Celebrate Muliebrity with Michelle Lyons

Research Nerd Alert!

This is an overview of our current understanding of what central sensitisation (aka nociplastic pain) is and how it impacts pelvic pain syndromes and of course...what we are goibg to do about it!

Some great research around this topic has emerged over the past couple of years, with a growing understanding of why just focusing on the issues in the tissues is not enough and how we can incorporate lifestyle strategies such as sleep, nutrition and physical activity into our anti-inflammatory treatment toolbox

So although this review is very evidence based for the first part, I do explore why this means when we are working with real life people - why and how to screen for CS and what steps we can take to get better outcomes - ultimately to help women with persistent pelvic pain live well!

If you are in my online course, Female Pelvic Pain Rehab, the video with all the references will be uploaded tomorrow; I will also be posting this as bonus content in my upcoming course Female Sexual Health, Fertility & Contraception, which goes live on November 25th - but its on pre-sale now!

All the details of all the online courses are HERE!

As always, thanks for listening & needing out with me - I'd love it if you could rate, review and subscribe so we can keep spreading the word about evidence based women's health!

See you next time - Onwards & Upwards! Mx #celebratemuliebrity

Welcome to this week's episode, where we're starting to look at preparing for the upcoming festive season - full of stress, different eating, sleeping and travel planning - the perfect recipe for stress, unregulated nervous systems, digestive systems and pelvic floor dysfunction! All this month, we're going to look at the evidence for multimodal pelvic rehab & lifestyle strategies for pain & digestive distress.

Let's start the conversation with Inflammatory Bowel Disease - including Crohn's Disease and Ulcerative Colitis - how does it impact female pelvic health, from sexual health, contraception choices, fertility, pregnancy & postpartum recovery?

There's a significant (and growing!) body of evidence to support the role of a biopsychosocial pelvic rehab approach to helping women with IBD live well

Did you know:

The problem might be that gastroenterologists don't know you can help! All the research, especially around sexual health and pelvic floor dysfunction emphasises the need for a multimodal pelvic rehab approach as part of an inter-disciplinary approach to improving quality of life for women with IBD

Want to take an even deeper dive into Bowel Health during the perinatal year? I've added a bonus module to my online course, Bowel Health & Women's Health, looking at bowel function in the perinatal year, from the influence of IBS and IBD, but also fissures, haemorrhoids, OASI, anal continence and more...

Stay tuned as we look at other strategies for pain and stress management and digestive health throughout the leadup to the festive season (seriously, how can it be November already?!)

Thanks for being here and if you can, I'd love it if you can rate, review and subscribe to the podcast - and be sure you're following me on Instagram @michellelyons_muliebrity for all the latest in women's health

See you next time! Mx (and don't forget to celebrate muliebrity!)

Hello & Welcome to the latest episode of the CelebrateMuliebrity podcast!

In today's episode, I have the pleasure of chatting with Dr Amanda Homen, a Toronto based physiotherapist and we chatted about the role of Hypermobility in Pelvic Health.

Some of the topics we discussed include:

Amanda will be presenting on this topic at the upcoming Pelvic Health Solutions Symposium - there's a great line-up of speakers and topics, from pessaries to prostatectomy rehab - full details and registration info at the pelvichealthsolutions.ca website

Want to learn more about women's health - from the comfort of home? Check out my online courses at celebratemuliebrity.com and make sure you're following me on Instagram @michellelyons_muliebrity for the latest clinically applicable research in all aspects of women's health & wellness

Until next time,

Onwards & Upwards & CelebrateMuliebrity!

Mx

October is awareness month for both Menopause & Breast Cancer, and one area of overlap between these two issues is that of musculoskeletal health

Sometimes, when we think about musculoskeletal health at menopause, we might immediately think of osteoporosis. Although that's a really important issues, and one I'll be addressing in upcoming episodes, for today I want to talk about muscle & joint pain at menopause

Musculoskeletal dysfunction affects between 70 and 80% of women going through peri to post menopause, with 25% of women having severe symptoms, including rotator cuff dysfunction or gluteal tendinopathy (which affects 1 in 4 women in their 50's and is often misdiagnosed as hip arthritis)

In today's episode, I'll discuss the latest research around why this happens (spoilers: oestrogen, inflammation & sleep disruption) and of course the evidence based strategies that we can use to help women live well before, during & after menopause, and (of course!) where pelvic health at menopause fits into the discussion!

If you'd like to learn more, there's a whole module on Menopausal health, including lifestyle, nutrition, sleep and physical activity, in my online course 'Female Hormonal Health Masterclass' which you can find here, alongside my other online courses. You can find & follow my continuing adventure in needing out on women's health research & education on Instagram @michellelyons_muliebrity

As always, I'd be super grateful if you can subscribe, rate & review the podcast on either Spotify or Apple

Until next time, Onwards & Upwards, Mx #celebratemuliebrity

Welcome to the latest episode of the Celebrate Muliebrity podcast!

In today's episode I have the pleasure of chatting with Surabhi Veitch, an amazing physiotherapist from Toronto

(Before I tell you what we talked about - please note I had an equipment malfunction about 18 minutes in - it gets scratchy just on my end for approx 60 seconds then settles down - if it was just a solo episode I would have redone it but Surabhi gave so many clinical pearls I had to share this!

we talked about:

and so much more! Surabhi shared so much of her own journey which is why she is an amazing communicator and clinician - if you're not already, please follow her on instagram as @thepassionatephysio

Want to learn more about sexual health? There's a whole section on sexual health at menopause in my online Female Hormonal Health Masterclass but also...in November, I'll be releasing my new online course, Female Sexual Health, Contraception & Fertility (it is on pre-sale now and goes to regular pricing when it goes live in November - here's the link where you can find info on all my online courses!

Until next time, take care and don't forget to #celebratemuliebrity Mx

NEW PODCAST ALERT! Pain Science & Pelvic Pain: Episode 50 with Dr Millie Mardon

Hello everyone and welcome to today's episode where I'm sharing a recent conversation I had with newly minted PhD, Dr Amelia (Millie) Mardon

In this podcast episode we discuss:

September is actually awareness month, not only for pain, but also for Menopause, PCOS, Gynae Cancer and sexual health - of course (!) I have online courses covering all of these topics BUT! if you want to expand your evidence based, clinically useful, biopsychosocial toolbox for working with women with diagnoses including Endometriosis, Menstrual pain, IC/ Bladder Pain Syndrome, Vulvodynia, Pudendal Neuralgia and more ....AND get access to the Female Functional Pelvic Anatomy course FOR FREE, then head over to the online Female Pelvic Pain Rehab course here

Here's the link to my Instagram account michellelyons_muliebrity to stay up to date

If you're listening to this episode on the day it goes live, you only have a few more days to purchase the recordings/manual to Pelvicon 2024 at the early bird price CLICK HERE TO FIND OUT MORE!

Thanks so much for being here, see you next time on the CelebrateMuliebrity podcast! Mx

Hello and welcome to this week's episode where I'm sharing my top 5 non-hormonal approaches for pelvic health at Menopause.

GSM or Geniturinary Syndrome of Menopause covers the pelvic health changes we see as oestrogen levels decline and includes such issues as overactive bladder, continence, VV dryness/ irritation and pelvic floor muscle dysfunction.

Although topical hormonal therapies such as oestrogen or dhea can be great - not every woman wants to or can use them - I wanted to share the latest evidence to support the evidence for non-hormonal approaches that I cam across as I was updating the Menopause module.

All of the options I discuss can be used alongside hormonal therapy or instead of it - I'm not a prescriber of pharmaceuticals so while I am a big fan of hormonal therapies, at the right time for the right person at the correct dosage - I feel that these non-hormonal strategies are effective & evidence based too.

The brand new/ update/ expanded section on pelvic health at Menopause is now available in the Menopause Module of the online Female Hormonal Health Masterclass - if you're already enrolled, it's in the course portal. If you haven't signed up yet - HURRY UP! You only have until the end of this month to get this 3 in 1 course bundle (menstrual, maternal & menopausal health) - if you're already part of the course cohort, don't worry, you'll still retain evergreen access, which you might need because this course bundle is big!

You can find all the course info at CelebrateMuliebrity.com or in my Instagram bio - you can find me at michellelyons_muliebrity.com

Until next time! Onwards & Upwards, Mx

Hello everyone and welcome to today’s episode where I had the pleasure of discussing what’s new in pelvic rehab when it comes to Menopause, Cancer & Pelvic Pain.

September is actually awareness month for those three (big!) topics so I was excited to chat with Elise Fraser from the University of Melbourne about the new & exciting research showing the benefits of physio in each of these (sometimes overlapping) spheres

👏👏👏

In this chat, some of the things we discussed:

👉 the variety of symptoms, including pelvic & musculoskeletal, that women experience at menopause and why we need to be there with them, whether/not they’re using hormone therapy 

👉 the benefits and dangers of pain neuroscience education in both pelvic pain and menopause 

👉 what women want to know about pelvic health challenges during / after cancer treatment, especially breast & gynae cancers (more on this in upcoming podcasts!)

👉 the latest evidence supporting a multimodal physio approach for the management of female pelvic pain (Starzec-Proserpio et al 2024) 

💥 💥 💥 

This coming week I’ll be uploading a brand new/ updated/ expanded section on pelvic health & rehab at menopause to my online ⁠Female Hormonal Health Masterclass⁠ - if you’ve already signed up, you’ll see it in your course…and if you haven’t, HURRY UP!! You only have until the end of this month (Sept) to enroll and get evergreen access to the 3 modules: Menstrual, Maternal and Menopausal Health

You can find ⁠all the course info at CelebrateMuliebrity.com ⁠or in the link on my Instagram ⁠michellelyons_muliebrity⁠

You can find Elise on Instagram as ⁠@elise_fraser_physio⁠ and you’ll see the research we talked about on her Instagram feed

Until next time, Onwards & Upwards! Mx #celebratemuliebrity 

Hernias & Female Pelvic Pain: Episode 47 with Dr Shirin Towfigh

Hello everyone and welcome to today’s episode where I had the pleasure of a most illuminating conversation with global leader in hernia care, Dr Shirin Towfigh

In this chat, we discussed:

👉 typical presentation and history of hernias as pain drivers in women (spoiler: women may present with pelvic pain but no bulge)

👉 why hernias in women can be potentially life threatening 

👉 how hernias are diagnosed and surgically managed

👉 what we need to know about the role of pelvic rehab in hernia care (spoiler alert: constipation!)

👉 and much more!

You can find Dr Towfigh clinically at Beverley Hills Hernia Center, where she also offers telehealth for international patients. She's on instagram as @herniadoc and has a fabulous podcast/YouTube channel called Hernia Talk Live, which I highly recommend

And if you'd like to explore further education about Female Pelvic Pain, or Hormonal Health, or Back Pain, or Bowel Health or Breast/ Pelvic Oncology Rehab, please visit CelebrateMuliebrity.com and follow me on instagram as @michellelyons_muliebrity

Until next time, Onwards & Upwards, Mx