Video Interview with Amy Stein on Pelvic Pain + Pelvic Floor Hypertonicity (Overactive PF)

amy steinAnother day, another virtual trip around the world....this time the location is New York City again for a wonderful interview with the ever-gracious Amy Stein, the author of Heal Pelvic Pain and a world authority of the subject.  Amy heads up her physical therapy practice in New York, Beyond Basics Physical Therapy is an educator, author (print and DVD), women's health advocate and academic and was kind enough to spare some time to discuss her work and topics surround the subject of the 'overactive', 'too-short'and 'hypertonic' Pelvic Floor.  There has been sooooo much discussing on 'Kegels being bad for you' and that not everyone needs to strengthen their Pelvic Floor without a enough explanation of the why's and also what do we teach instead!!!!!  So,  I thought I'd better get some good information from an industry 'fountain head' 🙂

We also discussed how to spot PF Hypertonicity and where we should guide clients to get help if we are not a specialist in this area and also covered my FAVOURITE topic of integrating Kegels with MOVEMENT to REALLY prepare women for the lives they lead or want to get back to leading.  Get your pen and paper ready for some great information that I'm sure you can use straight away. 🙂

These are the questions I asked Amy....

1.  PF Hyptertonicity, non-relaxing PF dysfunction and too short PF are all terms to describe with the PF muscles exhibit non-optimal length/tension which impairs function.  In your book your gave an example of a patient who was a Pilates teacher who had difficulty with the 'let go'.....can you expand on the concept of the 'let go' for the viewer.
2.  Holly Tanner of Medbridge created a handout called 'Are Kegels Hurting Your Patients' and on it listed Pelvic Pain, Vaginisimus, Constipation, Urinary Retention, Painful Intercourse, Urinary Urgency and Frequency as some key conditions that may worsen when a pelvic floor exercise/strength programme is applied to those experiencing hypertonicity - are there any other signs that a standard re-strengthening programme may not be right for you and that indeed you may be experiencing hypertonicity?
3.  Can you summarise how we spot hypertonicity as fitness professionals and who we need to refer our clients to for help.
4.  In your book I LOVE the progressions that you show for truly integrating the Kegel into functional movement.  This is one of the key principles of the work I've created, can we discuss the thought processes that are the foundation to this part of your book.
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And as always, there's no affliation at all, I just love the book, use the book a LOT as a reference point and if you are working with women I think you will too!

You might also like this blog:  Help for the 'too tight'/ overactive Pelvic Floor too!

 

Do you feel like you need to/want to go deeper on the subject of Pelvic Floor Dysfunction and Female Pelvic Health??  I think you'll be interested in this....

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