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In this episode, I’m joined by Dr. Sabine Vesting, a pelvic health physiotherapist and researcher whose work explores how exercise impacts the pelvic floor and abdominal muscles postpartum. Her research dives into common symptoms like urinary incontinence, pelvic girdle pain, and vaginal heaviness, and how they affect daily life for new moms.

Now based in Ottawa, Dr. Vesting leads cutting-edge studies at the Motor Function Measurement (MFM) Lab, including research on running-induced urinary incontinence, pelvic floor responses after a single run, and the use of intravaginal devices to reduce leakage in female runners. She’s also writing a review on how to best measure intra-abdominal pressure during exercise.

We talk about:

-Does diastasis actually matter?

-Coning and doming explained

-Finding exercise you enjoy postpartum

-Urinary incontinence and new solutions

-Intravaginal devices to understand the pelvic floor in sport and running

Time Stamps

1:00 Introduction

6:05 work as a PhD

10:40 does diastasis even matter?

16:24 pelvic girdle pain after pregnancy 

21:00 changes over the last 15 years

28:58 being comfortable with activity postpartum

34:21 looking at pain and causes

40:18 getting better measurements 

51:42 intra-abdominal pressure

55:32 doing what works with patients

58:28 rapid fire questions

CONNECT WITH CARRIE

IG: https://www.instagram.com/carriepagliano/

Website: https://carriepagliano.com

CONNECT WITH SABINE:

Website: https://mfmlab.ca

LinkedIn: https://www.linkedin.com/in/sabine-vesting-aa4317135/?originalSubdomain=se 

We are currently recruiting participants for our RCT, aimed at evaluating whether readily available intravaginal devices, such as off-the-shelf pessaries or tampons, can effectively reduce or eliminate urine leakage during running, enabling active women to remain physically engaged. The study offers a remote option and welcomes female runners from all of North America who experience urine leakage while running.

https://mfmlab.ca/portfolio-items/running-induced-urinary-incontinence-rct/

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