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Prolapse? AVOID these things..

Want to know what to Avoid when you have a prolapse? Watch this.

Pelvic floor muscle exercises are key to managing pelvic organ prolapse symptoms. We know that if you do them three times a day for 3 to 5 months resolves symptoms: your pelvic floor will begin to effectively support your pelvic organs and you’ll no longer have those uncomfortable, bothersome symptoms. The following five main lifestyle factors have also been found to aggravate prolapse symptoms by increasing the pressure in your abdomen. Follow the lifestyle advice guidance below to reduce your risk of prolapses returning.

• Constipation

Constipation is usually caused by dehydration and not enough fibre in your diet. Try to avoid this by ensuring that you eat the recommended ten portions of fruit and vegetables each day. Straining to empty your bowel can make your prolapse worse, so make sure that you adopt the correct position when opening your bowels, and use diaphragmatic breathing as your only...

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How to do pelvic floor muscle exercises

Firstly… No, you don’t have to get on the floor. Click here to Watch How.

And secondly, yes. They are that good. We know that up to 97% of women who do pelvic floor exercises three times a day (to the point of fatigue, not just a wiggle) for 3-5 months will have a COMPLETE RESOLUTION of their Incontinence or Prolapse symptoms.

Compelling, eh? It’s free as well..

So what are you waiting for? Time to get exercising that pelvic floor!

Before we begin, here’s a little disclaimer – it’s important to get a thorough examination from a qualified pelvic health physiotherapist or your doctor. Not all pelvic floor problems are solved by doing pelvic floor exercises – if you have pelvic pain or a tight muscle doing exercises can make things feel worse. Get checked first folks!

How to do the exercises:

Pull in your back passage as if to stop from breaking wind, imagining your anus moving upwards and forwards towards your pubic bone. Although...

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Living with Endometriosis: Believe and Tri

I’m really glad to be able to bring you this fantastic, painfully honest blog by an inspiring Endometriosis survivor and triathlete. I was lucky enough to work with her on her journey back to sport and fitness following surgery. She never failed to inspire me with her grit, determination and gentle self-care. At the end of the day you can’t force your body into behaving a certain way, it has to be guided, cajoled and gently pursuaded. That can be frustrating, but she shows us how with gentle self-care and perserverence great things can be achieved. I’m really looking forward to reading more as her training progresses – you can HERE. And while you’re at it, if you have a few spare pennies please sponsor her Olympic Triathlon in June!

 

My journey has been a bit of odd one really.  I’ve had all the usual stuff of painful heavy awful periods in my teens but was on the pill from 16 which kept things sort of under control.  I was...

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The Pelvic Health Podcast with Lori Forner

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Getting the “It’s Not All About the Wand” message out there… Listen Here.

I was so excited to join Lori Forner on the Pelvic Health Podcast. For years it’s been a great source of evidence-based knowledge, clinical reasoning and access to inspiring minds withing our profession from all over the globe. Getting asked to take part was a huge honour! And I got to talk about my favourite topic…

Here’s Lori’s intro…

Jilly joins me in this episode to talk about how “the wand” can help with pelvic floor muscle tension and pain. More importantly, she discusses WHAT we are actually doing with it (spoiler alert – we are not releasing trigger points). I didn’t actually need to talk at all (and therefore I sat back in awe, loving the accent and amazing knowledge bombs). She so eloquently discusses why and how our bodies protect and guard us against threats to our nervous system and all the neat things we can do to...

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Welcoming in 2018

If you thought 2017 was great, 2018’s going to be bigger and better… On the day of the winter solstice I sat down with my colleague Gillian McCabe for our mini Christmas Party. It was meant to be a coffee and catch up, a moment to pause and reflect on an eventful year for us both. Maybe there really was magic in the air but we were still talking gone midnight with an audacious plan for 2018: how we’re going to shake up Pelvic Health for the women (and men!) of Wales. More for our patients, more for our clinicians. (And yes, you can read a sneaky preview below!)

We’ve known each other for years having worked concurrently in neighbouring NHS health boards and on the same national education and governance committees, we’ve been through the Bradford Masters together (the only Pelvic Health postgrad course in the UK currently) and began private practice at the same time. This last year has been extremely hard work and neither of us would change it one bit!...

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Its not about the wand

Watch the Vlog: It’s not about the wand… it’s about all the other marvellous things you do to heal pelvic pain

I’ve had a lot of great conversations since I put up my wand vlog,  and I find that I’m coming back to the same areas so I decided that it’s time we talk about the wand.

1 . It’s a great tool but it’s not for everyone

In my clinic I do use them regularly with patients with difficulties reaching their pelvic floor, problems with dexterity or force through their hands, or if they’re keen to try it but don’t like the idea of self-touch. They’re also great for people who really want to own their treatment and who get a great response from manual myofascial release with me. The rest of the time with people who are comfortable with self-touch I get them using their own thumbs with one leg up supported or when reclined. For those who aren’t comfortable with self-touch I start with a deep squat...

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World Congress on Abdo and Pelvic Pain: Part 2

Watch the part 2 vlog here.

There was such deluge of important research presented at the recent World Congress on Abdominal and Pelvic pain that I’m taking time to digest it and translate it into practice. Here’s my second instalment.

If you didn’t see Part 1 click here.

There’s much more discussion in the vlog above, here are my brief notes. Starting with the end of the BPS cluster, Mr Kenneth Peters MD presented the role of peripheral nervous system on development and management of pelvic pain.

He believes there’s clearly two distinct populations in BPS: those with active Hunner’s Ulcers and those without. Those with Hunner’s Ulcers and pain/urgency symptoms (the more Type 3c, small stenotic bladder, passing small volumes at a high frequency) are the “active” Hunner’s ulcer phenotype, who tend to have less systemic pain, occur in post-menopausal women, and patients respond more readily to intensive surgical treatment....

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Knowledge Bombs from the World Congress on Abdominal and Pelvic Pain: Part 1

I had an absolutely inspiring time at the World Congress on Abdominal and Pelvic Pain in Washington recently. I was given the opportunity thanks to the Dame Josephine Barnes award from the POGP and the EPIC Scholarship from Entropy Physiotherapy in Chicago and Lorimer Moseley. I can’t thank them enough for supporting the education and development of clinicians who wouldn’t otherwise be able to attend world-leading conferences such as this one. It truly was EPIC.

I’ve gone back through my notes and pulled together some of the things I think are important and have great clinical translation. It helped me to gather and retain the information and I really wanted to share what I learned. Better informed clinicians providing up to date evidence-based therapy are going to be the best for our patients, and at the end of the day this is why we do what we do. Apologies to any of the researchers for inaccuracies, these are just a few teeny pearls of wisdom I took/understood...

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And breatheā€¦ relax your pelvic floor muscles to ease pelvic pain

Got pelvic pain? Watch this video about how to relax your pelvic floor.

You know those times when you’re super busy working away at the computer for hours on end – you get tight shoulders and a headache? Your shoulder muscles get tight when you’re typing for hours and the knots and muscle tension can cause aching and a muzzy headache.


It’s exactly the same in your pelvis. When the pelvic floor muscles are ‘on’ or tight all the time you can get an aching or pain in the pelvis. Sometimes it can be really severe with stabbing pains up in the middle or into the back passage, tenderness or acute burning soreness on the outside or at the genitals and things like sex or going to the toilet can also be painful.

If this is something you’ve been experiencing then it’s worth getting it checked out. See your doctor and get a referral to your local Pelvic Health physiotherapist.

Relaxing your pelvic floor – or learning how to – is...

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Let your tummy muscles go to ease your pelvic pain

Relaxing your tummy – it’s really important if you have pelvic pain! Watch my video about how to do it.

If you’re in any pain in your pelvis you’re probably bracing or holding in your tummy muscles as well as your pelvic floor. A lot of women also hold in their tummy muscles all day, something to do with society’s unhelpful idea of how women “should” look… but that’s a discussion for another day. Let it go!

Relaxing your tummy muscles is a really important first step to managing your pelvic pain better – they’re often the key to the pelvic floor. If they’re on so are the muscles between your legs (guys, yes you have a pelvic floor too) and if you can release your tummy then you’ve got a better chance of being able to relax your pelvic floor too.

Have a sit or stand with one hand on your chest and one on your tummy – feel where you’re breathing from. Most of the time the top hand moves more...

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