Dean Somerset had a great review and ways to delineate the potential […]

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Let’s Hear It For the Boys! Pelvic Health for Men: Part Three

 Welcome back to our blog series on Male Pelvic Health. In part one, Sarah Haag introduced us to the basic issues and common diagnoses experienced by men. In part two, she offered an understanding of how pelvic physical therapy can address pelvic pain when an infection is no longer, or never was, the culprit (often mis-diagnosed […]

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KGoal: What’s the Big Deal?

A new pelvic floor product is getting lots of press called the KGoal. I have to say I am not that excited about yet another product that sells isolated pelvic floor strengthening. I am sure the KGoal and all products of its kind do a great job at what they are sold to do…teach you […]

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