The Pelvic Health Podcast
Overactive bladder and dementia risk with anticholinergics with Dr Kerac Falk

Overactive bladder and dementia risk with anticholinergics with Dr Kerac Falk

June 18, 2021

Overactive bladder (OAB) is a very common condition involving urinary urgency, with or without incontinence, plus frequency and nocturia. In this episode, urogynaecologist Dr. Kerac Falk joins me to discuss general information on overactive bladder (OAB) with a focus on the medical treatment options - particularly involving recent research he has worked on as part of a team regarding very common anticholinergic medication for OAB and evidence of potential dementia risk.

Dr. Kerac Falk is a urogynecologist (Female Pelvic Medicine and Reconstructive Surgeon), and recently accepted an Assistant Professor of Urogynecology position at the University of Nevada, Reno School of Medicine. He has been involved in researching recurrent UTIs, biofilm, fluid dynamics and our focus for today’s episode was based on his research as part of a founding member of the "Fellows OAB Taskforce for Treatment accessibility” advocacy group.

Dr. Falk will be starting to see patients at his new practice in August 2021. You can find him through his new website (keracfalkmd.com) and a professional Instagram (@keracfalkMD) and Twitter (@KeracFalkMD).

 

Recent OAB publications include:

  • Menhaji K, Cardenas-Trowers OO, Chang OH, Hall EF, Ringel NE, Falk KAnticholinergic Prescribing Pattern Changes of Urogynecology Providers in Response to Evidence of Potential Dementia Risk. Int. Urogynecol.J. Accepted for publication 1/2021, available online 3/2021, pending print.
  • Escobar C, Falk KMehta S, et al. Rethinking Second-Line Therapy for Overactive Bladder to Improve Patient Access to Treatment. Obstet. Gynecol. 2021 Mar;137:1-8.
  • Johnson TM, Goode PS, Hammontree L, Markland AD, Vaughan CP, Ouslander JG, Falk K, McGwin G, Burgio KL. An Exploratory Analysis of Tamsulosin for Overactive Bladder (OAB) in Men With Varying Voiding Symptom Burden. Urology. 2021 Jan 20:S0090-4295(21)00085-6. 
  • Bennett AT, Ringel NE, Menhaji K, Brown OE, Hall EF, Cardenas-Trowers OO, Falk K, Jeney SES, Barnes H, Escobar C, Tellechea LM, Sappenfield EC, Mehta S, Chang OH. "First, Do No Harm"-Trainees' Observation of Risk Reduction in the Treatment of Overactive Bladder. Female Pelvic Med Reconstr Surg. 2021 Jan 1;27(1):2-4.

 

Enjoy and thanks again to Always Discreet for sponsoring this episode!

New ICS Podcast Teaser with Prof Paul Hodges on Balancing Mobility, Stability and the Pelvic Floor

New ICS Podcast Teaser with Prof Paul Hodges on Balancing Mobility, Stability and the Pelvic Floor

May 24, 2021

The International Continence Society Podcast is coming!

On behalf of the ICS Institute of Physiotherapy, I had the pleasure of interviewing Professor Paul Hodges for Episode 1 on Balancing Mobility and Stability within the #pelvicfloor and am excited to be able to share some of it here first. This episode on The Pelvic Health Podcast is only half of our discussion - you can catch the entire episode as of June 1 (2021) on the new ICS Podcast through their website and all major podcast platforms like iTunes and Spotify. The ICS Podcast series line-up is not to be missed and aims to highlight the amazing speakers in pelvic health that will be presenting at this year’s ICS Virtual Conference on October 14-17.

So sit back and get ready to be floored by only some of the wisdom of Prof Paul Hodges on concepts and research on pelvic floor muscle stiffness, movement, pain, strength and so much more. Don't forget to look for the new ICS Podcast in June to listen to the rest of this episode and so much more!

 

Thank you to Always Discreet for sponsoring this episode of The Pelvic Health Podcast.

 

Surgical journey for DRA repair with physiotherapist and patient Liz Lush

Surgical journey for DRA repair with physiotherapist and patient Liz Lush

March 31, 2021

Liz Lush is a Brisbane physiotherapist and clinical lead at Mummy and Co Physiotherapy and Fitness, childbirth educator and tutor for physiotherapy students, and a mother of 4 children. Today she shares her journey (21 days post surgery at the time of recording this) for her large #diastasis or often called #DRA or #DRAM. For previous episodes covering more on DRA research and practical exercise tips, check out the previous episodes (click on the links) with Dr David Larson in July 2020 and physiotherapist Lashonda Jones in Sept 2020

In addition to treating women with DRA for years, Liz not only had a large DRA, she had a ventral hernia, and discusses the different kinds of surgeries and how her journey led her to make the surgical decision. She has such an interesting perspective as both a clinician and a patient.

Follow her visual journey on Instagram at MummyandCoPhysio 

 

Listen and enjoy and a big thanks to Always Discreet for sponsoring this episode of The Pelvic Health Podcast. Head to Always Discreet to learn more about bladder leak tips, management and incredible bladder leakage protection!

Please rate and leave a review on the Apple Podcast app so more people can find it and share on any social media platform, or just with your mates. 

Always Discreet presents Urinary Incontinence with physio Cath Willis

Always Discreet presents Urinary Incontinence with physio Cath Willis

February 20, 2021

Today is an extra special episode! We have physiotherapist Cath Willis back (go find the episode on breast health from April 2018) to talk about #bladder leakage, or technically known as urinary incontinence. She breaks down the types and causes for urinary #incontinence, what physiotherapists look for as part of assessment and ways we can help treat this, as well as understanding the importance bladder leak protection products such as Always Discreet.

Not only is Cath a wealth of clinical knowledge in her roles as a pelvic health physiotherapist for Queensland Health and Movements Solutions Physiotherapy in Brisbane, she was our previous Chair of the APA's Women's, Men's and Pelvic Health National Group, is the New Chair of the APA's National Advisory Council, and teaches the undergraduate Gender Health subject to physiotherapy students at Australian Catholic University in Brisbane. 

On that note, I want to say a very big thank you to Always Discreet as this entire episode has been made possible by their support.

For more than 30 years across the world, Always has been helping women with their menstruation needs thanks to its comprehensive line of period pads and liners. The brand gained global accolades for some of its previous topical campaigns, including “Like A Girl” and “End Period Poverty.”

As a brand, Always’ purpose has been to empower and help females everywhere live life to their fullest potential. Not only have they created a superior line-up of bladder leak protection products called Always Discreet, they have helped to educate women around the globe about the help from doctors and physiotherapists available for bladder leakage rather than just telling women to use their products and ignore it.

But, what makes the Always Discreet range so great?

  • It’s specifically designed for incredible protection from bladder leaks (vs. menstruation needs)
  • It features breakthrough technology via a super-absorbent core that turns liquid into gel and locks in odours
  • Its products on the range are surprisingly thin and discreet, helping you feel more comfortable and confident going about your everyday life

Now sit back and enjoy!

 

Prep for Pushing in Labour with physiotherapist Anita Lambert

Prep for Pushing in Labour with physiotherapist Anita Lambert

February 9, 2021

Anita Lambert is a Registered Pelvic Health & Orthopaedic Physiotherapist with a focus on #prenatal, #birth prep and #postpartum care, as well as the co-host of the To Birth & Beyond podcast. She’s one of the few #physiotherapists in Canada to have completed physiodoula training which blends physiotherapy expertise with birth doula support and now assists this professional course taught in Canada.

She joins me today to talk about preparation around stage 2 in labour - what happens in the body, how can we help with breath and #pelvicfloor, where do physiotherapists play a role.

Links for today:

 

More of Anita's bio:

Anita is passionate about helping #pregnant physiotherapy clients connect more with their body including their pelvic floor plus keep you active and comfortable during pregnancy while you prepare for birth which will give you a head start on your postpartum recovery. She enjoys helping postpartum clients navigate their recovery and return to activities they love including exercise, sports and dance without pain and pelvic floor symptoms.

Anita created her Bump to Birth online course which guides you step by step to prepare you, your pelvic floor and core for birth and co hosts the To Birth & Beyond podcast to share this information to help people around the world. 

Growing up as a ballet dancer and athlete, Anita was always fascinated with how the body moved and healed. Her love for sport led her to become the team therapist for the McMaster University women’s rugby and basketball teams.

She completed her clinicial Pilates rehab training during her final physiotherapy clinical placement in Brisbane, Australia alongside working with semi-professional ballet dancers. She brought this knowledge back to Toronto to start off her physiotherapy career including becoming an on-site physiotherapist for Canada’s Ballet Jorgen and Past President of Healthy Dancer Canada, an organization that fosters and facilitates communication and collaboration among the dance community, health professionals and researchers. 

Outside of work, you can find Anita practicing yoga or Pilates, strength training or enjoying the outdoors and spending quality time with her husband and energetic 4 year old daughter and 2 year old son.
 
 
 
 
Upcoming courses/lectures discussed:
 

Smart Education PowerTalk : "Strength training and the female pelvic floor: what we all need to know

 

IUGA International Symposium on A Multidisciplinary Approach to the Prevention and Management of Pelvic Floor Dysfunction

Listen and enjoy and a big thanks to Always Discreet for sponsoring this episode of The Pelvic Health Podcast. Head to Always Discreet to learn more about bladder leak tips, management and incredible bladder leakage protection!

Menstrual cycle and athletic performance with Dr. Kirsty Elliott-Sale

Menstrual cycle and athletic performance with Dr. Kirsty Elliott-Sale

January 1, 2021

What better way to start off 2021 with Associate Professor Dr. Kirsty Elliott-Sale discussing the #menstrual cycle and how sex #hormones may affect #exercise performance in the general female population.

Dr. Elliott-Sale is the Head of the Musculoskeletal Physiology Research Group at Nottingham Trent University in England and lectures in the areas of Exercise Physiology, particularly in Female Physiology, Endocrinology, Performance, and Health. She has more than 20 years of experience working with females, elite female athletes and maternal populations including expertise in regards to the design and implementation of exercise-based interventions.

Since the completion of her PhD, which examined the effects of female reproductive hormones on muscle strength, her research has concentrated on various aspects of health and athletic performance in female populations.

In this episode we cover:

  • the stages of the menstrual cycle – simplified so we all understand!
    (CLICK HERE AND HERE FOR MENSTRUAL CYCLE PHOTOS TO FOLLOW ALONG)
  • if hormonal changes influence athletic performance
  • whether the research supports females training according to their menstrual cycle
  • How oral contraceptives change the picture

She also recently recorded a brilliant podcast episode with BJSM so do not miss it – it’s a great compliment to this one! 

Her Twitter account @ElliottSale

Open Access Papers:

Listen and enjoy and a big thanks to Always Discreet for sponsoring this episode of The Pelvic Health Podcast. Head to Always Discreet to learn more about bladder leak tips, management and incredible bladder leakage protection!

After gynaecological cancer with Melanie Roussin

After gynaecological cancer with Melanie Roussin

December 11, 2020

So many gynaecological cancer survivors, particularly younger females, are left with a poor sexual quality of life and not many are asking about this or helping provide tools to help. Out of the 3 million women living with gynaecological cancers, up to 70% live with temporary or permanent sexual difficulties.

Our guest today, Melaine Roussin, is working to change all of this. She was diagnosed with cervical cancer at age 31. As part of her recovery, she left corporate life to study and work in health and is now working on her PhD which focuses on the sexual quality of life (SQoL) for young gynae cancer survivors (YGCS). In this episode, she shares her journey and how she plans to use her research to help those affected, in addition to Girls Rocking Cancer - a cancer support community and blog at www.girlsrockingcancer.com. (Instagram + Facebook) where they celebrate women’s stories and bodies after cancer.

Other links:

melanie.roussin@research.usc.edu.au

Recruiting participants: She is currently recruiting women living in Australia who were aged 18-45 and pre or perimenopausal at their gyn cancer diagnosis for 1-on-1 interviews with her on Zoom. Study link: https://uniofsunshinecoast.syd1.qualtrics.com/jfe/form/SV_0UsbscK6D9g1DzT

 

Listen and enjoy and a big thanks to Always Discreet for sponsoring this episode of The Pelvic Health Podcast. Head to Always Discreet to learn more about bladder leak tips, management and incredible bladder leakage protection!

The Glottis and Pelvic Floor

The Glottis and Pelvic Floor

November 6, 2020

We know holding our breath can influence pressure onto the #pelvicfloor, but did you ever think about how this happens, or why, or that our vocal cords can influence this pressure?

Physical therapist and academic, Aliza Rudavsky, joins me to discuss her research in this area and some very cool facts about how the #glottis works and how this can influence the pelvic floor.

Bio from her website:

A native of Pittsburgh, Aliza grew up as a dancer.  She studied modern dance in college and performed professionally for several years before going to graduate school for her Doctorate in Physical Therapy at the University of Washington in Seattle.  As a physical therapist, Aliza has specialized training in pelvic floor dysfunction and women's health PT through the Herman and Wallace Institute.  She trained as a dance PT through the Harkness Center for Dance Injuries and the Australian Ballet.  She also has unique training in physical therapy for voice dysfunction and treats both performing artists and other occupational voice users. 

Aliza completed her PhD in 2018 through the University of Copenhagen (in collaboration with Monash and Latrobe Universities in Melbourne, Australia) under the supervision of Dr. Jill Cook.  Her research involved studying tendon development in adolescent ballet dancers. She has published this research in several sports journals as well as the International Association of Dance Medicine and Science.

Currently, Aliza is an assistant professor at Penn State University where she has a split appointment in the department of Kinesiology and the School of Theatre.  In Kinesiology she teaches the athletic training students and does research, and in the School of Theatre she runs an on-site PT clinic for the musical theatre and acting students. Her current research involves connecting the pelvic floor to the vocal folds to study how they coordinate to regulate pressures in the trunk. This research is currently funded by the Foundation for PT Research-Pelvic Health Research.

Aliza is the mother of two delightful young boys with a third baby on the way.  She enjoys biking, hiking and exploring central PA with her family. 

 

Listen and enjoy and a big thanks to Always Discreet for sponsoring this episode of The Pelvic Health Podcast. Head to Always Discreet to learn more about bladder leak tips, management and incredible bladder leakage protection!

Sexual activity and Low Back Pain

Sexual activity and Low Back Pain

October 23, 2020
APA Titled Sports and Exercise #Physiotherapist, Indianna Franke, who also holds a Grad. Cert in #PelvicFloor Physiotherapy, joins the podcast today to talk about sex in the context of low back pain.
 
As low back pain is one of the most common musculoskeletal types of pain, and sex is part of life but often becomes difficult when you have #backpain, why aren't all of us as professionals asking our patients about this? We ask about pain with bending, lifting, #exercise, #sports, and other daily activities, but often we are too embarrassed or ill-equipped to talk about how to help our patients when they are quite possibly having #back #pain during #sex.
 
Thank you to @alwaysdiscreet for sponsoring this episode
 
Below are some useful links from our chat. Enjoy!
 
 
Cognitive Hypnotherapy and Pelvic Pain with Sheren Gaulbert

Cognitive Hypnotherapy and Pelvic Pain with Sheren Gaulbert

October 1, 2020

This episode will blow your mind! I admit the word "hypnotherapy" really threw me but you have to listen - especially if you are a #pain #science nerd, have #pelvicpain, or treat those with pelvic pain. Sheren Gaulbert has extensive knowledge in the pain science field and brings a very large piece to this puzzle.

Sheren Gaulbert was diagnosed with unprovoked vulvodynia in 1999 after a lifetime of intermittent pain and comorbid conditions. With frequent episodes of fainting as the pain worsened, and mobility affected, she stopped working altogether.

10 years on from diagnosis and unsuccessfully trialling different treatments, she stumbled across self-hypnosis and later Quest Cognitive Hypnotherapy (QCH), starting her on her journey toward freedom. Her curiosity to find out why it was working and how she could help others, led her to seek out further training for a better grounding in pain neurophysiology, and to understand best practice models from current, up-to-date treatment methodologies and pain science.

Sheren has a specialist interest in female and male pelvic pain and is now a Trustee of the Vulval Pain Society, She hosts VPS webinars with specialist vulval pain clinicians, and you will find a selection on YouTube.

Sheren is currently working on the Pelvic Pain Toolkit, which includes short information videos, with Pain Toolkit founder Pete Moore. This will be released later in 2020.

Sheren also runs CPD courses for health professionals and one-to-one mentoring for clinicians ready to learn from different modalities to provide better care. She encourages a multidisciplinary approach to pain management (and for some complete relief), and an effective treatment plan which treats the individual – the whole complex person, considering their values, beliefs, expectations, cognitive evaluations, contextual, cultural factors and more.

She is also founder of the Break Through Pain Programme: a tailored, collaborative and action-orientated approach which utilises the Cognitive Hypnotherapy framework to help each unique individual experiencing persistent pain, start living a better quality of life, more comfortably doing more of the things that give them joy.

 

  

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