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June 17, 2025 60 mins

“It’s pretty amazing how much stress, emotion, memory, and trauma the pelvic bowl itself holds.” - Dr. Desiree Cassell

Pelvic floor health is important to all of us. We all have a pelvic floor, and pelvic floor dysfunction can contribute to everything from incontinence and painful sex, which you might expect, but also knee, back, and hip pain, and even TMJ.

This dysfunction can stem from many different types of triggers, and the signs are not always obvious. Seeking out a specialized pelvic floor PT who is trauma-informed and understands the importance of an internal assessment can be life-changing for many women experiencing pelvic floor issues, as Tami has seen for many of her fibro clients.

Today, Tami is joined by Dr. Desiree Cassell, an expert pelvic floor physical therapist. After her first pregnancy, Dr. Desiree suffered from her own pelvic floor dysfunction, which she was able to resolve completely during her second pregnancy. This experience led to her passion in educating, empowering, and supporting other women throughout their lifespan, so that they don’t have to accept these common issues as part of life.

In this conversation, Dr. Desiree and Tami discuss how to find a qualified pelvic floor physical therapist and why in-person exams matter, what the pelvic floor is, how it works, and how pelvic PT differs from traditional physical therapy, why internal pelvic floor assessments are important, how they help to break stigma, what to expect during an internal assessment, what these assessments can reveal about your pain, how to choose a trauma-informed pelvic floor therapist, why comfort and trust are essential, common symptoms of pelvic floor dysfunction, why the condition is often misunderstood, the connection between your pelvic floor and the rest of your body, the impact of surgeries like C-sections and hysterectomies on pelvic health, the lack of follow-up care, how fascia, scar tissue, and emotional trauma can affect your pelvic floor and overall well-being, what to do if you’ve had surgery or trauma without pelvic floor rehab, breathwork to support pelvic floor healing and nervous system regulation, practical breathwork tips for identifying and releasing tension in your body, and more.

 

 

Note: This episode is not meant to be medical advice. Every person and every situation is unique. The information you learn in this episode should be shared and discussed with your own healthcare providers.

To learn more about the resources mentioned in this episode, visit the show notes.

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