Episode Transcript
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Speaker 1 (00:00):
Welcome to another episode of that align and elevated podcast.
Speaker 2 (00:03):
I'm your host, doctor Allison.
Speaker 1 (00:04):
Fell, owner of Body Motion Physical Therapy, owner of af
Wellness Community, and your host, your host of the online
and elevated podcast. I am so excited today because I
have Devin back on. Like I had so much fun
with her interviewing me on like more of a personal
business front. We decided to like come back on the
podcast and ask me everything you want to know about
palvic floor and really, like what are some hot questions.
Speaker 2 (00:27):
That we get from clients and interested people that like
they want to know more? Right, so we are.
Speaker 1 (00:34):
Diving in today to talk all about palviyfullair physical therapy,
palvic floor health, women's health in general.
Speaker 2 (00:41):
And yeah, so Devin take it away.
Speaker 1 (00:45):
And also if this is you didn't hear the last episode,
go back and listen because Devin killed it. She asked
me some absolute amazing questions. Devin is the GM here
at Body Motion managing both locations, managing the wellness business online.
Speaker 2 (00:57):
And yeah, so welcome Devin.
Speaker 3 (01:00):
Oh thanks, such a beautiful office.
Speaker 2 (01:04):
You just can't see the other side of the beauty.
Speaker 1 (01:06):
The stats of paper, the luggage, like all the weird stuff.
Speaker 3 (01:11):
Yeah, I thought it'd be fun if we started with
like a myth busting game. So I'm gonna ask you
some questions and you tell me if it's fact or fake.
Oh yes, okay, So leaking at any time.
Speaker 2 (01:21):
In your life is normal? False? Well I know the answer,
but they may not.
Speaker 1 (01:30):
Leaking is never ever normal, Okay. Like, if you are leaking,
your public floor is not working for you. Something is
going on in your body, and that is not normal.
It's very very common. Women are just expected like that
we leak, So it's it's very you know, status quo.
Speaker 2 (01:44):
People just assume that it's normal to leak.
Speaker 1 (01:47):
And it's also like a little bit taboo, although I
think it's less and less taboo, and people are just like,
oh no, I pin my hants.
Speaker 2 (01:54):
A little bit, and like they're like putting it on
social media. You know.
Speaker 1 (01:56):
So absolutely not not normal, and there's a lot you
can do to fix it, and you should fix it
so that your core is optimally working for you, because
if you are leaking, that means your core is not
working for you, and that means you're gonna wear out
your joints.
Speaker 2 (02:09):
So yeah, I love it.
Speaker 3 (02:11):
I was like I always expecting her to say false,
but just move on.
Speaker 2 (02:16):
But love that you gave an explanation. Dioceasis recktie has
to have surgery to heal. Absolutely no, completely false.
Speaker 1 (02:24):
Yeah, So dioceasis is very common and usually I like
the most up to date research says that most people
have diastases RECTI buy thirty eight weeks pregnant. You want
to do what you can to minimize the effect of
it being clinically significant for you and from it not healing,
and so working with a pelvic expert physical therapist is
really important. And even if you decide that your dioceasis
(02:47):
is like the size of a football and you need
to get surgery, you should always do pelitic flower work
beforehand in order to maximize the results of that surgery.
So some people do end up getting surged, and there's
you know, it's not like right or wrong, but ideally
you can you know, most people can heal their diastasis
without surgery.
Speaker 2 (03:07):
So vaginas are self cleaning, true or false? True?
Speaker 1 (03:10):
You do not need soaps, you don't need sanitizers, you
don't need all the I want to say, like they're
sold as like coucie cleaners. Like you just don't need
that shit. That's like what they're called, right, yeah or whatever. Well, yeah,
don't buy into that marketing. Like vaginas clean themselves, bulvas
clean themselves. Don't use soap, use water, Use water for
(03:34):
your vagina, Like you don't need soap. It's not good
for it. It the pH normalizes itself. If you're worried
about the way you smell, like all vaginas smell a little,
you know, there's there's always a scent there.
Speaker 2 (03:47):
It's not that it's you know, if it's.
Speaker 1 (03:48):
Really if it's a strong odor, like talk to your
doctor about it. You know, some people do have low
grade yeast infections, some people do have a you know,
bacterial vaginosis, some people have you know, other conditions. But
it doesn't mean that that's like super scary. You should
just talk to your doctor. So if you do feel
like a bad odor is coming from your vagina then
(04:11):
or a strong odor, then talk to your doctor. But
small amounts of discharge are normal, especially you know, different
times of the month and when you're populating, and so
that's not a red flag either in case you want, yeah.
Speaker 3 (04:28):
All right, So then my last one would just be
pain with intimacy is normal and that you need lube
and that kind of thing.
Speaker 1 (04:37):
Yeah, I mean, when hormones are balanced, you don't need lubricants.
Like you would hope that your muscles are healthy enough
that you can have, you know self, lubrication is plenty.
Speaker 2 (04:46):
But some people do need lube, and that's okay.
Speaker 1 (04:49):
We recommend a water based lubricant that tends to be
the best and least.
Speaker 2 (04:54):
Irritating for the mova and the vagina, and.
Speaker 1 (04:57):
You know, they're also are silicone lubric that can work
for certain people as well. I highly recommend. So that's
the lubricant side of things. I do not agree with
the with your fact of you know, intimacy should be
painful or needs.
Speaker 2 (05:16):
You know, no one should ever have pain with intimacy.
Speaker 1 (05:19):
Sexual intercourse should actually feel good for both parties. If
it doesn't feel good for your body, then that's not great,
and I would I do suggest, like get help if
it doesn't feel good, because the more that you go
into situations where your body isn't happy or you're not
feeling good, your brain remembers that and it kind of
becomes this pattern inside the brain that is like a
(05:43):
negative connotation, like oh, every time.
Speaker 2 (05:44):
I have sex, it's painful. It's painful, it's painful.
Speaker 1 (05:46):
You're conditioning your brain to feel that pain, and then
a lot of times you're conditioning your body to guard
against that pain, which is then going to honestly make
things even worse and make it more painful.
Speaker 2 (05:56):
And so it's a really it's not a great cycle.
Speaker 1 (05:59):
So if you are having pain with intercourse, this is
something that you know, work with pelvic expert physical therapists
get some help. The common pain complaints are people will
feel burning upon initial penetration and or like a lot
of tightness regardless of how much lubricant they use, or
that their partner just can't get in. And then a
(06:20):
lot of people will feel like if they are getting there,
they'll feel like they're get pain with deep thrusting positions,
or that deep thrusting is just kind of off limits
and they can't but they don't want their partners to
go fast or hard, or you know, certain positions make
it feel like they're hitting something.
Speaker 2 (06:35):
Maybe they're partners hitting something.
Speaker 1 (06:37):
These are all signs that your pelvic floor is really
tight and constricted and doesn't have a lot of range
of motion, and so sometimes it's such a simple fix.
And I say simple because this is what I do
every day, but I know it can be all encompassing.
But public floor physical therapists can teach you how to
open up and relax these muscles so that it actually
feels good for you.
Speaker 2 (06:57):
Having intercourse.
Speaker 1 (06:58):
You shouldn't feel like your partner's hitting something. Most people
think that their partners are hitting their cervix when they're
doing the deep thrusting or when certain positions feel like
they're hitting something, and it's not your cervix that is
feeling that. It's usually the third layer of the pelvic floor,
sometimes the operator in ternus of the pelvic floor with
initial penetration pain. A lot of times it's the first
(07:19):
and second layer of the pelvic floor. So the pelic
floor has multiple layers and different structures like fashion muscles,
and when those become tight.
Speaker 2 (07:26):
And constricted, they can create pain during intimacy, during intercourse.
Speaker 1 (07:32):
Also, it's very normal, just so people know, for women
to have clitoral orgasms, and when people are like, oh,
I don't get you know, I don't climax with sex
or I don't get a good G spot orgasm, And
that's essentially just your clatorus. It's just on the inside
of your clataorus. So a lot of people are concerned
about that. And the clatorus is a muscle, and you
(07:54):
can train your muscle to have an orgasm, and you
can train it to have an orgasm by stimulating the
clatorus externally or stimulating the quich worus internally.
Speaker 2 (08:02):
Nothing is right or wrong.
Speaker 1 (08:03):
Most people don't actually have those internal orgasms. They tend
to have more external orgasms from external stimulation.
Speaker 2 (08:11):
But if you're not able.
Speaker 1 (08:12):
To achieve an orgasm, or you have to work really
hard to achieve an orgasm, or that orgasm is painful,
then that would be a time again that you should
like all of those are a little bit of red flags,
like those aren't that's not normal, very common, but not normal,
And you could work with a pelfic expert physical therapist
to truly work through that sec should feel good.
Speaker 3 (08:33):
So you talked a lot about the public floor needing
a pelvic floor physical therapist, an expert in the field,
and so ten seconds, what is the public floor like,
what is its main function?
Speaker 2 (08:45):
Why does it matter? Ten seconds? The pelid floor is
the bottom of your core.
Speaker 1 (08:51):
It is responsible for your bowel movements, is responsible for peing,
It is responsible for delivering babies, and for sexual intercourse
and for pleasure.
Speaker 2 (09:03):
So those are the primary functions. Did I say urination?
Speaker 1 (09:05):
It's also responsible for urination, And it's a deep core
muscle that if it's not working then is you're going
to have a weak core, which is going to put
more stress on the rest of your body.
Speaker 3 (09:17):
So you're telling me that the public floor is responsible
for five major functions as well as supporting our entire body.
We're pretty much told that keegels.
Speaker 2 (09:25):
Is the answer and everything. Yeah, yeah, yeah, of course,
but that's a fact, that's a factor. That's a false
false state. Obviously, keegels are one form of.
Speaker 1 (09:35):
Movement that the pelvic floor does, and they might have
a place, but they don't have a place most of
the time. Most women have really tight and constricted pelvi floors.
Speaker 4 (09:45):
Now, tight and constricted pelvic floors are weak pelvic floors.
Speaker 2 (09:49):
For sure.
Speaker 1 (09:50):
When a muscle is tight, it's weak because it's not
operating in the full range of motion. But all simply
you have to do and I say simply, but usually
it takes working with someone who's skilled in pelvic clos
therapy is you have to train your pelic floor to
open and elongate, and once you train it to elongate,
you naturally will get contractions throughout your life. Whether you're
doing squats, whether you're doing hip exercises, deadlifts, doing crossdit,
(10:12):
going for a run, going for a walk, even you're
gonna get a natural repli of the pelvit floor. What
matters is that it's dynamic and can elongate, and then
you'll naturally always get that shock absorption, you'll get that contraction,
so you don't need to really.
Speaker 2 (10:23):
Go bust out a hundred peoples.
Speaker 3 (10:26):
Yeah, I think that's something that since working here and
like talking to clients and new patients, it's really like
a parent and that's so instilled in our society. It's like,
do kegels, you wanna be really tight, It's gonna make
sex better. Yeah, like all the things when really like
a lot of our clients who are struggling, it's because
they've been doing it. And I love what you always say.
It's like, if keegels worked, our moms wouldn't be paying
(10:48):
their pants. It's so it's just you know, food for thought.
Speaker 2 (10:52):
Yeah, No, that's great.
Speaker 1 (10:53):
And also just like to comment on that people want
to be really tight for their partners or because they
think it's gonna make sex better for everybody, and the
reality is, like, what makes.
Speaker 2 (11:00):
Sex better is when you have a really healthy muscle.
Speaker 1 (11:03):
So when your pelvic floor is strong and healthy and
has really good range of motion, it has really good
blood flow.
Speaker 2 (11:10):
And when it has really good blood flow, it is
a beefy healthy muscle.
Speaker 1 (11:14):
When that muscle is dehydrated and tight and doesn't move much,
it is gonna be.
Speaker 2 (11:19):
That texture of beef jerky. I know you're gonna roll
your eyes.
Speaker 1 (11:23):
I say it every time, but it's the truth, and
that doesn't feel good for sex. You want the beefy
healthy muscle because a muscle that has range of motion
and that has that beef is gonna be ten times
better to have sex with.
Speaker 2 (11:39):
Don't have that part I know, it's the truth. It's okay.
Speaker 3 (11:43):
What's the cringiest thing you've seen online about pelvic health?
Speaker 1 (11:49):
Hm?
Speaker 2 (11:50):
Cringiest thing?
Speaker 3 (11:52):
Yeah, that you were like, why would anyone tell people
that that's so? Falls? Or?
Speaker 2 (11:57):
I guess what makes me cringe the most are the
m cela chairs. Mm. I'm sure they have their place.
Speaker 1 (12:05):
Okay, some people are gonna are gonna benefit. But if
you think sticking electrodes on your apps is gonna give
you six peck apps, you'r you have another thing coming.
If we think that sticking electrodes on the pelic floor
to create uh contraction is gonna help, that's not gonna
(12:26):
contra cu create a contraction that can.
Speaker 2 (12:28):
Increase the neurow connection to the.
Speaker 1 (12:31):
Muscle, like the nerve conduction to the muscle, So you
might have better recruitment on the pelvic floor.
Speaker 2 (12:35):
But again, if you have elongation, that happens.
Speaker 1 (12:38):
Naturally, so you don't actually need to Like, yes, you
need some recruitment, but it's not necessarily usually what you
need to train. If you train the elongation automatically, you
get to pick up Now you might not, and then
there's you know, there's treatment plans for that.
Speaker 2 (12:52):
But what the m Cela chair is and I.
Speaker 1 (12:56):
Hate to call out a brand, but I guess I'm
doing it because this this is the truth.
Speaker 2 (12:59):
This is how I feel.
Speaker 1 (13:00):
And when a client tells me that they've had this chair,
it makes it honestly gives me the fucking he beecheewies
because what happens is you sit on this chair, it
stimulates not just your pealper floor, This stimulates your adactors.
Speaker 2 (13:13):
Your glutes, your ham strings, right, and so every muscle.
Speaker 1 (13:18):
And now I haven't personally done this, but that's what
I've read, and that's what I've heard, and so I'm
getting that from secondhand information. I should go sit on
on myself and I could speak better to the cringe.
But like that makes me, as a pelvit floor pet,
like that makes me a little irritated, because most of
the time are pelic floor clients, or if you have
a weak pelvic floor, or your pelic floor isn't working
(13:39):
for you, or you're leaking, or you want better sex
like tightening your glutes, your hamstrings, your ad actors, and
like holding that contraction and getting whatever they sell you
twenty thousand kegles and you know, however many minutes it takes,
Like you don't want that because it's just creating neurologic
overflow to muscles that already have neurological which is already
(14:01):
creating that like tension pattern. We need to disregulate that
tension pattern and then you will have a healthy propic floor.
So I guess That's what makes me cringe the most
because like and and whoever the fucking vented this is like,
you can't actually think that this is the answer, that
this is helping people.
Speaker 2 (14:20):
But maybe they.
Speaker 1 (14:21):
Do, and I'm sure they have positive testimonials, like they
must write else people wouldn't do it. But I mean,
time and time again we see like people like develop
pain syndromes and all of a sudden they were they
did it for their leaking, but now they have painful
intercorese or they did it for you know something else
and now they have constipation or they have hemorrhoids now right,
(14:44):
because it's just the tension.
Speaker 2 (14:45):
The tension.
Speaker 1 (14:45):
The tension was just so great, so they got stuck
in the chronic kegel. They were already stuck in the
chronic kegle. They didn't need to sit on the cel
msell It chair in the in the first place.
Speaker 2 (14:55):
So cam fl me.
Speaker 4 (14:57):
Period and we're gonna end there, all right, like and
subscribtion this with your friends. Let us know what else
you want to hear, because this was a fun episode,
So drop us questions, throw us up dms on YouTube
or on our instagram.
Speaker 2 (15:11):
All right, take care