August 22, 2025 • 50 mins
"Let us know what you think about this episode"
Pelvic health physiotherapist Corey Ireland shares her expertise on the myths, misconceptions, and transformative potential of pelvic floor therapy for women, men, and children of all ages. Through her compassionate approach of meeting people where they are and "nudging" rather than pushing, Corey explains how pelvic health impacts everything from pregnancy comfort to postpartum recovery and even cardiovascular wellness.
• Pelvic floor physiotherapy doesn't always require internal examination—treatment plans are individual and based on comfort levels
• Pregnancy should not be painful—discomfort signals imbalance that can often be addressed with proper support
• Leaking after childbirth or with aging is not normal and should be addressed, not accepted
• Pessaries aren't just for older women but can be used like "knee braces" for activities and to help with tissue remodeling
• Men's morning erections serve as vital signs for cardiovascular health, with changes appearing approximately nine months before other cardiovascular changes
• Lactating mothers experience "genitourinary syndrome of lactation" similar to menopausal symptoms due to reduced estrogen
• Being proactive with physical activity before pregnancy creates a foundation for better pregnancy, birth, and postpartum experiences
• Booking a pelvic health assessment before your six-week postpartum checkup can help identify issues to discuss with your OB/GYN
Contact Ireland Physiotherapy in Kingsville at 519-733-1010 or visit www.irelandmpt.com for more information about their services.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:13):
Hey Mamas, you're listening to Tend and Befriend,
a podcast about women's mentaland physical health.
This is Debra.
I'm a mom of two, a labor andbirth coach and birth advocate,
a health professional, and todayI'm your host.
Let's dive into today's episode.
Any information you hear orthat is suggested or recommended
(00:35):
on these episodes is notmedical advice.
Welcome back everyone Today onthe show.
I am so excited to welcomesomeone that I have wanted to
have a conversation with for avery long time.
I like to refer to her officeoften and I trust her fully with
(00:58):
my patients and clients.
Corey is a pelvic healthphysiotherapist working right
here in our community at IrelandPhysiotherapy, and she's the
founder and if you've ever heardme talk about the importance of
pelvic floor support, chancesare I've mentioned her before.
Her clinic has been such anincredible resource, not only
(01:18):
for my clients, but for me as afellow practitioner who values
collaborative care.
Corey, thank you so much formaking time for me today.
I know that your schedule isincredibly busy.
Welcome to my podcast.
Speaker 2 (01:32):
Hi Deb.
Thank you so much for thatlovely introduction, and I'm so
happy to be here chatting aboutall things pelvic health.
It's something that I'm sopassionate about, and I think
that women, as young as evengirls and teenagers, through
their family planning journeyand even through menopause,
deserve to have optimal pelvichealth.
(01:53):
So thank you so much for givingme this opportunity to chat
with you.
Speaker 1 (02:05):
I was reading about the children and I had forgotten
that I've referred a child toyou before.
But that very important partthat I don't talk about a lot
because I work with women, in acertain stage I had remembered
that you work with children andeven young kids, right yeah?
Speaker 2 (02:21):
Typically kids around like age five, six about the
youngest that we would see butkids have pelvic health too.
So as a mom of two young kiddos, I can appreciate the
frustration in trying to getsupport for our kids and I am
very grateful to supportfamilies in helping their kids
have good pelvic health too.
Speaker 1 (02:43):
I want to backtrack a little bit and talk about your
credentials, because as I wasreading some stuff about you
years ago, I remember readingall this stuff but not fully
understanding one of the specialcredentials that you have.
So can you tell me about someof your credentials and that one
that makes you a little bitmore special here in Windsor and
Essex County?
Speaker 2 (03:03):
Yeah, I didn't realize it.
At the time, I had a greatexperience at the University of
Western Ontario getting mymaster's in physical therapy.
However, physiotherapy schoolmakes you safe.
It doesn't necessarily make youa good physio.
So upon graduating, I wantedmore skills.
I wanted more structure to getmore skills, and an avenue to do
(03:26):
that was to get a diploma inmanual manipulative therapy.
So there's two avenues to dothat.
It's through kind of part-timeover a number of years, through
a diploma, or you can also do itthrough a second master's.
So I did the diploma programand in 2015, I became a fellow
of the Canadian Academy ofManipulative Physiotherapists.
(03:49):
There's only a handful of us inEssex County.
I wish there were more.
I'm happy to support physioscoming up and wanting to get
that designation because I doreally believe it supports
quality physiotherapy care.
I'm a very proud F camp and aguest step.
I do believe it helps mesupport my pelvic health
(04:10):
population in a very special way.
Speaker 1 (04:12):
So thank you for bringing that up, yeah that's
really cool and I think mydaughter's heading into that
path of kinesiology, not reallysure what she wants to do with
it yet.
She has different avenuesthought out.
But I guarantee you that's notsomething that is thought about
is that once you're done as aphysiotherapist, you can think
about specializing.
(04:33):
But what makes you notnecessarily unique?
It does make you unique, butthat wasn't really the goal.
It was about learning moreskills to support.
Speaker 2 (04:42):
Thousand percent and just stronger clinical reasoning
skills and being able toidentify different functional or
clinical problems in yourpatients and being more
efficient and achieving theirgoals for them.
Speaker 1 (04:55):
Yeah, changing the way that you look at the body
and the way that you assess adysfunction.
That's right, all right.
So tell me a little bit why doyou do mostly pelvic floor
physiotherapy in your clinicalpractice?
Speaker 2 (05:10):
I am stuttering because that is what the
community has dictated.
So I love my ortho skills.
I'm happy to continue to usethem in exclusive ortho kind of
practice.
But the community has spokenand, yes, I am primarily pelvic
health right now.
Speaker 1 (05:28):
Yeah, it's interesting because, as you know
a little bit about me as well,that kind of happened to me too,
and then my pregnancy andpostpartum clinic got so busy
that I wasn't able to take onregular care clients.
I can't put a treatment planinto place because the clinic is
very busy, so I got pushed intothat a little bit, which is
(05:51):
fine.
I still get to do my deeptissue once in a while and get
my hands on an athlete once in awhile, but very rarely.
So the community has spoken,and now you work mostly in
pelvic health.
Yes, that's correct, all right.
So what was it when you werestudying, or did you do that
specialty of pelvic health after?
Speaker 2 (06:15):
Yeah.
So again, this was never mypath.
I had a very good friend, orhave a very good friend from
physio school and she was goingto leave physio.
She was getting frustrated withcertain things and she found
pelvic health and she spoke sohighly of what she was doing and
she just felt so fulfilled.
There was a local OB who hassome UK training, so anyone in
(06:40):
the pelvic health world knowsthat the UK and Australia are
leaders in pelvic health, so hewas an advocate for pelvic
health.
Admittedly and I shared thiswith some of my clients that
feel more vulnerable when theycome to see me I was mortified
by the training process and Iwas not ready.
(07:02):
But, fast forward, I had a babyand I was ready to rip the
band-aid off and do it.
So it was just a combination ofErica just speaking so highly
of what she was doing and thenagain having this OB locally
saying we need this, take thisbeyond the superficial level and
let's get deeper into it.
(07:22):
And the ball got rolling andhere we are, level and let's get
deeper into it.
Speaker 1 (07:26):
And the ball got rolling and here we are.
That's amazing.
I actually love that.
Some of the encouragement camefrom an OB, like how important
is that to know?
That's right, right.
The majority of us birthworkers or postpartum workers or
body care workers that work onwomen during pregnancy and
postpartum we don't really see alot of a collaboration with
OBGYNs, and so to hear thatthey're supporting this is
(07:49):
really important to know.
Yes, and it's exciting, yeah,exciting.
It gives us hope and makes uslook towards the future.
So what is the one thing thatyou love about working in this
field?
Obviously, you're in body care,you're in health care, you're
in a clinical practice.
What is it that really feedsyou, that helps you continue?
(08:13):
Because we all have our whysand my why is big, but there's
always something that gets mehooked back in, even when I'm
struggling with my scheduleplaying Tetris, as you said
earlier this morning, you knowthere's something that always
feeds me in this part of mybusiness.
So what is that for you?
Speaker 2 (08:35):
It's connection.
So when I'm speaking to thewomen that I see the ability to
connect with them.
They're coming to me for help,but it's a mutual relationship.
It is so fulfilling to be ableto meet them where they're at
and take them where they want togo, and to develop that
(08:55):
relationship.
These women aren't just myclients.
They do leave a piece of themwith me after we are all done,
and that that keeps that enginerevving for me.
Speaker 1 (09:06):
Yeah, that's beautiful.
I love that, Thank you.
You talked a little bit aboutyou weren't ready for the
training and I'll be honest withyou, I do refer to pelvic floor
physiotherapy every single dayand I do find that I either get
this like blank look or this,this, what do you mean?
(09:28):
And I get it.
I totally get it.
The first time I heard about it, my sister was having it done.
I was still in school studyingmassage therapy and I said to
her that's not allowed.
But when my sister told meyears ago, I was like no, that's
not allowed.
And then that kind of put me onthat path.
(09:48):
That's when I first startedlearning about it and that's 22
years ago.
So I'm trying to ask what doesyour typical day look like?
Because I'm sure there's alittle bit of hand-holding
through the beginning of it orwhen you meet people?
What does the typicalappointment look like, I should
ask.
Speaker 2 (10:09):
It depends.
So it is really important thatI'm meeting people where they're
at.
I constantly use the word nudgeall day long, right?
So I'm meeting people wherethey're at and nudging them.
We're meeting tissue where it'sat and nudging it.
So an internal exam is alwaysan option.
(10:33):
Okay, my clients always get totell me, no, yeah, and I do have
other skills and we do haveother ways to address their
concerns, their skills, and wedo have other ways to address
their concerns.
I often, then, will throw anasterisk on that comment and say
, as our relationship developsand we have more trust, if we're
(10:55):
not seeing the change that wewant to see, at that point I may
ask again if we can do aninternal, if we can do an
internal so that I think thatletting that relationship
organically develop is reallyimportant.
If somebody is going to bereally guarded that's going to
mask and bias and influence ourfindings in an unhelpful way,
(11:19):
yeah, so pushing something thatsomeone's not ready for don't
find is helpful.
Speaker 1 (11:25):
Yeah, and that's not how you practice.
I love that.
This comes back to somethingthat I'm really struggling with
teaching right now and that isinformed consent and really what
that embodies.
That's right.
Yeah, I love the word nudge.
I think that in massage therapywe use release a lot and it
(11:46):
gets like overused for sure, butI definitely love the word
nudge.
Can you tell me a little bitabout, like common myths and
misunderstandings and the reasonthat I'm bringing that up is
because I feel like that is acommon misunderstanding is that
if you're going for pelvichealth physiotherapy, it
automatically involves aninternal exam or work.
Speaker 2 (12:11):
That's right.
There are many myths, yeah, soyour pelvic health assessment
can be whatever it is thatyou're comfortable with.
There isn't a cookie cutter wayto go about this, because there
are so many things thatinfluence incontinence, there
are so many things thatinfluence prolapse, there's so
many things that influencepainful intercourse so we can't
(12:35):
follow a framework.
So most of my clients areunderstanding in the 1000
questions that are on that verypainfully long intake farm, and
we do that because the storypart behind why they're coming
here influences where we startand how we start.
Really understanding thoselifestyle factors and the
(12:59):
precipitating factors gives methat bit of an idea of, okay,
like we're diving right into aninternal, or an internal is
completely off the table.
I think that allowing thatperson to show me who they are
does help me figure out the kindof that first day a little bit
better.
So internal is one of thosemyths that we don't have to do.
(13:22):
I do have some really neatfascial skills that I do like to
use vaginally, but again, onlyif that person is ready.
And then there's so many othermyths that I think that the
younger generation coming up isdoing an excellent job at
blowing out of the water interms of settling for pelvic
(13:45):
dysfunction, we're talking somuch about leaking.
Leaking just because you have ababy like absolutely not normal
.
Leaking just because you'reaging absolutely not normal.
So having to be quiet about notenjoying intercourse or having
painful intercourse is one thatneeds some help to blow out of
(14:09):
the water.
Prolapse is another one, interms of feeling that heaviness
or that sensation that somethingis there vaginally, one that
needs a little bit moreconversation around.
But at any age we can optimizeour pelvic health.
Pesteries that's another bigone.
Pesteries are not for bluehaired women that have no other
(14:31):
options to support their pelvichealth.
That's that one I get crankyabout.
Yeah.
Speaker 1 (14:37):
It's interesting that you say that, because so
obviously I'm in my earlyfifties and moving through
menopause and I had some pelvicfloor dysfunction after my
second daughter, or my firstdaughter actually and I went to
see the King of Kings in Obiesin my opinion, only here in the
(14:58):
city and he said, let's talkabout empecery.
And I'm like, okay, sure, andhe did all the things to fit me.
And I'm like, okay, sure, andhe did all the things to fit me.
And I'm like I don't know, Idon't know what size to guess at
.
And anyway, as the appointmentwent, typically you pick a size
that you think you are, then youplace it and they come back in
(15:19):
the room and check and see ifit's fitted or not.
And of course this OB knows mewell.
He comes back into the room andI'm standing and he's you have
to get on the table so I cancheck.
I went, I'm not going to laydown and wear a pessary, and he
said blood red.
He's like what am I supposed todo?
I'm like you're going to checkme right here.
(15:40):
I'm going to jump and runbecause that's when I'm going to
wear the pessary and you'regoing to check me here.
And he was so embarrassed.
Needless to say, that pessarydid absolutely nothing for me
and sat in a drawer for itsentire life, but I am I'm a
little confused about thepessary.
(16:01):
It is the first option, though,that women get told.
Do you agree that's typicalhere in our community, or do you
see it being prescribed still?
Speaker 2 (16:14):
I'm seeing the opposite.
I'm seeing a lot of womenstruggle with prolapse symptoms.
Pessaries aren't being offeredto them.
I look at pessaries as a kneebrace If you have a tweaky knee
and you want to go playvolleyball and that knee brace
is going to allow you to go play.
(16:35):
You throw the knee brace on.
So, a pessary, I have somequestions about your fitting
experience.
That's not how I fit a pessary.
Speaker 1 (16:46):
That's why it didn't work.
I have since had a betterexperience.
Speaker 2 (16:53):
But there's some literature out there that in the
postpartum it doesn't evenmatter the postpartum population
or not when you use a pessaryconsistently over about a
nine-month, six to nine-monthperiod, we actually reduce the
size of the genital hiatus orthe width of the opening of the
(17:15):
vaginal, of the introitus of thevaginal opening, which is
incredible.
It allows tissue remodeling tooccur that allows shortening of
that connective tissue whereotherwise we're just trying to
use muscles to augment, support,decrease pressure from above,
do all the things.
But in that postpartumpopulation there's real
(17:38):
opportunity here to get someearlier symptom management for
some stubborn prolapses.
Speaker 1 (17:47):
Oh, my gosh, my mind is blown.
So because of not being able tohave this conversation with
someone who can help meunderstand it.
I have not been a fan ofpessaries.
Speaker 2 (17:59):
And some of it aren't .
Speaker 1 (18:01):
No, but I think it's from my experience and my
education, which obviously Idon't know everything, but I am
getting schooled and I love it.
I love it.
How do I get access to thatinformation, like it's just
common research, where it canreally help with?
Basically, what you're sayingis the size of your vaginal
(18:24):
opening, right?
So incontinence.
Speaker 2 (18:28):
That was all the conversation five years ago and
prolapse is starting to get someof that conversation and there
are some neat companies that areeven doing custom pessaries and
so, as these companies arecoming up and they're doing some
really neat things, they needresearch to support what they're
doing.
So that is really providingsome momentum for some new
(18:52):
research Because, again, womenaren't researched right.
This is new, that we're doinghealth research on us.
Evidence that is coming out isyes, like pesteries can support
tissue remodeling, and pesteriesaren't a leave it in and forget
it, and it has to be for therest of your life, like some
women who are CrossFitters ormarathon runners.
(19:12):
It's a long run or a heavyworkout.
Throw your pester in for theworkout and then take it out
after it can really be used.
I feel we need to have thismentality around it.
It's an e-brace.
Speaker 1 (19:23):
Yeah, I love that analogy.
I love that so much, I'm soexcited.
I definitely need a pessary.
I definitely need a pessary,like you said, my long runs.
I can feel like when I do a runthat I need to do my pelvic
floor work, and sometimes it's alittle bit urgent after, but I
(19:44):
feel like maybe if I had awell-fitted pessary, that I
might be able to go a little bitfaster and a little bit longer
for sure.
So pessaries are a myth.
That is, or knowledge aboutpessaries is one of the myths
that I'm seeing, and obviously,now that you've educated me, I'm
really excited about that.
(20:05):
What is another common myth?
So?
First one was that there'salways internal work, the second
one being that you knowpessaries are only for a certain
time and how to view themdifferently.
What about men?
What about pelvic floor for men?
Because we already talked aboutpelvic floor for children.
I know that this is common withme and my population.
(20:27):
People are not aware that menneed pelvic floor help too.
Speaker 2 (20:34):
So men are in terms of medical research.
They are eons ahead of us whenit comes to pelvic health.
They are decades behind andthey are silent sufferers.
So there is this wave of menright now in their 60s that are
(20:57):
on cusp of that youngergeneration who's talking more.
And these men who are goingthrough treatment and
intervention for prostate cancerand, as a result, are dealing
with things like erectiledysfunction and urinary
(21:18):
incontinence, are very motivatedto optimize their pelvic health
and they're starting this trendof talking about it.
But there is this whole otherpopulation of men with urinary
urgency, with reduced streamstrength, with the sensation
(21:40):
that they're sitting onsomething that they there's a
lot of stigma around themtalking about pelvic health or
even knowing what it is.
Yeah.
So it is exciting to see thisgeneration of men right now that
have have gone through prostatecancer treatment, that are
(22:02):
going to start to improve thepelvic health of the generations
to come.
And then the other big thingfor men that I'm going to
monopolize this opportunity tojust throw out, there is heart
health and that erectileactivity, that spontaneous
erectile activity for men is anindicator of their
(22:25):
cardiovascular wellness.
There is a statistic out therethat nine months before there is
a change in cardiovascularstatus, there will be a change
in that morning erection and allmen, all wives, they need to
know this to keep their husbandswell and keep men well.
(22:48):
That is a vital sign that theyshould be paying attention to.
Speaker 1 (22:52):
I love the twist that you just took.
Okay, so you're saying thatbasically your husband or
partner's erection and a changein it is what you're saying
right.
Noticing a change in it, that'sright and indicate that
something is offcardiovascularly 1,000%.
Speaker 2 (23:17):
Oh wow, it is a vital sign, just like women's cycles
are a vital sign.
Speaker 1 (23:22):
Yeah.
Speaker 2 (23:23):
Men's erectile activity is a vital sign.
Speaker 1 (23:27):
Oh, my goodness, that is so important to know because
I have done workshops with ahormone replacement doctor here
in the city, dr Kristen Kapan,who I love picking her brain
about all these things Japan,who I love picking her brain
(23:48):
about all these things and Ifeel that I'm able to have an
intelligent conversation aboutmen's hormones and how that
changes and can affect theirstamina in life, not just their
stamina with sexual activity,but also that decline and how it
affects them emotionally andphysically.
Not in a scientific way, butI'm able to have a conversation
(24:10):
and I find that a lot of peoplewill bring that up to me, men
and women about struggles thatthey're having with lack of
testosterone or whatever.
But to fully understand thatthis issue can be indicative of
a cardio mishap is, like,extremely important.
(24:33):
I love that.
Speaker 2 (24:35):
Yes, absolutely Should be in the partner
handbook.
Speaker 1 (24:42):
Yes, yes, there is no handbook.
Is there, though?
All right, I want to move on tomy community and who I spend
most of my time with, and that'spregnant and postpartum women.
And I do get the odd patientwho will come to see me and tell
me that they're doing pelvicfloor physiotherapy as well
(25:04):
during their pregnancy, but Iwant to talk about that a little
bit.
Obviously, we can't say when isthe best time to come, because
it's about meeting, like yousaid, meeting people where they
are.
But how can pelvic floorphysiotherapy help with
pregnancy and birth?
And then maybe I don't.
(25:26):
I feel like talking about it.
Postpartum is a wholeconversation in itself, but just
helping people like fullyunderstand how even going for
one or two sessions duringpregnancy can be beneficial and
what it can help with.
Speaker 2 (25:43):
That question makes me go back to a previous
question.
So I think a really big mythout there is that as a woman,
you are expected to know whatyour pelvic floor muscles are
and what they do.
So nobody tells us, right Likewe're still trying to figuring
(26:04):
out what's the differencebetween a vulva and a vagina.
How do we even figure out whatthe levator ini muscles do?
How do they turn on, how dothey relax?
So having an appointment duringyour pregnancy, if you're
someone that is not connected toyour pelvic floor and
understand how those muscleswork, can be very empowering to
(26:24):
connecting to your body.
The perineum literally means toshame when we translate it, and
there is a lot of subconsciousunwiring that we need to do.
That serves as a bit of abarrier to connecting to our
pelvic floor, to our pelvicfloor.
So an appointment duringpregnancy helps me help that
(26:46):
mom-to-be tune in.
How do these muscles turn on?
How do they lengthen?
We need to lengthen, we need tosoften those muscles to allow
that babe to come out.
Being able to help a momconnect and map with that is
extremely helpful and empowering, just on a pelvic floor level.
(27:07):
Another myth is that pregnancyhas to be painful, so some aches
and pains, yes, sure,debilitating pain?
Absolutely not so.
Moms that are starting withdiscomfort really anywhere in
their body right, they can besupported with exercise or with
(27:29):
hands-on tools or with bracingto make that pregnancy less
tiring on them.
And a mom that is strongerthrough her pregnancy, she's
going to have a better birth,right.
So having a strong, empoweredbirth is so important, then, to
the postpartum recovery.
Speaker 1 (27:48):
I love that so much.
There's so much in that, though, that I could go off on another
tangent about, because it is.
I feel like I'm I'm somewhat ofan expert in pregnancy and
postpartum with the physicalbody, and then obviously I'm a
doula, so I know quite a bitabout birth as well.
But I think these conversationsthat I have with other experts,
(28:08):
I think these are so importantbecause it teaches you so many
things, and one of the thingslike one of the problems with
pregnancy that I really strugglewith helping like.
Typically, I want 70 to 80% ofpain relief in the person's
first one to three treatments.
That's usually my goal, and ifI don't have somewhere in that
(28:32):
ratio, I'm typically referringout, because I do know that I
need other practitioners to helpme do my job as well, and
whether that's physiotherapy orchiropractic or whatever that is
, and whether that'sphysiotherapy or chiropractic or
whatever that is and one of thebiggest things that I have
problems with helping is pubicsymphysis dysfunction, and one
(28:54):
of the highest recommendedthings that I see the biggest
results with is pelvic floorhealth or physiotherapy, and I
think that's really important.
I've also in my mind sometimeswhen the person comes in and
they have pubic symphysisdysfunction.
Fully assessing that weight,I'm not going to be able to help
(29:20):
this person unless I'm able tonudge them towards a pelvic
floor physiotherapist.
So I love that that you weretalking about that.
How in my mind sometimes I knowthat I can't fix a pubic
symphysis dysfunction and thenit becomes accepted I'm not
going to get them out of pain,which is wrong, a wrong mindset
or a myth in this community,which I'm also thinking, and
(29:43):
it's really important that youtalk about that.
There's no reason to be in apainful pregnancy.
That's right.
Pain during pregnancy is a signthat something is not balanced.
Speaker 2 (29:58):
I agree with that fully and we think about that
statement sometimes from amusculoskeletal level.
But we do have to look bigger.
With respect to sleep,restorative sleep, adequate
hydration, nutrition withrespect to whole foods enough
(30:19):
protein, healthy fats andsupport, emotional support,
social support, and whatstressors were in the background
.
We don't give enough weight tohow much that noise does impact
our tissues.
Speaker 1 (30:36):
Yeah, yeah, and it's interesting.
I don't think that we weretaught this in massage therapy
school and I definitely know Iwas not taught it as a doula,
but my experience in myofascialrelease really talks about that
and I think that changes the waythat I look at the whole person
, that your body and your tissuecan hold emotions and feelings
(31:02):
and stress besides physicalstress.
Yeah, I love that you aretalking about that.
I feel like that is a part of aholistic approach to the body.
Speaker 2 (31:17):
Yeah, as my practice evolves and I've become more
confident in my skills, it'sonly then that I have been more
open to seeing how impactfulthose bigger factors are.
Speaker 1 (31:33):
Yeah, all right, we talked about the pregnancy and
how important it is.
How important it is.
What would you recommend forwomen who don't see you during
pregnancy and are on thepostpartum journey?
What are some of the firstsigns that they need help?
Even before I'm automaticallytelling people they should go to
(31:56):
pelvic floor physiotherapy evenif they're not having any
issues, but what are some issuesthat might show up that
indicate to a new mom that shemight need some pelvic health
care?
Speaker 2 (32:10):
There's a laundry list of things.
So even bowel issues,especially constipation, is
going to potentially contributeto prolapse.
So even if there's bowelconcerns, so women without
babies have prolapse that'sanother myth.
So getting on top of your bowelhealth and are there mechanical
(32:31):
things that pelvic health canor pelvic health physio can
assist with that would besomething that is also quite
impactful.
And then there's the heavyhitters right Leaking, heaviness
, pain, discomfort, symptomsthat feel like a UTI that aren't
a UTI.
There's a little bit of burningaround the urethra.
Something that's starting tocatch on is in the I'm going to
(32:57):
jump to menopause per second isthis idea of genitourinary
syndrome of menopause.
So we're starting to talk aboutthis and essentially what that
is.
There's reduced estrogen in thevaginal tissues that create
thinning of the tissues, dryingof the tissues, and that there's
touch, discomfort, there's painwith intercourse, there's these
(33:17):
pseudo UTIs, the urinaryfrequency leaking, burning, all
the things.
What we're not talking about isthat there's this genitourinary
syndrome of lactation.
So while we're lactating, wehave reduced estrogen.
So those same symptoms thatoccur with this genitourinary
(33:38):
syndrome of menopause areoccurring in this postpartum
population.
When you're also dealing withall of these other things and I
think even just being all ofthese other things, and I think
even just being aware of that ishelpful.
So if you're noticing any ofthose things, making sure that
you are taking care of yourvaginal tissue and vaginal
mucosa can be particularlyhelpful while you are lactating,
(33:58):
so we can also help with that.
Going back to pregnancy beingproactive is one of the best
things that I think a woman cando.
If you're thinking about familyplanning, get active, and
activity is relative right.
Walking is a really undervaluedphysical activity.
(34:20):
Walk.
It's really good for ourhormones to strength train right
.
So two to three times a week,20 to 30 minutes of strength
training it is enough to havepositive impact on our body and
then to be able to carry thatthrough pregnancy.
You're going to have a strongerpregnancy, you will feel better
and that again leads to astronger birth.
(34:41):
So that is my number onerecommendation is to be as
proactive as possible to supportall of the changes.
Your body changes so quicklyit's hard to keep up with it.
So if we have a foundation ofcardiovascular fitness and
(35:03):
strength that allows your bodyto adapt to those changes a
little bit more efficiently, Ilove all of that so much.
Speaker 1 (35:11):
I'm really interested in the lactation's connection
to the vaginal mucosa and justthe vaginal health and being
aware of that for your firstattempt at sexual intercourse,
or yeah, I think that's reallyimportant to talk about.
Would you say that after thesix-week checkup with your OB or
(35:37):
your midwife?
You know, because I tell mypatients that book your
postpartum visit with me longbefore your due date so that you
can you can shift it if youneed to, but is that something
that you would recommend as apart of being proactive?
Get your new mama wellnessphysiotherapy check on your on
(36:00):
your books as well physiotherapy.
Speaker 2 (36:07):
check on your books as well.
Yeah, the trend that I'm seeingis guidees aren't doing an
internal exam at the six-weekdischarge appointment.
Yes, so I do recommend to mymamas that I see you right
before that appointment so thatif we do find anything, then we
can flag that and we can sharethat with their gyne before
(36:31):
they're discharged.
And then again there's anasterisk to that right.
If we find things at rightbefore that six-week appointment
, I'm not super alarmed.
Yeah, healing has only justbegun.
Speaker 1 (36:48):
But I love that because we do live in a
healthcare system that we needaccess to certain people to get
the needs met that we have, yes,medically.
And it's interesting because Ihave also noticed this trend
about the OBs just doing asuperficial check-in with you.
(37:08):
That is verbal, saying how'severything healing down there?
And one of the things that weinclude in your last visit is a
six-week checkup plan.
So questions to ask if you feellike anything is changed down
there that didn't feel the same,which the majority of the
population that doesn't feel thesame five to six weeks
(37:30):
postpartum as it did before yougot pregnant that you ask for an
internal exam and some of thethings to ask for are and we
give them a list.
I love that.
But I love that.
I love that you do that so Ican change my postpartum check
plan to softly nudge a pelvicfloor physiotherapy check so
(37:53):
that when you go back for yoursix week checkup, if there is
anything that's happening thatyou need the OBGYNs care for,
you don't fall off of their carebecause you need another
referral after that.
That's right.
Yes, I love that so much.
That is such a great thing toknow for your own care.
(38:15):
So when you said that, I lovethat you said that you know that
even if you did find something,there's no reason to be alarmed
.
It is, unless it's something tobe alarmed about at that stage
of postpartum.
Really, things are just gettingstarted, and that comes back to
one of my questions about, likewhen to get help versus when to
(38:38):
wait, versus when to wait.
You're really talking aboutusing this appointment to
facilitate the need for an OBGYNto direct you into a medical
appointment if necessary, likenot falling out of their care.
That's correct.
Yes, yeah, so it's don't panic,this is something that is not
(39:00):
urgent versus we can wait onthis.
Is that what you're saying?
Speaker 2 (39:04):
Yeah, so I'm using the fact that these women
typically have that six-weekappointment so we're trying to
maximize that gyne appointmentfor them.
But when it comes to I'mconcerned versus let's just wait
, it varies for everyoneconcerned versus let's just wait
(39:27):
.
It varies for everyone.
So I say to my pregnant mamasthat are leaving here before
they're having their baby I'llsee you right before your
six-week appointment or when youhave bandwidth.
So there is always going to bea way to support these women.
There is always going to be away to support these women.
Everyone's postpartum journeyis very individual.
Some are all rainbows andsunshine and some are not.
(39:49):
If you, if a woman, is reallyconcerned at 10 days postpartum
about their pelvic floor andthey are stressed and anxious
and losing sleep over it, I'mgoing to see you at 10 days.
If, at six months, you're stillin the thick of it and you are
still struggling to get out ofyour house and you just don't
(40:12):
have bandwidth, well, we waituntil you have bandwidth.
Meeting everyone where they'reat is the most important piece.
Speaker 1 (40:22):
Yes, I agree.
Yeah, because sometimes youdon't want to leave your house,
sometimes you don't want toleave your baby, sometimes you
just can't wait to get out andyou can't wait to get five
minutes to yourself.
That's right.
Yeah, any and all of that isokay, and we have to work around
that.
(40:42):
It's just supporting mamasmeans supporting mamas fully.
Yeah, any and all of that isokay.
Speaker 2 (40:46):
And we have to work around that.
It's just supporting mamasmeans supporting mamas fully.
Yeah, and that makes me think ofa couple of other things too
being as active as possiblethroughout your as reasonably
possible throughout yourpregnancy, but to have a better,
most optimal birth, like at 36weeks, doing some perineal
massage, it can be reallyhelpful in reducing the need for
(41:07):
an episiotomy and there isliterature to support that.
Six states a day, starting inabout 36 weeks, helps to shorten
the second stage of labor.
So when we're talking aboutthese concerns that women have
with their pelvic floor,postpartum, again, what we're
doing in pregnancy in those lastfour weeks to support birth
(41:30):
makes all the difference.
And that's where our rock starwith all these women to have
that birth support really doeschange, can change the
trajectory of that postpartumjourney.
Yeah.
Speaker 1 (41:42):
I love everything that we're talking about, but as
we're talking, I'm like, oh myGod, I need to do another
recording with her.
I need to do another recordingwith her.
I feel like so many of thesethings can be talked about on a
whole different level, like theperineal massage, and there's
research to indicate that it isvery beneficial, but most of the
(42:08):
women that are doing it are not.
They're not really doing theright research and it's really
hard to take on.
Like, how do you teach a classlike that?
It's really hard to teach aclass, but it's to get more
access to more women, and I'mfully owning the fact that I
want to have access to morewomen.
(42:28):
I want more women to know, butalso accepting the fact that
changing one mother's journey ata time is important as well.
Create more points.
Yeah, exactly as well.
Yeah, exactly.
But I do really wish that theperineal massage was discussed
more.
It is sad how it's not used inour birthing world as much as it
(42:52):
should be.
Speaker 2 (42:53):
Yeah, I'm going to break it down real quick.
Okay, good Perineal massage, itdoesn't need to be fancy.
(43:15):
There's lots of differenttechniques.
Essentially, what we're tryingto do is induce.
I'm going to use the somestrain on the vaginal tissue,
but not to an intensity of pain,so stretch intensity of about 3
out of 10.
Essentially, if you think aboutyour vaginal opening as a clock
, so pubic bone is at 12 o'clockand towards your rectum is 6.
(43:39):
And towards your rectum is six,creating some strain between
three and nine o'clock, anywherebetween three and 10 minutes,
two to three times a week, isenough.
You don't need to get fancy.
If you're doing it yourself,you're going to need a tool.
You can't reach over thatpregnant belly.
Ideally to have your partnerhelp you with.
That makes it easier.
(44:00):
But using just one or twofingers and providing some
radial outward pressure aroundthree to nine o'clock is good
enough.
It doesn't need to be fancy.
Speaker 1 (44:11):
I love that.
I love that short and briefdescription and it is very
precise and perfect.
Speaking of tools, what aresome of the tools that you
personally use, not necessarilyfor pelvic floor health, but
just in general to take care ofyour body?
What are your main tools?
Speaker 2 (44:33):
To take care of my body.
Well, I know that physicalactivity is good for my body.
I'm a wannabe runner, so thathappens when it happens.
I do like strength training andI would like to do more yoga
and I think Pilates is alsoexcellent.
(44:54):
Figuring out how to do all thethings all the time I haven't
mastered yet.
So if anyone's got tips like,I'll take them.
Haven't mastered yet.
So if anyone's got tips like,I'll take them.
But I live very close to theGreenway and like that.
To get out there and go for arun is one of my very happy
things to keep me sane.
Speaker 1 (45:12):
It's interesting that whenever I hear someone talk
about running, the way thatyou're talking about running, it
gives me chills.
I have been a runner most of mylife, since about 12 and a
little bit competitive.
I'm not saying I'm taking partin races or anything at this age
, but I do sign up for a halfmarathon here and there and that
(45:34):
language that you're using it'sreally good for your sanity is
exactly why I run.
The first time I heard aboutmeditation during movement Joe
Dispenza talks about that alittle bit.
I really do meditate when I'mrunning.
I don't know where I am.
I've gone for a run in airportsand gotten lost.
(45:57):
I've ran and not remembered howfar I've ran and then look at
my Garmin and realize that itwas twice as long as I intended.
But I love when I hear somebodyelse say that there is just
something that some of us getwith running and some of us who
still continue to do it butdon't love it like that or don't
(46:17):
feel the same way about it aswere talking about, and that I
resonate with fully.
You're talking about runningand doing things for yourself
and you talked about all thosefitness things, which I fully
agree.
Finding time for all of thoseis hard, and some days our best
looks different than other days.
(46:39):
What are some other things thatfinds you joy outside of work?
I know that you have children.
Speaker 2 (46:44):
Yes, yes, I do.
I have four and almost, andshe'll be eight on Saturday.
Speaker 1 (46:50):
Oh, yay, happy early birthday.
And are you originally fromWindsor and Essex County?
I am.
I'm a Maidstone girl.
You're a Maidstone girl.
I love that.
You're a Maidstone girl, I lovethat.
So when you went to high school, did you have to get buzzed, or
was there a school right?
Was there a high school inMaidstone?
Speaker 2 (47:09):
No, I went to Essex High School.
No there's a high school inEssex but that's technically the
one that all the Maidstoneresidents go to.
I think there was likeVillanova, because Maidstone's
in between, so my neighbors theywould have went to Villanova or
Essex, I think.
Okay, yeah.
Speaker 1 (47:27):
So you get bussed anywhere.
I do know that as well.
We were bussers, yes, yeah,yeah, I think my kids went to
Lesore, and no matter where wewere, they had to take the bus
too, until they could drive, ofcourse.
All right, what else, corey, doyou like to travel?
Speaker 2 (47:45):
I am a homebody, but my daughter.
She is going to be a traveler,so I just have to suck it up and
get on board.
Last May she told me that shewanted to go to the Philippines.
We're lucky to have somecountry property and some peace
and quiet, and that is my happyplace.
Speaker 1 (48:04):
That is amazing and I love that.
Your daughter is a traveler andunderstanding fully that
whatever they're going to do andwant to do, we are going to
jump on board.
That's right.
Jump on board, all right.
I am so grateful that you tookthe time to talk with me today.
We have covered so many topicsand I know that my audience is
(48:24):
absolutely going to love this.
I would love if you wouldfinish off our conversation
today with how people can get intouch with you and learn more
about you.
Speaker 2 (48:35):
Yeah, absolutely so.
Our clinic is in Kingsville, inthe center of town, and we have
a website, wwwirelandmptcom.
We are on Instagram andFacebook at Ireland Physio, I do
believe, is our handle.
We're not too active on there,but there are some good tidbits
(48:58):
if you scroll back on there.
Good tidbits if you scroll backon there.
And 519-733-1010 is the numberto chat with my lovely Edmund
Tiffany.
And we don't just do pelvichealth.
I'm very fortunate to haveStephanie Rhea and Stephen
George at our clinic as well,and I'm the least experienced
one here.
So we do really pride ourselveson the advanced level care that
(49:22):
we are able to provide for allof the orthopedic and kind of
chronic finicky pain thingsAmazing.
Speaker 1 (49:32):
Yeah, thank you so much, kori.
It's always so great to connectwith someone in the community
who's doing such impactful workin our community.
I love that you talked aboutyour colleagues and coworkers
and if anyone's listening thatis curious about Corey's
services and her clinic and hercolleagues, there is going to be
(49:55):
a link to her website in theshow notes.
Corey, thank you so very much.
Speaker 2 (50:03):
Thank you, deb, and thank you for everything that
you do in terms of advocatingand empowering women and their
pelvic health as well.
I am so happy and honored to bechatting with you today.
Thank you.
Speaker 1 (50:16):
Talk to you soon.
Okay, let's talk soon.
Hey Mamas, you're listening to Tend and Befriend,
a podcast about women's mentaland physical health.
This is Debra.
I'm a mom of two, a labor andbirth coach and birth advocate,
a health professional, and todayI'm your host.
Let's dive into today's episode.
Any information you hear orthat is suggested or recommended
(00:35):
on these episodes is notmedical advice.
Welcome back everyone Today onthe show.
I am so excited to welcomesomeone that I have wanted to
have a conversation with for avery long time.
I like to refer to her officeoften and I trust her fully with
(00:58):
my patients and clients.
Corey is a pelvic healthphysiotherapist working right
here in our community at IrelandPhysiotherapy, and she's the
founder and if you've ever heardme talk about the importance of
pelvic floor support, chancesare I've mentioned her before.
Her clinic has been such anincredible resource, not only
(01:18):
for my clients, but for me as afellow practitioner who values
collaborative care.
Corey, thank you so much formaking time for me today.
I know that your schedule isincredibly busy.
Welcome to my podcast.
Speaker 2 (01:32):
Hi Deb.
Thank you so much for thatlovely introduction, and I'm so
happy to be here chatting aboutall things pelvic health.
It's something that I'm sopassionate about, and I think
that women, as young as evengirls and teenagers, through
their family planning journeyand even through menopause,
deserve to have optimal pelvichealth.
(01:53):
So thank you so much for givingme this opportunity to chat
with you.
Speaker 1 (02:05):
I was reading about the children and I had forgotten
that I've referred a child toyou before.
But that very important partthat I don't talk about a lot
because I work with women, in acertain stage I had remembered
that you work with children andeven young kids, right yeah?
Speaker 2 (02:21):
Typically kids around like age five, six about the
youngest that we would see butkids have pelvic health too.
So as a mom of two young kiddos, I can appreciate the
frustration in trying to getsupport for our kids and I am
very grateful to supportfamilies in helping their kids
have good pelvic health too.
Speaker 1 (02:43):
I want to backtrack a little bit and talk about your
credentials, because as I wasreading some stuff about you
years ago, I remember readingall this stuff but not fully
understanding one of the specialcredentials that you have.
So can you tell me about someof your credentials and that one
that makes you a little bitmore special here in Windsor and
Essex County?
Speaker 2 (03:03):
Yeah, I didn't realize it.
At the time, I had a greatexperience at the University of
Western Ontario getting mymaster's in physical therapy.
However, physiotherapy schoolmakes you safe.
It doesn't necessarily make youa good physio.
So upon graduating, I wantedmore skills.
I wanted more structure to getmore skills, and an avenue to do
(03:26):
that was to get a diploma inmanual manipulative therapy.
So there's two avenues to dothat.
It's through kind of part-timeover a number of years, through
a diploma, or you can also do itthrough a second master's.
So I did the diploma programand in 2015, I became a fellow
of the Canadian Academy ofManipulative Physiotherapists.
(03:49):
There's only a handful of us inEssex County.
I wish there were more.
I'm happy to support physioscoming up and wanting to get
that designation because I doreally believe it supports
quality physiotherapy care.
I'm a very proud F camp and aguest step.
I do believe it helps mesupport my pelvic health
(04:10):
population in a very special way.
Speaker 1 (04:12):
So thank you for bringing that up, yeah that's
really cool and I think mydaughter's heading into that
path of kinesiology, not reallysure what she wants to do with
it yet.
She has different avenuesthought out.
But I guarantee you that's notsomething that is thought about
is that once you're done as aphysiotherapist, you can think
about specializing.
(04:33):
But what makes you notnecessarily unique?
It does make you unique, butthat wasn't really the goal.
It was about learning moreskills to support.
Speaker 2 (04:42):
Thousand percent and just stronger clinical reasoning
skills and being able toidentify different functional or
clinical problems in yourpatients and being more
efficient and achieving theirgoals for them.
Speaker 1 (04:55):
Yeah, changing the way that you look at the body
and the way that you assess adysfunction.
That's right, all right.
So tell me a little bit why doyou do mostly pelvic floor
physiotherapy in your clinicalpractice?
Speaker 2 (05:10):
I am stuttering because that is what the
community has dictated.
So I love my ortho skills.
I'm happy to continue to usethem in exclusive ortho kind of
practice.
But the community has spokenand, yes, I am primarily pelvic
health right now.
Speaker 1 (05:28):
Yeah, it's interesting because, as you know
a little bit about me as well,that kind of happened to me too,
and then my pregnancy andpostpartum clinic got so busy
that I wasn't able to take onregular care clients.
I can't put a treatment planinto place because the clinic is
very busy, so I got pushed intothat a little bit, which is
(05:51):
fine.
I still get to do my deeptissue once in a while and get
my hands on an athlete once in awhile, but very rarely.
So the community has spoken,and now you work mostly in
pelvic health.
Yes, that's correct, all right.
So what was it when you werestudying, or did you do that
specialty of pelvic health after?
Speaker 2 (06:15):
Yeah.
So again, this was never mypath.
I had a very good friend, orhave a very good friend from
physio school and she was goingto leave physio.
She was getting frustrated withcertain things and she found
pelvic health and she spoke sohighly of what she was doing and
she just felt so fulfilled.
There was a local OB who hassome UK training, so anyone in
(06:40):
the pelvic health world knowsthat the UK and Australia are
leaders in pelvic health, so hewas an advocate for pelvic
health.
Admittedly and I shared thiswith some of my clients that
feel more vulnerable when theycome to see me I was mortified
by the training process and Iwas not ready.
(07:02):
But, fast forward, I had a babyand I was ready to rip the
band-aid off and do it.
So it was just a combination ofErica just speaking so highly
of what she was doing and thenagain having this OB locally
saying we need this, take thisbeyond the superficial level and
let's get deeper into it.
(07:22):
And the ball got rolling andhere we are, level and let's get
deeper into it.
Speaker 1 (07:26):
And the ball got rolling and here we are.
That's amazing.
I actually love that.
Some of the encouragement camefrom an OB, like how important
is that to know?
That's right, right.
The majority of us birthworkers or postpartum workers or
body care workers that work onwomen during pregnancy and
postpartum we don't really see alot of a collaboration with
OBGYNs, and so to hear thatthey're supporting this is
(07:49):
really important to know.
Yes, and it's exciting, yeah,exciting.
It gives us hope and makes uslook towards the future.
So what is the one thing thatyou love about working in this
field?
Obviously, you're in body care,you're in health care, you're
in a clinical practice.
What is it that really feedsyou, that helps you continue?
(08:13):
Because we all have our whysand my why is big, but there's
always something that gets mehooked back in, even when I'm
struggling with my scheduleplaying Tetris, as you said
earlier this morning, you knowthere's something that always
feeds me in this part of mybusiness.
So what is that for you?
Speaker 2 (08:35):
It's connection.
So when I'm speaking to thewomen that I see the ability to
connect with them.
They're coming to me for help,but it's a mutual relationship.
It is so fulfilling to be ableto meet them where they're at
and take them where they want togo, and to develop that
(08:55):
relationship.
These women aren't just myclients.
They do leave a piece of themwith me after we are all done,
and that that keeps that enginerevving for me.
Speaker 1 (09:06):
Yeah, that's beautiful.
I love that, Thank you.
You talked a little bit aboutyou weren't ready for the
training and I'll be honest withyou, I do refer to pelvic floor
physiotherapy every single dayand I do find that I either get
this like blank look or this,this, what do you mean?
(09:28):
And I get it.
I totally get it.
The first time I heard about it, my sister was having it done.
I was still in school studyingmassage therapy and I said to
her that's not allowed.
But when my sister told meyears ago, I was like no, that's
not allowed.
And then that kind of put me onthat path.
(09:48):
That's when I first startedlearning about it and that's 22
years ago.
So I'm trying to ask what doesyour typical day look like?
Because I'm sure there's alittle bit of hand-holding
through the beginning of it orwhen you meet people?
What does the typicalappointment look like, I should
ask.
Speaker 2 (10:09):
It depends.
So it is really important thatI'm meeting people where they're
at.
I constantly use the word nudgeall day long, right?
So I'm meeting people wherethey're at and nudging them.
We're meeting tissue where it'sat and nudging it.
So an internal exam is alwaysan option.
(10:33):
Okay, my clients always get totell me, no, yeah, and I do have
other skills and we do haveother ways to address their
concerns, their skills, and wedo have other ways to address
their concerns.
I often, then, will throw anasterisk on that comment and say
, as our relationship developsand we have more trust, if we're
(10:55):
not seeing the change that wewant to see, at that point I may
ask again if we can do aninternal, if we can do an
internal so that I think thatletting that relationship
organically develop is reallyimportant.
If somebody is going to bereally guarded that's going to
mask and bias and influence ourfindings in an unhelpful way,
(11:19):
yeah, so pushing something thatsomeone's not ready for don't
find is helpful.
Speaker 1 (11:25):
Yeah, and that's not how you practice.
I love that.
This comes back to somethingthat I'm really struggling with
teaching right now and that isinformed consent and really what
that embodies.
That's right.
Yeah, I love the word nudge.
I think that in massage therapywe use release a lot and it
(11:46):
gets like overused for sure, butI definitely love the word
nudge.
Can you tell me a little bitabout, like common myths and
misunderstandings and the reasonthat I'm bringing that up is
because I feel like that is acommon misunderstanding is that
if you're going for pelvichealth physiotherapy, it
automatically involves aninternal exam or work.
Speaker 2 (12:11):
That's right.
There are many myths, yeah, soyour pelvic health assessment
can be whatever it is thatyou're comfortable with.
There isn't a cookie cutter wayto go about this, because there
are so many things thatinfluence incontinence, there
are so many things thatinfluence prolapse, there's so
many things that influencepainful intercourse so we can't
(12:35):
follow a framework.
So most of my clients areunderstanding in the 1000
questions that are on that verypainfully long intake farm, and
we do that because the storypart behind why they're coming
here influences where we startand how we start.
Really understanding thoselifestyle factors and the
(12:59):
precipitating factors gives methat bit of an idea of, okay,
like we're diving right into aninternal, or an internal is
completely off the table.
I think that allowing thatperson to show me who they are
does help me figure out the kindof that first day a little bit
better.
So internal is one of thosemyths that we don't have to do.
(13:22):
I do have some really neatfascial skills that I do like to
use vaginally, but again, onlyif that person is ready.
And then there's so many othermyths that I think that the
younger generation coming up isdoing an excellent job at
blowing out of the water interms of settling for pelvic
(13:45):
dysfunction, we're talking somuch about leaking.
Leaking just because you have ababy like absolutely not normal
.
Leaking just because you'reaging absolutely not normal.
So having to be quiet about notenjoying intercourse or having
painful intercourse is one thatneeds some help to blow out of
(14:09):
the water.
Prolapse is another one, interms of feeling that heaviness
or that sensation that somethingis there vaginally, one that
needs a little bit moreconversation around.
But at any age we can optimizeour pelvic health.
Pesteries that's another bigone.
Pesteries are not for bluehaired women that have no other
(14:31):
options to support their pelvichealth.
That's that one I get crankyabout.
Yeah.
Speaker 1 (14:37):
It's interesting that you say that, because so
obviously I'm in my earlyfifties and moving through
menopause and I had some pelvicfloor dysfunction after my
second daughter, or my firstdaughter actually and I went to
see the King of Kings in Obiesin my opinion, only here in the
(14:58):
city and he said, let's talkabout empecery.
And I'm like, okay, sure, andhe did all the things to fit me.
And I'm like, okay, sure, andhe did all the things to fit me.
And I'm like I don't know, Idon't know what size to guess at
.
And anyway, as the appointmentwent, typically you pick a size
that you think you are, then youplace it and they come back in
(15:19):
the room and check and see ifit's fitted or not.
And of course this OB knows mewell.
He comes back into the room andI'm standing and he's you have
to get on the table so I cancheck.
I went, I'm not going to laydown and wear a pessary, and he
said blood red.
He's like what am I supposed todo?
I'm like you're going to checkme right here.
(15:40):
I'm going to jump and runbecause that's when I'm going to
wear the pessary and you'regoing to check me here.
And he was so embarrassed.
Needless to say, that pessarydid absolutely nothing for me
and sat in a drawer for itsentire life, but I am I'm a
little confused about thepessary.
(16:01):
It is the first option, though,that women get told.
Do you agree that's typicalhere in our community, or do you
see it being prescribed still?
Speaker 2 (16:14):
I'm seeing the opposite.
I'm seeing a lot of womenstruggle with prolapse symptoms.
Pessaries aren't being offeredto them.
I look at pessaries as a kneebrace If you have a tweaky knee
and you want to go playvolleyball and that knee brace
is going to allow you to go play.
(16:35):
You throw the knee brace on.
So, a pessary, I have somequestions about your fitting
experience.
That's not how I fit a pessary.
Speaker 1 (16:46):
That's why it didn't work.
I have since had a betterexperience.
Speaker 2 (16:53):
But there's some literature out there that in the
postpartum it doesn't evenmatter the postpartum population
or not when you use a pessaryconsistently over about a
nine-month, six to nine-monthperiod, we actually reduce the
size of the genital hiatus orthe width of the opening of the
(17:15):
vaginal, of the introitus of thevaginal opening, which is
incredible.
It allows tissue remodeling tooccur that allows shortening of
that connective tissue whereotherwise we're just trying to
use muscles to augment, support,decrease pressure from above,
do all the things.
But in that postpartumpopulation there's real
(17:38):
opportunity here to get someearlier symptom management for
some stubborn prolapses.
Speaker 1 (17:47):
Oh, my gosh, my mind is blown.
So because of not being able tohave this conversation with
someone who can help meunderstand it.
I have not been a fan ofpessaries.
Speaker 2 (17:59):
And some of it aren't .
Speaker 1 (18:01):
No, but I think it's from my experience and my
education, which obviously Idon't know everything, but I am
getting schooled and I love it.
I love it.
How do I get access to thatinformation, like it's just
common research, where it canreally help with?
Basically, what you're sayingis the size of your vaginal
(18:24):
opening, right?
So incontinence.
Speaker 2 (18:28):
That was all the conversation five years ago and
prolapse is starting to get someof that conversation and there
are some neat companies that areeven doing custom pessaries and
so, as these companies arecoming up and they're doing some
really neat things, they needresearch to support what they're
doing.
So that is really providingsome momentum for some new
(18:52):
research Because, again, womenaren't researched right.
This is new, that we're doinghealth research on us.
Evidence that is coming out isyes, like pesteries can support
tissue remodeling, and pesteriesaren't a leave it in and forget
it, and it has to be for therest of your life, like some
women who are CrossFitters ormarathon runners.
(19:12):
It's a long run or a heavyworkout.
Throw your pester in for theworkout and then take it out
after it can really be used.
I feel we need to have thismentality around it.
It's an e-brace.
Speaker 1 (19:23):
Yeah, I love that analogy.
I love that so much, I'm soexcited.
I definitely need a pessary.
I definitely need a pessary,like you said, my long runs.
I can feel like when I do a runthat I need to do my pelvic
floor work, and sometimes it's alittle bit urgent after, but I
(19:44):
feel like maybe if I had awell-fitted pessary, that I
might be able to go a little bitfaster and a little bit longer
for sure.
So pessaries are a myth.
That is, or knowledge aboutpessaries is one of the myths
that I'm seeing, and obviously,now that you've educated me, I'm
really excited about that.
(20:05):
What is another common myth?
So?
First one was that there'salways internal work, the second
one being that you knowpessaries are only for a certain
time and how to view themdifferently.
What about men?
What about pelvic floor for men?
Because we already talked aboutpelvic floor for children.
I know that this is common withme and my population.
(20:27):
People are not aware that menneed pelvic floor help too.
Speaker 2 (20:34):
So men are in terms of medical research.
They are eons ahead of us whenit comes to pelvic health.
They are decades behind andthey are silent sufferers.
So there is this wave of menright now in their 60s that are
(20:57):
on cusp of that youngergeneration who's talking more.
And these men who are goingthrough treatment and
intervention for prostate cancerand, as a result, are dealing
with things like erectiledysfunction and urinary
(21:18):
incontinence, are very motivatedto optimize their pelvic health
and they're starting this trendof talking about it.
But there is this whole otherpopulation of men with urinary
urgency, with reduced streamstrength, with the sensation
(21:40):
that they're sitting onsomething that they there's a
lot of stigma around themtalking about pelvic health or
even knowing what it is.
Yeah.
So it is exciting to see thisgeneration of men right now that
have have gone through prostatecancer treatment, that are
(22:02):
going to start to improve thepelvic health of the generations
to come.
And then the other big thingfor men that I'm going to
monopolize this opportunity tojust throw out, there is heart
health and that erectileactivity, that spontaneous
erectile activity for men is anindicator of their
(22:25):
cardiovascular wellness.
There is a statistic out therethat nine months before there is
a change in cardiovascularstatus, there will be a change
in that morning erection and allmen, all wives, they need to
know this to keep their husbandswell and keep men well.
(22:48):
That is a vital sign that theyshould be paying attention to.
Speaker 1 (22:52):
I love the twist that you just took.
Okay, so you're saying thatbasically your husband or
partner's erection and a changein it is what you're saying
right.
Noticing a change in it, that'sright and indicate that
something is offcardiovascularly 1,000%.
Speaker 2 (23:17):
Oh wow, it is a vital sign, just like women's cycles
are a vital sign.
Speaker 1 (23:22):
Yeah.
Speaker 2 (23:23):
Men's erectile activity is a vital sign.
Speaker 1 (23:27):
Oh, my goodness, that is so important to know because
I have done workshops with ahormone replacement doctor here
in the city, dr Kristen Kapan,who I love picking her brain
about all these things Japan,who I love picking her brain
(23:48):
about all these things and Ifeel that I'm able to have an
intelligent conversation aboutmen's hormones and how that
changes and can affect theirstamina in life, not just their
stamina with sexual activity,but also that decline and how it
affects them emotionally andphysically.
Not in a scientific way, butI'm able to have a conversation
(24:10):
and I find that a lot of peoplewill bring that up to me, men
and women about struggles thatthey're having with lack of
testosterone or whatever.
But to fully understand thatthis issue can be indicative of
a cardio mishap is, like,extremely important.
(24:33):
I love that.
Speaker 2 (24:35):
Yes, absolutely Should be in the partner
handbook.
Speaker 1 (24:42):
Yes, yes, there is no handbook.
Is there, though?
All right, I want to move on tomy community and who I spend
most of my time with, and that'spregnant and postpartum women.
And I do get the odd patientwho will come to see me and tell
me that they're doing pelvicfloor physiotherapy as well
(25:04):
during their pregnancy, but Iwant to talk about that a little
bit.
Obviously, we can't say when isthe best time to come, because
it's about meeting, like yousaid, meeting people where they
are.
But how can pelvic floorphysiotherapy help with
pregnancy and birth?
And then maybe I don't.
(25:26):
I feel like talking about it.
Postpartum is a wholeconversation in itself, but just
helping people like fullyunderstand how even going for
one or two sessions duringpregnancy can be beneficial and
what it can help with.
Speaker 2 (25:43):
That question makes me go back to a previous
question.
So I think a really big mythout there is that as a woman,
you are expected to know whatyour pelvic floor muscles are
and what they do.
So nobody tells us, right Likewe're still trying to figuring
(26:04):
out what's the differencebetween a vulva and a vagina.
How do we even figure out whatthe levator ini muscles do?
How do they turn on, how dothey relax?
So having an appointment duringyour pregnancy, if you're
someone that is not connected toyour pelvic floor and
understand how those muscleswork, can be very empowering to
(26:24):
connecting to your body.
The perineum literally means toshame when we translate it, and
there is a lot of subconsciousunwiring that we need to do.
That serves as a bit of abarrier to connecting to our
pelvic floor, to our pelvicfloor.
So an appointment duringpregnancy helps me help that
(26:46):
mom-to-be tune in.
How do these muscles turn on?
How do they lengthen?
We need to lengthen, we need tosoften those muscles to allow
that babe to come out.
Being able to help a momconnect and map with that is
extremely helpful and empowering, just on a pelvic floor level.
(27:07):
Another myth is that pregnancyhas to be painful, so some aches
and pains, yes, sure,debilitating pain?
Absolutely not so.
Moms that are starting withdiscomfort really anywhere in
their body right, they can besupported with exercise or with
(27:29):
hands-on tools or with bracingto make that pregnancy less
tiring on them.
And a mom that is strongerthrough her pregnancy, she's
going to have a better birth,right.
So having a strong, empoweredbirth is so important, then, to
the postpartum recovery.
Speaker 1 (27:48):
I love that so much.
There's so much in that, though, that I could go off on another
tangent about, because it is.
I feel like I'm I'm somewhat ofan expert in pregnancy and
postpartum with the physicalbody, and then obviously I'm a
doula, so I know quite a bitabout birth as well.
But I think these conversationsthat I have with other experts,
(28:08):
I think these are so importantbecause it teaches you so many
things, and one of the thingslike one of the problems with
pregnancy that I really strugglewith helping like.
Typically, I want 70 to 80% ofpain relief in the person's
first one to three treatments.
That's usually my goal, and ifI don't have somewhere in that
(28:32):
ratio, I'm typically referringout, because I do know that I
need other practitioners to helpme do my job as well, and
whether that's physiotherapy orchiropractic or whatever that is
, and whether that'sphysiotherapy or chiropractic or
whatever that is and one of thebiggest things that I have
problems with helping is pubicsymphysis dysfunction, and one
(28:54):
of the highest recommendedthings that I see the biggest
results with is pelvic floorhealth or physiotherapy, and I
think that's really important.
I've also in my mind sometimeswhen the person comes in and
they have pubic symphysisdysfunction.
Fully assessing that weight,I'm not going to be able to help
(29:20):
this person unless I'm able tonudge them towards a pelvic
floor physiotherapist.
So I love that that you weretalking about that.
How in my mind sometimes I knowthat I can't fix a pubic
symphysis dysfunction and thenit becomes accepted I'm not
going to get them out of pain,which is wrong, a wrong mindset
or a myth in this community,which I'm also thinking, and
(29:43):
it's really important that youtalk about that.
There's no reason to be in apainful pregnancy.
That's right.
Pain during pregnancy is a signthat something is not balanced.
Speaker 2 (29:58):
I agree with that fully and we think about that
statement sometimes from amusculoskeletal level.
But we do have to look bigger.
With respect to sleep,restorative sleep, adequate
hydration, nutrition withrespect to whole foods enough
(30:19):
protein, healthy fats andsupport, emotional support,
social support, and whatstressors were in the background
.
We don't give enough weight tohow much that noise does impact
our tissues.
Speaker 1 (30:36):
Yeah, yeah, and it's interesting.
I don't think that we weretaught this in massage therapy
school and I definitely know Iwas not taught it as a doula,
but my experience in myofascialrelease really talks about that
and I think that changes the waythat I look at the whole person
, that your body and your tissuecan hold emotions and feelings
(31:02):
and stress besides physicalstress.
Yeah, I love that you aretalking about that.
I feel like that is a part of aholistic approach to the body.
Speaker 2 (31:17):
Yeah, as my practice evolves and I've become more
confident in my skills, it'sonly then that I have been more
open to seeing how impactfulthose bigger factors are.
Speaker 1 (31:33):
Yeah, all right, we talked about the pregnancy and
how important it is.
How important it is.
What would you recommend forwomen who don't see you during
pregnancy and are on thepostpartum journey?
What are some of the firstsigns that they need help?
Even before I'm automaticallytelling people they should go to
(31:56):
pelvic floor physiotherapy evenif they're not having any
issues, but what are some issuesthat might show up that
indicate to a new mom that shemight need some pelvic health
care?
Speaker 2 (32:10):
There's a laundry list of things.
So even bowel issues,especially constipation, is
going to potentially contributeto prolapse.
So even if there's bowelconcerns, so women without
babies have prolapse that'sanother myth.
So getting on top of your bowelhealth and are there mechanical
(32:31):
things that pelvic health canor pelvic health physio can
assist with that would besomething that is also quite
impactful.
And then there's the heavyhitters right Leaking, heaviness
, pain, discomfort, symptomsthat feel like a UTI that aren't
a UTI.
There's a little bit of burningaround the urethra.
Something that's starting tocatch on is in the I'm going to
(32:57):
jump to menopause per second isthis idea of genitourinary
syndrome of menopause.
So we're starting to talk aboutthis and essentially what that
is.
There's reduced estrogen in thevaginal tissues that create
thinning of the tissues, dryingof the tissues, and that there's
touch, discomfort, there's painwith intercourse, there's these
(33:17):
pseudo UTIs, the urinaryfrequency leaking, burning, all
the things.
What we're not talking about isthat there's this genitourinary
syndrome of lactation.
So while we're lactating, wehave reduced estrogen.
So those same symptoms thatoccur with this genitourinary
(33:38):
syndrome of menopause areoccurring in this postpartum
population.
When you're also dealing withall of these other things and I
think even just being all ofthese other things, and I think
even just being aware of that ishelpful.
So if you're noticing any ofthose things, making sure that
you are taking care of yourvaginal tissue and vaginal
mucosa can be particularlyhelpful while you are lactating,
(33:58):
so we can also help with that.
Going back to pregnancy beingproactive is one of the best
things that I think a woman cando.
If you're thinking about familyplanning, get active, and
activity is relative right.
Walking is a really undervaluedphysical activity.
(34:20):
Walk.
It's really good for ourhormones to strength train right
.
So two to three times a week,20 to 30 minutes of strength
training it is enough to havepositive impact on our body and
then to be able to carry thatthrough pregnancy.
You're going to have a strongerpregnancy, you will feel better
and that again leads to astronger birth.
(34:41):
So that is my number onerecommendation is to be as
proactive as possible to supportall of the changes.
Your body changes so quicklyit's hard to keep up with it.
So if we have a foundation ofcardiovascular fitness and
(35:03):
strength that allows your bodyto adapt to those changes a
little bit more efficiently, Ilove all of that so much.
Speaker 1 (35:11):
I'm really interested in the lactation's connection
to the vaginal mucosa and justthe vaginal health and being
aware of that for your firstattempt at sexual intercourse,
or yeah, I think that's reallyimportant to talk about.
Would you say that after thesix-week checkup with your OB or
(35:37):
your midwife?
You know, because I tell mypatients that book your
postpartum visit with me longbefore your due date so that you
can you can shift it if youneed to, but is that something
that you would recommend as apart of being proactive?
Get your new mama wellnessphysiotherapy check on your on
(36:00):
your books as well physiotherapy.
Speaker 2 (36:07):
check on your books as well.
Yeah, the trend that I'm seeingis guidees aren't doing an
internal exam at the six-weekdischarge appointment.
Yes, so I do recommend to mymamas that I see you right
before that appointment so thatif we do find anything, then we
can flag that and we can sharethat with their gyne before
(36:31):
they're discharged.
And then again there's anasterisk to that right.
If we find things at rightbefore that six-week appointment
, I'm not super alarmed.
Yeah, healing has only justbegun.
Speaker 1 (36:48):
But I love that because we do live in a
healthcare system that we needaccess to certain people to get
the needs met that we have, yes,medically.
And it's interesting because Ihave also noticed this trend
about the OBs just doing asuperficial check-in with you.
(37:08):
That is verbal, saying how'severything healing down there?
And one of the things that weinclude in your last visit is a
six-week checkup plan.
So questions to ask if you feellike anything is changed down
there that didn't feel the same,which the majority of the
population that doesn't feel thesame five to six weeks
(37:30):
postpartum as it did before yougot pregnant that you ask for an
internal exam and some of thethings to ask for are and we
give them a list.
I love that.
But I love that.
I love that you do that so Ican change my postpartum check
plan to softly nudge a pelvicfloor physiotherapy check so
(37:53):
that when you go back for yoursix week checkup, if there is
anything that's happening thatyou need the OBGYNs care for,
you don't fall off of their carebecause you need another
referral after that.
That's right.
Yes, I love that so much.
That is such a great thing toknow for your own care.
(38:15):
So when you said that, I lovethat you said that you know that
even if you did find something,there's no reason to be alarmed
.
It is, unless it's something tobe alarmed about at that stage
of postpartum.
Really, things are just gettingstarted, and that comes back to
one of my questions about, likewhen to get help versus when to
(38:38):
wait, versus when to wait.
You're really talking aboutusing this appointment to
facilitate the need for an OBGYNto direct you into a medical
appointment if necessary, likenot falling out of their care.
That's correct.
Yes, yeah, so it's don't panic,this is something that is not
(39:00):
urgent versus we can wait onthis.
Is that what you're saying?
Speaker 2 (39:04):
Yeah, so I'm using the fact that these women
typically have that six-weekappointment so we're trying to
maximize that gyne appointmentfor them.
But when it comes to I'mconcerned versus let's just wait
, it varies for everyoneconcerned versus let's just wait
(39:27):
.
It varies for everyone.
So I say to my pregnant mamasthat are leaving here before
they're having their baby I'llsee you right before your
six-week appointment or when youhave bandwidth.
So there is always going to bea way to support these women.
There is always going to be away to support these women.
Everyone's postpartum journeyis very individual.
Some are all rainbows andsunshine and some are not.
(39:49):
If you, if a woman, is reallyconcerned at 10 days postpartum
about their pelvic floor andthey are stressed and anxious
and losing sleep over it, I'mgoing to see you at 10 days.
If, at six months, you're stillin the thick of it and you are
still struggling to get out ofyour house and you just don't
(40:12):
have bandwidth, well, we waituntil you have bandwidth.
Meeting everyone where they'reat is the most important piece.
Speaker 1 (40:22):
Yes, I agree.
Yeah, because sometimes youdon't want to leave your house,
sometimes you don't want toleave your baby, sometimes you
just can't wait to get out andyou can't wait to get five
minutes to yourself.
That's right.
Yeah, any and all of that isokay, and we have to work around
that.
(40:42):
It's just supporting mamasmeans supporting mamas fully.
Yeah, any and all of that isokay.
Speaker 2 (40:46):
And we have to work around that.
It's just supporting mamasmeans supporting mamas fully.
Yeah, and that makes me think ofa couple of other things too
being as active as possiblethroughout your as reasonably
possible throughout yourpregnancy, but to have a better,
most optimal birth, like at 36weeks, doing some perineal
massage, it can be reallyhelpful in reducing the need for
(41:07):
an episiotomy and there isliterature to support that.
Six states a day, starting inabout 36 weeks, helps to shorten
the second stage of labor.
So when we're talking aboutthese concerns that women have
with their pelvic floor,postpartum, again, what we're
doing in pregnancy in those lastfour weeks to support birth
(41:30):
makes all the difference.
And that's where our rock starwith all these women to have
that birth support really doeschange, can change the
trajectory of that postpartumjourney.
Yeah.
Speaker 1 (41:42):
I love everything that we're talking about, but as
we're talking, I'm like, oh myGod, I need to do another
recording with her.
I need to do another recordingwith her.
I feel like so many of thesethings can be talked about on a
whole different level, like theperineal massage, and there's
research to indicate that it isvery beneficial, but most of the
(42:08):
women that are doing it are not.
They're not really doing theright research and it's really
hard to take on.
Like, how do you teach a classlike that?
It's really hard to teach aclass, but it's to get more
access to more women, and I'mfully owning the fact that I
want to have access to morewomen.
(42:28):
I want more women to know, butalso accepting the fact that
changing one mother's journey ata time is important as well.
Create more points.
Yeah, exactly as well.
Yeah, exactly.
But I do really wish that theperineal massage was discussed
more.
It is sad how it's not used inour birthing world as much as it
(42:52):
should be.
Speaker 2 (42:53):
Yeah, I'm going to break it down real quick.
Okay, good Perineal massage, itdoesn't need to be fancy.
(43:15):
There's lots of differenttechniques.
Essentially, what we're tryingto do is induce.
I'm going to use the somestrain on the vaginal tissue,
but not to an intensity of pain,so stretch intensity of about 3
out of 10.
Essentially, if you think aboutyour vaginal opening as a clock
, so pubic bone is at 12 o'clockand towards your rectum is 6.
(43:39):
And towards your rectum is six,creating some strain between
three and nine o'clock, anywherebetween three and 10 minutes,
two to three times a week, isenough.
You don't need to get fancy.
If you're doing it yourself,you're going to need a tool.
You can't reach over thatpregnant belly.
Ideally to have your partnerhelp you with.
That makes it easier.
(44:00):
But using just one or twofingers and providing some
radial outward pressure aroundthree to nine o'clock is good
enough.
It doesn't need to be fancy.
Speaker 1 (44:11):
I love that.
I love that short and briefdescription and it is very
precise and perfect.
Speaking of tools, what aresome of the tools that you
personally use, not necessarilyfor pelvic floor health, but
just in general to take care ofyour body?
What are your main tools?
Speaker 2 (44:33):
To take care of my body.
Well, I know that physicalactivity is good for my body.
I'm a wannabe runner, so thathappens when it happens.
I do like strength training andI would like to do more yoga
and I think Pilates is alsoexcellent.
(44:54):
Figuring out how to do all thethings all the time I haven't
mastered yet.
So if anyone's got tips like,I'll take them.
Haven't mastered yet.
So if anyone's got tips like,I'll take them.
But I live very close to theGreenway and like that.
To get out there and go for arun is one of my very happy
things to keep me sane.
Speaker 1 (45:12):
It's interesting that whenever I hear someone talk
about running, the way thatyou're talking about running, it
gives me chills.
I have been a runner most of mylife, since about 12 and a
little bit competitive.
I'm not saying I'm taking partin races or anything at this age
, but I do sign up for a halfmarathon here and there and that
(45:34):
language that you're using it'sreally good for your sanity is
exactly why I run.
The first time I heard aboutmeditation during movement Joe
Dispenza talks about that alittle bit.
I really do meditate when I'mrunning.
I don't know where I am.
I've gone for a run in airportsand gotten lost.
(45:57):
I've ran and not remembered howfar I've ran and then look at
my Garmin and realize that itwas twice as long as I intended.
But I love when I hear somebodyelse say that there is just
something that some of us getwith running and some of us who
still continue to do it butdon't love it like that or don't
(46:17):
feel the same way about it aswere talking about, and that I
resonate with fully.
You're talking about runningand doing things for yourself
and you talked about all thosefitness things, which I fully
agree.
Finding time for all of thoseis hard, and some days our best
looks different than other days.
(46:39):
What are some other things thatfinds you joy outside of work?
I know that you have children.
Speaker 2 (46:44):
Yes, yes, I do.
I have four and almost, andshe'll be eight on Saturday.
Speaker 1 (46:50):
Oh, yay, happy early birthday.
And are you originally fromWindsor and Essex County?
I am.
I'm a Maidstone girl.
You're a Maidstone girl.
I love that.
You're a Maidstone girl, I lovethat.
So when you went to high school, did you have to get buzzed, or
was there a school right?
Was there a high school inMaidstone?
Speaker 2 (47:09):
No, I went to Essex High School.
No there's a high school inEssex but that's technically the
one that all the Maidstoneresidents go to.
I think there was likeVillanova, because Maidstone's
in between, so my neighbors theywould have went to Villanova or
Essex, I think.
Okay, yeah.
Speaker 1 (47:27):
So you get bussed anywhere.
I do know that as well.
We were bussers, yes, yeah,yeah, I think my kids went to
Lesore, and no matter where wewere, they had to take the bus
too, until they could drive, ofcourse.
All right, what else, corey, doyou like to travel?
Speaker 2 (47:45):
I am a homebody, but my daughter.
She is going to be a traveler,so I just have to suck it up and
get on board.
Last May she told me that shewanted to go to the Philippines.
We're lucky to have somecountry property and some peace
and quiet, and that is my happyplace.
Speaker 1 (48:04):
That is amazing and I love that.
Your daughter is a traveler andunderstanding fully that
whatever they're going to do andwant to do, we are going to
jump on board.
That's right.
Jump on board, all right.
I am so grateful that you tookthe time to talk with me today.
We have covered so many topicsand I know that my audience is
(48:24):
absolutely going to love this.
I would love if you wouldfinish off our conversation
today with how people can get intouch with you and learn more
about you.
Speaker 2 (48:35):
Yeah, absolutely so.
Our clinic is in Kingsville, inthe center of town, and we have
a website, wwwirelandmptcom.
We are on Instagram andFacebook at Ireland Physio, I do
believe, is our handle.
We're not too active on there,but there are some good tidbits
(48:58):
if you scroll back on there.
Good tidbits if you scroll backon there.
And 519-733-1010 is the numberto chat with my lovely Edmund
Tiffany.
And we don't just do pelvichealth.
I'm very fortunate to haveStephanie Rhea and Stephen
George at our clinic as well,and I'm the least experienced
one here.
So we do really pride ourselveson the advanced level care that
(49:22):
we are able to provide for allof the orthopedic and kind of
chronic finicky pain thingsAmazing.
Speaker 1 (49:32):
Yeah, thank you so much, kori.
It's always so great to connectwith someone in the community
who's doing such impactful workin our community.
I love that you talked aboutyour colleagues and coworkers
and if anyone's listening thatis curious about Corey's
services and her clinic and hercolleagues, there is going to be
(49:55):
a link to her website in theshow notes.
Corey, thank you so very much.
Speaker 2 (50:03):
Thank you, deb, and thank you for everything that
you do in terms of advocatingand empowering women and their
pelvic health as well.
I am so happy and honored to bechatting with you today.
Thank you.
Speaker 1 (50:16):
Talk to you soon.
Okay, let's talk soon.
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