Hey there, welcome to another NorthStar Physical Therapy podcast!

In this special awareness episode, I will highlight two important health observances that fall in September: Ovarian Cancer Awareness Month and Lymphoma Awareness Month. With my unique dual specialty in pelvic health and lymphatic health, I will explore with you how these conditions overlap, what symptoms to watch for, and why it’s critical to advocate for yourself in the healthcare system.

I will also share  how pelvic floor and lymphedema therapy can help cancer patients not only survive but thrive — addressing quality-of-life concerns like bladder, bowel, and sexual function, along with swelling, pain, and fatigue from treatment.

This is an empowering call to action: listen to your body, seek answers, and know that holistic, specialized care is available to support you!

Let’s discuss:

• Introduction to today’s topic
• Why awareness months matter
• Ovarian cancer and pelvic health
• Role of pelvic PT in cancer care
• The lymphatic system explained
• Lymphoma and lymphatic dysfunction
• The unique overlap
• Advocacy tips
• Conclusion

Check out the website for the services we perform or send me a message at Facebook or Instagram!

If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.

If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!

See you in 2 weeks! 

Hey there, welcome to another NorthStar Physical Therapy podcast!

In this episode, I break down the newer, more accurate terminology that's revolutionizing how we understand hormonal changes and pelvic health symptoms.

Discover why "vaginal atrophy" and "geriatric vagina" are outdated, harmful terms, and learn about Genitourinary Syndrome of Menopause and Genitourinary Syndrome of Lactation. I explain how estrogen affects your entire pelvic region, why you might feel like you have chronic UTIs that keep testing negative, and what you can actually do about these very common symptoms.

If you've been told your symptoms are just "normal aging," been prescribed unnecessary antibiotics for negative UTI tests, or feeling dismissed about hormonal changes, this episode will give you the knowledge and terminology to advocate for proper care.

Let’s talk about:

• Understanding the new terminology: Genitourinary Syndrome of Menopause vs outdated terms
• Why perimenopause symptoms can start 10 years before actual menopause
• The hormonal rollercoaster: estrogen and progesterone fluctuations explained
• Common urinary symptoms that aren't actually UTIs
• Genitourinary Syndrome of Lactation and postpartum hormonal changes
• Why vaginal estrogen might be the solution you've been looking for
• The importance of internal pelvic exams with qualified providers
• Breaking the cycle of unnecessary antibiotic prescriptions

Check out the website for the services we perform or send me a message at Facebook or Instagram!

If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.

If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!

See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast! 

I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!

In this episode, I will reveal the powerful connection between lipedema, lymphedema, and pelvic health — a connection that most healthcare providers miss entirely.

Discover why your pelvic floor muscles are literally acting as a lymphatic pump and how connective tissue dysfunction ties these conditions together. Dr. North explains why hypermobility, bladder issues, sexual dysfunction, and chronic pain might all be connected to the same underlying problem.

If you've been dealing with lipedema, unexplained pelvic symptoms, or feeling like providers aren't seeing the "whole picture," this episode will give you the missing pieces to understand your body holistically.

Let's talk about: 

• The 6 core functions of your pelvic floor 
• Understanding the real connective tissue dysfunction behind painful nodules and medical gaslighting
• The hypermobility connection 
• Why tight isn't always right 
• The trampoline analogy 
• Breaking down pain with penetration, orgasm difficulties, and why pelvic exams shouldn't hurt
• How hypermobility affects tearing risk and delivery outcomes
• Manual lymphatic drainage secrets 
• Why I always check pelvic health when treating lipedema and lymphedema patients
• The surprising list of people who should get regular pelvic floor evaluations (spoiler: it's almost everyone)

Check out the website for the services we perform or send me a message at Facebook or Instagram!

If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.

If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!

See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  

I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!

In this episode, I break down everything you need to know about pregnancy and labor prep programs, and why they should be considered standard care for all pregnant individuals.

From understanding pelvic floor function, to preparing for both vaginal and C-section deliveries, to evaluating movement, posture, and pain management — I will help you understand why tailored programs are essential and how virtual options can still offer support when done right.

If you're pregnant, planning to be, or supporting someone through pregnancy, this episode will help you understand how a comprehensive, evidence-informed, individualized approach makes all the difference!

Let’s talk about:

• Introduction to today’s topic
• The importance of accessibility
• What a comprehensive pregnancy program includes
• C-section is still birth
• Vaginal birth prep AND C-section education
• Full-body evaluation and functional movement
• Labor positioning and breathwork
• Getting partners involved
• Why strengthening AND flexibility matter
• Customizing care
• The role of pelvic floor PT before, during, and after pregnancy

Check out the website for the services we perform or send me a message at Facebook or Instagram!

If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.

If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!

See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  

I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!

In this special collaboration episode, I am  joined by Dr. Amanda Skowron Romano, licensed clinical psychologist and founder of Peace of Mindfulness, to explore the deep connection between mental health, pelvic health, and the nervous system.

Together, we unpack the value of integrated care—where pelvic floor therapy and psychological support work hand-in-hand to address postpartum recovery, perimenopause, trauma, identity shifts, sexual health, and stress management.

If you’ve ever wondered how your mental and emotional state influences your pelvic floor—or why healing your body involves more than just muscles—this episode is a must-listen.

In this episode, you’ll also learn:

• Introduction to today’s topic
• Amanda reframes therapy as a tool for wellness, not just crisis, especially for new moms and those navigating life transitions.
• Why collaboration matters
• Understanding the nervous system
• The pelvic floor & emotional holding
• Mindfulness & body literacy
• Common emotional overlaps
• Breathwork practices that work
• Tips for clients & providers
• Mindfulness for the whole family
• Amanda explains why finding the right therapist matters and offers free 15-minute consults to ensure good alignment
• Final thoughts

About Dr. Amanda Skowron Romano, PsyD

Dr. Amanda Skowron Romano is a licensed clinical psychologist who is passionate about breaking down the stigma of therapy and helping people understand that seeking therapy is about health and wellness. In addition to working with individual clients and couples, Dr. Skowron Romano provides workshops and presentations bringing mindfulness into corporations, schools, and healthcare settings. Dr. Skowron Romano has extensive specialized training in Mindfulness and Acceptance Based Interventions. She has conducted research on mindfulness and published articles about postpartum depression. Her passion is to work with a clinical focus on prevention and wellness. 

Reach out to her here: https://www.peaceofmindfulnessllc.com/ 

Check out the website for the services we perform or send me a message at Facebook or Instagram!

If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.

If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!

See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast! 

I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!

In this eye-opening episode, I tackle one of the most misunderstood diagnoses in men’s health: prostatitis. While pelvic pain in men is often automatically labeled as prostatitis and treated with antibiotics, I will explain why this may be misdiagnosed, and how pelvic floor dysfunction, nerve tension, lymphatic congestion, or even constipation might be the real root cause.

With compassion and clarity, let me walk you through how to properly evaluate and address male pelvic pain, why antibiotics aren't always the answer, and why pelvic floor physical therapy should be first-line care in these situations.

What You'll Learn in This Episode:

• Introduction to today’s topic
• What is prostatitis, really?
• Why pelvic pain without infection should NOT be treated with antibiotics
• Differentiating prostatitis from constipation, pelvic floor tension, and nerve entrapment
• How pelvic floor PT helps
• Erectile dysfunction, bladder hesitancy, and pain with sex
• Encouraging men to speak up, ask questions, and seek out a pelvic floor physical therapist
• Lymphatic involvement in male pelvic pain
• Conclusion 

Check out the website for the services we perform or send me a message at Facebook or Instagram!

If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you.

If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast!

See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  

I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide to you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!

In honor of Men’s Health Month and Father’s Day, let me shed some light on a topic that’s often overlooked: pelvic health for men. In this open and informative conversation, I break down what the male pelvic floor does, why it's important, and how issues like urinary urgency, constipation, erectile dysfunction, pelvic pain, and more can be treated — not just tolerated.

This episode is a must-listen for anyone with male anatomy or those supporting someone who does. Whether you're navigating prostate concerns, recovering from surgery, or dealing with unexplained pain or function issues, I will help you understand how pelvic floor therapy can make a life-changing difference!

What You'll Learn in This Episode:

• Introduction to today’s topic
• Men have pelvic floors too - Bladder, bowel, and sexual function are just as important in male anatomy.
• Common symptoms that need attention
• Tension vs. weakness
• Prostatitis and misdiagnosis
• Respectful, clear care for male clients
• The role of hip mobility and global body mechanics
• Erectile dysfunction and cardiovascular health
• Normalizing pelvic health conversations

Check out the website for the services we perform or send me a message at Facebook or Instagram! 

If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. 

If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! 

See you in 2 weeks! 

Hey there, welcome to the NorthStar Physical Therapy podcast!  

I am your host, Dr. Shirlea North and I dive into lymphedema, lipedema, and various pelvic health dysfunctions. My goal is to provide you a better way to understand these conditions so that you empower yourself with knowledge to advocate for yourself. Let NorthStar Physical Therapy guide and navigate you on your journey to optimal health!

In this heartfelt episode of North Star Physical Therapy Podcast, I take a meaningful pause from my usual medical-focused content to celebrate Pride Month and discuss the importance of inclusive healthcare. Everybody has a pelvis and everybody has a lymphatic system - all deserve optimal care regardless of their sexual orientation or gender identity.

This episode highlights my passion for celebrating diversity while maintaining expertise in pelvic and lymphatic health. Tune in as I share real client stories and emphasize that respect and understanding are fundamental to healthcare!

In this episode, you'll also learn:

• Why Pride Month matters in healthcare settings
• The importance of inclusive language in medical practice
• Pre- and post-surgical pelvic floor therapy for gender-affirming procedures
• How to address sexual function concerns regardless of anatomy or orientation
• The complexity and beauty of working with diverse client histories
• Why trauma-informed care includes asking about pronouns and preferred terminology
• How lifestyle factors affect pelvic health across all populations
• Dr. North's personal journey of learning from the LGBTQ+ community

Check out the website for the services we perform or send me a message at Facebook or Instagram! 

If you have any questions about this episode or anything related to the services that we offer, please feel free to reach out so we can help you. 

If you have other topics in mind that you want me to talk about, hit me up and I’ll make sure to consider it for my next podcast! 

See you in 2 weeks! 

In this episode, Dr. Shirlea North discusses the important — and often overlooked — pelvic and lymphatic health considerations during the transition from menstruation through perimenopause to menopause.

Dr. North dives into how hormonal changes, tissue health, lymphatic flow, and lifestyle factors all impact pelvic floor function and whole-body well-being during this transformative stage of life. This episode is a must-listen for anyone navigating the complex (and often confusing) journey of perimenopause and beyond.

What You'll Learn in This Episode:

• Introduction to today’s topic
• What is perimenopause and when does it start?
• Genetics, lifestyle, and hormone changes
• Pelvic floor tissue changes during perimenopause
• The importance of lymphatic health
• Manual lymphatic drainage and compression strategies
• Pelvic floor therapy during perimenopause
• Active stress management techniques
• Holistic view: Whole body, whole life
• Being your own health advocate

Welcome to the NorthStar Physical Therapy Podcast — your go-to resource for understanding lymphedema, lipedema, pelvic health dysfunctions, and empowering you to take control of your health and advocate for yourself. 

In this episode, Dr. Shirlea North, pelvic floor and lymphatic health specialist, shares her expertise on the vital role pelvic floor and lymphatic therapy plays throughout the peripartum journey — from fertility to postpartum recovery. 

Whether you’re trying to conceive, currently pregnant, or navigating postpartum life, this episode explores how a whole-body approach to therapy can help manage symptoms, support healing, and empower you to take control of your health in ways not typically covered by standard care.

What You'll Learn in This Episode:

• The importance of pelvic floor therapy before conception, during pregnancy, and postpartum.
• How lymphatic care supports healing and circulation during pregnancy.
• What to check for before trying to conceive, including scar tissue, soft tissue flexibility, and movement.
• Strategies to optimize labor and reduce injury through movement, mechanics, and breath.
• How early intervention can address pelvic congestion and venous insufficiency.
• Why postpartum recovery takes time, and how pelvic PT can guide functional movement and tissue healing.
• The benefits of virtual postpartum visits for early support, even before the six-week check-up.
• Why the postpartum journey is about more than pelvic floor exercises, including breastfeeding and lymphatic drainage.

Tune in to learn how pelvic floor and lymphatic care should be part of your peripartum health strategy and how to take charge of your wellness from fertility to beyond birth.